FEMA IS 700 ACTUAL TEST PAPER 2026
QUESTIONS WITH SOLUTIONS GRADED A+
▶ Somatic Symptom and Dissociative Disorders - Treatment Principles
Answer: Treat comorbid depression/anxiety/trauma that is fueling behavior
CBT effective
Avoid excessive testing
Encourage functional goals
▶ Somatic Symptom and Dissociative Disorders - suicide risk Answer:
Increased risk due to depression and anxiety
Always assess safety
Often missed in medical settings
▶ Somatic Symptom and Dissociative Disorders - family education Answer:
Avoid reinforcing sick role
Encourage normal functioning
Set boundaries around symptoms
▶ Somatic Symptom and Dissociative Disorders - goal Answer: improved
functioning not symptom elimination: as close to independence as we can
▶ Consistency reduces ___ Answer: anxiety
▶ If tests negative → focus on Answer: coping not disease
▶ what is control center of sleep and wake Answer: hypothalamus
▶ sleep promotor Answer: GABA
▶ wake promotor Answer: histamine
▶ hormone that makes you want to be awake; sunlight signals this Answer:
OREXIN
▶ Homeostatic sleep drive vs Circadian wake drive Answer: Adenosine
Suprachiasmatic Nucleus (SCN) and Orexin and Melatonin ????
, ▶ Sleep Assessment - ask pt what Answer: Hours of hours a sleep vs
number of hours in bed
▶ sleep education tips Answer: Sleep hygiene
Avoid caffeine
Limit screens
Exercise (during the day)
Relaxation routine
CBT
Cool environment
Dark room
No disturbances
▶ Medications for Insomnia - Answer: Benzodiazepine
Ramelteon
Suvorexant
Use short term only
▶ insomnia meds - Benzodiazepine Answer: Benzodiazepine receptor
agonists → sedation
▶ insomnia meds - Ramelteon Answer: melatonin agonist (makes you fat)
▶ insomnia meds - Suvorexant Answer: orexin antagonist
▶ Hypersomnolence & how do u treat Answer: Excessive daytime
sleepiness
Treated with stimulants (modafinil, amphetamines)
▶ Narcolepsy Answer: Cataplexy + sleep attacks; Sleep paralysis &
hallucinations
▶ Cataplexy Answer: sudden loss of muscle control
▶ who experiences sleep paralysis the most Answer: see these in
trauma/PTSD pts
▶ how do you treat sleep paralysis & hallucinations ***** Answer: Prazosin
QUESTIONS WITH SOLUTIONS GRADED A+
▶ Somatic Symptom and Dissociative Disorders - Treatment Principles
Answer: Treat comorbid depression/anxiety/trauma that is fueling behavior
CBT effective
Avoid excessive testing
Encourage functional goals
▶ Somatic Symptom and Dissociative Disorders - suicide risk Answer:
Increased risk due to depression and anxiety
Always assess safety
Often missed in medical settings
▶ Somatic Symptom and Dissociative Disorders - family education Answer:
Avoid reinforcing sick role
Encourage normal functioning
Set boundaries around symptoms
▶ Somatic Symptom and Dissociative Disorders - goal Answer: improved
functioning not symptom elimination: as close to independence as we can
▶ Consistency reduces ___ Answer: anxiety
▶ If tests negative → focus on Answer: coping not disease
▶ what is control center of sleep and wake Answer: hypothalamus
▶ sleep promotor Answer: GABA
▶ wake promotor Answer: histamine
▶ hormone that makes you want to be awake; sunlight signals this Answer:
OREXIN
▶ Homeostatic sleep drive vs Circadian wake drive Answer: Adenosine
Suprachiasmatic Nucleus (SCN) and Orexin and Melatonin ????
, ▶ Sleep Assessment - ask pt what Answer: Hours of hours a sleep vs
number of hours in bed
▶ sleep education tips Answer: Sleep hygiene
Avoid caffeine
Limit screens
Exercise (during the day)
Relaxation routine
CBT
Cool environment
Dark room
No disturbances
▶ Medications for Insomnia - Answer: Benzodiazepine
Ramelteon
Suvorexant
Use short term only
▶ insomnia meds - Benzodiazepine Answer: Benzodiazepine receptor
agonists → sedation
▶ insomnia meds - Ramelteon Answer: melatonin agonist (makes you fat)
▶ insomnia meds - Suvorexant Answer: orexin antagonist
▶ Hypersomnolence & how do u treat Answer: Excessive daytime
sleepiness
Treated with stimulants (modafinil, amphetamines)
▶ Narcolepsy Answer: Cataplexy + sleep attacks; Sleep paralysis &
hallucinations
▶ Cataplexy Answer: sudden loss of muscle control
▶ who experiences sleep paralysis the most Answer: see these in
trauma/PTSD pts
▶ how do you treat sleep paralysis & hallucinations ***** Answer: Prazosin
