SAEM Psych/AMS Study Guide With Complete Questions And Answers.

A 60 y/o male presents with new onset confusion. Which of the following suggests a functional, as opposed to an organic etiology? Answers: 1.Abnormal vitals signs 2.Acute onset 3.Auditory hallucinations 4.Disorientation - correct answer 3.Auditory hallucinations Delirium is defined as: Answers: 1.A stressed psychological state resulting from extreme emotional stimulus 2.Abnormal behavior associated with decreased alertness and decreased psychomotor activity 3.Abnormal behavior accompanied by hallucinations, occurring in an oriented patient 4.A global inability to relate to the environment and process sensory input - correct answer 4.A global inability to relate to the environment and process sensory input Which of the following statements regarding psychotic behavior is true? Answers: 1.Brief psychotic episodes, often precipitated by events such as death of a loved one, can be characterized by extremely bizarre behavior and speech. 2.Delusions are defined as false beliefs that are amenable to arguments or facts to the contrary. 3.Delusional disorder usually results in impairment in daily functioning. 4.Schizophreniform disorder is present when a patient meets the diagnostic criteria for schizophrenia but the process has been present for less than one year. - correct answer 1.Brief psychotic episodes, often precipitated by events such as death of a loved one, can be characterized by extremely bizarre behavior and speech. A 25 y/o male is brought to the emergency department by his family, with a complaint of feeling depressed for the past week. In obtaining the history, which of the following statements regarding this patient would support a diagnosis of major depression? Answers: 1.The patient has no history of medical illness. 2.The patient has a history of crohn's disease. 3. There is no family history of depression. 4.The screening mnemonic in SAD CAGES is negative. - correct answer 2.The patient has a history of crohn's disease. A 75 year old female is brought the to emergency department by a family member with a history of progressive forgetfulness and confusion. She has a history of dementia. The most common cause of dementia in the elderly patient is Answers: 1.Alzheimer's disease 2.Parkinson's disease 3.Pick's disease 4.Vascular dementia - correct answer 1.Alzheimer's disease A 65 year old male is brought to the emergency department after he was found wandering on the street. He is unkempt and confused. A diagnosis of delirium, rather than dementia, is more likely if which of the following is true? Answers: 1.There has been a slow progressive loss of memory 2.The sleep-wake cycle is unaffected 3.There is a change in the level of consciousness 4.The confusion is worse during the day - correct answer 3.There is a change in the level of consciousness A 70 year old male with acute delirium requires administration of haloperidol for agitation. Which of the following is a recognized side effect of haloperidol? Answers: 1.First degree heart block 2.Nephrogenic diabetes insipidus 3.Prolonged QT interval 4.Transient hepatitis - correct answer 3.Prolonged QT interval An 80 year old nursing home patient is brought to the emergency department with an acute onset of confusion. Which of the following metabolic abnormalities is the most likely explanation? Answers: 1.Hypocalcemia 2.Hypokalemia 3.Hypernatremia 4.Hyperphosphatemia - correct answer 3.Hypernatremia A 20 year old college student is brought to the emergency department by campus police after he was found by his roommate saying people in the TV were trying to kill him. Which of the following criteria is not an indication for admission? Answers: 1.First-time psychiatric episode 2.Demonstrates risk for suicide 3.Inadequate psychosocial support 4.Lacks capacity to cooperate with treatment - correct answer 1.First-time psychiatric episode A 35 year old female is brought to the emergency department after family members called the police to say she was threatening to kill herself by jumping out a window. She has a long history of depression. Regarding suicide, which of the following statements is FALSE? Answers: 1.All states have laws giving law enforcement the right to place into custody any individual suspected of being a danger to themselves or others. 2.Family sitters provide the best option for close observation of suicidal patients since they often have a calming influence on the patient.