Question 1
Question
Test 4 Question 19. Patients with obsessive–compulsive disorder are noted to have anomalies of which one of the following brain regions?
Answer
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Corpus callosum
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Striatum
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Hippocampus
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Caudate nucleus
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Cerebellum
Question 2
Question
Test 4 Question 124. Which one of the following lab tests is most likely to pick up alcohol abuse?
Answer
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γ-Glutamyl transferase (GGT)
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Mean corpuscular volume (MCV)
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Uric acid
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Serum glutamic–oxaloacetic transaminase (SGOT)
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Serum glutamic–pyruvic transaminase (SGPT)
Question 3
Question
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
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Preoccupation with acquiring a serious illness
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Two sexual symptoms
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Three pseudoneurological symptoms
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Maladaptive thoughts, feelings, or behaviors in response to the symptoms
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The illness must begin after age 30
Question 4
Question
Test 5 Question 47. Which of the following conditions is not a potential effect of low folate levels?
Answer
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Fatigue
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Panic attacks
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Agitation
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Delirium
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Dementia
Question 5
Question
Test 5 Question 65. Which of the following is most likely to be found on neuroimaging of schizophrenics?
Answer
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Increased metabolic activity in the frontal lobes
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Increased size of the lateral ventricles
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Increased cerebral asymmetry
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Increased size of the fourth ventricle
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Decreased size of the thalamus
Question 6
Question
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
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2 days
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3 weeks
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10 days
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8 weeks
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5 days
Question 7
Question
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
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Weekly WBC for the first 6 weeks and every other week thereafter
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Daily WBC for the first week and weekly for the next 6 months
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Weekly WBC for the first 6 months and monthly thereafter
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Daily WBC for the first week after discontinuation of clozapine
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Weekly for the first 6 months, then biweekly for 6months, and monthly thereafter
Question 8
Question
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?
Question 9
Question
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
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Lithium
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Olanzapine
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Carbamazepine
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Quetiapine
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Topiramate
Question 10
Question
Test 6 Question 111. Which of the following is not part of the recommended monitoring for patients taking risperidone?
Answer
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Weight
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Blood pressure
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Glucose
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Thyroid function tests
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Lipid profile
Question 11
Question
Test 6 Question 115. Which of the following is not an indication for neurological imaging in a psychiatric patient?
Answer
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New-onset psychosis
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Acute mental status change with neurological abnormalities
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Delirium of unknown etiology
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Acute mental status change in a 65-year-old patient
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Mania
Question 12
Question
Test 6 Question 131. Which of the following tests is not considered routine monitoring for patients taking lithium?