NRNP6635: Psychopathology and Diagnostic Reasoning midterm exam

 

 

 

 

QUESTION 1

1. Select the serum assessment that is required when prescribing drugs to treat psychiatric disorders in psychosomatic patients.

 

A Potassium

.

B White blood

. cells

C Liver enzymes

.

D Blood urea

. nitrogen

 

                1 points               

QUESTION 2

1. Select the theorist who developed the eight stages of psychosocial life cycle.

A Bowlb

. y

B Perls

.

C Erikso

. n

D Roger

. s

 

                1 points               

QUESTION 3

1. Select two causes of dissociative amnesia.

A Sexual abuse

.

B Substance

. abuse

C Surgical pain

.

D Partner

. betrayal

 

 

QUESTION 4

1.            Select the patient evaluation scale to be used before and during prescribing antipsychotic drugs.

A MMSE

.

B AIMS

.

C CAGE

.

D HAM-

. D

 

QUESTION 5

1. Select the two comorbid disorders with which Pica occurs most commonly.

A Enuresis

.

B Encopresis

.

C Autism

.

D Intellectual

. disability

 

A 10% recover, 20% mild symptoms, 30% moderate symptoms, 40% no

. change or worse

B 20% recover, 10% mild symptoms, 40% moderate symptoms, 30% no

. change or worse

C 30% recover, 40% mild symptoms, 20% moderate symptoms, 10% no

. change or worse

D 40% recover, 30% mild symptoms, 10% moderate symptoms, 20% no

. change or worse

 

 

A Family

. members

B Sequential

. events

C Personal

. identity

D Adolescent

. years

 

                1 points               

QUESTION 8

1. The following is NOT an endocrine change noted with anorexia nervosa:

A Increased Glucose

.

B Hypothyroidism

.

C Hypersecretion of corticotrophin-releasing

. hormone

D Eating with friends, but not family

.

 

                1 points               

QUESTION 9

1. Select the two most important elements of the psychiatric interview to establish a mental illness diagnosis.

A Psychiatric history

.

B Family history

.

C Mental status

. examination

D Review of systems

.

 

                1 points               

QUESTION 10

1. Select the greatest impediment to treating anorexia nervosa patients.

A Drug adverse effects

.

B Variability of family

. therapy

C Patient resistance

 

.

D Noncompliance with

. therapy

 

                1 points               

QUESTION 11

1. Select the sleep disorder in which cataplexy is a common symptom.

A Central apnea

.

B Somnambule

. nce

C Insomnia

.

D Narcolepsy

.

 

                1 points               

QUESTION 12

1. Select the obsessive-compulsive disorder for which a patient is likely to initially seek help from a Primary Care Provider.

A Hoarding

.

B Excoriation

.

C Hair-pulling

.

D Body

. dysmorphia

 

                1 points               

QUESTION 13

1. Select the rating scale used to assess obsessive-compulsive disorder.

A HAM-

. A

B CAGE

.

C YBOC

. S

D CAPS

.

 

 

 

A 2

.

B 3

.

C 4

.

D 6

.

 

                1 points               

QUESTION 15

1. Select the mood disorder that is worsened by chronic exposure to observing violence in television, movies, and video games.

A Bipolar

.

B Opposition

. al

C Conduct

.

D Dysthymia

.

 

                1 points               

QUESTION 16

1. Select a provider’s most important knowledge area essential to a successful mental health interview of a child.

A Normal

. development

B Cultural

. background

C Sibling position

.

D Medical history

.

 

                1 points               

QUESTION 17

1. Select the minimum treatment time to assess the effectiveness of antidepressant drug therapy.

A 1-2 weeks

 

.

B 3-4 weeks

.

C 6-8 weeks

.

D 10-14

. weeks

 

A PTSD diagnosis require symptoms to last at least for

. one month.

B Acute stress disorder symptoms can last at least for

. one month.

C PTSD has recurrent, distressing dreams.

.

D Acute stress disorder has recurrent, distressing

. dreams.

 

                1 points               

QUESTION 19

1. Factors that indicate a good prognosis for PTSD disorders include all the following EXCEPT:

A rapid onset of symptoms

.

B short duration of symptoms

.

C positive response to

. benzodiazepines

D strong social supports

.

 

                1 points               

QUESTION 20

1. Select the medical condition that must be excluded as a cause of somatic symptom disorder or hypochondriasis.

A Angina

.  pectoris

B Asthma

.

C Diabetes

 

.

D Multiple

. sclerosis

 

                1 points               

QUESTION 21

1. What is the most IMMEDIATE consideration in assessing depression in adolescents?

A Sleep

.

B Safety

.

C Appetit

. e

D Anger

.

 

                1 points               

QUESTION 22

1. Select the neurotransmitter that is most involved in the pathophysiology of schizophrenia.

A Norepinephri

. ne

B Dopamine

.

C Serotonin

.

D Acetylcholine

.

 

                1 points               

QUESTION 23

1. Select the most important component of the patient-provider rapport.

A Empathy

.

B Confidentiali

. ty

C Respect

.

D Privacy

.

 

 

 

A Bupropion and SNRI antidepressants

.

B Cognitive-behavior therapy (CBT) and SSRI

. antidepressants

C Cognitive-behavior therapy (CBT) and

. amitriptyline

D Coaching approach behavior and leading by

. modeling

 

                1 points               

QUESTION 25

1. All the following are key psychiatric findings when assessing speech and language in children EXCEPT:

A Normal articulation

.

B Unusual syntax

.

C Echolalia

.

D Repetitive stereotypical

. phrases

 

                1 points               

QUESTION 26

1. Select the factor that is required to cause PTSD from a stressor.

A Intense horror

.

B Isolated experience

.

C Concurrent substance

. abuse

D Survivor’s guilt

.

 

                1 points               

QUESTION 27

1. All the following are classes of coping mechanisms in the Model of Mental Health as Resilience where humans overcome stressful situations EXCEPT:

A Adaptive involuntary coping mechanisms (defense

. mechanisms)

 

B Generativity versus Stagnation

.

C Conscious Cognitive Strategies

.

D Consciously Seeking Social Support

.

 

A Bodmann’s

. area

B Substantia

. nigra

C Caudate

.

D Wernicke’s

. area

 

Determining occurrence of substance abuse

       Denial of symptoms

Insisting weight loss has a medical cause

       Secrecy regarding eating rituals

 

A Separatio

. n

B Generaliz

. ed

C Social

.

D Traumatic

.

 

 

QUESTION 31

1. Select the two most common peripheral symptoms of anxiety.

A Bradycardi

. a

B Dizziness

.

C Constipati

. on

D Tremors

.

 

QUESTION 32

1. Select the hormone or neurotransmitter that is involved in regulating the 24-hour circadian sleep-wake cycle.

A Dopamine

.

B Corticotrophin

. releasing

C Serotonin

.

D Melatonin

.

 

                1 points               

QUESTION 33

1. Select the event most associated with the occurrence of dissociative fugue.

A Head trauma

.

B Substance

. abuse

C Partner

. betrayal

D Unplanned

. travel

 

                1 points               

QUESTION 34

1. Select the neurodevelopmental disorder typically diagnosed in childhood.

A Bipolar I

 

.

B Major

. depression

C Intellect

.

D Agoraphobia

.

 

QUESTION 35

1. Select the primary cause of reactive attachment disorder in children.

A Death of mother

.

B Bullying by peers

.

C Negligent

.  parenting

D Fetal alcohol

. syndrome

 

A Dissociative

. amnesia

B Major depression

.

C Depersonalizatio

. n

D Dissociative

. identity

 

QUESTION 37

1. Select two events that are causes of dissociative trance disorder.

A Natural disaster

.

B Substance abuse

.

C Experienced violence

.

 

D Appropriate drug

. therapy

 

                1 points               

QUESTION 38

1. Select the time from occurrence of the stressor in which symptoms must appear to diagnose an adjustment disorder.

A 1 week

.

B 1

. month

C 3

. months

D 6

. months

 

                1 points               

QUESTION 39

1. Select the serum substance that should be measured to aid the diagnosis of restless leg syndrome.

A Potassiu

. m

B Ferritin

.

C Magnesiu

. m

D Albumin

.

 

                1 points               

QUESTION 40

1. Select the DSM-5 disorder formerly called multiple personality disorder.

A Depersonalizatio

. n

B Dissociative

. fugue

C Dissociative

. identity

D Derealization

.

 

 

 

A Seizures

.

B Substance abuse

.

C Narcissistic Personality

. Disorder

D All of the above

.

 

                1 points               

QUESTION 42

1. The following psychotherapy interventions is NOT a recommended in the treatment of PTSD:

A Behavioral

. Therapy

B Chelation

. Therapy

C Cognitive

. Therapy

D Hypnosis

.

 

                1 points               

QUESTION 43

1. Select the difference in rates of suicidal thoughts and behaviors between placebo and drug in children and adolescents observed from random controlled trials of nine antidepressant drugs that resulted in the 2004 FDA “black box” warning in labeling of

antidepressant drugs.

A 1% placebo, 5%

. drug

B 2% placebo, 4%

. drug

C 2% placebo, 10%

. drug

D 4% placebo, 12%

. drug

 

                1 points               

QUESTION 44

 

1.  Select the drug that has been effective in treating social anxiety in children.   

A Bupropion

.

B Carbamazepi

. ne

C Amitriptyline

.

D Fluoxetine

.

 

                1 points               

QUESTION 45

1. Select the youngest age range at which alarm therapy is effective to treat enuresis.

A 11 to

. 12

B 9 to

. 10

C 6 to 7

.

D 5 to 6

.

 

                1 points               

QUESTION 46

1. Which part of the brain is essential to the maintenance of attention?

A Cortex

.

B Right frontal

. lobe

C Septum

.

D Amygdala

.

 

                1 points               

QUESTION 47

1. Select two signs and symptoms of bulimia nervosa.

A Weekly binge eating for at least three

. months

B Abuse of emetic drugs and substances

.

C Greater weight loss than with anorexia

 

. nervosa

D Binge eating and purging is most common

. in winter

 

A Aggressio

. n

B Withdraw

. al

C Panic

.

D Exhibition

.

 

                1 points               

QUESTION 49

1. Select the most common stressor of PTSD in women.

A Home accident

.

B Partner or spousal

. abuse

C Sexual assault

.

D Natural disaster

.

 

                1 points               

QUESTION 50

1. Select the most likely stressor to cause an adjustment disorder.

A Medical

. illness

B Natural

. disaster

C Vehicle

. accident

D Substance

. abuse

 

 

A Medical

. illness

B Natural

. disaster

C Vehicle

. accident

D Substance

.  abuse

 

QUESTION 51

1. Select the motivation in pyromania that is absent in patients who commit arson.

A Financial gain

.

B Revenge

.

C Affective

. arousal

D Power

.

 

A To not prescribe the medication to the population of

. consideration

B To obtain informed consent from patients

.

C To document adverse reactions

.

D The need for closer monitoring of potential symptoms by

. the provider

 

 

A Depression

.

B Anxiety

.

C Psychosis

.

D Depersonalizati

. on

 

                1 points               

QUESTION 54

1. Select the disorder in which patients feel detached from their environment.

A Derealization

.

B Transient global

. amnesia

C Depersonalization

.

D Dissociative identity

.

 

                1 points               

QUESTION 55

1. Select the least extent of sleep debt that can cause hypersomnolence.

A 4 hours per night for one

. month

B 3 hours per night for two

. weeks

C 2 hours per night for one

. week

D 1 hour per night for three

. days

 

                1 points               

QUESTION 56

1. Select the disorder in children and adolescents that is described by depressed or irritable mood for most of the day for a majority of days in at least one year.

A Major depression

.

B Cyclothymia

.

C Bereavement

 

.

D Persistent

. depression

 

                1 points               

QUESTION 57

1. Select the disorder in which children are irritable and display temper outbursts, but are not likely to cause physical harm to themselves and others.

A Oppositiona

. l

B Conduct

.

C Dysregulati

. on

D Bipolar

.

 

                1 points               

QUESTION 58

1. Select the nondrug therapy approved for use in patients who have failed to achieve satisfactory improvement with correctly prescribed antidepressant drugs.

A Transcranial magnetic

. stimulation

B Phototherapy

.

C Vagal nerve stimulation

.

D Psychoanalysis

.

 

                1 points               

QUESTION 59

1. Fetal alcohol syndrome is characterized by all the following EXCEPT:

A Microcephaly

.

B Midface hypoplasia

.

C Growth retardation with

. weight/height

D Scanty Lanugo

.

 

 

 

A Childhood

.

B Adolescen

. ce

C Middle

. adult

D Elderly

. adult

 

                1 points               

QUESTION 61

1. Select the brain region that is most implicated in the function of memory.

A Hippocampus

.

B Temporal lobe

.

C Amygdala

.

D Corpus

. callosum

 

                1 points               

QUESTION 62

1. Select the two most effective treatments for obsessive-compulsive disorder (OCD) in

children and adolescents.

A SSRI antidepressants

.

B SNRI antidepressants

.

C Cognitive behavioral therapy

. (CBT)

D Parent-child interaction therapy

. (PCIT)

 

                1 points               

QUESTION 63

1. Select two types of theories that have contributed to causes of anxiety.

A Psychoanalytic

. theory

B Behavioral theory

 

.

C Family

.

D Group

.

 

                1 points               

QUESTION 64

1. Select the self-report rating scale used to screen for major depression.

A BDI

.

B HAM-

. D

C BPRS

.

D SANS

.

 

                1 points               

QUESTION 65

1. Select the two symptoms that result from prolonged sleep deprivation.

A Ambition

.

B Hallucinatio

. ns

C Contentedn

. ess

D Irritability

.

 

                1 points               

QUESTION 66

1. Select the least effective method to treat dissociative amnesia.

A Antipsychotic

. drugs

B Cognitive

. therapy

C Hypnosis

.

D Group therapy

.

 

 

 

A PANS

. S

B BPRS

.

C HAM-

. D

D CAPS

.

 

                1 points               

QUESTION 68

1. Select the two diverse symptoms of OCD.

A Rituals

.

B Flashbacks

.

C Loose

. associations

D Intrusive

.  thoughts

 

                1 points               

QUESTION 69

1. Select the antidepressant drug that is effective in treating OCD, because it is the most selective in preventing serotonin uptake.

A Clomiprami

. ne

B Valproate

.

C Lithium

.

D Venlafaxine

.

 

                1 points               

QUESTION 70

1. Select the drug in addition to a benzodiazepine used to treat generalized anxiety disorder.

A Buspirone

.

 

B Trazodone

.

C Quetiapin

. e

D Lamotrigi

. ne

 

A 5

.  0

B 3

.  0

C 1

.  5

D 5

.

 

QUESTION 72

1. Episodes of major depression and hypomania are the main characteristics of:

A Dysthymia

.

B Bipolar I Disorder

.

C Mixed Mood

. Disorder

D Bipolar II Disorder

.

 

QUESTION 73

1. Benzodiazepine treatment for anxiety conditions lasts for:

A 3 months

.

B 1 year

.

C indefinite

. ly

D 6 weeks

.

 

 

QUESTION 74

1. Select the comorbid disorder most frequently associated with anorexia nervosa.

A Depression

.

B Anxiety

.

C Schizophrenia

.

D Substance use

. disorder

 

                1 points               

QUESTION 75

1. Which side effect of venlafaxine places the medication as a second-line choice when compared with SSRIs?

A Nausea

.

B Increased blood

. pressure

C Headache

.

D Fatigue

.

 

                1 points               

QUESTION 76

1. Select the therapy for insomnia that can be effective at up to three years after discontinuation.

A Cognitive-

.  behavioral

B Sedating

. antihistamines

C Benzodiazepines

.

D Paradoxical

. intention

 

QUESTION 77

1. Select the two types of symptom patterns common to OCD patients.

A Recurrent

 

. nightmares

B Flight of ideas

.

C Intrusive thoughts

.

D Contamination

.

 

A 10 to

. 20

B 20 to

. 30

C 40 to

. 60

D 50 to

. 70

 

                1 points               

QUESTION 79

1. Select the largest percentage prevalence of psychiatric disorders in patients hospitalized for medical conditions.

A 1

.  0

B 3

.  3

C 5

.  0

D 6

.  7

 

                1 points               

QUESTION 80

1. Select the symptom that is most likely improve early in the drug treatment of major depression.

A Poor

. concentration

B Sleep problems

.

 

C Excessive guilt

.

D Decreased

. appetite

 

                1 points               

QUESTION 81

1. Select the most effective treatment found in the studies of adolescents with depression.

A SSRI plus

. SNRI

B CBT

.

C SSRI plus

.  CBT

D SSRI

.

 

                1 points               

QUESTION 82

1. Select the mood disorder in which diagnosis requires symptoms present for at least two years.

A Major

.  depression

B Dysthymia

.

C Bipolar II

.

D Cyclothymia

.

 

                1 points               

QUESTION 83

1. Select the two most commonly co-occurring anxiety disorders that may present with

generalized anxiety disorder.

A PTSD

.

B Dissociative

. disorder

C OCD

.

D Delusional

. disorder

 

                1 points               

QUESTION 84

1. Select the factor that best correlates with the occurrence of PTSD in children.

A Excessive dopamine

. metabolites

B Higher IQ

.

C Larger corpus callosum

.

D Lower IQ

.

 

Explanation & Answer

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