NR 547 Midterm Exam Practice Questions
1. What are classic signs of catatonia? (Select all that applyx3)
A. Mutism
B. Waxy flexibility
C. Auditory hallucinations
D. Echolalia: A, B, D-> Catatonia may present with motoric immobility, bizarrepostures, and
repetition of speech (echolalia).
2. Which neurotransmitters are implicated in schizophrenia? (Select all thatapplyx3)
A. Dopamine
B. Serotonin
C. GABA
D. Norepinephrine: A, B, C: Dopamine dysregulation is primary; serotonin andGABA
systems also play a role.
3. What is the key difference between obsessions and compulsions in OCD?
A. Obsessions are habits; compulsions are thoughts
B. Obsessions are repetitive behaviors
C. Obsessions are intrusive thoughts; compulsions are ritualistic behaviors
D. They are interchangeable: Obsessions are intrusive thoughts; compulsions are ritualistic
behaviors-> Obsessions = unwanted thoughts. Compulsions = behaviors to neutralize those
thoughts.
4. Which of the following is a subclinical OCD symptom?
A. Repetitive hand-washing that causes skin damage
B. Feeling uneasy without organizing books
C. Spending 3+ hours per day checking doors
D. Interference with daily living: Feeling uneasy without organizing books-> Sub-clinical
OCD does not impair functioning significantly.
5. Which are recognized social determinants of mental health? (Select all thatapply)
A. Housing insecurity
B. Educational access
C. Genetic mutations
D. Racism and discrimination: A, B, D: Environmental and systemic factors influ-ence access
to care and risk for mental illness.
, 6. What is the GAD-7 used to screen for?
A. Psychosis
B. PTSD
C. Generalized Anxiety Disorder
D. Depression: Generalized Anxiety Disorder-> GAD-7 is a 7-item questionnairemeasuring
the severity of anxiety symptoms.
7. What score on the GAD-7 suggests severe anxiety?
A. 5
B. 10
C. 15
D. 20: 15-> GAD-7 scoring: 5 = mild, 10 = moderate, 15 = severe.
8. What does the Hamilton Anxiety Rating Scale (HAM-A) assess?
A. Mood and affect
B. Psychosis
C. Somatic and psychic anxiety symptoms
D. Insomnia only: Somatic and psychic anxiety symptoms-> HAM-A measuresphysical and
emotional symptoms of anxiety.
9. Why is urine drug screening (UDS) critical in psychiatric assessment?
A. To detect nutritional status
B. To confirm mood disorder
C. To rule out substance-induced symptoms
D. To evaluate medication metabolism: To rule out substance-induced symp- toms-> UDS is
essential to differentiate between primary psychiatric disorders andthose triggered by
substances.
10. Which of the following physical conditions can mimic depressive symp-toms? (Select all
that apply)
A. Hypothyroidism
B. Anemia
C. Diabetes
D. Rheumatoid arthritis: A, B, C: Fatigue, sleep changes, and mood alterations canoccur in these
medical conditions and may be misdiagnosed as depression.
1. What are classic signs of catatonia? (Select all that applyx3)
A. Mutism
B. Waxy flexibility
C. Auditory hallucinations
D. Echolalia: A, B, D-> Catatonia may present with motoric immobility, bizarrepostures, and
repetition of speech (echolalia).
2. Which neurotransmitters are implicated in schizophrenia? (Select all thatapplyx3)
A. Dopamine
B. Serotonin
C. GABA
D. Norepinephrine: A, B, C: Dopamine dysregulation is primary; serotonin andGABA
systems also play a role.
3. What is the key difference between obsessions and compulsions in OCD?
A. Obsessions are habits; compulsions are thoughts
B. Obsessions are repetitive behaviors
C. Obsessions are intrusive thoughts; compulsions are ritualistic behaviors
D. They are interchangeable: Obsessions are intrusive thoughts; compulsions are ritualistic
behaviors-> Obsessions = unwanted thoughts. Compulsions = behaviors to neutralize those
thoughts.
4. Which of the following is a subclinical OCD symptom?
A. Repetitive hand-washing that causes skin damage
B. Feeling uneasy without organizing books
C. Spending 3+ hours per day checking doors
D. Interference with daily living: Feeling uneasy without organizing books-> Sub-clinical
OCD does not impair functioning significantly.
5. Which are recognized social determinants of mental health? (Select all thatapply)
A. Housing insecurity
B. Educational access
C. Genetic mutations
D. Racism and discrimination: A, B, D: Environmental and systemic factors influ-ence access
to care and risk for mental illness.
, 6. What is the GAD-7 used to screen for?
A. Psychosis
B. PTSD
C. Generalized Anxiety Disorder
D. Depression: Generalized Anxiety Disorder-> GAD-7 is a 7-item questionnairemeasuring
the severity of anxiety symptoms.
7. What score on the GAD-7 suggests severe anxiety?
A. 5
B. 10
C. 15
D. 20: 15-> GAD-7 scoring: 5 = mild, 10 = moderate, 15 = severe.
8. What does the Hamilton Anxiety Rating Scale (HAM-A) assess?
A. Mood and affect
B. Psychosis
C. Somatic and psychic anxiety symptoms
D. Insomnia only: Somatic and psychic anxiety symptoms-> HAM-A measuresphysical and
emotional symptoms of anxiety.
9. Why is urine drug screening (UDS) critical in psychiatric assessment?
A. To detect nutritional status
B. To confirm mood disorder
C. To rule out substance-induced symptoms
D. To evaluate medication metabolism: To rule out substance-induced symp- toms-> UDS is
essential to differentiate between primary psychiatric disorders andthose triggered by
substances.
10. Which of the following physical conditions can mimic depressive symp-toms? (Select all
that apply)
A. Hypothyroidism
B. Anemia
C. Diabetes
D. Rheumatoid arthritis: A, B, C: Fatigue, sleep changes, and mood alterations canoccur in these
medical conditions and may be misdiagnosed as depression.
