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  • Dunphy Psychosocial Part 1
  • Dunphy Psychosocial Part 1
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Dunphy Psychosocial Part 1

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1. The effectiveness of benzodiazepines in treating anxiety disorders suggests that which of the following neurotransmitters plays a role in anxiety? a. Acetylcholine b. Gamma-aminobutyric acid (GABA) c. Dopamine d. Serotonin b. Gamma-aminobutyric acid (GABA) The criteria for diagnosing generalized anxiety disorder in the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders, 5th edition (text revision) state that excessive worry or apprehension must be present more days than not for at least: a. 1 month b. 3 months c. 6 months d. 12 months c. 6 months A patient presents to the clinician after experiencing four episodes in the last month of sweating, palpitations, chest pain, nausea, and shaking. Each episode lasted about 10 minutes. The patient is now becoming very fearful of future events and has been reluctant to leave the house. The clinician suspects panic disorder but wants to rule out any possible medical causes. Which of the following medical conditions can mimic the symptoms of a panic attack? a. Pheochromocytoma b. Hyperthyroidism c. Cardiac arrhythmias d. All of the above d. All of the above 4. Which of the following is considered first-line treatment for panic disorders? a. Benzodiazepines b. Selective serotonin reuptake inhibitors (SSRIs) c. Tricyclic antidepressants d. Cognitive behavioral therapy d. Cognitive behavioral therapy Which of the following symptoms is not part of the diagnostic criteria for post-traumatic stress disorder (PTSD)? a. Hypersomnolence b. Blunted feelings c. Loss of interest in significant activities d. Intrusive recurrent recollections of the event a. Hypersomnolence 6. Which of the following neuroendocrine abnormalities is implicated in depression? a. Decrease in adrenal size b. Increased cortisol and corticotrophin-releasing hormone c. An exaggerated response of thyrotropin (TRH) to infusion of thyroid-releasing hormone d. Increased inhibitory response of glucocorticoids to dexamethasone b. Increased cortisol and corticotrophin-releasing hormone 7. The clinician has chosen to prescribe an SSRI instead of a tricyclic antidepressant (TCA) for a patient fitting the diagnostic criteria for depression. Which of the following is not true concerning SSRIs in comparison to tricyclic antidepressants? a. SSRIs are more effective than TCAs. b. SSRIs take less time to work than TCAs. c. SSRIs have a more favorable side-effect profile than TCAs. d. SSRIs are not lethal in overdose. a. SSRIs are more effective than TCAs. After discontinuing fluoxetine, how long must a person wait before starting a monoamine oxidase inhibitor? a. 2 weeks b. 3 weeks c. 4 weeks d. 5 weeks d. 5 weeks 9. It is important to educate patients with depression and their family members about reporting signs of increasing depression and suicidal thoughts. This is especially true during which time period? a. Before the initiation of treatment b. 1 to 2 weeks after the initiation of treatment c. When switching to a different medication d. 1 to 2 weeks after tapering off medications b. 1 to 2 weeks after the initiation of treatment 10. A patient is experiencing extrapyramidal side effects from his antipsychotic medications. The clinician would most likely take which of the following approaches to treating these side effects? a. Give the patient a "drug holiday" until the symptoms resolve and then restart the medication. b. Switch the patient to a different antipsychotic. c. Treat the patient with anticholinergics. d. Treat the patient with anticonvulsants. c. Treat the patient with anticholinergics. According to Kübler-Ross, the stages of grief occur in which order? a. Anger, denial, depression, bargaining, acceptance b. Anger, denial, bargaining, acceptance, depression c. Denial, anger, depression, bargaining, acceptance d. Denial, anger, bargaining, depression, acceptance

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Dunphy Psychosocial Part 1
ee ee ee




1.eeTheeeeffectivenesseeofeebenzodiazepineseeineetreatingeeanxietyeedisorderseesuggestseethateewhicheeofeet
he
followingeeneurotransmitterseeplayseeaeeroleeeineeanxiety?
a.eeAcetylcholine
b.eeGamma-aminobutyriceeacidee(GABA)
c.eeDopamine
d.eeSerotonin b.eeGamma-aminobutyriceeacidee(GABA)
TheeecriteriaeeforeediagnosingeegeneralizedeeanxietyeedisordereeineetheeeAmericaneePsychiatriceeAssociati
on's
DiagnosticeeandeeStatisticaleeManualeeofeeMentaleeDisorders,ee5theeeditionee(texteerevision)eestateeethat
excessiveeeworryeeoreeapprehensioneemusteebeeepresenteemoreeedayseethaneenoteeforeeateeleast:
a.ee1eemonth
b.ee3eemonths
c.ee6eemonths
d.ee12eemonths c.ee6eemonths
Aeepatienteepresentseetoeetheeeclinicianeeaftereeexperiencingeefoureeepisodeseeineetheeelasteemontheeofeesweat
ing,eepalpitations,eechesteepain,eenausea,eeandeeshaking.eeEacheeepisodeeelastedeeaboutee10eeminutes.eeThee
epatienteeiseenoweebecomingeeveryeefearfuleeofeefutureeeeventseeandeehaseebeeneereluctanteetoeeleaveeetheeeho

use.eeTheeeclinician
suspectseepaniceedisordereebuteewantseetoeeruleeeouteeanyeepossibleeemedicaleecauses.eeWhicheeofeetheeefollo
wing
medicaleeconditionseecaneemimiceetheeesymptomseeofeeaeepaniceeattack?
a.eePheochromocytoma
b.eeHyperthyroidism
c.eeCardiaceearrhythmias
d.eeAlleeofeetheeeabove d.eeAlleeofeetheeeabove
4.eeWhicheeofeetheeefollowingeeiseeconsideredeefirst-lineeetreatmenteeforeepaniceedisorders?
a.eeBenzodiazepines
b.eeSelectiveeeserotonineereuptakeeeinhibitorsee(SSRIs)
c.eeTricycliceeantidepressants
d.eeCognitiveeebehavioraleetherapy d.eeCognitiveeebehavioraleetherapy
Whicheeofeetheeefollowingeesymptomseeiseenoteeparteeofeetheeediagnosticeecriteriaeeforeepost-
traumaticeestress
disorderee(PTSD)?
a.eeHypersomnolence
b.eeBluntedeefeelings
c.eeLosseeofeeinteresteeineesignificanteeactivities
d.eeIntrusiveeerecurrenteerecollectionseeofeetheeeevent a.eeHypersomnolence
6.eeWhicheeofeetheeefollowingeeneuroendocrineeeabnormalitieseeiseeimplicatedeeineedepression?
a.eeDecreaseeeineeadrenaleesize
b.eeIncreasedeecortisoleeandeecorticotrophin-releasingeehormone
c.eeAneeexaggeratedeeresponseeeofeethyrotropinee(TRH)eetoeeinfusioneeofeethyroid-releasingeehormone

,d.eeIncreasedeeinhibitoryeeresponseeeofeeglucocorticoidseetoeedexamethasone
b.eeIncreasedeecortisoleeandeecorticotrophin-releasingeehormone
7.eeTheeeclinicianeehaseechoseneetoeeprescribeeeaneeSSRIeeinsteadeeofeeaeetricycliceeantidepressantee(TCA)ee
foreeaeepatienteefittingeetheeediagnosticeecriteriaeeforeedepression.eeWhicheeofeetheeefollowingeeiseenoteetrueee
concerningeeSSRIseeineecomparisoneetoeetricycliceeantidepressants?
a.eeSSRIseeareeemoreeeeffectiveeethaneeTCAs.
b.eeSSRIseetakeeelesseetimeeetoeeworkeethaneeTCAs.
c.eeSSRIseehaveeeaeemoreeefavorableeeside-effecteeprofileeethaneeTCAs.
d.eeSSRIseeareeenoteelethaleeineeoverdose. a.eeSSRIseeareeemoreeeeffectiveeethaneeTCAs.
Aftereediscontinuingeefluoxetine,eehoweelongeemusteeaeepersoneewaiteebeforeeestartingeeaeemonoamineeeoxi
dase
inhibitor?
a.ee2eeweeks
b.ee3eeweeks
c.ee4eeweeks
d.ee5eeweeks d.ee5eeweeks
9.eeIteeiseeimportanteetoeeeducateeepatientseewitheedepressioneeandeetheireefamilyeememberseeabouteereporti
ngeesignseeof
increasingeedepressioneeandeesuicidaleethoughts.eeThiseeiseeespeciallyeetrueeeduringeewhicheetimeeeperiod?
a.eeBeforeeetheeeinitiationeeofeetreatment
b.ee1eetoee2eeweekseeaftereetheeeinitiationeeofeetreatment
c.eeWheneeswitchingeetoeeaeedifferenteemedication
d.ee1eetoee2eeweekseeaftereetaperingeeoffeemedications
b.ee1eetoee2eeweekseeaftereetheeeinitiationeeofeetreatment
10.eeAeepatienteeiseeexperiencingeeextrapyramidaleesideeeeffectseefromeehiseeantipsychoticeemedications.ee
Theeeclinicianeewouldeemosteelikelyeetakeeewhicheeofeetheeefollowingeeapproacheseetoeetreatingeetheseeeside
eeeffects?

a.eeGiveeetheeepatienteeaee"drugeeholiday"eeuntileetheeesymptomseeresolveeeandeetheneerestarteetheeemedicati
on.
b.eeSwitcheetheeepatienteetoeeaeedifferenteeantipsychotic.
c.eeTreateetheeepatienteewitheeanticholinergics.
d.eeTreateetheeepatienteewitheeanticonvulsants. c.eeTreateetheeepatienteewitheeanticholinergics.
AccordingeetoeeKübler-Ross,eetheeestageseeofeegriefeeoccureeineewhicheeorder?
a.eeAnger,eedenial,eedepression,eebargaining,eeacceptance
b.eeAnger,eedenial,eebargaining,eeacceptance,eedepression
c.eeDenial,eeanger,eedepression,eebargaining,eeacceptance
d.eeDenial,eeanger,eebargaining,eedepression,eeacceptance
d.eeDenial,eeanger,eebargaining,eedepression,eeacceptance
12.eeTheeeclinicianeeiseeeducatingeeaeepatienteeabouteetheeeeffectseeofeemarijuana.eeTheeepatienteestatedeeshee
ehaseebeen

smokingeeforeeyearseeandeebelieveseetheeeuseeedoeseenoteeinterfereeewitheehereelife.eeWhateeiseeaeesignificantee
long-
termeesequelaeeeofeemarijuanaeeuseeethateetheeeclinicianeeshouldeeeducateeethiseepatienteeabout?
a.eeMemoryeeimpairment
b.eeSexualeedysfunction
c.eeDryeemouth

, d.eeThereeeareeenoeelong-termeeconsequenceseeofeemarijuanaeeuse. a.eeMemoryeeimpairment
13.eeCocaineeeactseeaseeaeestimulanteebyeeblockingeetheeereuptakeeeofeewhicheeneurotransmitter?
a.eeGABA
b.eeAcetylcholine
c.eeDopamine
d.eeSerotonin c.eeDopamine
14.eeWhateebloodeealcoholeeleveleecorrespondseewitheetheeesignseeofeestuporeeandeeconfusion?
a.ee0.05
b.ee0.1
c.ee0.2
d.ee0.3 d.ee0.3
Rapideeeyeeemovementee(REM)eesleepeeoccurseehoweefrequentlyeeduringeenon-REMeesleep?
a.eeEveryee30eeminutes
b.eeEveryee60eeminutes
c.eeEveryee90eeminutes
d.eeEveryee180eeminutes c.eeEveryee90eeminutes
16.eeWhicheeofeetheeefollowingeeiseeaeelaboratoryeefindingeecommonlyeefoundeeineepatientseewitheeanorexia
eenervosa?

a.eeHypercholesterolemia
b.eeHypermagnesmia
c.eeLeukocytosis
d.eeDecreasedeeTRH a.eeHypercholesterolemia
17.eeWhicheeofeetheeefollowingeeiseetheeeonlyeedrugeeforeebulimiaeeapprovedeebyeetheeeU.S.eeFoodeeandeeDru
g
Administration?
a.eeSertraline
b.eeFluoxetine
c.eeCitoprolam
d.eeImipramine b.eeFluoxetine
Whicheeofeetheeefollowingeewouldeebeeeimportanteetoeemonitoreeineeaeechildeereceivingeemethylphenidateee
for
treatmenteeofeeattentioneedeficit-hyperactivityeedisorderee(ADHD)?
a.eeLivereefunction
b.eeVision
c.eeGrowtheeparameters
d.eeRenaleefunction c.eeGrowtheeparameters
19.eeIteeiseeimportanteeforeetheeeclinicianeetoeediscusseetheeelong-
termeeeffectseeofeesexualeeassaulteewitheesurvivors.
Whicheeofeetheeefollowingeeiseetheeemosteecommoneelong-termeeeffecteeofeesexualeeassault?
a.eeDepression
b.eeObsessive-compulsiveeedisorder
c.eeSubstanceeeabuse
d.eePTSD d.eePTSD
Womeneeareeeateetheeehighesteeriskeeforeedevelopingeepostpartumeedepressioneeforeeupeetoeehoweelongeeafter
childbirth?
a.ee2eeweeks

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Subido en
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