PSYCH EOR questions and answers 100% correct
What is the treatment of choice for refractory schizophrenia?
A: Haloperidol
B: Clozapine
C: Risperidone
D: Fluphenazine
E: Lithium
B: Clozapine has come to be the accepted as the treatment of choice in patients with schizophrenia that is refracto...
PSYCH EOR questions and answers 100% correct
What is the treatment of choice for refractory schizophrenia?
A: Haloperidol
B: Clozapine
C: Risperidone
D: Fluphenazine
E: Lithium - answer B: Clozapine has come to be the accepted as the treatment of choice in patients with schizophrenia that is refractory to other treatment methods
A 52 year old Caucasian female is brought to the emergency room by her brother who found her unconscious in her living room this afternoon. He reports that this is not the first time that this has happened, and he is fairly certain that it is another suicide attempt
following an argument that she had with her husband over the huge shopping spree she
went on the day before. Which of the following psychiatric conditions is most likely in this patient?
A: Bipolar Disorder
B: Dysthymic Disorder
C: Brief Psychotic Disorder
D: Delusional Disorder
E: Schizophrenia - answer Answer A: Bipolar disorder is characterized by impulsivity,
and repeated self-destructive behavior, including suicide attempts.
How long must a patient have an abnormally and persistently elevated, expansive, or irritable mood to be classified as a Hypomanic Episode?
A: 1 day
B: 2 days
C: 3 days
D: 4 days
E: Greater than 5 days - answer Answer D: Patients must exhibit these symptoms for
at least four days to be classified as having a Hypomanic Episode according to the DSM
Criteria.
A very depressed patient presents to your office for treatment. The patient has great difficulty "getting going" early in the day, but is sleeping fine. Which of the following would be the most appropriate pharmacological intervention for this patient?
A: Trazodone
B: Mirtazapine
C: Paroxetine
D: Sertraline
E: Duloxetine - answer Answer D: Sertraline is an antidepressant which is activating,
and may be used to help relieve this patient's symptoms. This is an antidepressant medication that is sometimes used at lower doses to produce a sedating effect, to help patients get to sleep - answer Trazodone
This medication is generally used for depression with insomnia and decreased appetite - answer Mirtazapine
This medication is used for depression with anxiety - answer Paroxetine
This medication is most used in combination with other medications, and is not particularly activating - answer Duloxetine
A 14 year old boy is brought to the emergency room by his mother. Two days earlier his
older brother had died in a serious car accident. The boy had become hysterical at the funeral, yelling and having to be restrained. He has been agitated at home, and his mother and father have not been able to get him to calm down. Since yesterday he has been sitting on his bed, rocking back and forth, and mumbling to himself about bees coming to get him. His mother states that he was completely normal before the car accident. Urine drug screen is negative. Which of the following is this patient's most likely diagnosis?
A: Grief
B: Post-traumatic stress disorder
C: Brief psychotic disorder
D: Drug induced psychosis
E: Schizophrenia - answer Answer C: This is the most likely diagnosis in this patient. The symptoms that he is experiencing are much more severe than that of a normal grief
pattern, and he was reportedly normal prior to the death of his brother.
Which of the following drugs would be most appropriate for a 28 year old female with Major Depressive disorder, single episode, moderate who has QT prolongation syndrome. The patient is not exhibiting any symptoms of psychosis or mania.
A: fluoxetine
B: paroxetine
C: lamotrigine
D: olanzapine
E: phenelzine - answer Answer B: This is the best choice as current research shows that paroxetine carries the least potential for QT prolongation of the SSRIs.
Which of the following is not common in patients with alcoholism?
A: Legal problems
B: Elevated MCV
C: Hypocalcemia
D: Elevated serum uric acid
E: Elevated triglycerides - answer Answer C: Hypocalcemia is not a common finding in the alcoholic patient. A 44 year old male with history of alcohol dependence presents to your clinic complaining of feeling on edge all of the time. He is worried about things from different aspects of his life. Which of the following medications would be the most appropriate for
use in this patient?
A: Trazodone
B: Buspirone
C: Risperidone
D: Lorazepam
E: Gabapentin - answer Answer B is correct. Buspirone is an anxiolytic medication that would be the most appropriate choice for this patient due to its non-habit forming properties.
Answer D: Though an effective anxiolytic medication, this would not be recommended for this patient, due to his previous history of alcohol dependence.
Which of the following is not a characteristic of Binge-Eating Disorder?
A: Eating more rapidly than normal
B: Eating large amounts of food throughout the day
C: Eating large amounts of food when physically hungry
D: Feeling disgusted or guilty after eating
E: Eating alone due to embarrassment of quantity consumed - answer Answer C: DSM Criteria include recurrent episodes of binge eating, and lack of control over food intake. It may also include any of the other listed options and these symptoms must be presents at least twice a week for six months to make the diagnosis.
Which of the following is true regarding Paranoid personality disorder?
A: The first signs show up during midlife
B: The treatment of choice is cognitive behavioral therapy
C: Childhood shyness is a predisposing factor
D: The patient shows little interest in sexual activities
E: The patient negatively misinterprets actions, words, or intentions - answer Answer
E: Patients with Paranoid personality disorder exhibit pervasive distrust and suspiciousness, and may also show some of the following: suspect others are plotting against them, doubt loyalty of others (especially those closest to them), fear that others may exploit information shared, bear grudges, feel socially isolated.
During what time in life does paranoid personality disorder show up? - answer Early Adulthood
Shyness as a child may predispose a patient to developing? - answer Avoidant personality disorder
In which personality disorder does the patient show little interest in sexual activities - answer Schizoid personality disorder
Which of the following is a positive symptoms associated with schizophrenia?
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