NUR631 Exam 3 -
neuro,musculoskeletal,mental
health
1. A 19-year-old college student, Todd, is brought to your clinic by his mother.
She is concerned that there is something seriously wrong with him. She states
for the past 6 months his behavior has become peculiar and he has flunked out
of college. Todd denies any recent illness or injuries. His past medical history
is remarkable only for a broken foot. His parents are both healthy. He has a
paternal uncle who had similar symptoms in college. The patient admits to
smoking cigarettes and drinking alcohol. He also admits to marijuana use but
none in the last week. He denies using any other substances. He denies any
feelings of depression or anxiety. While speaking with Todd and his mother
you do a complete physical examination, which is essentially normal. When
you question him on how he is feeling, he says that he is very worried that
,Microsoft has stolen his software for creating a better browser. He tells you
he has seen a black van in his neighborhood at night and he is sure that it is
full of computer tech workers stealing his work through special gamma waves.
You ask him why he believes they are trying to steal his programs. He replies
that the technicians have been telepathing their intents directly into his head.
He says he hears these conversations at night so he knows this is happening.
Todd's mother then tells you, "See, I told you . . . he's crazy. What do I do about
it?"
While arranging for a psychiatry consult, what psychotic disorder do you think
Todd has?
A) Schizoaffective disorder
B) Psychotic disorder due to a medical illness
C) Substance-induced psychotic disorder
D) Schizophrenia
Answer D) Schizophrenia
,2. A 24-year-old secretary comes to your clinic, complaining of difficulty sleep-
ing, severe nightmares, and irritability. She states it all began 6 months ago
when she went to a fast food restaurant at midnight. While she was waiting in
her car a man entered through the passenger door and put a gun to her head.
He had her drive to a remote area, where he took her money and threatened to
kill her. When the gun jammed he panicked and ran off. Ever since this occurred
the patient has been having these symptoms. She states she jumps at every
, noise and refuses to drive at night. She states her anxiety has had such a
marked influence on her job performance she is afraid she will be fired. She
denies any recent illnesses or injuries. Her past medical history is unremark-
able. On examination you find a nervous woman appearing her stated age.
Her physical examination is unremarkable. You recommend medication and
counseling.
What anxiety disorder to you think this young woman has?
A) Specific phobia
B) Acute stress disorder
C) Post-traumatic stress disorder
D) Generalized anxiety disorder
Answer C) Post-traumatic stress disorder
3. A 75-year-old homemaker brings her 76-year-old husband to your clinic. She
states that 4 months ago he had a stroke and ever since she has been frustrated
neuro,musculoskeletal,mental
health
1. A 19-year-old college student, Todd, is brought to your clinic by his mother.
She is concerned that there is something seriously wrong with him. She states
for the past 6 months his behavior has become peculiar and he has flunked out
of college. Todd denies any recent illness or injuries. His past medical history
is remarkable only for a broken foot. His parents are both healthy. He has a
paternal uncle who had similar symptoms in college. The patient admits to
smoking cigarettes and drinking alcohol. He also admits to marijuana use but
none in the last week. He denies using any other substances. He denies any
feelings of depression or anxiety. While speaking with Todd and his mother
you do a complete physical examination, which is essentially normal. When
you question him on how he is feeling, he says that he is very worried that
,Microsoft has stolen his software for creating a better browser. He tells you
he has seen a black van in his neighborhood at night and he is sure that it is
full of computer tech workers stealing his work through special gamma waves.
You ask him why he believes they are trying to steal his programs. He replies
that the technicians have been telepathing their intents directly into his head.
He says he hears these conversations at night so he knows this is happening.
Todd's mother then tells you, "See, I told you . . . he's crazy. What do I do about
it?"
While arranging for a psychiatry consult, what psychotic disorder do you think
Todd has?
A) Schizoaffective disorder
B) Psychotic disorder due to a medical illness
C) Substance-induced psychotic disorder
D) Schizophrenia
Answer D) Schizophrenia
,2. A 24-year-old secretary comes to your clinic, complaining of difficulty sleep-
ing, severe nightmares, and irritability. She states it all began 6 months ago
when she went to a fast food restaurant at midnight. While she was waiting in
her car a man entered through the passenger door and put a gun to her head.
He had her drive to a remote area, where he took her money and threatened to
kill her. When the gun jammed he panicked and ran off. Ever since this occurred
the patient has been having these symptoms. She states she jumps at every
, noise and refuses to drive at night. She states her anxiety has had such a
marked influence on her job performance she is afraid she will be fired. She
denies any recent illnesses or injuries. Her past medical history is unremark-
able. On examination you find a nervous woman appearing her stated age.
Her physical examination is unremarkable. You recommend medication and
counseling.
What anxiety disorder to you think this young woman has?
A) Specific phobia
B) Acute stress disorder
C) Post-traumatic stress disorder
D) Generalized anxiety disorder
Answer C) Post-traumatic stress disorder
3. A 75-year-old homemaker brings her 76-year-old husband to your clinic. She
states that 4 months ago he had a stroke and ever since she has been frustrated
