THE FINAL STEP PANCE UPDATED EXAMS TEST
PAPER QUESTIONS AND ANSWERS SURE A+
✔✔A patient complains of muscle weakness and
fatigability that improves with rest. What is the
most likely diagnosis? - ✔✔Myasthenia gravis
✔✔How long does a panic attack typically last? - ✔✔10-20 minutes
✔✔A patient's mother has recommended that he
see you. He lives on his own and is a computer
programmer. He works from home. He has no
friends and seldom leaves the house. She is
concerned that clearly he would like to meet
people, but he is terrified of doing so. What is the
most likely diagnosis? - ✔✔Avoidant personality disorder
✔✔How long must symptoms last before diagnosing
ADD? - ✔✔6 months
✔✔What is the generic name for Prozac? - ✔✔Fluoxetine
,✔✔A donut shaped burn should make you think of
what issue? - ✔✔Abuse either child or elder
✔✔A patient complains of having suddenly developed
stage fright. It is very important to his career
that he be able to speak in front of groups. What
medication might you treat him with? - ✔✔Beta blocker - propranolol
✔✔Are patients with specific phobias aware they are
strange? - ✔✔Yes
✔✔A patient's wife complains that he is hypervigilante
and has a hyperstartle response. What is the most
likely diagnosis? - ✔✔Post traumatic stress disorder
✔✔What is the most common precipitating event for
post traumatic stress disorder in women? - ✔✔Rape
✔✔What type of hallucinations are most common in
schizophrenia auditory, visual or olfactory? - ✔✔Auditory - hearing voices
✔✔What causes anorexic patients to have osteopenia? - ✔✔A decrease in estrogen.
✔✔When treating psychiatric patients are
benzodiazepines used more commonly for acute or
chronic treatment? - ✔✔Acute
✔✔A 6 year old boy seems to have all of the
symptoms of ADD while at school, but at home he
has no problems. Does he have ADD? - ✔✔No, symptoms must occur in both
settings for diagnosis.
✔✔A patient has very strange magical thinking. What
is the most likely diagnosis? - ✔✔Schizotypal personality disorder
✔✔What medication is often used to treat postpartum
depression in a woman who is breast feeding? - ✔✔Sertraline (Zoloft)
✔✔You have a patient with major depressive disorder.
Once his symptoms have completely resolved how
long should you continue with treatment? - ✔✔A six month minimum is recomended
due to very high relapse rates.
,✔✔A 16 year old has just moved schools. He is quiet,
moody and not like himself at all. Within six
months he seems to have completely changed back
to his previous personality. What is the most likely
diagnosis? - ✔✔Adjustment disorder
✔✔Amenorrhea is defined by what time frame? - ✔✔3 months if periods were
previously
regular and 6 months if they were
irregular.
✔✔List the three cluster A personality disorders. - ✔✔"Mad" schizoid, schizotypal and
paranoid.
✔✔An 18 month old is not yet speaking. He does not
point to objects. He does not make eye contact
with others. What is the most likely diagnosis? - ✔✔Autism
✔✔Is anorexia ego syntonic or ego dystonic? What
about bulimia? - ✔✔Anorexia is ego syntonic. Bulimia is ego dystonic.
✔✔When is the typical onset of Tourette's syndrome? - ✔✔3-8 years old
✔✔List three positive symptoms of schizophrenia. - ✔✔Hallucinations, delusions,
movement disorders.
✔✔List four symptoms of serotonin syndrome. - ✔✔Hyperthermia!, seizure, mental
status change, tremor.
✔✔How long before normal grief resolves? - ✔✔about one year
✔✔Waxy flexibility should make you think of what
diagnosis? - ✔✔Catatonic schizophrenia
✔✔Borderline personality disorder is on the border of
what two psychological disorders? - ✔✔Neurosis and psychosis
✔✔What is the term for being afraid of being out in a
terrible situation with no help available? - ✔✔Agoraphobia
✔✔At what BMI should a patient be hospitalized for
anorexia? - ✔✔BMI of <17.5 or 20% below appropriate body weight.
, ✔✔A patient believes that her fifteen year old
daughter is sleeping with the mailman. She has no
evidence of this. She has confronted her daughter
who denies it. It is not interfering with her daily
activities, but she does spend time thinking about
it. What is the most likely diagnosis? - ✔✔Delusional disorder
✔✔What is the major concern with using lithium? - ✔✔It has a very narrow therapeutic
window. Blood tests are needed
every four weeks.
✔✔What is the term for a chronic mild depression
which has lasted greater than two years? - ✔✔Dysthymia
✔✔What is necessary to diagnose a patient with
bipolar 1? - ✔✔One manic episode. They do not
have to have the depressive episode
for the diagnosis.
✔✔A patient of yours always craves attention, often
using sex as a tool to gain it. She often acts like a
child when she does not get her way? What is the
most likely diagnosis? - ✔✔Histrionic personality disorder
✔✔To be diagnosed with ADD patients must exhibit
symptoms before what age? - ✔✔7 years old
✔✔What is Russell's sign? - ✔✔Abraded knuckles from forcing oneself to vomit.
✔✔How long must symptoms occur before diagnosing
schizophrenia? - ✔✔At least six months
✔✔Posturing should make you think of what
diagnosis? - ✔✔Catatonic depression
✔✔A patient complains of acute paralysis in his left
arm. This does not seem to bother him, but his
wife made him come in. There was no traumatic
event. A complete neurologic workup is negative.
What is the most likely diagnosis? - ✔✔Conversion disorder
PAPER QUESTIONS AND ANSWERS SURE A+
✔✔A patient complains of muscle weakness and
fatigability that improves with rest. What is the
most likely diagnosis? - ✔✔Myasthenia gravis
✔✔How long does a panic attack typically last? - ✔✔10-20 minutes
✔✔A patient's mother has recommended that he
see you. He lives on his own and is a computer
programmer. He works from home. He has no
friends and seldom leaves the house. She is
concerned that clearly he would like to meet
people, but he is terrified of doing so. What is the
most likely diagnosis? - ✔✔Avoidant personality disorder
✔✔How long must symptoms last before diagnosing
ADD? - ✔✔6 months
✔✔What is the generic name for Prozac? - ✔✔Fluoxetine
,✔✔A donut shaped burn should make you think of
what issue? - ✔✔Abuse either child or elder
✔✔A patient complains of having suddenly developed
stage fright. It is very important to his career
that he be able to speak in front of groups. What
medication might you treat him with? - ✔✔Beta blocker - propranolol
✔✔Are patients with specific phobias aware they are
strange? - ✔✔Yes
✔✔A patient's wife complains that he is hypervigilante
and has a hyperstartle response. What is the most
likely diagnosis? - ✔✔Post traumatic stress disorder
✔✔What is the most common precipitating event for
post traumatic stress disorder in women? - ✔✔Rape
✔✔What type of hallucinations are most common in
schizophrenia auditory, visual or olfactory? - ✔✔Auditory - hearing voices
✔✔What causes anorexic patients to have osteopenia? - ✔✔A decrease in estrogen.
✔✔When treating psychiatric patients are
benzodiazepines used more commonly for acute or
chronic treatment? - ✔✔Acute
✔✔A 6 year old boy seems to have all of the
symptoms of ADD while at school, but at home he
has no problems. Does he have ADD? - ✔✔No, symptoms must occur in both
settings for diagnosis.
✔✔A patient has very strange magical thinking. What
is the most likely diagnosis? - ✔✔Schizotypal personality disorder
✔✔What medication is often used to treat postpartum
depression in a woman who is breast feeding? - ✔✔Sertraline (Zoloft)
✔✔You have a patient with major depressive disorder.
Once his symptoms have completely resolved how
long should you continue with treatment? - ✔✔A six month minimum is recomended
due to very high relapse rates.
,✔✔A 16 year old has just moved schools. He is quiet,
moody and not like himself at all. Within six
months he seems to have completely changed back
to his previous personality. What is the most likely
diagnosis? - ✔✔Adjustment disorder
✔✔Amenorrhea is defined by what time frame? - ✔✔3 months if periods were
previously
regular and 6 months if they were
irregular.
✔✔List the three cluster A personality disorders. - ✔✔"Mad" schizoid, schizotypal and
paranoid.
✔✔An 18 month old is not yet speaking. He does not
point to objects. He does not make eye contact
with others. What is the most likely diagnosis? - ✔✔Autism
✔✔Is anorexia ego syntonic or ego dystonic? What
about bulimia? - ✔✔Anorexia is ego syntonic. Bulimia is ego dystonic.
✔✔When is the typical onset of Tourette's syndrome? - ✔✔3-8 years old
✔✔List three positive symptoms of schizophrenia. - ✔✔Hallucinations, delusions,
movement disorders.
✔✔List four symptoms of serotonin syndrome. - ✔✔Hyperthermia!, seizure, mental
status change, tremor.
✔✔How long before normal grief resolves? - ✔✔about one year
✔✔Waxy flexibility should make you think of what
diagnosis? - ✔✔Catatonic schizophrenia
✔✔Borderline personality disorder is on the border of
what two psychological disorders? - ✔✔Neurosis and psychosis
✔✔What is the term for being afraid of being out in a
terrible situation with no help available? - ✔✔Agoraphobia
✔✔At what BMI should a patient be hospitalized for
anorexia? - ✔✔BMI of <17.5 or 20% below appropriate body weight.
, ✔✔A patient believes that her fifteen year old
daughter is sleeping with the mailman. She has no
evidence of this. She has confronted her daughter
who denies it. It is not interfering with her daily
activities, but she does spend time thinking about
it. What is the most likely diagnosis? - ✔✔Delusional disorder
✔✔What is the major concern with using lithium? - ✔✔It has a very narrow therapeutic
window. Blood tests are needed
every four weeks.
✔✔What is the term for a chronic mild depression
which has lasted greater than two years? - ✔✔Dysthymia
✔✔What is necessary to diagnose a patient with
bipolar 1? - ✔✔One manic episode. They do not
have to have the depressive episode
for the diagnosis.
✔✔A patient of yours always craves attention, often
using sex as a tool to gain it. She often acts like a
child when she does not get her way? What is the
most likely diagnosis? - ✔✔Histrionic personality disorder
✔✔To be diagnosed with ADD patients must exhibit
symptoms before what age? - ✔✔7 years old
✔✔What is Russell's sign? - ✔✔Abraded knuckles from forcing oneself to vomit.
✔✔How long must symptoms occur before diagnosing
schizophrenia? - ✔✔At least six months
✔✔Posturing should make you think of what
diagnosis? - ✔✔Catatonic depression
✔✔A patient complains of acute paralysis in his left
arm. This does not seem to bother him, but his
wife made him come in. There was no traumatic
event. A complete neurologic workup is negative.
What is the most likely diagnosis? - ✔✔Conversion disorder
