Psychology 5

Which of the following disorders is caused only by an adverse reaction to a medication?

You believe a patient who frequently visits your office is being deceptive in her actions to simulate medical disorders. This behavior leads you to perform unnecessary medical investigations and execute unnecessary treatment plans. What is the most likely diagnosis?

A wife describes her husband’s behavior as follows: “For the past 6 months he rises in the morning and takes his temperature and quite frequently goes back to bed. He calls in sick more and more. He insists that he is weakening, physically and he fears he has some terminal disease. He recently started refusing to meet his social obligations. He has gone to three different physicians all of whom have not been able to find cause for his complaining, after all of their extensive testing”. Which of the following conditions seems to be the most likely?

A 28-year-old housewife complains of fear of thunderstorms and becomes fearful even when anticipating the storm. She has no fear of rain; however, the darkening sky suggests a storm and that frightens her. She is completely aware of her behavior, but she just cannot explain it or stop it. She focuses purely on the storm, to the degree that it interferes with whatever routine she is engaged in. She enjoys a healthy relationship with her husband and three children. Her physical exam is unremarkable. These conditions suggest which of the following disorders?

Axis IV category relates to what section?

Which of the following radiologic findings is the strongest indication of child abuse?

A 16-year-old male is found unconscious in a neighbor’s field and you suspect insecticide poisoning. Which of the following is the treatment of choice for this poisoning?

A patient’s chest x-ray incidentally shows areas of periosteal elevation, soft tissue swelling, and multiple healed fractures of both arms. Which of the following diagnosis are these findings most suggestive of?

What personality disorder is associated with patients who were overly emotional and attention seeking?

What personality disorder is associated with poor self-image, unstable interpersonal relationships and poor impulse control?

What personality disorder is associated with grandiose thoughts, the need for admiration and heightened concern about what others think?

A 33-year-old woman has taken clonazepam for 2 months in treatment of generalized anxiety disorder. Which of the following is the most appropriate counseling for the patient concerning the medication?

A 32-year-old male patient is found to have a lack of remorse for his actions and no concern for others, what underlying personality disorder do you suspect?

A mother reports that her 19-year-old son has multiple compulsions he has to do before completing a task, such as knocking on the door four times before entering and checking to see if the stove is off nine times before leaving the house which is interfering with his daily functioning. Furthermore, if he is unable to perform the task such as checking the stove 9 times before leaving he gets extremely agitated and fearful the house will burn down. What underlying disorder do you suspect?

A 17-year-old female is brought to the office by her mother, she appears extremely thin and after her weight was checked, it is found to be 75% of her expected weight. The mother has noticed that her daughter has been using laxatives, and eats very little of her lunch and dinner, and when asked, the patient feels she is overweight. What underlying condition do you suspect?

The parents of your 12-year-old male patient are requesting medication for their son. They have become increasingly frustrated with their son’s behaviors and state they are “at the end of their rope.” They tell you that the school principal recently called and threatened to discharge their son from school unless the son’s behavior’s improved. On history taking, you elicit that your patient has a longstanding history of failing to give close attention to schoolwork, does not listen, fails to complete chores, fights with them to get out of doing homework, and appears very forgetful in daily activities. His parents also state that he has always fidgets in his seat, gets up and leaves his seat when in class and while at the dinner table, cannot seem to ever play quietly, talks excessively, and seems like he has an inner motor that is “running all the time” Additionally, he often blurts our answers before a question is even completed, cannot wait his turn, and interrupts others constantly. His symptoms first began at around 6 years of age. Which of the following medication would be least effective in treating your patient’s condition?

Which of the following is a negative symptom of schizophrenia?

Which of the following symptoms is associated with dysthymic disorder?

Which of the following is the standard drug for the treatment of obsessive-compulsive disorder?

A 27-year-old man is referred to the clinic by his employer. The patient has been late 2 hours or more for work every day since he was hired 6 weeks ago. When asked about his tardiness, the patient repeatedly indicates he had to go back five to six times to make sure the lights were off so there would not be a fire in his apartment. His employer also reports that he has difficulty meeting project deadlines because he appears to perseverate over every period and comma, sometimes for hours at a time. When this has been brought to his attention, he is always apologetic, changes his behavior slightly for 1 to 2 days, becomes visibly anxious, and then returns to his prior behavior. He has lost three other jobs in the past year because of this same behavior. He indicates that he really wants to get better but does not know how to stop without feeling extremely anxious. Which of the following is the most likely diagnosis?

Which of the following statements regarding the diagnostic criteria for major depression is true?

The drug of choice for the treatment of acute mania is:

A 52-year-old man arrives at the emergency department with generalized chest tightness without radiation, palpitations, sweating, trembling, nausea, and shortness of breath. The patient describes feeling as if he is going to die or go crazy. The patient has no prior cardiac history or significant medical or family history. He relates that he has had “spells” like this before but never came to the hospital. Electrocardiogram and cardiac enzymes are normal. The patient was given oxygen and sublingual nitroglycerin in the ambulance en route to the hospital but seemed to get worse instead of better. Which of the following is the most likely diagnosis?

Which of the following is a drug of choice in the treatment of generalized anxiety disorder?

An 18-month-old infant is brought to the clinic for her check-up. Her last visit was at 2 months of age. On physical examination, a decrease in her head circumference; small, flattened skull; slanted eyes; and flat nose are noted. She appears to have difficulty keeping her tongue in her mouth, has limited affect, and is only able to make babbling sounds—no words. She is just barely able to sit up, is not crawling, exhibits generalized hypotonia, and has a single palmar transverse crease. The most likely diagnosis is:

Which of the following statements is true of the behavior patterns in personality disorders?

A 3-year-old girl does not cuddle or respond to affection or touching and is noncommunicative with others at home or outside the home. The child exhibits attachment to unusual objects but is unable to develop relationships with other children. She engages in self-destructive behavior and repetitive behavior such as spinning and arm flapping. The child is exhibiting signs and symptoms of:

Which of the following statements is true regarding mental retardation?

Which of the following is the standard treatment for attention-deficit hyperactivity disorder?

A 7-year-old boy is referred by his teacher to the physician assistant for evaluation. The teacher reports that the boy consistently does not seem to listen, has trouble following directions, and is always forgetting or losing things. Additionally, she reports that he does not seem to be able to play quietly, and she always has to tell him to sit still, wait, or not shout out in class. His parents report that, since the age of 2 years, he has always been unable to sit still and constantly changes activities. Which of the following is the most likely diagnosis?