LMR MAIN CORE EXAM SET QUESTIONS AND ANSWERS
SURE A+
✔✔Trauma-Focused Cognitive Behavioral Therapy - ✔✔Particularly sensitive to the
unique problems of youth with post-traumatic stress and mood disorders resulting from
sexual abuse, as well as from physical abuse, violence, or grief
✔✔Multisystemic family therapy (MST) - ✔✔Targets youths 12-17 with serious criminal
offenses and antisocial behavior.
Empower parents with resources and skills to better manage their youth.
Home-based model of service
Reduce barriers that keep families from accessing services
✔✔Strategic Therapy - ✔✔Problem focused
Symptom focused
Paradoxical directive/intervention (can enhance self-awareness, encourage them to
adhere to medication, and address their fear of failure) **Use with caution**
✔✔Solution-focused therapy - ✔✔MIRACLE QUESTIONS
Exception finding
Scaling questions
✔✔Family system therapy/Systemic family therapy - ✔✔Originated by Murray Bowen
Goals: To help everyone in the family understand their role or function in the family
Triangles/Triangulation/Self-differentiation
Triangles: Dyads that form triads to decrease stress; the lower the level of family
adaptation, the more likely a triangle will develop
✔✔Structural Family Therapy - ✔✔Clearly defined boundaries and hierarchies
✔✔Enactment in Structural Family Therapy - ✔✔Family members are asked to play out
relationship patterns spontaneously during a therapy session
Map, track, and modify the family structure
✔✔Men vs. Women and Alcohol - ✔✔Women are more prone to alcohol related liver
damage (due to lower levels of alcohol dehydrogenase)
, ✔✔Low sex drive in postmenopausal women/elderly females - ✔✔Due to decrease
hormones (Testosterone, progesterone, estrogen) and reduced pelvic blood flow
**Estrogen and progesterone can help manage depression in menopausal women
✔✔High body fat is linked to what mental health condition? - ✔✔Depression
✔✔Macrocytic normochromic Anemia - ✔✔Check Folic acid and Vitamin B12 (B12
deficiency can lead to neuro symptoms in macrocytic anemia)
Major cause: Iron deficiency anemia
**Vegetarians have a higher rate of iron deficiency anemia
✔✔Desmopressin - ✔✔Used for enuresis (nighttime bed wetting)
Reduces urine production
✔✔Sleep apnea risk factors - ✔✔Excess weight, obesity, diabetes, smoking, narrowed
airways, high BP
✔✔Reflective practice - ✔✔Debriefing strategies to improve practice
✔✔Legal issues - ✔✔Telehealth confidentiality concerns
Medical errors
Jurisdiction authority over licensure
✔✔How is clinical progress monitored? - ✔✔Using standardized rating scales
**Help determine baseline scores and at regular intervals during treatment
✔✔Diabetic Ketoacidosis - ✔✔Common complication of Type 1 Diabetes
Blood sugar is VERY high
Not enough insulin to use sugar for energy, causing the body to break down fat instead
This produces ketones, which can make the blood acidic and damage organs
✔✔S/S of Diabetic Ketoacidosis - ✔✔Kussmaul respirations (rapid and deep)
Fruity scented breath
Excessive thirst and urination
Fatigue
Confusion
SURE A+
✔✔Trauma-Focused Cognitive Behavioral Therapy - ✔✔Particularly sensitive to the
unique problems of youth with post-traumatic stress and mood disorders resulting from
sexual abuse, as well as from physical abuse, violence, or grief
✔✔Multisystemic family therapy (MST) - ✔✔Targets youths 12-17 with serious criminal
offenses and antisocial behavior.
Empower parents with resources and skills to better manage their youth.
Home-based model of service
Reduce barriers that keep families from accessing services
✔✔Strategic Therapy - ✔✔Problem focused
Symptom focused
Paradoxical directive/intervention (can enhance self-awareness, encourage them to
adhere to medication, and address their fear of failure) **Use with caution**
✔✔Solution-focused therapy - ✔✔MIRACLE QUESTIONS
Exception finding
Scaling questions
✔✔Family system therapy/Systemic family therapy - ✔✔Originated by Murray Bowen
Goals: To help everyone in the family understand their role or function in the family
Triangles/Triangulation/Self-differentiation
Triangles: Dyads that form triads to decrease stress; the lower the level of family
adaptation, the more likely a triangle will develop
✔✔Structural Family Therapy - ✔✔Clearly defined boundaries and hierarchies
✔✔Enactment in Structural Family Therapy - ✔✔Family members are asked to play out
relationship patterns spontaneously during a therapy session
Map, track, and modify the family structure
✔✔Men vs. Women and Alcohol - ✔✔Women are more prone to alcohol related liver
damage (due to lower levels of alcohol dehydrogenase)
, ✔✔Low sex drive in postmenopausal women/elderly females - ✔✔Due to decrease
hormones (Testosterone, progesterone, estrogen) and reduced pelvic blood flow
**Estrogen and progesterone can help manage depression in menopausal women
✔✔High body fat is linked to what mental health condition? - ✔✔Depression
✔✔Macrocytic normochromic Anemia - ✔✔Check Folic acid and Vitamin B12 (B12
deficiency can lead to neuro symptoms in macrocytic anemia)
Major cause: Iron deficiency anemia
**Vegetarians have a higher rate of iron deficiency anemia
✔✔Desmopressin - ✔✔Used for enuresis (nighttime bed wetting)
Reduces urine production
✔✔Sleep apnea risk factors - ✔✔Excess weight, obesity, diabetes, smoking, narrowed
airways, high BP
✔✔Reflective practice - ✔✔Debriefing strategies to improve practice
✔✔Legal issues - ✔✔Telehealth confidentiality concerns
Medical errors
Jurisdiction authority over licensure
✔✔How is clinical progress monitored? - ✔✔Using standardized rating scales
**Help determine baseline scores and at regular intervals during treatment
✔✔Diabetic Ketoacidosis - ✔✔Common complication of Type 1 Diabetes
Blood sugar is VERY high
Not enough insulin to use sugar for energy, causing the body to break down fat instead
This produces ketones, which can make the blood acidic and damage organs
✔✔S/S of Diabetic Ketoacidosis - ✔✔Kussmaul respirations (rapid and deep)
Fruity scented breath
Excessive thirst and urination
Fatigue
Confusion
