AND ANSWERS
Which if the following findings on the mental status exam of a psychiatric patient is
the strongest predictor of inability to make medical decisions?
A. Lack of insight
B. Poor judgement
C. Suicidal ideation
D. Perceptual disturbances
E. Abnormal thought content
Ans: A
Pedigree-based approaches are most powerful for identifying what type of gene
variant?
A. Copy number
B. Rare high penetrance
C. Simple tandem repeat
D. Common low penetrance
E. Single nucleotide polymorphism
Ans: B
Repetitive transcranial magnetic stimulation for the treatment of unipolar depression
targets which of the following brain regions?
A. Ventral striatum
B. Locus coeruleus
C. Periamygdaloid cortex
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D. Medial temporal cortex
E. Dorsolateral prefrontal cortex
Ans: E
Which of the following cognitive responses to environmental stimuli has been found
to be more characteristic of patients with anxiety disorders when compared to
patients with depression?
A. Misattributions regarding stimuli
B. Hopelessness regarding meaning of stimuli
C. Automatic negative thoughts toward the stimuli
D. Attentional bias toward potentially threatening stimuli
E. Lack of awareness of physiological responses to stimuli
Ans: D
SKIP
Ans:
Which of the following instructions can enhance hypoactive DTR in the leg?
A. Clench a first
B. Elevate an arm
C. Stare at a distant object
D. Think of moving the limb
E. Sensory stimulation of the opposite limb
Ans: A
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What is the leading cause of death in persons with severe mental illness?
A. Cancer
B. Suicide
C. Diabetes
D. Accidents
E. Cardiovascular disease
Ans: E
Which of the following medications is most effective for migraine prophylaxis?
A. Sumitriptan
B. Topiramate
C. Fluoxetine
D. Duloxetine
E. Naproxen
Ans: B
Which of the following epigenetic mechanisms inhibits the transcriptional machinery
from accessing DNA and thus leads to decreased gene transcription?
A. Acetylation
B. Methylation
C. Demethylation
D. Histone modification
E. Chromatin remodeling
Ans: B
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Patients with which of the following neurocognitive disorders are more likely to
develop severe extrapyramidal side effects from antipsychotic medications?
A. Prior disease
B. Alzheimer disease
C. Lewy body disease
D. Cerebrovascular disease
E. Frontotemporal lobar degeneration
Ans: C
Which of the following is the strongest risk factor for development of chronic daily
headache in adults?
A. Obesity
B. Depression
C. Medication overuse
D. Low socioeconomic status
E. Older age of onset of headaches
Ans: C
Which of the following neurotransmitters is predominantly inhibitory?
A. Norepinephrine
B. Glutamate
C. Dopamine
D. Tyrosine
E. Glycine