Psychology 2

A 37-year-old man is newly diagnosed with chronic fatigue syndrome. Which of the following physical signs is most likely to be noted on examination?

A 74-year-old female presents with an abrupt onset of confusion and memory loss. Her sister says she was fine a week ago when they saw each other. She is alert and oriented to person only. Her mini-mental state examination score is 18. She is difficult to interview due to her disorganized thinking and periods of irrelevant speech. Which of the following is the most likely diagnosis?

From a national perspective, which of the following is a significant limitation of a living will?

An 8-year-old boy has Tourette syndrome characterized by motor and phonic tics and outbursts of profanity. Which of the following is the most likely associated disorder?

A 25-year-old female presents with significant anxiety after witnessing a violent crime. Which of the following best describes her condition?

Naltrexone therapy is to be initiated in a 62-year-old woman for alcohol abuse. Which of the following is the mechanism of action of this medication?

American biomedical ethics is primarily based upon which of the following principles?

A 68-year-old woman has bipolar disorder. Which of the following is clinically associated with this disorder?

A 16-year old female is transported to the emergency room after she swallowed 50 Tylenol tablets. Which of the following medications should you administer as an antidote?

A 14-year-old otherwise healthy boy takes an overdose of benzodiazepam in a suicide attempt. Vital signs are normal. The patient is lethargic with slurred speech. Which of the following is the preferred initial therapy?

A patient has been experiencing symptoms of schizophrenia (auditory hallucinations, delusions, and disorganized speech and behavior) and major depression alternately over the past 2 years. He appears to have acute symptom exacerbations with remissions. The patient appears to be suffering from:

You refill an antipsychotic medication for your adult patient who presented one year ago with signs and symptoms of major depressive disorder with psychotic features. Which of the following common adverse effects must you be concerned with for this specific treatment?

A 35-year-old patient complains of recurrent, intermittent, and abrupt onset of sensation of choking, palpitations, trembling, shortness of breath, lightheadedness, and paresthesias. She states that her episodes are entirely unexpected and do not seem to be triggered by any activity or environment. The symptoms seem to begin abruptly and peak within 10 minutes. Her symptoms are so severe that she is now having a persistent concern about future episodes and fears that “she is going crazy.” Despite the attacks, she is continuing with her work and social activities, although is becoming increasingly fearful that her episodes will occur while away from the home. Which of the following diagnoses would be most appropriate for this patient?

Which of the following treatments is the most appropriate first-line treatment for your patient with panic disorder?

You are evaluating a patient with major depressive disorder, extreme negativism, and excessive motor activity. The most appropriate diagnostic specifier to consider for this patient is:

Which of the following is a negative symptom of schizophrenia?

Which of the following is most true in regard to antidepressant pharmacotherapy?

Your patient complains of a sense that the external world seems different, changed, vague, unreal, or distant. This description is most consistent with:

A 28-year-old woman arrives at the office complaining of excessive sleeping, weight gain of 20 pounds, depressed mood, loss of interest in any activity, including sex, trouble concentrating, fatigue, constipation, and feelings of worthlessness that seem to be getting worse instead of better over the last 6 weeks. The patient reports she has had episodes like this twice in the past 24 months. She has never had an episode of mania but does report having periods of increased energy, decreased need for sleep, increased productivity at work, being more talkative, and feeling “very up.” The most likely diagnosis for this patient is:

A 22-year-old woman is brought to the office because of repeated episodes of intense anger, impulsive behavior including repeatedly cutting herself, and depressed mood. She has no history of sexual or physical abuse. The most likely diagnosis is:

A 42-year-old female presents in November stating she has been lethargic and depressed and has experienced lack of interest in any activities for the past 3 to 4 weeks. She states this happens to her every year around this time of year. Based on the patient’s history and presentation, which of the following is the most accurate diagnosis?

A 15-year-old female, whom you have been treating for an adjustment disorder, presents with complaints of anxiety, insomnia, and depression. Which of the following types of therapy would you suggest to treat these specific symptoms?

An 18-year-old male has presented with neurological symptoms that were not able to be explained clinically. You have diagnosed this patient with conversion disorder. What form of treatment is most appropriate for conversion disorder?

A 22-year-old female presents as underweight and emaciated. Physical examination reveals orthostatic hypotension, salivary gland hypertrophy, and dental erosion. The patient states she has a normal appetite but doesn’t eat much because she is afraid of becoming overweight. Lab work reveals hypokalemia, hypochloremia, and elevated blood urea nitrogen. Based on the patient’s history, physical examination, and test results, which of the following is the most appropriate diagnosis?

A 26-year-old female presents with a high degree of attention-seeking behavior. Her personality is described as excessively emotional, dramatic, and seductive. She is unable to maintain a long-term relationship and becomes angry if she is not the center of attention. Based on the patient’s behavior and personality, which of the following is the most likely diagnosis?

Which of the following medications can be administered in order to reverse the effects of an overdose of opiates?

You diagnose a 40-year-old female patient with seasonal affective disorder. Which of the following treatment options would you suggest for treatment of this disorder?

A 49-year-old female presents with personality traits of being haughty and arrogant, lacking empathy, having a sense of entitlement, and considering herself as being special. She is having a difficult time with the physical changes associated with the aging process. Based on this patient’s behavior and personality, which of the following is the most likely diagnosis?

Which of the following medications is prescribed for maintenance therapy for panic attacks and panic disorder?

Which diagnostic imaging modality can be useful in the diagnosis of schizophrenia?