BCPP Study Guide- Questions with Correct Answers

A patient with obsessive-compulsive disorder treated with sertraline 200 mg daily for the past 3 months is seen in the outpatient psychiatry clinic for follow-up. The basline Yale-Brown Obsessive-Compulsive Scale (Y-BOCS) score was 20, and the patient's current score is 6. According to the Y-BOCS score, how should this patient's response to treatment be characterized? A) Non-response B) Response D) Marked response D) Remission D Which natural product has clinical evidence for treating generalized anxiety disorder? A) Valerian B) Tumeric C) Ginseng D) D-cycloserine A A patient with panic disorder presents to the ED after falling and breaking his wrist. The patient reports taking mirtazapine 15 mg daily and clonazepam 1 mg three times daily. Which medication should be avoided to treat the pain? A) Acetaminophen B) Hydrocodone C) Meloxicam D) Topical lidocaine B According to the National Institue of Health Care Excellence treatment guidelines, which medication is a first-line treatment option in the management of post-traumatic stress disorder? A) Aripiprazole B) Prazosin C) Selegiline D) Venlafaxine D A patient with social anxiety disorder presents to the outpatient clinic for follow-up after 4 months of treatment with escitalopram 20 mg daily. The patient is still highly symptomatic and endures most social situations with great discomfort. In addition to CBT, which regimen should the patient be switched and given an adequate monotherapy trial? A) Buspirone 10 mg PO BID B) Gabapentin 100 mg PO TID C) Paxil 10 mg PO D D) Zyprexa 5 mg PO D C A 7-year old patient with severe separation anxiety disorder is undergoing treatment with CBT which has only slightly improved symptoms. A decision is made to start sertraline 25 mg once daily. Which adverse effect should be monitored with this treatment? A) Dependence B) Suicidality C) Disinhibition D) Hirsutism B