Psych Questions Flashcards
Which of the following is the best long term therapy for dissociative fugue?
A. Behavioral therapy B. Cognitive therapy C. Interpersonal psychotherapy D. Motivational interviewing E. Psychodynamic psychotherapy
E. Psychodynamic psychotherapy
Also known as nihilistic delusional disorder, pts with this complain of having lost not only possessions, status, strength, but also their heart, blood, and intestines. They believe the world around them has been reduced to nothingness. Usually considered to be a precursor to schizophrenic or depressive episode
A. Capgras syndrome B. Cotard syndrome C. Delusional disorder D. Fetishistic disorder E. Schizotypal personality disorder
B. Cotard syndrome
Presents with delusion of misidentification that a familiar person has been replaced by an imposter. Has been seen to occur after sudden brain damage and may be associated with schizophrenia, epilepsy, dementia, and other organic brain disorders
A. Capgras syndrome B. Cotard syndrome C. Delusional disorder D. Fetishistic disorder E. Schizotypal personality disorder
A. Capgras syndrome
65 y/o male with chest pain for the past 5 hours. Hx of obesity, HTN, and tobacco use. Pain is substernal, crushing, and radiates down left arm. Vitals show HR 106, BP 212/106, RR 16, and afebrile. ECG shows nonspecific T wave changes. Troponin level is 0.006. Urine tox screen positive for cocaine. What is the next best step?
A. Coronary angiography B. Metoprolol C. Heparin D. Lisinopril E. Phentolamine
E. Phentolamine
Cocaine chest pain requires 12 hour obs. Control pain and BP with alpha blockade FIRST followed by beta blockade
Prophylaxis for alcohol withdrawal
A. Lorazepam B. Chlordiazepoxide C. Citalopram D. Fosphenytoin E. Levetiracetam
B. Chlordiazepoxide
[medium-acting benzo is needed. Another option is diazepam. Lorazepam is a short acting benzo used in acute stages of withdrawal]
Which of the following is most associated with panic disorder?
A. Bipolar disorder B. Coronary artery disease C. Major depression D. Obsessive compulsive disorder E. Substance abuse disorder
C. Major depression
What labs must be drawn prior to starting lithium for bipolar?
A. CBC and creatinine B. CBC and LFTs C. CBC and TSH D. Creatinine and LFTs E. Creatinine and TSH F. LFTs and TSH
E. Creatinine and TSH
[lithium is renally excreted and can cause nephrogenic diabetes insipidus. Can also cause hypothyroid]
Patients present with clouded consciousness, somatic complaints, dissociative symptoms, and pseudohallucinations that they know aren’t real. The hallmark sign is paralogia — the responding of approximate answers to questions.
A. Briquet’s syndrome B. Ganser’s syndrome C. Munchausen syndrome D. Munchausen syndrome by proxy E. Wernicke encephalopathy
B. Ganser’s syndrome
Which of the following describes the pathologic mechanism causing hyperadrenergic crisis due to MAOIs?
A. Blocked post-synaptic reuptake of catecholamines
B. Decreased stimulation of GABA receptors
C. Increased release of catecholamines at nerve synapses
D. Increased synthesis of catecholamines
E. Stimulation of catecholamine receptors
C. Increased release of catecholamines at nerve synapses
ADHD is associated with the development of….
A. Antisocial personality disorder B. Schizoaffective disorder C. Separation anxiety D. Substance abuse E. Unemployment
A. Antisocial personality disorder
Characterized by normal development in early childhood followed by loss of previously acquired skills. Loss of skills occurs in at least 2 of the following: language, social, bowel or bladder control, play, and motor control. Onset between age 2-10 and more commonly affects boys.
A. Autism spectrum disorder B. Childhood disintigrative disorder C. Encopresis D. Rett’s disorder E. Schizophrenia
B. Childhood disintigrative disorder
