SOLUTIONS ALREADY PASSED!!
1. The impaired physician who fails to obtain or benefit from treatment may
require the services of an administrative psychiatrist skilled in performing fit-
ness-for-duty evaluations. In these situations, the administrative psychiatrist:
A serves as a patient advocate
B has the authority to administer necessary treatment
C may assist the physician with professional obligations
D is not bound by the usual parameters of confidentiality
E may not respond to the physician's questions concerning diagnosis or
treatment
Answer: D
2. Contralateral leg weakness with sparing of the face and arm associated with
urinary incontinence and abulia are typical for stroke in the territory of which
of the following arteries?
A Basilar
,B Carotid
C Middle cerebral
D Anterior cerebral
E Posterior cerebral
Answer: D
3. Which of the following is the most common comorbidity in a pt with an
anxiety disorder?
A a mood disorder
B a personality disorder
C another anxiety disorder
D a substance use disorder
E an impulse control disorder
Answer: C
4. A 55-year-old woman undergoes gastric bypass surgery and, several weeks
later, develops gait imbalance and numbness in the feet. Neurological exam
is remarkable for hyperreflexia, spasticity in the legs and absent vibration
sensation at the toes. Serum B12 level is normal. Deficiency of which of the
following is most likely to cause these symptoms.
,A Iron
B Folate
C Copper
D Thiamine
E Pyridoxine
Answer: C
5. Which of the following statistics measures the magnitude of difference
between two intervention groups?
A p-value
B odds ratio
C effect size
D power analysis
E number needed to treat
Answer: C
6. A 24-year-old is seen on the consult service for worsening disorientation
and suspected delirium. The patient's initial presentation was notable for
the development of severe headaches after starting on a high protein, low
carbohydrate diet. There is no prior psychiatric history, but the patient reports
, slow growth as a child. Which of the following is the most definitive way to
establish the diagnosis in this individual?
A Muscle biopsy
B chromosome microarray
C MECP2 gene sequencing
D Plasma amino acid analysis
E Ornithine transcarbamylase sequencing
Answer: E
7. A consulting psychiatrist suspects schizotypal personality disorder in a pt
with odd speech patterns, eccentric appearance and constricted affect. Which
of the following additional features would support this diagnosis?
A Anhedonia
B Paranoid ideation
C Lack of social anxiety
D Auditory hallucinations
E Delusions of reference
Answer: B
8. Which of the following distinguishes empathy from identification?