Test 4 Question 19. Patients with obsessive–compulsive disorder are noted to have anomalies of which one of the following brain regions?
Answer
Corpus callosum
Striatum
Hippocampus
Caudate nucleus
Cerebellum
Question 2
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Test 4 Question 124. Which one of the following lab tests is most likely to pick up alcohol abuse?
Answer
γ-Glutamyl transferase (GGT)
Mean corpuscular volume (MCV)
Uric acid
Serum glutamic–oxaloacetic transaminase (SGOT)
Serum glutamic–pyruvic transaminase (SGPT)
Question 3
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Test 5 Question 5. Which of the following must be present to meet Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM 5), criteria for somatic symptom disorder?
Answer
Preoccupation with acquiring a serious illness
Two sexual symptoms
Three pseudoneurological symptoms
Maladaptive thoughts, feelings, or behaviors in response to the symptoms
The illness must begin after age 30
Question 4
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Test 5 Question 47. Which of the following conditions is not a potential effect of low folate levels?
Answer
Fatigue
Panic attacks
Agitation
Delirium
Dementia
Question 5
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Test 5 Question 65. Which of the following is most likely to be found on neuroimaging of schizophrenics?
Answer
Increased metabolic activity in the frontal lobes
Increased size of the lateral ventricles
Increased cerebral asymmetry
Increased size of the fourth ventricle
Decreased size of the thalamus
Question 6
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Test 5 Question 102. As part of doing blood work for an alcoholic patient you decide to order a GGT (γ-glutamyl transpeptidase). How long after the patient stopped drinking would you expect the GGT to return to normal?
Answer
2 days
3 weeks
10 days
8 weeks
5 days
Question 7
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Test 5 Question 111. Which of the following is part of the correct schedule for monitoring white blood cell (WBC) count when using clozapine?
Answer
Weekly WBC for the first 6 weeks and every other week thereafter
Daily WBC for the first week and weekly for the next 6 months
Weekly WBC for the first 6 months and monthly thereafter
Daily WBC for the first week after discontinuation of clozapine
Weekly for the first 6 months, then biweekly for 6months, and monthly thereafter
Question 8
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Test 6 Question 23. A bulimic patient admits to you that she has been using large quantities of ipecac on a daily basis. Which of the following medical issues should you be most concerned with?
Answer
Cardiomyopathy
Shortening of QTc interval
Leukocytosis
Increased serum amylase
Infection
Question 9
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Test 6 Question 110. An elderly bipolar patient is brought into the emergency room. He was found comatose at home by his son. His serum sodium is 115mmol/L. Which of the following medications is the most likely cause of his sodium imbalance?
Answer
Lithium
Olanzapine
Carbamazepine
Quetiapine
Topiramate
Question 10
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Test 6 Question 111. Which of the following is not part of the recommended monitoring for patients taking risperidone?
Answer
Weight
Blood pressure
Glucose
Thyroid function tests
Lipid profile
Question 11
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Test 6 Question 115. Which of the following is not an indication for neurological imaging in a psychiatric patient?
Answer
New-onset psychosis
Acute mental status change with neurological abnormalities
Delirium of unknown etiology
Acute mental status change in a 65-year-old patient
Mania
Question 12
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Test 6 Question 131. Which of the following tests is not considered routine monitoring for patients taking lithium?