NR 547 Midterm (from Study Guide) M.G. Questions with
Verified Answers (Correct Update)
Question 1: Importance of the differential diagworking nosis
Answer: list, initial hypothesis, improves safety
Question 2: Differential dx - laboratory analysis Basic
Answer: diagnostic tests and labs are used to rule out physical conditions that may be causing
psychiatric symptoms and to evaluate the ettects of treatment
Question 3: CBC
Answer: rule out anemia as a cause for depressive symptoms and fatigue, or rule out infection as a cause
of acute mental status changes. Also medications, such as clozapine, require routine analysis of ANC
and platelet levels.
Question 4: CMP
Answer: electrolyte balance, liver function, CMP may be used to rule out medical conditions that
changes or mood or cognition. The CMP is used to monitor the ettects of meds,e.g. antipsychotics, on
liver function and glucose levels.
Question 5: TFTs
Answer: used r/o thyroid disorders as a cause for symptoms Symptoms related to thyroid disorders
include anxiety, restlessness, depression, mood swings, sleeping diflculties, diflculties with
concentration, short-term memory lapses, and lack of mental alertness.
Question 6: Hyperthyroidism
Answer: can attect your mood causing agitation, panic attacks, mania, hallucinations, suicidal ideation
Question 7: Hypothyroidism
Answer: fatigue, cognitive and memory problems, slow thinking, low mood or depression
Question 8: CMP-range NA 135-145,, phos 20-70, BUN 7-12, creatinine 0.6-1.2, Calcium 4-10.2,
CL 95-105, potassium 3.5-5
Answer: NA 135-145,, phos 20-70, BUN 7-12, creatinine 0.6-1.2, Calcium 8.4-10.2, CL 95-105,
potassium 3.5-5
Page 1
,Question 9: CBC - range
Answer: WBC 5,00-10,000, plt 150.000-300,00, RBC 4.5-6, hemoglobin 12-18, hematocrit 38-48%,
retic count 0-1.5%.
Question 10: TFT-range
Answer: TSH 0.4-4.5 T3 100-200, T4 5-11
Question 11: B 12 - range
Answer: 190-950 picograms/mL. Between 200-300/mL indicates a borderline level - possible need for
additional testing.
Question 12: B12 levels. Deficiency
Answer: can attect mood and other brain functions. psychiatric symptoms associated with B12
deficiency include depression, mania, psychotic symptoms, and cognitive impairment
Question 13: Vitamin B12 - range
Answer: 190-950
Question 14: Vitamin D range
Answer: 20-50
Question 15: liver fxn range
Answer: AST/ALT 8-20
Question 16: Alogia
Answer: lack of speechonly saying a few words
Question 17: Avolition
Answer: lack of motivation
Question 18: Anosognosia
Answer: inability to recognize they have an illness
Question 19: Affective flattening
Answer: flat attect, emotional blunting, monotone speech, diminished gestures
Page 2
,Question 20: GAD
Answer: -symptoms >6 months, symptoms most days, with 3 or + symptoms of (worry, irritability,
restlessness, muscle tension, diflculty concentrating) Anxiety is NOT related to a specific person/event.
Question 21: First line tx, GAD
Answer: First line tx- CBT / SSRI's
Question 22: GAD - comorbidities
Answer: Depression , Asthma, COPD, DM
Question 23: OCD
Answer: persistent, uncontrollable thoughts or actions that occur over an hour or more per day.
comorbidities often comorbid with tourettes, txexposure and response therapy and fluoxetine 80 mg start
low and go slow. Onset by age 35.
Question 24: OCD - comorbidities
Answer: Tourette's. Onset by age 35.
Question 25: OCD tx
Answer: exposure and response therapy and fluoxetine 80 mg start low and go slow. (start 20mg)
Question 26: Compulsions
Answer: typically performed in response to an obsessive thought
Question 27: Compulsions sub clinical
Answer: does not meet full criteria and does not cause major disruptions in patient life. Determined
based on the level of distress and impairment in function
Question 28: Compulsions - clinical
Answer: meets dx criteria, causes disruptions.
Question 29: Panic disorder
Answer: > 1 monthpersistent fear or behavior change due to anxiety about having another panic attack
Question 30: Panic disorder tx
Answer: CBT, SSRI, SNRI, BENZOS, TCAs, B-Blockers
Page 3
, Question 31: Social phobias
Answer: > 6 months, fear of judgment or embarrassment in social situations leading to avoidance of
social situations. In older patients it may be related to perceived or actual deficits in hearing, vision,
continence or movement, causing fear of embarrassment.
Question 32: Social phobias tx
Answer: CBT/SSRI
Question 33: Performance phobia tx
Answer: for a single performance tx with benzo or beta blocker, for repeated performances CBT 1st line.
Question 34: Agoraphobia
Answer: fear of public transportation, open spaces, closed spaces, crowd, standing in linesmust have 2
out of 5 symptoms. The anxiety is about fear of escape, Common with MDD and SUD
Question 35: Adjustment disorder
Answer: > 6 months, common with new job, new disability, natural disasters, marriage, loss of
employment
Question 36: Adjustment disorder tx
Answer: Txmight not be neededit depends of the level of distress
Question 37: Panic attack
Answer: symptoms come out of the bluepeak within 10-20 minutes, causes a feeling of doom, somatic
symptoms, can evolve into panic disorder.
Question 38: Panic attack tx
Answer: benzo because they work fast
Question 39: PTSD
Answer: > 1 month think TRAUMA (traumatic event, re-experiencing, arousal, unable to function,
month or +, avoidanceflashbacks and nightmares common
Question 40: General anxiety
Answer: is not related to a specific person/event
Page 4
Verified Answers (Correct Update)
Question 1: Importance of the differential diagworking nosis
Answer: list, initial hypothesis, improves safety
Question 2: Differential dx - laboratory analysis Basic
Answer: diagnostic tests and labs are used to rule out physical conditions that may be causing
psychiatric symptoms and to evaluate the ettects of treatment
Question 3: CBC
Answer: rule out anemia as a cause for depressive symptoms and fatigue, or rule out infection as a cause
of acute mental status changes. Also medications, such as clozapine, require routine analysis of ANC
and platelet levels.
Question 4: CMP
Answer: electrolyte balance, liver function, CMP may be used to rule out medical conditions that
changes or mood or cognition. The CMP is used to monitor the ettects of meds,e.g. antipsychotics, on
liver function and glucose levels.
Question 5: TFTs
Answer: used r/o thyroid disorders as a cause for symptoms Symptoms related to thyroid disorders
include anxiety, restlessness, depression, mood swings, sleeping diflculties, diflculties with
concentration, short-term memory lapses, and lack of mental alertness.
Question 6: Hyperthyroidism
Answer: can attect your mood causing agitation, panic attacks, mania, hallucinations, suicidal ideation
Question 7: Hypothyroidism
Answer: fatigue, cognitive and memory problems, slow thinking, low mood or depression
Question 8: CMP-range NA 135-145,, phos 20-70, BUN 7-12, creatinine 0.6-1.2, Calcium 4-10.2,
CL 95-105, potassium 3.5-5
Answer: NA 135-145,, phos 20-70, BUN 7-12, creatinine 0.6-1.2, Calcium 8.4-10.2, CL 95-105,
potassium 3.5-5
Page 1
,Question 9: CBC - range
Answer: WBC 5,00-10,000, plt 150.000-300,00, RBC 4.5-6, hemoglobin 12-18, hematocrit 38-48%,
retic count 0-1.5%.
Question 10: TFT-range
Answer: TSH 0.4-4.5 T3 100-200, T4 5-11
Question 11: B 12 - range
Answer: 190-950 picograms/mL. Between 200-300/mL indicates a borderline level - possible need for
additional testing.
Question 12: B12 levels. Deficiency
Answer: can attect mood and other brain functions. psychiatric symptoms associated with B12
deficiency include depression, mania, psychotic symptoms, and cognitive impairment
Question 13: Vitamin B12 - range
Answer: 190-950
Question 14: Vitamin D range
Answer: 20-50
Question 15: liver fxn range
Answer: AST/ALT 8-20
Question 16: Alogia
Answer: lack of speechonly saying a few words
Question 17: Avolition
Answer: lack of motivation
Question 18: Anosognosia
Answer: inability to recognize they have an illness
Question 19: Affective flattening
Answer: flat attect, emotional blunting, monotone speech, diminished gestures
Page 2
,Question 20: GAD
Answer: -symptoms >6 months, symptoms most days, with 3 or + symptoms of (worry, irritability,
restlessness, muscle tension, diflculty concentrating) Anxiety is NOT related to a specific person/event.
Question 21: First line tx, GAD
Answer: First line tx- CBT / SSRI's
Question 22: GAD - comorbidities
Answer: Depression , Asthma, COPD, DM
Question 23: OCD
Answer: persistent, uncontrollable thoughts or actions that occur over an hour or more per day.
comorbidities often comorbid with tourettes, txexposure and response therapy and fluoxetine 80 mg start
low and go slow. Onset by age 35.
Question 24: OCD - comorbidities
Answer: Tourette's. Onset by age 35.
Question 25: OCD tx
Answer: exposure and response therapy and fluoxetine 80 mg start low and go slow. (start 20mg)
Question 26: Compulsions
Answer: typically performed in response to an obsessive thought
Question 27: Compulsions sub clinical
Answer: does not meet full criteria and does not cause major disruptions in patient life. Determined
based on the level of distress and impairment in function
Question 28: Compulsions - clinical
Answer: meets dx criteria, causes disruptions.
Question 29: Panic disorder
Answer: > 1 monthpersistent fear or behavior change due to anxiety about having another panic attack
Question 30: Panic disorder tx
Answer: CBT, SSRI, SNRI, BENZOS, TCAs, B-Blockers
Page 3
, Question 31: Social phobias
Answer: > 6 months, fear of judgment or embarrassment in social situations leading to avoidance of
social situations. In older patients it may be related to perceived or actual deficits in hearing, vision,
continence or movement, causing fear of embarrassment.
Question 32: Social phobias tx
Answer: CBT/SSRI
Question 33: Performance phobia tx
Answer: for a single performance tx with benzo or beta blocker, for repeated performances CBT 1st line.
Question 34: Agoraphobia
Answer: fear of public transportation, open spaces, closed spaces, crowd, standing in linesmust have 2
out of 5 symptoms. The anxiety is about fear of escape, Common with MDD and SUD
Question 35: Adjustment disorder
Answer: > 6 months, common with new job, new disability, natural disasters, marriage, loss of
employment
Question 36: Adjustment disorder tx
Answer: Txmight not be neededit depends of the level of distress
Question 37: Panic attack
Answer: symptoms come out of the bluepeak within 10-20 minutes, causes a feeling of doom, somatic
symptoms, can evolve into panic disorder.
Question 38: Panic attack tx
Answer: benzo because they work fast
Question 39: PTSD
Answer: > 1 month think TRAUMA (traumatic event, re-experiencing, arousal, unable to function,
month or +, avoidanceflashbacks and nightmares common
Question 40: General anxiety
Answer: is not related to a specific person/event
Page 4
