PRITE ANSWERS AND QUESTIONS SET A+
✔✔A patient has refractory depression. The psychiatrist isn't sure what to try next and
consults a supervisor. What ethical principle is illustrated by the consult? -
✔✔Nonmaleficence
✔✔What medication can lead to serotonin syndrome if combined with fluoxetine -
✔✔Linezolid
✔✔What aspects of ADHD is likely to improve as children age? - ✔✔Hyperactivity
✔✔Wear in the brain are circadian rhythms related to sleep behavior set and
maintained? - ✔✔Suprachiasmatic nucleus
✔✔A young adult woman has difficulty with sexual intercourse. She is very
embarrassed about giving information about it. She experiences "vaginal spasms" at
her last encounter and thus she feels anxious thinking about having sex. She has a
normal gynecological exam without discomfort. What is the most likely diagnosis? -
✔✔Genito-pelvic pain/penetration disorder
✔✔A 21 year old hospitalized for a first episode of psychosis. Parents want to be
involved in care but pt does not want the team to speak to his parents due to his
delusions. According to HIPAA, how much information can be shared? - ✔✔Provide
information given the lack of capacity and likely benefit
✔✔If a psychiatrist wants to know which antidepressant has the best evidence to treat
depression in the "real world", what type of research study should he look for? -
✔✔Effectiveness
✔✔Epigenetic drift has been postulated to contribute to what disorder? - ✔✔Late Onset
Alzheimer's Disease
✔✔During a visit, a borderline patient is very angry and begins kicking chairs, gurney,
and walls. Staff are concerned pt will get hurt. What is the best initial response? -
,✔✔Offer the patient the option of going to a quiet room or taking a medication to calm
down
✔✔An 80 year old has depressed mood and cognitive decline. They respond with brief
one word responses and rare spontaneous elaboration. Which of the following is this an
example of (Echolalia, Loss of goal, poverty of speech, latency of speech, paraphasic
speech) - ✔✔Poverty of speech
✔✔In the Clinical Antipsychotic Trials of Intervention Effectiveness (CATIE) study,
which medication was the most effective due to its low rate of discontinuation, high
reduction in psychopathology, and longest time to discontinuation of treatment -
✔✔Olanzapine
✔✔Epigenetic change with fragile X mental retardation 1 gene in fragile x syndrome? -
✔✔Methylation of the CpG sites of the promoter region
✔✔Disorder associated with decreased sex steroid secretion and loss of fast-
conducting peripheral sensory nerves with aging? - ✔✔Delayed ejaculation
✔✔According to the epidemiological Catchment Area Project, what condition is
associated with higher rates of mood and anxiety symptoms compared to those with low
back pain? - ✔✔Irritable bowel syndrome
✔✔Neural pathway mediating reactive aggression? - ✔✔Amygdala- hypothalamus-
periaqueductal gray
✔✔Bipolar II patient w/ CDK, HTN, DMII, obesity has uncontrolled depressive episodes.
Currently euthymic on mood stabilizer with significant SE. What med should be trialed
(Lithium, Quetiapine, Olanzapine, Lamotrigine, Divalproex)? - ✔✔Lamotrigine
✔✔What is true regarding infant attachments when comparing the strength of bond with
each parent? - ✔✔Infants can form multiple attachments, but the strength of those
attachments may differ.
✔✔Area of frontal cortex activated in Wisconsin Card Sorting Test during shifting of
cognitive sets? - ✔✔Dorsolateral
✔✔To whom is specific consent needed to share individually identifiable health
information under HIPAA - ✔✔an investigator for the purpose of conducting
epidemiological research
✔✔What measure should be maximized in a screening test to miss the fewest
individuals with an illness - ✔✔sensitivity
, ✔✔Which of the following levels would be affected what changes in tyrosine
hydroxylase levels (Dopaminergic, Gutaminergic, GABAminergic, Serotonergic,
Histaminergic) - ✔✔Dopaminergic
✔✔The Belmont Report states that the underlying principle of informed consent is -
✔✔Respect for Persons
✔✔The peak age of exhibiting typical sexual behaviors (3,5,7,9,11)? - ✔✔Five years
✔✔After middle age, what region of the brain has decreasing sleep spindle density? -
✔✔Frontal and Occipital Lobes
✔✔Which of the following occurs in epigenetic histone protein amino acid residue
modification - ✔✔There is little or no effect on chromatin remodeling, Acetylation is
generally rapid and reversible, there is an increase in the positive charge on histones,
there is an increase in the interaction with phosphates of the DNA, DNA methylation
predominantly activated gene transcription:Acetylation is generally rapid and reversible
✔✔Why would you not test breast milk or baby's blood for sertraline levels in a breast
feeding patient? - ✔✔Evidence shows that infants are harmed more by having a
depressed mother than being exposed to sertraline
✔✔Right handed pt recently underwent neurosurgery is now unable to name objects in
left hand when blind folded. He was able to name them when displayed on a screen.
Where was the surgery? - ✔✔Corpus Callosum
✔✔First line treatment for restless leg syndrome (Carbamazepine, Clonazepam,
Pramipexole, Gabapentin, Imipramine) - ✔✔Pramiprexole
✔✔Disorder with degeneration of mammillary bodies and dorsal nucleus of thalamus -
✔✔Wernicke-Korsakoff Syndrome
✔✔Psychosocial treatment modality most relevant and effective for positive symptoms
in schizophrenia? - ✔✔Cognitive Behavior therapy
✔✔Psychological test used to measure concept flexibility and formation? -
✔✔Wisconsin Card Sorting Test
✔✔Positive effect of neuroinflammatory response - ✔✔activation of microglia in
response to repeated social defect, microglial priming and hyper-reactivity following a
CNS injury, chronic microglial activation following TBI, microglial propagation of
cytokines with associated decreased physical activity in response to a peripheral
✔✔A patient has refractory depression. The psychiatrist isn't sure what to try next and
consults a supervisor. What ethical principle is illustrated by the consult? -
✔✔Nonmaleficence
✔✔What medication can lead to serotonin syndrome if combined with fluoxetine -
✔✔Linezolid
✔✔What aspects of ADHD is likely to improve as children age? - ✔✔Hyperactivity
✔✔Wear in the brain are circadian rhythms related to sleep behavior set and
maintained? - ✔✔Suprachiasmatic nucleus
✔✔A young adult woman has difficulty with sexual intercourse. She is very
embarrassed about giving information about it. She experiences "vaginal spasms" at
her last encounter and thus she feels anxious thinking about having sex. She has a
normal gynecological exam without discomfort. What is the most likely diagnosis? -
✔✔Genito-pelvic pain/penetration disorder
✔✔A 21 year old hospitalized for a first episode of psychosis. Parents want to be
involved in care but pt does not want the team to speak to his parents due to his
delusions. According to HIPAA, how much information can be shared? - ✔✔Provide
information given the lack of capacity and likely benefit
✔✔If a psychiatrist wants to know which antidepressant has the best evidence to treat
depression in the "real world", what type of research study should he look for? -
✔✔Effectiveness
✔✔Epigenetic drift has been postulated to contribute to what disorder? - ✔✔Late Onset
Alzheimer's Disease
✔✔During a visit, a borderline patient is very angry and begins kicking chairs, gurney,
and walls. Staff are concerned pt will get hurt. What is the best initial response? -
,✔✔Offer the patient the option of going to a quiet room or taking a medication to calm
down
✔✔An 80 year old has depressed mood and cognitive decline. They respond with brief
one word responses and rare spontaneous elaboration. Which of the following is this an
example of (Echolalia, Loss of goal, poverty of speech, latency of speech, paraphasic
speech) - ✔✔Poverty of speech
✔✔In the Clinical Antipsychotic Trials of Intervention Effectiveness (CATIE) study,
which medication was the most effective due to its low rate of discontinuation, high
reduction in psychopathology, and longest time to discontinuation of treatment -
✔✔Olanzapine
✔✔Epigenetic change with fragile X mental retardation 1 gene in fragile x syndrome? -
✔✔Methylation of the CpG sites of the promoter region
✔✔Disorder associated with decreased sex steroid secretion and loss of fast-
conducting peripheral sensory nerves with aging? - ✔✔Delayed ejaculation
✔✔According to the epidemiological Catchment Area Project, what condition is
associated with higher rates of mood and anxiety symptoms compared to those with low
back pain? - ✔✔Irritable bowel syndrome
✔✔Neural pathway mediating reactive aggression? - ✔✔Amygdala- hypothalamus-
periaqueductal gray
✔✔Bipolar II patient w/ CDK, HTN, DMII, obesity has uncontrolled depressive episodes.
Currently euthymic on mood stabilizer with significant SE. What med should be trialed
(Lithium, Quetiapine, Olanzapine, Lamotrigine, Divalproex)? - ✔✔Lamotrigine
✔✔What is true regarding infant attachments when comparing the strength of bond with
each parent? - ✔✔Infants can form multiple attachments, but the strength of those
attachments may differ.
✔✔Area of frontal cortex activated in Wisconsin Card Sorting Test during shifting of
cognitive sets? - ✔✔Dorsolateral
✔✔To whom is specific consent needed to share individually identifiable health
information under HIPAA - ✔✔an investigator for the purpose of conducting
epidemiological research
✔✔What measure should be maximized in a screening test to miss the fewest
individuals with an illness - ✔✔sensitivity
, ✔✔Which of the following levels would be affected what changes in tyrosine
hydroxylase levels (Dopaminergic, Gutaminergic, GABAminergic, Serotonergic,
Histaminergic) - ✔✔Dopaminergic
✔✔The Belmont Report states that the underlying principle of informed consent is -
✔✔Respect for Persons
✔✔The peak age of exhibiting typical sexual behaviors (3,5,7,9,11)? - ✔✔Five years
✔✔After middle age, what region of the brain has decreasing sleep spindle density? -
✔✔Frontal and Occipital Lobes
✔✔Which of the following occurs in epigenetic histone protein amino acid residue
modification - ✔✔There is little or no effect on chromatin remodeling, Acetylation is
generally rapid and reversible, there is an increase in the positive charge on histones,
there is an increase in the interaction with phosphates of the DNA, DNA methylation
predominantly activated gene transcription:Acetylation is generally rapid and reversible
✔✔Why would you not test breast milk or baby's blood for sertraline levels in a breast
feeding patient? - ✔✔Evidence shows that infants are harmed more by having a
depressed mother than being exposed to sertraline
✔✔Right handed pt recently underwent neurosurgery is now unable to name objects in
left hand when blind folded. He was able to name them when displayed on a screen.
Where was the surgery? - ✔✔Corpus Callosum
✔✔First line treatment for restless leg syndrome (Carbamazepine, Clonazepam,
Pramipexole, Gabapentin, Imipramine) - ✔✔Pramiprexole
✔✔Disorder with degeneration of mammillary bodies and dorsal nucleus of thalamus -
✔✔Wernicke-Korsakoff Syndrome
✔✔Psychosocial treatment modality most relevant and effective for positive symptoms
in schizophrenia? - ✔✔Cognitive Behavior therapy
✔✔Psychological test used to measure concept flexibility and formation? -
✔✔Wisconsin Card Sorting Test
✔✔Positive effect of neuroinflammatory response - ✔✔activation of microglia in
response to repeated social defect, microglial priming and hyper-reactivity following a
CNS injury, chronic microglial activation following TBI, microglial propagation of
cytokines with associated decreased physical activity in response to a peripheral
