CMN 548 MODULE 1 QUESTIONS AND ANSWERS
LATEST 2025-2026 EXAM UPDATE | GRADE A+
GUARANTEE
Family History (FH): topic - Answer-Psychiatric, medical, and genetic
illness in mother, father, siblings; age of parents and occupations; if
deceased, date and cause; feelings about each family member, finances .
Because many psychiatric illnesses have a genetic predisposition, if not
cause, a careful review of family history is important to the assessment
and can aid in diagnosis and establishing expected prognosis .
Family History (FH): question - Answer-Have any members in your
family been depressed? Alcoholic? In a mental hospital? In jail?
Describe your living conditions. Did you have your own room?
Family History (FH): comments and helpful hints - Answer-Genetic
loading in anxiety, depression, schizophrenia. Get medication history of
family (medications effective in family members for similar disorders
may be effective in patient).
developmental and social history - Answer-The developmental and
social history reviews the stages of the patient's life from gestation to the
present with an eye toward understanding the important exposures,
relationships, and events that shaped the person's life story.
,It is often helpful to review the social history chronologically; doing so
provides a natural flow to the questions and ensures a complete history.
Review of systems - Answer-As in a general medical interview, the
review of systems is intended to capture any current physical signs and
symptoms not already identified in the HPI or past medical history
(including Table 7.1-2 and is organized by asking sentinel questions
about the major systems of the body).
review of systems: sleep - Answer-Sleep phase problems (initial,
middle, terminal insomnia), total sleep time, abnormal sleep events
review of systems: mood depression - Answer-Depression: persistent
sadness, reduced interest or pleasure in usual activities, tearfulness,
reduced or excessive sleep, reduced or increased appetite, weight loss or
gain, low energy, reduced concentration, low libido, excessive or
inappropriate guilt, psychomotor change (slowing or agitation), negative
self-appraisal, helpless and hopeless thinking thoughts of death or
suicide. A common mnemonic used to remember the symptoms of major
depression is SIGECAPS (Sleep, Interest, Guilt, Energy, Concentration,
Appetite, Psychomotor agitation or slowing, Suicidality).
review of systems: mood Hypomania/mania - Answer-
Hypomania/Mania: elevated, expansive or irritable mood, decreased
need for or inability to sleep, excessive energy, marked increase in goal
and pleasure directed activity, increase amount and pace of speech and
thought, grandiosity, heightened libido, impulsivity and/or recklessness
in behaviors such as spending and sex
,review of systems: anxiety - Answer-Anxiety
Experience of panic attacks, somatic symptoms of anxiety, phobic, or
social avoidance
review of systems: psychosis - Answer-Experience of hallucinations,
delusions, disorganized behavior, speech or thought, negative symptoms
review of systems: obsessive-compulsive - Answer-Repetitive intrusive
and unwanted thoughts, compulsive behaviors to neutralize anxiety,
hoarding behaviors
review of systems: trauma - Answer-Traumatic exposure; intrusive and
avoidance symptoms, negative alterations in cognitions and mood,
excessive arousal and reactivity
review of systems: behavior - Answer-Substance use, gambling,
impulse control problems, disordered eating, repetitive self-harm
mental status exam - Answer-The MSE is the functional equivalent of
the physical examination in other areas of medicine.
It is a systematic collection of the observations (e.g., signs such as blunt
affect or rapid speech) and reported mental experiences (e.g., symptoms
such as depressed mood or hallucinations) that produce a picture of the
patient's current mental state. The interviewer makes these observations
throughout an encounter and ultimately documents the findings together
in the MSE section of the evaluation document.
, physical exam - Answer-Psychiatrists do not usually personally conduct
comprehensive physical examinations but may conduct focused
examinations such as neurological or thyroid examinations. In the
outpatient setting, the psychiatrist generally relies on the PCP to conduct
the physical examination and it is useful in the initial evaluation to
record the date of the most recent physical examination and review of
recent laboratories if results are available.
plan formulation - Answer-The formulation should include a brief
summary of the relevant findings from the history and examination
including the psychosocial contexts in which the problem has developed
and comments on the relevant contributions to the presentation of
personality function, medical problems, social stress, and other social
and cultural factors.
Finally, the formulation should include a summary of the risk
assessment with estimates of acute and long-term risk of suicidal or
violent behavior and opinion about the appropriate level of care that will
lead to a safe and successful outcome.
treatment plan - Answer-When evaluation produces treatment
recommendations, these are typically shared with the patient at the
conclusion of the encounter in a manner consistent with the patient's
capacity to receive and process the information and with explicit
discussion of matters relevant to informed consent for recommended
treatment.
LATEST 2025-2026 EXAM UPDATE | GRADE A+
GUARANTEE
Family History (FH): topic - Answer-Psychiatric, medical, and genetic
illness in mother, father, siblings; age of parents and occupations; if
deceased, date and cause; feelings about each family member, finances .
Because many psychiatric illnesses have a genetic predisposition, if not
cause, a careful review of family history is important to the assessment
and can aid in diagnosis and establishing expected prognosis .
Family History (FH): question - Answer-Have any members in your
family been depressed? Alcoholic? In a mental hospital? In jail?
Describe your living conditions. Did you have your own room?
Family History (FH): comments and helpful hints - Answer-Genetic
loading in anxiety, depression, schizophrenia. Get medication history of
family (medications effective in family members for similar disorders
may be effective in patient).
developmental and social history - Answer-The developmental and
social history reviews the stages of the patient's life from gestation to the
present with an eye toward understanding the important exposures,
relationships, and events that shaped the person's life story.
,It is often helpful to review the social history chronologically; doing so
provides a natural flow to the questions and ensures a complete history.
Review of systems - Answer-As in a general medical interview, the
review of systems is intended to capture any current physical signs and
symptoms not already identified in the HPI or past medical history
(including Table 7.1-2 and is organized by asking sentinel questions
about the major systems of the body).
review of systems: sleep - Answer-Sleep phase problems (initial,
middle, terminal insomnia), total sleep time, abnormal sleep events
review of systems: mood depression - Answer-Depression: persistent
sadness, reduced interest or pleasure in usual activities, tearfulness,
reduced or excessive sleep, reduced or increased appetite, weight loss or
gain, low energy, reduced concentration, low libido, excessive or
inappropriate guilt, psychomotor change (slowing or agitation), negative
self-appraisal, helpless and hopeless thinking thoughts of death or
suicide. A common mnemonic used to remember the symptoms of major
depression is SIGECAPS (Sleep, Interest, Guilt, Energy, Concentration,
Appetite, Psychomotor agitation or slowing, Suicidality).
review of systems: mood Hypomania/mania - Answer-
Hypomania/Mania: elevated, expansive or irritable mood, decreased
need for or inability to sleep, excessive energy, marked increase in goal
and pleasure directed activity, increase amount and pace of speech and
thought, grandiosity, heightened libido, impulsivity and/or recklessness
in behaviors such as spending and sex
,review of systems: anxiety - Answer-Anxiety
Experience of panic attacks, somatic symptoms of anxiety, phobic, or
social avoidance
review of systems: psychosis - Answer-Experience of hallucinations,
delusions, disorganized behavior, speech or thought, negative symptoms
review of systems: obsessive-compulsive - Answer-Repetitive intrusive
and unwanted thoughts, compulsive behaviors to neutralize anxiety,
hoarding behaviors
review of systems: trauma - Answer-Traumatic exposure; intrusive and
avoidance symptoms, negative alterations in cognitions and mood,
excessive arousal and reactivity
review of systems: behavior - Answer-Substance use, gambling,
impulse control problems, disordered eating, repetitive self-harm
mental status exam - Answer-The MSE is the functional equivalent of
the physical examination in other areas of medicine.
It is a systematic collection of the observations (e.g., signs such as blunt
affect or rapid speech) and reported mental experiences (e.g., symptoms
such as depressed mood or hallucinations) that produce a picture of the
patient's current mental state. The interviewer makes these observations
throughout an encounter and ultimately documents the findings together
in the MSE section of the evaluation document.
, physical exam - Answer-Psychiatrists do not usually personally conduct
comprehensive physical examinations but may conduct focused
examinations such as neurological or thyroid examinations. In the
outpatient setting, the psychiatrist generally relies on the PCP to conduct
the physical examination and it is useful in the initial evaluation to
record the date of the most recent physical examination and review of
recent laboratories if results are available.
plan formulation - Answer-The formulation should include a brief
summary of the relevant findings from the history and examination
including the psychosocial contexts in which the problem has developed
and comments on the relevant contributions to the presentation of
personality function, medical problems, social stress, and other social
and cultural factors.
Finally, the formulation should include a summary of the risk
assessment with estimates of acute and long-term risk of suicidal or
violent behavior and opinion about the appropriate level of care that will
lead to a safe and successful outcome.
treatment plan - Answer-When evaluation produces treatment
recommendations, these are typically shared with the patient at the
conclusion of the encounter in a manner consistent with the patient's
capacity to receive and process the information and with explicit
discussion of matters relevant to informed consent for recommended
treatment.
