SCOTTS Flashcards
Two years after a woman was saved from her burning house, this 32 year old woman continues
to be distressed by recurrent dreams and intrusive thoughts about the event, the most likely
diagnosis is?
a. Major depressive disorder
b. Dysthymic disorder
c. PTSD
d. Generalized anxiety disorder
C
An example of an intrusion symptom in PTSD is:
a. Hypervigilance
b. Nightmares
c. Irritability
d. Difficulty sleeping
B
A 45 year old man comes for consult with a chief complaint of fatigue. Because of heavy drinking
over the past 9 months, he has received several reprimands at work and his wife has threatened
to leave him. He drinks 6 – 12 bottles of beer a day plus several ounces of hard liquor. He reports
blackouts and an inability to quit drinking, as well as not becoming intoxicated as easily. He has
tried to quit on several occasions but has been unable to do so.
Which of the ff is the most likely diagnosis?
a. Alcohol intoxication
b. Alcohol abuse
c. Alcohol dependence
d. Alcohol withdrawal
B
A 45 year old man comes for consult with a chief complaint of fatigue. Because of heavy drinking
over the past 9 months, he has received several reprimands at work and his wife has threatened
to leave him. He drinks 6 – 12 bottles of beer a day plus several ounces of hard liquor. He reports
blackouts and an inability to quit drinking, as well as not becoming intoxicated as easily. He has
tried to quit on several occasions but has been unable to do so.
Which of the ff factors in his history is the most specific for the diagnosis?
a. Marital conflict
b. Occupational problems
c. Not becoming as intoxicated as easily
d. 9-month history of heavy drinking
D
True of metamphetamine, EXCEPT
a. A stimulant drug like cocaine
b. Effects believed to result from their ability to release and block the reuptake of
dopamine and norepinephrine
c. Can be inhaled, smoked and injected
d. Has a medical benefit or use
e. Levels can be detected via urine sample
B
This group of signs and symptoms occurring when a substance is reduced in amount after a heavy and prolonged use is called: a. Tolerance b. Abuse c. Withdrawal state d. Intoxication e. Dependence
C
At least 2 years of alternating depression and hypomanic episodes
a. Cyclothermia
b. Dysthymia
c. Bipolar I
d. Bipolar II
A
The following are drugs used to treat mania except:
a. Carbamazepine
b. valproate sodium
c. lamotrigine
d. olanzapine
C
Indicators for major depression in a medically ill patient:
a. Not participating in medical therapy despite his/her ability to do so
b. Not progressing despite improved medical condition
c. Functioning at a lower level than medical condition warrants
d. AOTA
D
When a primary-care physician detects depression in a medically ill patient, what is his best
recourse?
a. Tell the patient “it’s all in the mind” and he should snap out of it
b. Refer him immediately to a psychiatrist
c. Explain that he has depression, a medical condition that is highly treatable
d. AOTA
B
Accdg to the biopsychosocial Model:
a. States of health and well-being depend on the interaction of biological and sociological
factors
b. A person may be thought of to be composed of hierarchical subsystems
c. The systems theory is useful as a theoretical basis
d. AOTA
D
From the biopsychosocial perspective a person:
a. Is composed of systems of organs
b. Interacts with his environment
c. Influences other’s decisions
d. AOTA
D
Accdg to DSM IV-TR, all of the ff are core symptoms of depression EXCEPT:
a. Depressed mood most of the day
b. Markedly diminished interest/pleasure
c. Decreased goal-directed activities
d. Diminished ability to think or concentrate
e. Psychomotor agitation or retardation
E
Accdg to DSM IV-TR, in order to diagnose major depressive disorder you need:
a. Presence of at least 3 core symptoms for at least 2 weeks duration
b. Presence of at least 5 core symptoms for at least 2 weeks duration
c. Presence of at least 3 core symptoms for at least 1 week duration
d. Presence of at least 5 core symptoms for at least 1 week duration
B
The site of action of most psychopharmacologic drugs is:
a. Pre-synaptic neurons
b. Post-synaptic neurons
c. Gabaergic neurons
d. Glutaminergic neurons
B
