Mental Health & GI
Most Questions from FNP Cert Review 3rd Ed
,The criteria for diagnosing generalized anxiety disorder in the American Psychiatric Association's
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Diagnostic and Statistical Manual of Mental Disorders, 5th edition (text revision) state that excess
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ive worry or apprehension must be present more days than not for at least:
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a. 1 month
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b. 3 months
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c. 6 months
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d. 12 months C.
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The clinician has chosen to prescribe an SSRI instead of a tricyclic antidepressant (TCA) for a patie
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nt fitting the diagnostic criteria for depression. Which of the following is not true concerning SSRI
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s in comparison to tricyclic antidepressants?
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a. SSRIs are more effective than TCAs.
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b. SSRIs take less time to work than TCAs.
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c. SSRIs have a more favorable side-effect profile than TCAs.
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d. SSRIs are not lethal in overdose.
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A patient is seen with complaints of diarrhea. Which of the following should be included in the p
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atient's differential diagnosis? kr kr
a. Gastroenteritis
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b. Inflammatory bowel disease
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c. Lactase deficiency
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d. All of the above
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A 25-year-
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old accountant is seen in the clinic complaining of crampy abdominal pain after meals. She is ofte
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n constipated and takes laxatives, which are followed by a couple of days of diarrhea. She tempor
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arily feels better after a bowel movement. She states she is embarrassed by flatulence and has ab
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dominal distension. She has had no weight loss or blood in her stool. This problem has gone on f
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or about 6 months. What should the next step be?
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, a. Obtain a complete history.
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b. Order a barium enema.
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c. Schedule a Bernstein's test.
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d. Prescribe a trial of antispasmodics. A
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A 28-year-
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old patient is seen with complaints of diarrhea. Which of the following responses to the history q
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uestions would help the primary care physician (PCP) establish the diagnosis of irritable bowel sy
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ndrome?
a. Feels relief after a bowel movement
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b. Sometimes is constipated
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c. Does not defecate in the middle of the night
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d. All of the above
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Mr. J. K., 38 years old, is 5 feet 8 inches tall and weighs 189 pounds. He reports that he has had in
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termittent heartburn for several months and takes Tums® with temporary relief. He has been wa
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king during the night with a burning sensation in his chest. Which additional information would l
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ead you to believe that gastroesophageal reflux disease (GERD) is the cause of his pain?
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a. The pain seems better when he smokes to relieve his nerves.
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b. Coffee and fried foods don't bother him,
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c. He wakes at night coughing with a bad taste in his mouth.
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d. All of the above
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•Which of the following dietary instructions should be given to a patient with GERD?
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a. Eliminate coffee.
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b. Drink peppermint tea to relieve stomach distress.
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c. Recline and rest after meals.
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