PRITE
... - ANS-Order MRI scan of the lumbar spine
... - ANS-Protein 50mg, +oligoclonal bands, nucleated cells 10.
"Deficit model" of psychological illness in psychodynamic psychotherapy define
psychopathology as: - ANS-Weakened or absent psychic structures
"Deficit model" of psychological illness in psychodynamic psychotherapy define
psychopathology as: - ANS-Weakened or absent psychic structures
"My father was very involved in my life. I remember going to football games in the snow with
him" is an example of memory associated with what part of the brain? - ANS-Medial
temporal lobe
1-month post death of loved one. What would suggest a pathological grief rxn? - ANS-Cont.
feelings of worthlessness
10 y/o child freq episodes brief lapses of consciousness without premonitory sxs. Lasts 2-10
seconds, followed by immediate and full resumption of consciousness without awareness of
what has happened. These ictal episodes most likely caused by what kind szs: -
ANS-Absence
10 y/o child with 2-month h/o irritability, inattention, sleep disturbance, and withdrawal. Child
attempted to run in front of a car. No family h/o psychiatric d/o. On examination, no eye
contact and has psychomotor agitation. What medication should treat? - ANS-SSRI
10 y/o fearful, poor sleep, repetitive play. Hears indistinct voices saying name - ANS-PTSD
10 y/o girl w/ hep B is evaluated for persistent difficulty w/ schoolwork since 1st grade. Often
looses homework, seems not to listen to parents or teachers. If needed treatment what will
you give? - ANS-methylphenidate
10 y/o is seen in outpt clinic w/ hx of extreme fear of using the bathroom at school. He states
to be afraid that other children will laugh if they hear or smell him in the bathroom. Dx? -
ANS-Social phobia
10 y/o M s/p MVA sustained burn and crush injuries to R foot 4 days ago, does not
remember the accident but never lost consciousness, keeps asking for his mother who was
killed in the accident and having nightmares crying out "Daddy help Mommy." When should
the child be told about his mother's death? - ANS-ASAP
10 yo IQ 69. findings that would confirm dx of MR? - ANS-Deficits in self-care and social
skills
11yo boy has frequent episodes of ulcerative colitis requiring frequent hospitalization. While
in the hospital, mother never leaves his side and responds to questions for him, often
referring to disease as "our disease". According to Minuchin's theory of family interactions,
this is: - ANS-Enmeshed
12 y/o disclosed to counselor hx of sexual abuse by relative. Report made to authorities.
During eval, pt reports anxiety, inability to concentrate due to thinking about event, irritability,
sleep problems, crying frequently. Grades have fallen significantly in period after abuse
began and peer relations have suffered as well. Dx? - ANS-PTSD
13y/o with developmental delay, stereotyped behaviors, impaired social interactions,
hyperactive behavior, large anteverted ears, hyperextensible joints, macroorchidism. Dx? -
ANS-Fragile X
,14 y/o Native American girl with visions of elder spirits who appear and give her advice.
Parents feel visions are gift but are worried about the child's preoccupations interfering with
schoolwork. No h/o mental d/o or substance abuse. Treatment goal: - ANS-Work on
problems in school
14 year old after a demanding physical test becomes extremely weak and unable to stand.
PE is positive for depressed DTR's. Labs: K=2.8. h/o similar episodes after strenuous
exercises. EKG: minimally prolonged PR, QRS, QT interval. Father and grandfather had
similar episodes. Dx? - ANS-Periodic paralysis
15 y/o is found unresponsive by parents after pt returns from a party, friend confirms pt used
heroin. What are signs? - ANS-Pupillary constriction
15 y/o male bib parents, does not want to speak with psych - ANS-Thank him for coming in
and ask him if he'd like to be seen alone or w/ his parents
15 y/o pt depressed + suicidal has an alcoholic father. Prior d/c from hospital the next step
should be: - ANS-Ensure that any lethal means are unavailable at home
16 y/o boy treated as outpatient for Schizophrenia after recent inpatient first break. Parents
concerned re: anhedonia, withdrawn. No psychosis. Goal of outpatient eval: - ANS-Address
patient's feelings of depression and screen for SI
16 y/o caught for shoplifting jeans. No hx of stealing, jeans not her size. Pt frightened,
remorseful, insomnia, failing grades, avoiding friends. Raped 2 mo earlier, family insisted
she not tell anyone. Understand stealing as: - ANS-A cry for help
16 year-old adolescent with burns to the face 2/2 playing with a spray paint can that ignited.
Grades dropped from A's to F's. The mother is concerned about hearing problems. No other
health problems. Dx? - ANS-Inhalant abuse
17 y/o with depressed mood, low self esteem and poor concentration possibly has
dysthymia. Which feature would support the dx? - ANS-Sxs > 1 year
18 y/o restless, feels mind going blank, poor concentration, irritability, insomnia, fatigue > 1
yr, used to be good student up until 2-3 yrs ago, no substance use - ANS-GAD
18 yo in ED, just raped. Immediate intervention: - ANS-Provide support and allow to vent
19 yr old woman has bouts of motor agitation, often followed by intense, seemingly
meaningless writing; also mood lability, tactile & olfactory hallucinations. During the
interview, patient abruptly stops paying attention and begins rapidly pacing around the room.
What should be the next step? - ANS-Wait 15 mins, then obtain prolactin level
1993 - highest rate of suicide in 75-84 y/o age group: - ANS-Caucasian-American males
2 days s/p hospitalization dysphoric, fatigued, hypersomnic, vivid dreams, requesting double
portions - ANS-Cocaine
2 week washout of which med is needed before starting fluoxetine - ANS-Phenelzine
2 wk waiting period recommended when switching from phenelzine to tranylcypromine
because: - ANS-Tranylcypromine is an amphetamine derivative
2 y/o clings to mother when introduced to new child, refuses to play at first visit, second visit
stays with mom, third visit continues normal activities while warily eyeing other child. What
temperamental trait is this? - ANS-Slow to warm up
2 y/o does not want to let go of wool blanket and resists going anywhere without it.
Attachment type is: - ANS-Transitional object
20 y/o avoids everyone but parents. Stopped going to school. Feels everyone watching him.
Always quiet, sits at home doing nothing, mumbles to self, some bizarre movements, flat
affect. Denies depression or substance use. - ANS-Schizophreniform
20 y/o football player injured, in hospital is irritable, aggressive, grandiose. Cause? -
ANS-Anabolic steroids
,20 y/o in MVA, no injuries - speaks softly, feels calm, dim vision, mechanical movements,
feels detached - ANS-Depersonalization
20 y/o lethargic, restless, confused, diaphoretic, flushing, tremors, receiving antidepressant -
ANS-Serotonin syndrome
20 y/o occasional double vision when looking to R and normal acuity in each eye alone. L
ptosis and difficulty keeping L eye adducted. Pupils round and reactive. Speech nasal and
neck flexors weak. No paresis or reflex abnormalities in extremities. Dx? - ANS-Myasthenia
Gravis
20 y/o pt is brought to ER by friend who is concerned about pt's potential for assaultiveness.
Which feature is most indicative of this risk? - ANS-Violence to others
20 y/o pt w/cancer pain is on a methadone maintenance program. Staff feels request for
additional narcotics represent drug-seeking behavior. Recommendation? - ANS-Give pt
more opioid med to achieve adequate pain control b/c of pt's tolerance
20 y/o with 1 yr of bitemporal headaches, polydipsia, polyuria, bulimia. For 2 months
emotional outburst aggressive and transient confusion neuro exam normal. What will MRI of
brain show? - ANS-Hypothalamic tumor
20 y/o with acute onset belligerence, distortion of body image, depersonalization, and cloudy
sensorium following ingestion of a street drug. Horizontal nystagmus, ataxia, and slurred
speech, pupils not dilated. Management: - ANS-Administer ammonium chloride
20 yr man with poor performance in college, before was very good student except for not
been able to finish assigned projects at college. Classmates have described bizarre
behavior, such counting loudly or repeating words silently. He does not want to follow others
rules but his owns, he believes nobody understands him and are against him. Most likely dx?
- ANS-Obsessive Compulsive personality disorder
20-month child repeatedly returns to her mom when playing w/ other 2-y/o children -
ANS-Rapprochement
20yo pt brings 2yo child to ER with multiple bruises. Mother says he fell down stairs. Mother
has healing black eye and cut lip. Says she slipped on ice and hit head. Xray of child's arm
show hairline fx and healing callous. What action should psychiatrist take first? - ANS-Admit
child for care and protection despite mother's objections
22 y/o borderline splitting inpatient staff. You should: - ANS-Educate staff about splitting
22 y/o experiences a earthquake (7.0) during a seminar. In the months that follow he
develops fearful reaction to sudden or loud noises. Pt avoids classes in the same building
that the seminar was in. What is the mechanism of the behavior? - ANS-Aversive
conditioning
22 y/o female confused, disoriented, dry mouth, dilated unresponsive pupils. Likely ingested:
- ANS-Benztropine
22 y/o heroin dependent female discovers she is pregnant and wants to detox. What way
would you recommend? - ANS-Methadone maintenance until delivery then detoxification
22 y/o M w/ self-mutilation, depression, stress-related paranoia. Dx? - ANS-Borderline
22 y/o with sudden onset anxiety, SOB, palpitations, dizziness, lightheadedness, and sweaty
palms x2 days. Paranoid, fears college police will know participated in weekend "hash-bash
festival." What is diagnosis? - ANS-Cannabis induced anxiety disorder
22 year old with pain in the right hand that radiates into the forearm and bicep muscle.
Paraesthesias in the palm of the hand, thumb, index, middle ring finger. Sensory systems in
the ring finger split the ringer finger longitudinally. Dx? - ANS-Median nerve entrapment at
the wrist.
, 23 y/o admitted in inpatient unit w dx acute psychotic d/o after threatening to beat up his
mother (with whom he lives). Agreed to voluntary admit, but 2 days later demands to sign
out AMA. What justifies involuntary hospitalization in this patient? - ANS-If the patient
continues to threaten his mother
23 y/o CF in office for f/u appt after an ER visit 2 days earlier for sudden diplopia, R leg
weakness and shaking, difficulty w/ speech which resolved after a few hours. Pt had fever
103.1 F and was tx for UTI. Current exam shows normal CN & sensory, minimal R leg
weakness, brisk DTR and musculocutaneous reflexes throughout, and equivocal plantar
reflex on L. R toe is downgoing. Review of hx reveals several episodes of transient
neurological deficits that resolved spontaneously after a few days. Her spinal fluid is most
likely to show what? - ANS-...
23 y/o develops tingling paresthesias in the lower extremities, followed several days later by
progressive weakness, R>L. PE shows sensory level at T10 to pinprick, +3/5 weakness of
LE, slightly weaker on R. Knee and ankle jerks are hyperactive, b/l babinski. Pt has difficulty
walking with broad-based, stiff-legged gait. Dx? - ANS-Transverse myelitis
23 yo hospitalized for psychotic break complains of thickened speech. Eye deviation,
grimacing, posturing. Was given haldol and clonazepam. Treatment? -
ANS-Diphenhydramine
23M w/ Borderline. Had fight w/ g/f now psychotic, cutting, AH w/ command to harm self.
What level of care - ANS-Brief Inpatient Hospitalization
24 y/o in 2nd trimester is now manic without psychotic fx's. Hx of one episode of mania,
diagnosed bipolar I. DC'd lithium when she decided to have kids. Willing to begin tx. -
ANS-Restart lithium
24 y/o M seen in ED with chest pain claims to have a rare connective tissue d/o and said he
required a recent heart transplant due to aorta dissection. He provides the MD with a list of
immunosuppressive meds and requests that a transesophageal echo be done. He has no
sternotomy scar and outside records indicate his story is false. Is this likely factitious d/o or
malingering? - ANS-Factitious d/o (malingerers usually avoid invasive tests)
24 y/o w/ sudden onset stumbling and pain in legs, negative neuro workup - saw a counselor
previously for protracted grief after father's death - increased conflict with husband -
ANS-Conversion
25 y/o AA M 1st year law student seeks therapy for "academic paralysis" brooding about
racial and socioeconomic differences between himself and roommates. Comfortable w/ AA
psychiatrist, open about racial slights. Most important goal: - ANS-Use shared ethnic
background to offer insight as how patient's alienation may be rooted in something more
than current situation
25 y/o F never on a date after 6 mo of psychodynamic psychotherapy. Began to struggle w/
positive feelings about M therapist that she finds hard to accept. At the same time she starts
to date. Therapist believes it is transference. Therapist said nothing, he believed an
interpretation might interfere w/ positive learning experience. This is example of: - ANS-A
practical/supportive approach
25 y/o female with L eye pain which increases with moving the eye. Diminished acuity in L
eye, pupils constrict well with light on R eye, but only constrict weakly with light on L eye.
Dx? - ANS-Optic neuritis
25 y/o M scores in MMPI are all normal except for elevated scores on the depression and
psychasthenia scales. This suggests: - ANS-Has depression w/ anxiety and other neurotic
symptoms
... - ANS-Order MRI scan of the lumbar spine
... - ANS-Protein 50mg, +oligoclonal bands, nucleated cells 10.
"Deficit model" of psychological illness in psychodynamic psychotherapy define
psychopathology as: - ANS-Weakened or absent psychic structures
"Deficit model" of psychological illness in psychodynamic psychotherapy define
psychopathology as: - ANS-Weakened or absent psychic structures
"My father was very involved in my life. I remember going to football games in the snow with
him" is an example of memory associated with what part of the brain? - ANS-Medial
temporal lobe
1-month post death of loved one. What would suggest a pathological grief rxn? - ANS-Cont.
feelings of worthlessness
10 y/o child freq episodes brief lapses of consciousness without premonitory sxs. Lasts 2-10
seconds, followed by immediate and full resumption of consciousness without awareness of
what has happened. These ictal episodes most likely caused by what kind szs: -
ANS-Absence
10 y/o child with 2-month h/o irritability, inattention, sleep disturbance, and withdrawal. Child
attempted to run in front of a car. No family h/o psychiatric d/o. On examination, no eye
contact and has psychomotor agitation. What medication should treat? - ANS-SSRI
10 y/o fearful, poor sleep, repetitive play. Hears indistinct voices saying name - ANS-PTSD
10 y/o girl w/ hep B is evaluated for persistent difficulty w/ schoolwork since 1st grade. Often
looses homework, seems not to listen to parents or teachers. If needed treatment what will
you give? - ANS-methylphenidate
10 y/o is seen in outpt clinic w/ hx of extreme fear of using the bathroom at school. He states
to be afraid that other children will laugh if they hear or smell him in the bathroom. Dx? -
ANS-Social phobia
10 y/o M s/p MVA sustained burn and crush injuries to R foot 4 days ago, does not
remember the accident but never lost consciousness, keeps asking for his mother who was
killed in the accident and having nightmares crying out "Daddy help Mommy." When should
the child be told about his mother's death? - ANS-ASAP
10 yo IQ 69. findings that would confirm dx of MR? - ANS-Deficits in self-care and social
skills
11yo boy has frequent episodes of ulcerative colitis requiring frequent hospitalization. While
in the hospital, mother never leaves his side and responds to questions for him, often
referring to disease as "our disease". According to Minuchin's theory of family interactions,
this is: - ANS-Enmeshed
12 y/o disclosed to counselor hx of sexual abuse by relative. Report made to authorities.
During eval, pt reports anxiety, inability to concentrate due to thinking about event, irritability,
sleep problems, crying frequently. Grades have fallen significantly in period after abuse
began and peer relations have suffered as well. Dx? - ANS-PTSD
13y/o with developmental delay, stereotyped behaviors, impaired social interactions,
hyperactive behavior, large anteverted ears, hyperextensible joints, macroorchidism. Dx? -
ANS-Fragile X
,14 y/o Native American girl with visions of elder spirits who appear and give her advice.
Parents feel visions are gift but are worried about the child's preoccupations interfering with
schoolwork. No h/o mental d/o or substance abuse. Treatment goal: - ANS-Work on
problems in school
14 year old after a demanding physical test becomes extremely weak and unable to stand.
PE is positive for depressed DTR's. Labs: K=2.8. h/o similar episodes after strenuous
exercises. EKG: minimally prolonged PR, QRS, QT interval. Father and grandfather had
similar episodes. Dx? - ANS-Periodic paralysis
15 y/o is found unresponsive by parents after pt returns from a party, friend confirms pt used
heroin. What are signs? - ANS-Pupillary constriction
15 y/o male bib parents, does not want to speak with psych - ANS-Thank him for coming in
and ask him if he'd like to be seen alone or w/ his parents
15 y/o pt depressed + suicidal has an alcoholic father. Prior d/c from hospital the next step
should be: - ANS-Ensure that any lethal means are unavailable at home
16 y/o boy treated as outpatient for Schizophrenia after recent inpatient first break. Parents
concerned re: anhedonia, withdrawn. No psychosis. Goal of outpatient eval: - ANS-Address
patient's feelings of depression and screen for SI
16 y/o caught for shoplifting jeans. No hx of stealing, jeans not her size. Pt frightened,
remorseful, insomnia, failing grades, avoiding friends. Raped 2 mo earlier, family insisted
she not tell anyone. Understand stealing as: - ANS-A cry for help
16 year-old adolescent with burns to the face 2/2 playing with a spray paint can that ignited.
Grades dropped from A's to F's. The mother is concerned about hearing problems. No other
health problems. Dx? - ANS-Inhalant abuse
17 y/o with depressed mood, low self esteem and poor concentration possibly has
dysthymia. Which feature would support the dx? - ANS-Sxs > 1 year
18 y/o restless, feels mind going blank, poor concentration, irritability, insomnia, fatigue > 1
yr, used to be good student up until 2-3 yrs ago, no substance use - ANS-GAD
18 yo in ED, just raped. Immediate intervention: - ANS-Provide support and allow to vent
19 yr old woman has bouts of motor agitation, often followed by intense, seemingly
meaningless writing; also mood lability, tactile & olfactory hallucinations. During the
interview, patient abruptly stops paying attention and begins rapidly pacing around the room.
What should be the next step? - ANS-Wait 15 mins, then obtain prolactin level
1993 - highest rate of suicide in 75-84 y/o age group: - ANS-Caucasian-American males
2 days s/p hospitalization dysphoric, fatigued, hypersomnic, vivid dreams, requesting double
portions - ANS-Cocaine
2 week washout of which med is needed before starting fluoxetine - ANS-Phenelzine
2 wk waiting period recommended when switching from phenelzine to tranylcypromine
because: - ANS-Tranylcypromine is an amphetamine derivative
2 y/o clings to mother when introduced to new child, refuses to play at first visit, second visit
stays with mom, third visit continues normal activities while warily eyeing other child. What
temperamental trait is this? - ANS-Slow to warm up
2 y/o does not want to let go of wool blanket and resists going anywhere without it.
Attachment type is: - ANS-Transitional object
20 y/o avoids everyone but parents. Stopped going to school. Feels everyone watching him.
Always quiet, sits at home doing nothing, mumbles to self, some bizarre movements, flat
affect. Denies depression or substance use. - ANS-Schizophreniform
20 y/o football player injured, in hospital is irritable, aggressive, grandiose. Cause? -
ANS-Anabolic steroids
,20 y/o in MVA, no injuries - speaks softly, feels calm, dim vision, mechanical movements,
feels detached - ANS-Depersonalization
20 y/o lethargic, restless, confused, diaphoretic, flushing, tremors, receiving antidepressant -
ANS-Serotonin syndrome
20 y/o occasional double vision when looking to R and normal acuity in each eye alone. L
ptosis and difficulty keeping L eye adducted. Pupils round and reactive. Speech nasal and
neck flexors weak. No paresis or reflex abnormalities in extremities. Dx? - ANS-Myasthenia
Gravis
20 y/o pt is brought to ER by friend who is concerned about pt's potential for assaultiveness.
Which feature is most indicative of this risk? - ANS-Violence to others
20 y/o pt w/cancer pain is on a methadone maintenance program. Staff feels request for
additional narcotics represent drug-seeking behavior. Recommendation? - ANS-Give pt
more opioid med to achieve adequate pain control b/c of pt's tolerance
20 y/o with 1 yr of bitemporal headaches, polydipsia, polyuria, bulimia. For 2 months
emotional outburst aggressive and transient confusion neuro exam normal. What will MRI of
brain show? - ANS-Hypothalamic tumor
20 y/o with acute onset belligerence, distortion of body image, depersonalization, and cloudy
sensorium following ingestion of a street drug. Horizontal nystagmus, ataxia, and slurred
speech, pupils not dilated. Management: - ANS-Administer ammonium chloride
20 yr man with poor performance in college, before was very good student except for not
been able to finish assigned projects at college. Classmates have described bizarre
behavior, such counting loudly or repeating words silently. He does not want to follow others
rules but his owns, he believes nobody understands him and are against him. Most likely dx?
- ANS-Obsessive Compulsive personality disorder
20-month child repeatedly returns to her mom when playing w/ other 2-y/o children -
ANS-Rapprochement
20yo pt brings 2yo child to ER with multiple bruises. Mother says he fell down stairs. Mother
has healing black eye and cut lip. Says she slipped on ice and hit head. Xray of child's arm
show hairline fx and healing callous. What action should psychiatrist take first? - ANS-Admit
child for care and protection despite mother's objections
22 y/o borderline splitting inpatient staff. You should: - ANS-Educate staff about splitting
22 y/o experiences a earthquake (7.0) during a seminar. In the months that follow he
develops fearful reaction to sudden or loud noises. Pt avoids classes in the same building
that the seminar was in. What is the mechanism of the behavior? - ANS-Aversive
conditioning
22 y/o female confused, disoriented, dry mouth, dilated unresponsive pupils. Likely ingested:
- ANS-Benztropine
22 y/o heroin dependent female discovers she is pregnant and wants to detox. What way
would you recommend? - ANS-Methadone maintenance until delivery then detoxification
22 y/o M w/ self-mutilation, depression, stress-related paranoia. Dx? - ANS-Borderline
22 y/o with sudden onset anxiety, SOB, palpitations, dizziness, lightheadedness, and sweaty
palms x2 days. Paranoid, fears college police will know participated in weekend "hash-bash
festival." What is diagnosis? - ANS-Cannabis induced anxiety disorder
22 year old with pain in the right hand that radiates into the forearm and bicep muscle.
Paraesthesias in the palm of the hand, thumb, index, middle ring finger. Sensory systems in
the ring finger split the ringer finger longitudinally. Dx? - ANS-Median nerve entrapment at
the wrist.
, 23 y/o admitted in inpatient unit w dx acute psychotic d/o after threatening to beat up his
mother (with whom he lives). Agreed to voluntary admit, but 2 days later demands to sign
out AMA. What justifies involuntary hospitalization in this patient? - ANS-If the patient
continues to threaten his mother
23 y/o CF in office for f/u appt after an ER visit 2 days earlier for sudden diplopia, R leg
weakness and shaking, difficulty w/ speech which resolved after a few hours. Pt had fever
103.1 F and was tx for UTI. Current exam shows normal CN & sensory, minimal R leg
weakness, brisk DTR and musculocutaneous reflexes throughout, and equivocal plantar
reflex on L. R toe is downgoing. Review of hx reveals several episodes of transient
neurological deficits that resolved spontaneously after a few days. Her spinal fluid is most
likely to show what? - ANS-...
23 y/o develops tingling paresthesias in the lower extremities, followed several days later by
progressive weakness, R>L. PE shows sensory level at T10 to pinprick, +3/5 weakness of
LE, slightly weaker on R. Knee and ankle jerks are hyperactive, b/l babinski. Pt has difficulty
walking with broad-based, stiff-legged gait. Dx? - ANS-Transverse myelitis
23 yo hospitalized for psychotic break complains of thickened speech. Eye deviation,
grimacing, posturing. Was given haldol and clonazepam. Treatment? -
ANS-Diphenhydramine
23M w/ Borderline. Had fight w/ g/f now psychotic, cutting, AH w/ command to harm self.
What level of care - ANS-Brief Inpatient Hospitalization
24 y/o in 2nd trimester is now manic without psychotic fx's. Hx of one episode of mania,
diagnosed bipolar I. DC'd lithium when she decided to have kids. Willing to begin tx. -
ANS-Restart lithium
24 y/o M seen in ED with chest pain claims to have a rare connective tissue d/o and said he
required a recent heart transplant due to aorta dissection. He provides the MD with a list of
immunosuppressive meds and requests that a transesophageal echo be done. He has no
sternotomy scar and outside records indicate his story is false. Is this likely factitious d/o or
malingering? - ANS-Factitious d/o (malingerers usually avoid invasive tests)
24 y/o w/ sudden onset stumbling and pain in legs, negative neuro workup - saw a counselor
previously for protracted grief after father's death - increased conflict with husband -
ANS-Conversion
25 y/o AA M 1st year law student seeks therapy for "academic paralysis" brooding about
racial and socioeconomic differences between himself and roommates. Comfortable w/ AA
psychiatrist, open about racial slights. Most important goal: - ANS-Use shared ethnic
background to offer insight as how patient's alienation may be rooted in something more
than current situation
25 y/o F never on a date after 6 mo of psychodynamic psychotherapy. Began to struggle w/
positive feelings about M therapist that she finds hard to accept. At the same time she starts
to date. Therapist believes it is transference. Therapist said nothing, he believed an
interpretation might interfere w/ positive learning experience. This is example of: - ANS-A
practical/supportive approach
25 y/o female with L eye pain which increases with moving the eye. Diminished acuity in L
eye, pupils constrict well with light on R eye, but only constrict weakly with light on L eye.
Dx? - ANS-Optic neuritis
25 y/o M scores in MMPI are all normal except for elevated scores on the depression and
psychasthenia scales. This suggests: - ANS-Has depression w/ anxiety and other neurotic
symptoms
