EXAM QUESTIONS WITH CORRECT
ANSWERS
What questions do you ask a patient with a chief complaint of a mood disorder? -
Answer-abrupt or insidious onset, medications, associated health problems, and
associated symptoms.
What are some questions to ask for an HPI of depression? - Answer-any troubling
thoughts or feelings, constant worry/ change in outlook on life of change in feelings, low
energy level, agitation, thought or plans for hurting self and/or others, medications
(antidepressants, steroids, beta-blockers, CCB, barbiturates, phenytoin, anabolic
steroids).
What are some questions to ask for an HPI of anxiety? - Answer-any sudden,
unexplained episodes of intense fear, anxiety or panic for no apparent reason. Feels
uncomfortable around people. Prior experience with a frightening or traumatic event.
Panic attack, obsessive thoughts, or compulsive behaviors.
What are the objective data that you collect when assessing the patient's mental health
in primary care? - Answer-voice quality, memory, attention span, judgment, grooming,
body language, and comprehension.
What is the difference between a patient's mood and affect with a diagnosis of dementia
or delirium. - Answer-with delerium their mood and affect includes rapid mood swings,
fearful and suspicious. Dementia patients are depressed, apathetic, and uninterested.
Name four differences between dementia and delirium. - Answer-Delerium the onset is
sudden, with dementia it is insidious and relentless. Delirium causes misperceptions,
illusions, hallucinations, and delusion. Dementia usually does not include
misperceptions or hallucinations. Delirium can be reversible and dementia is not.
Delirium is associated with infections, medications, MODS, or brain injury. Dementia is
usually related to structural diseases of the brain.
How can you assess/test a patient's immediate recall or new learning? - Answer-ask the
patient to listen and repeat a sentence or a series of numbers. 5-8 numbers forward or
4-6 numbers backward can usually be repeated.
How can you assess/test a patient's recent memory? - Answer-give the patient four
objects to remember and ask them about them in 10 minutes. They should be able to
name them all.