Dignities Flashcards
1
Q
- Amanda is a 29-year old female, who was brought to the PGH Emergency Room by her husband because of behavioral changes of 2 weeks duration. According to the informant, Amanda has been sleeping for 2-3 hours, often doing household chores in the middle of the night. She would talk non-stop, is extremely irritable and critical of everyone, and picks fight with her family and the neighbors. She is noted to be highly distractible and hyperactive. She made plans to buy a number of condominium units but her husband reports that they can’t afforde these. According to her husband, Amanda was previously diagnosed with an unrecalled psychiatric condition two years ago when she had the same symptoms and was admitted at PGH Ward 8. She was however lost to follow up and was irregularly compliant with her medications. What is your primary working impression?
a. Schizophrenia, Disorganized Type
b. Attention Deficit Hyperactivity Disorder
c. Brief Psychotic Disorder
d. Bipolar Disorder, Most Recent Episode Manic
A
D
2
Q
- Which of the following medications is the best choice for Amanda’s condition?
a. SSRI + Mood Stabilizer
b. SSRI + Serotonin Dopamine Antagonists
c. Mood Stabilizer + Serotonin Dopamine Antagonists
d. Psychostimulants + Mood Stabilizer
A
C
3
Q
- Whici of the following mood episdoes needs to be present before a diagnosis of bipolar I disorder can be made?
a. Manic episode
b. Major depressive episode
c. Hypomanic episode
d. AOTA
A
A
4
Q
- Which of the following mood episodes can a patient with bipolar disorder have?
a. Manic episode
b. Majr depressive episode
c. Hypomanic episode
d. AOTA
A
D
5
Q
- Which receptor/s do most of the atypical antipsychotic block?
a. D2 and NE
b. 5HT2A and D2
c. NE and 5HT2A
d. M1 and D2
A
B
6
Q
- Carlos is a 17-year old teenaged boy brought to the clinic by his mother because of insomnia of three day’s duration. According to the mother, Carlos went out drinking with his friend on a Friday evening, but came home with paranoia and irritability. He locked the windows and door and looked out repeatedly, telling his mom that some people were out to get him. He had difficulty sleeping at night, with poor appetite. He also appeared to be talking to someone even if there was no one in the room. Which of the following substances is most likely result to Carlos’ behavior?
a. Alcohol
b. Metamphetamine
c. Nicotine
d. Cannabis
A
B
7
Q
- What if the following neurotransmitters is primaritly involved in the reward pathway (positioned to explain substance related disorders)?
a. GABA
b. Histamine
c. Serotonin
d. Dopamine
A
D
8
Q
- The diagnostic criteria for substance dependencee include which of the following?
a. Development of substance specific syndrome due to cessation of substanc eus e that has been prolonged
b. Recurrent substance related legal problems
c. Development of a reversible substance specific syndrome due to recent ingestion of a substance
d. The substance is often taken in
A
A
9
Q
- The lifetime prevalence of alcohol dependence is:
a. 10%
b. 14%
c. 18%
d. 20%
A
B
10
Q
- Which of the following is a core symptom of panic disorder?
a. Panic attacks when exposed to situations that trigger a flashback of previous traumatic situations
b. Panic attacks in performance situations
c. Panic attacks when exposde to specific objects or situations
d. Recurrent unexpected panic attacks
A
D
11
Q
- Which class of medications is the preferred long-term treatment for panic disorders?
a. Benzodiazepines
b. Antidepressants
c. Mood stabilizers
d. Atypical antipsychotics
A
B
12
Q
- The following is true of the role of serotonin in Panic Disorder
a. Panic results from excess levels of serotonin or excess postsynaptic sensitivity to serotonin
b. Panic results from deficient levels of serotonin in the periaqueductal gray area (PAG)
c. It is not known what role serotonin plays in Panic Disorder
d. A and B are true
e. AOTA
A
D
13
Q
- In acute stress disorder, the symptoms
a. Must last for a maximum of two days
b. Can last for a maximum of eight weeks
c. Must occur within one year of the trauma
d. Must occur within six months of the tauma
A
A
14
Q
- PTSD symptoms of:
a. Hypomania, hyperarousal, looseness of associations, flashbacks and phobias
b. Commonly can be classified into hypervigilance, avoidance, intrusions and regression
c. Commonly can be classified into hypervigilance, avoidance, intrusions and constriction
d. NOTA
A
C
15
Q
- An example of an intrusion symptom in PTSD is
a. Hypervigilance
b. Nightmares
c. Irritability
d. Sleep difficulty
A
B
16
Q
- Which of the folloing medications would be the best choice for a patient with panic disorder?
a. Escitalopram
b. Quetiapine
c. Haloperidol
d. Risperidone
A
A