PSYCH COMAT REVIEW (2025 updated) questions
with verified answers
1. Borderline Personality Disorder:
childhood trauma (sexual)
Is characterized by maladaptive *Leads to immature defense mechanisms
coping strategies usually in
response to what? fear of abandonment
What can lead to emotional comprehensive, multi-
instability (most commonly seen
in interpersonal relationships)? dimensional
Dialectical behavior therapy NOTES:
(DBT) is a , approach to Patients with BPD can become manipulative
manage- and demanding of DOs in primary care
setting ’can provoke feelings of anger &
frustration in medical
ment of emotional dysregulation. Tx in- providers ’it is important that DOs
monitor and tegrates a Zen-like acceptance and vali- manage negative feeling
of counter-transference dation of the patient with cognitive and when
treating patients with BPD
behavior change procedures to address
maladaptive patterns
2. Patient comes to the ER and has a history- need to r/o life-threatening
medical causes of
/ Symptoms of a panic attack what do the presenting symptoms (chest pain,
palpita-
you do next?
3. (True or False) panic
disorder is char-
acterized by a pervasive
fear of having another
panic attack?
,PSYCH COMAT REVIEW (2025 updated) questions
with verified answers
tions, SOB, sweating)
Electrocardiogram; important to check an ECG in any
patient w/ panic symptoms appearing to mimic MI
symptoms
NOTES:
After r/o treat with short-acting benzo (lo- razepam)
True
Panic disorder is recurrent spontaneous panic attack
without a known trigger. Patients usually
,PSYCH COMAT REVIEW (2025 updated) questions
with verified answers
5.
4. Huntington's Disorder is a rare
genetic disorder (autosomal
dominant) where patient's will
show what triad?
What does patient's brain look
like?
, PSYCH COMAT REVIEW (2025 updated) questions
with verified answers
have intense fear and discomfort; fear of dying.
Panic disorder with agoraphobia; is when there is
avoidance of places from which it would be diflcult to
escape in the event of a panic attack (panic disorder is
freq accompanied by agora- phobia; the excessive fear
of having a panic attack in a public place)
1. Dementia
2. Choreathetoid movements
3. Behavior outbursts (depression / aggression; the
earliest psychiatric features are irritability and behavior
outbursts)
*Earlier in disease patient will be clumsy and fre-
quently drop items ’later on rigidity, bradykinesia
Large lateral ventricles d/t generalized volume loss in
the caudate nucleus
NOTES:
-The stem will probably give you a history about the
patient's family member having a similar dis- ease at an
older age; the patient is younger with the same
presenting symptoms (this is known as Anticipation)
-CAG repeats added on to the end of the attected HTT
gene on chromosome 4
-Chorea (dance; rapid irregular movements) and
athetosis (rhythmic writing movements of the hands
often linked to piano playing)
with verified answers
1. Borderline Personality Disorder:
childhood trauma (sexual)
Is characterized by maladaptive *Leads to immature defense mechanisms
coping strategies usually in
response to what? fear of abandonment
What can lead to emotional comprehensive, multi-
instability (most commonly seen
in interpersonal relationships)? dimensional
Dialectical behavior therapy NOTES:
(DBT) is a , approach to Patients with BPD can become manipulative
manage- and demanding of DOs in primary care
setting ’can provoke feelings of anger &
frustration in medical
ment of emotional dysregulation. Tx in- providers ’it is important that DOs
monitor and tegrates a Zen-like acceptance and vali- manage negative feeling
of counter-transference dation of the patient with cognitive and when
treating patients with BPD
behavior change procedures to address
maladaptive patterns
2. Patient comes to the ER and has a history- need to r/o life-threatening
medical causes of
/ Symptoms of a panic attack what do the presenting symptoms (chest pain,
palpita-
you do next?
3. (True or False) panic
disorder is char-
acterized by a pervasive
fear of having another
panic attack?
,PSYCH COMAT REVIEW (2025 updated) questions
with verified answers
tions, SOB, sweating)
Electrocardiogram; important to check an ECG in any
patient w/ panic symptoms appearing to mimic MI
symptoms
NOTES:
After r/o treat with short-acting benzo (lo- razepam)
True
Panic disorder is recurrent spontaneous panic attack
without a known trigger. Patients usually
,PSYCH COMAT REVIEW (2025 updated) questions
with verified answers
5.
4. Huntington's Disorder is a rare
genetic disorder (autosomal
dominant) where patient's will
show what triad?
What does patient's brain look
like?
, PSYCH COMAT REVIEW (2025 updated) questions
with verified answers
have intense fear and discomfort; fear of dying.
Panic disorder with agoraphobia; is when there is
avoidance of places from which it would be diflcult to
escape in the event of a panic attack (panic disorder is
freq accompanied by agora- phobia; the excessive fear
of having a panic attack in a public place)
1. Dementia
2. Choreathetoid movements
3. Behavior outbursts (depression / aggression; the
earliest psychiatric features are irritability and behavior
outbursts)
*Earlier in disease patient will be clumsy and fre-
quently drop items ’later on rigidity, bradykinesia
Large lateral ventricles d/t generalized volume loss in
the caudate nucleus
NOTES:
-The stem will probably give you a history about the
patient's family member having a similar dis- ease at an
older age; the patient is younger with the same
presenting symptoms (this is known as Anticipation)
-CAG repeats added on to the end of the attected HTT
gene on chromosome 4
-Chorea (dance; rapid irregular movements) and
athetosis (rhythmic writing movements of the hands
often linked to piano playing)
