Psych Rosh Boost Exam Questions With 100% Correct Answers.

_ in childhood increases the risk of development of panic disorder as an adult - smoking _ should be performed for a suspected new-onset depressive disorder, especially if a clear precipitating factor is not present. - blood analysis (eg, CBC, CMP, TSH, UA, urine toxicology) 1 x 2 cm white patch on the superior portion of the tongue that has a rough texture and well-defined irregular borders. It does not come off with scraping and does not bleed when manipulated. - oral leukoplakia 1st line txs for tobacco use disorder - varenicline, bupropion, and combo nicotine replacement 2:1 _ to _ is indicative of alcohol-induced liver disease - AST: ALT A 12-year-old boy is starting a methylphenidate patch to treat his attention-deficit/hyperactivity disorder. Which of the following should be performed prior to initiating treatment? - cardiac evaluation A 19-year-old man presents to clinic for intermittent mood swings, coughing, headaches, nausea, and loss of appetite. His mother states he often emerges from the family's home office or his bedroom with these symptoms, which usually resolve within a few hours. Additionally, she states he has an unusual odor when the symptoms occur. What substance is likely being abused? - inhaling solvents A 20-year-old woman presents to the clinic for a sports physical. Her body mass index is 15 kg/m2. She reports restricting her diet for the past 3 months to 800 calories per day and running at least 10 miles each day. She states she wants to be healthy and fears being out of shape. Which of the following would lead to a diagnosis of anorexia nervosa in this patient? - patient believes she is currently overweight A 24-year-old man is brought into the ED by a friend who states the man is "acting crazy" and is fighting with an imaginary person. The patient's behavior became erratic after he ingested what appeared to be a pill. He appears disoriented and agitated. He took a swing at the security guard on his way into thebuilding but lost his balance. Physical exam shows both vertical and horizontal nystagmus. What medication is the first-line therapy to treat this patient's intoxication? - benzos PCP A 25-year-old man presents to the clinic complaining of anxiety. He states that he keeps checking the local news for reports of fatalities resulting from motor vehicle collisions. He reports persistent thoughts that he might have run over someone while driving home. His car has no signs of having been in a collision. He spends a great deal of time retracing his route after work to look for signs of an accident. During the mental status exam, he reports distress over violent images of him driving a vehicle over his partner of 5 years. His partner reports no fear of him and that the man has always been kind and loving. Which of the following is the most likely diagnosis? - OCD A 25-year-old woman with a history of bulimia nervosa presents to your office with concerns about depression. She has started psychotherapy and would like to start taking a medication as well. Which of the following is contraindicated for use in this patient? - bupropion d/t potential for causing seizures A 28-year-old woman presents with symptoms of depression. She states that she has had mood swings during the past 2 years. Upon eliciting a history, she describes multiple mild episodes of hypomanic symptoms and mild depression that have caused her distress. She does not recall a period of time over the last several years when these symptoms were not present. She reports no substance use. Which of the following is the most likely diagnosis? - cyclothymic disorder A 30-year-old man who was recently arrested is brought to the jail health care clinic for intake evaluation. He says he has been arrested multiple times, with his first arrest occurring at 15 years old after vandalizing his school auditorium. He states he has always had problems with authority figures and has a hard time getting along with his peers. He has never been able to keep a job for longer than a few weeks, which is why he resorted to stealing. He does not regret any of his actions. - antisocial personality disorder A 65-year-old man with schizophrenia presents with a complaint of dizziness with postural changes. Vital signs are normal. Previous ECG has shown QT prolongation, but his current ECG reveals a normal QT interval. The dose of his antipsychotic medication has recently increased. Which of the following is the most likely cause of his dizziness? - quetiapine A combination of depression or mania with hallucinations and delusions - schizoaffective disorderA common manifestation of narcissistic personality disorder, especially when a patient does not feel his needs for attention and praise are being met. - anger A complete cardiac evaluation including physical exam and family history is important as the first-line treatment for ADHD is a stimulant. Baseline height, weight, blood pressure, and heart rate should all be recorded and monitored. - A patient presents to the outpatient psychiatric clinic after being referred for evaluation of cyclothymic disorder. What duration of time must the patient have experienced symptoms in order to meet the DSMV criteria for this disorder? - 2 years A patient states, "Every time the cop parks his police car there, it is because he is spying on me." This is an example of what type of disordered thinking? - ideas of reference