Psychiatry Boards - Save
Diagnostic Procedures
Terms in this set (48)
,A 13- year- old boy is ANSWER: A
performing poorly in Adaptive behavior is the ability of a person to work
school successfully
and has difficulty with in a community. IQ tests assess cognition and
nonverbal cues. What intellect, but functional intelligence requires
scale additional
would you use to assessment. The Vineland Adaptive Behavior Rating
measure his functional Scale,
ability? standardized for use from birth to 18 years,
measures
A. Vineland Adaptive adaptive functioning in four domains:
Behavior Rating Scale communication,
B. Beck Youth Inventory daily living skills, socialization, and gross motor
C. Child Behavior skills.
Checklist
D. Symptom Checklist-
90
, ANSWER: B
Antipsychotics, which are D2 antagonists, can lead
to an
A 20- year- old man with
increase in prolactin in the tuberoinfundibular
schizophrenia has been
pathway
treated with risperidone
because dopamine serves as prolactin inhibiting
for several months. He
hormone.
presents
Symptoms of hyperprolactinemia often occur early
for follow- up stating he
in the
has noticed swelling and
course of treatment and include gynecomastia,
tenderness in the area of
galactorrhea,
his chest. Upon exam,
sexual dysfunction, and menstrual cycle changes
glandular
such as
breast tissue is palpable.
amenorrhea. Per American Psychiatric Association
Which of the following
practice
would be most helpful in
guidelines, monitoring of these symptoms should
determining the cause of
be done
this
at each visit; however, prolactin should be
patient's symptoms?
measured only if the patient is symptomatic as in
this example. Risperidone
A. TSH level
carries a higher risk of hyperprolactinemia than do
B. Prolactin level
other
C. Dopamine level
antipsychotic medications. Dopamine level would
D. Cortisol level
not be
E. Aldosterone level
the correct choice as prolactin level is more
specific to the
symptoms the patient is exhibiting.
, 21- year- old woman ANSWER: A
with anorexia nervosa is Refeeding syndrome can occur when the
hospitalized nutritional state
for weight restoration of a starved person is restored too rapidly. It
after losing 40 pounds occurs within
over the past 3 months. the first few days of re- nutrition secondary to
Which of the following insulin
lab release, which activates protein, fat, and glycogen
abnormalities would be synthesis.
important to monitor These pathways require electrolytes such as
during phosphorus,
nutrition replacement? magnesium, and potassium, leading to their rapid
depletion. More important, these electrolyte
A. Hypophosphatemia disturbances
and hypomagnesemia can lead to arrhythmias, which are the most
B. Hypophosphatemia common cause
and hyperkalemia of death in refeeding syndrome. Management
C. Hypermagnesemia includes
and hyperkalemia replenishing phosphate and more gradual re-
D. Hypermagnesemia nourishment.
and hypokalemia
E. Hyperphophatemia
and hypokalemia
Diagnostic Procedures
Terms in this set (48)
,A 13- year- old boy is ANSWER: A
performing poorly in Adaptive behavior is the ability of a person to work
school successfully
and has difficulty with in a community. IQ tests assess cognition and
nonverbal cues. What intellect, but functional intelligence requires
scale additional
would you use to assessment. The Vineland Adaptive Behavior Rating
measure his functional Scale,
ability? standardized for use from birth to 18 years,
measures
A. Vineland Adaptive adaptive functioning in four domains:
Behavior Rating Scale communication,
B. Beck Youth Inventory daily living skills, socialization, and gross motor
C. Child Behavior skills.
Checklist
D. Symptom Checklist-
90
, ANSWER: B
Antipsychotics, which are D2 antagonists, can lead
to an
A 20- year- old man with
increase in prolactin in the tuberoinfundibular
schizophrenia has been
pathway
treated with risperidone
because dopamine serves as prolactin inhibiting
for several months. He
hormone.
presents
Symptoms of hyperprolactinemia often occur early
for follow- up stating he
in the
has noticed swelling and
course of treatment and include gynecomastia,
tenderness in the area of
galactorrhea,
his chest. Upon exam,
sexual dysfunction, and menstrual cycle changes
glandular
such as
breast tissue is palpable.
amenorrhea. Per American Psychiatric Association
Which of the following
practice
would be most helpful in
guidelines, monitoring of these symptoms should
determining the cause of
be done
this
at each visit; however, prolactin should be
patient's symptoms?
measured only if the patient is symptomatic as in
this example. Risperidone
A. TSH level
carries a higher risk of hyperprolactinemia than do
B. Prolactin level
other
C. Dopamine level
antipsychotic medications. Dopamine level would
D. Cortisol level
not be
E. Aldosterone level
the correct choice as prolactin level is more
specific to the
symptoms the patient is exhibiting.
, 21- year- old woman ANSWER: A
with anorexia nervosa is Refeeding syndrome can occur when the
hospitalized nutritional state
for weight restoration of a starved person is restored too rapidly. It
after losing 40 pounds occurs within
over the past 3 months. the first few days of re- nutrition secondary to
Which of the following insulin
lab release, which activates protein, fat, and glycogen
abnormalities would be synthesis.
important to monitor These pathways require electrolytes such as
during phosphorus,
nutrition replacement? magnesium, and potassium, leading to their rapid
depletion. More important, these electrolyte
A. Hypophosphatemia disturbances
and hypomagnesemia can lead to arrhythmias, which are the most
B. Hypophosphatemia common cause
and hyperkalemia of death in refeeding syndrome. Management
C. Hypermagnesemia includes
and hyperkalemia replenishing phosphate and more gradual re-
D. Hypermagnesemia nourishment.
and hypokalemia
E. Hyperphophatemia
and hypokalemia
