QUESTION 1 1. Select the serum assessment that is required when prescribing drugs to treat psychiatric disorders in psychosomatic patients.
A Potassium
B White blood cells
C Liver enzymes
D Blood urea nitrogen
QUESTION 2 Select the theorist who developed the eight stages of psychosocial life cycle.
A Bowlby
B Perls
C Erikson
D Rogers
QUESTION 3 Select twocauses of dissociative amnesia.
A Sexual abuse
B Substance abuse
C Surgical pain
D Partner betrayal
QUESTION 4 Select the patient evaluation scale to be used before and duringprescribing antipsychoticdrugs.
A MMSE
B AIMS
CCAGE
DHAM-D
QUESTION 5 Select the two comorbid disorders with which Pica occurs most commonly.
A Enuresis
B Encopresis
C Autism
D Intellectual disability
A 10% recover, 20% mild symptoms, 30% moderate symptoms, 40% no change or worse
B 20% recover, 10% mild symptoms, 40% moderate symptoms, 30% no change or worse
C 30% recover, 40% mild symptoms, 20% moderate symptoms, 10% no change or worse
D 40% recover, 30% mild symptoms, 10% moderate symptoms, 20% no change or worse
A Family members
B Sequential events
C Personal identity
D Adolescent years
QUESTION 8. The following is NOT an endocrine change noted with anorexia nervosa:
A Increased Glucose
B Hypothyroidism
C Hypersecretion of corticotrophin-releasing hormone
D Eating with friends, but not family
QUESTION 9 Select the twomost important elements of the psychiatric interview to establish a mental illness diagnosis.
A Psychiatric history
B Familyhistory
C Mentalstatus examination
D Review of systems
QUESTION 10 Select the greatest impediment to treating anorexia nervosa patients.
A Drug adverse effects
B Variability of family therapy
C Patient resistance
D Noncompliance with therapy
QUESTION 11 Select the sleep disorder in which cataplexy is a common symptom.
A Central apnea
B Somnambulence
C Insomnia
D Narcolepsy
QUESTION 12 Select the obsessive-compulsive disorder for which a patient is likely to initially seek help from a Primary Care Provider.
A Hoarding
BExcoriation
CHair-pulling
D Body dysmorphia
QUESTION 13 Select the rating scale used to assess obsessive-compulsive disorder.
A HAM-A
BCAGE.
CYBOCS
D CAPS
A2
B3
C4
D6
QUESTION 15. Select the mood disorder that is worsened by chronic exposure to observing violence in television, movies, and video games.
A Bipolar
B Oppositional
C Conduct
D Dysthymia
QUESTION 16 Select a provider’s most important knowledge area essential to a successful mental health interview of a child.
A Normal development
B Cultural background
C Sibling position
D Medical history
QUESTION 17 Select the minimum treatment time to assess the effectiveness of antidepressant drug therapy.
A 1-2 weeks
B 3-4weeks
C 6-8weeks
D 10-14 weeks
A PTSD diagnosis require symptoms to last at least for one month.
B Acute stress disorder symptoms can last at least for one month.
C PTSD has recurrent, distressing dreams.
D Acute stress disorder has recurrent, distressing dreams.
QUESTION 19 Factors that indicate a good prognosis for PTSD disorders include all the following EXCEPT:
A rapid onset of symptoms
.
B short duration of symptoms
.
C positive response to
. benzodiazepines
D strong social supports
QUESTION 20. Select the medical condition that must be excluded as a cause of somatic symptom disorder or hypochondriasis.
A Angina pectoris
BAsthma
C Diabetes
D Multiple sclerosis
QUESTION 21 What is the most IMMEDIATE consideration in assessing depression in adolescents?
A Sleep
B Safety
C Appetite
D Anger
QUESTION 22 Select the neurotransmitter that is most involved in the pathophysiology of schizophrenia.
A Norepinephrine
B Dopamine
C Serotonin
D Acetylcholine
QUESTION 23 Select the most important component of the patient-provider rapport.
A Empathy
B Confidentiality
C Respect
D Privacy
A Bupropion and SNRI antidepressants
B Cognitive-behavior therapy (CBT) and SSRI antidepressants
C Cognitive-behavior therapy (CBT) and amitriptyline
D Coaching approach behavior and leading by modeling
QUESTION 25 All the following are key psychiatric findings when assessing speech and language in children EXCEPT:
A Normal articulation
B Unusual syntax
C Echolalia
D Repetitive stereotypical phrases
QUESTION 26 Select the factor that is required to cause PTSD from a stressor.
A Intense horror
B Isolated experience
C Concurrent substance abuse
D Survivor’s guilt
QUESTION 27. All the following are classes of coping mechanisms in the Model of Mental Health as Resilience where humans overcome stressful situations EXCEPT:
A Adaptive involuntary coping mechanisms (defense mechanisms)
B Generativity versusStagnation
C Conscious CognitiveStrategies
D Consciously Seeking Social Support
A Bodmann’s area
B Substantianigra
C Caudate
D Wernicke’s. area
Determining occurrence of substance abuse Denial of symptoms Insisting weight loss has a medical cause Secrecy regarding eatingrituals
A Separation
B Generalized
C Social
D Traumatic
QUESTION 31 Select the twomost common peripheral symptoms of anxiety.
A Bradycardia
B Dizziness
C Constipation
D Tremors
QUESTION 32 Select the hormone or neurotransmitter that is involved in regulating the 24-hour circadian sleep-wake cycle.
A Dopamine
B Corticotrophin releasing
C Serotonin
D Melatonin
QUESTION 33 Select the event most associated with the occurrence of dissociative fugue.
A Head trauma
B Substance abuse
C Partner betrayal
D Unplanned travel
QUESTION 34 Select the neurodevelopmental disorder typically diagnosed in childhood.
A Bipolar I
B Major depression
C Intellect
D Agoraphobia
QUESTION 35 Select the primary cause of reactive attachment disorder in children.
A Death of mother
B Bullying by peers
CNegligent parenting
D Fetal alcohol syndrome
A Dissociative amnesia
B Majordepression
CDepersonalization
D Dissociative identity
QUESTION 37. Select twoevents that are causes of dissociative trance disorder.
A Natural disaster
B Substance abuse
C Experienced violence
D Appropriate drug therapy
QUESTION 38. Select the time from occurrence of the stressor in which symptoms must appear to diagnose an adjustment disorder.
A 1 week
B 1 month
C 3 months
D 6 months
QUESTION 39. Select the serum substance that should be measured to aid the diagnosis of restless leg syndrome.
A Potassium
B Ferritin.
C Magnesium
D Albumin
QUESTION 40 Select the DSM-5 disorder formerly called multiple personality disorder.
A Depersonalization
B Dissociative fugue
C Dissociative identity
D Derealization.
A Seizures
B Substance abuse
C Narcissistic Personality Disorder
D All of the above
QUESTION 42 The following psychotherapy interventions is NOT a recommended in the treatment of PTSD:
A Behavioral Therapy
B Chelation Therapy
C Cognitive Therapy
D Hypnosis
QUESTION 43 Select the difference in rates of suicidal thoughts and behaviors between placebo and drug in children and adolescents observed from random controlled trials of nine antidepressant drugs that resulted in the 2004 FDA “black box” warning in labeling of
antidepressant drugs.
A 1% placebo, 5%. drug
B 2% placebo, 4%. drug
C 2% placebo, 10%. drug
D 4% placebo, 12%. drug
QUESTION 44 Select the drug that has been effective in treating social anxiety inchildren.
A Bupropion
B Carbamazepi ne
C Amitriptyline
D Fluoxetine
QUESTION 45 Select the youngest age range at which alarm therapy is effective to treat enuresis.
A 11 to. 12
B 9 to. 10
C 6 to7
D 5 to6
QUESTION 46Which part of the brain is essential to the maintenance of attention?
A Cortex
B Right frontal lobe
C Septum
D Amygdala
QUESTION 47 Select twosigns and symptoms of bulimia nervosa.
A Weekly binge eating for at least three months
B Abuse of emetic drugs andsubstances
C Greater weight loss than withanorexia nervosa
D Binge eating and purging is most common in winter
A Aggression
B Withdrawal
C Panic.
D Exhibition
QUESTION 49. Select the most common stressor of PTSD in women.
A Home accident
B Partner or spousal abuse
C Sexual assault
D Natural disaster
QUESTION 50 Select the most likely stressor to cause an adjustment disorder.
A Medical illness
B Natural disaster
C Vehicle accident
D Substance abuse
QUESTION51. Select the motivation in pyromania that is absent in patients who commit arson.
A Financial gain
BRevenge
CAffectivearousal
D Power
A To not prescribe the medication to the population of consideration
B To obtain informed consent from patients
C To document adverse reactions
D The need for closer monitoring of potential symptoms by the provider
A Depression
B Anxiety
C Psychosis
D Depersonalizati on
QUESTION 54. Select the disorder in which patients feel detached from their environment.
A Derealization
B Transient global amnesia
C Depersonalization
D Dissociative identity
.
QUESTION 55 Select the least extent of sleep debt that can cause hypersomnolence.
A 4 hours per night for one month
B 3 hours per night for two weeks
C 2 hours per night for one week
D 1 hour per night for three days
QUESTION 56 Select the disorder in children and adolescents that is described by depressed or irritable mood for most of the day for a majority of days in at least one year.
A Major depression
B Cyclothymia
C Bereavement
D Persistent depression
QUESTION 57. Select the disorder in which children are irritable and display temper outbursts, but are not likely to cause physical harm to themselves and others.
A Oppositiona
B Conduct
C Dysregulati on
D Bipolar
QUESTION 58 Select the nondrug therapy approved for use in patients who have failed to achieve satisfactory improvement with correctly prescribed antidepressant drugs.
A Transcranial magnetic stimulation
B Phototherapy
C Vagal nerve stimulation.
D Psychoanalysis.
QUESTION 59. Fetal alcohol syndrome is characterized by all the following EXCEPT:
A Microcephaly
B Midface hypoplasia
C Growth retardation with weight/height
D Scanty Lanugo
QUESTION 61. Select the brain region that is most implicated in the function of memory.
AHippocampus
B Temporallobe
C Amygdala
D Corpus callosum
QUESTION 62. Select the twomost effective treatments for obsessive-compulsive disorder (OCD) in
children and adolescents.
A SSRIantidepressants
B SNRIantidepressants
C Cognitive behavioral therapy (CBT)
D Parent-child interaction therapy (PCIT)
QUESTION 63. Select twotypes of theories that have contributed to causes of anxiety.
A Psychoanalytic theory
B Behavioral theory
C Family
DGroup
QUESTION 64 Select the self-report rating scale used to screen for major depression.
A BDI
B HAM-D
CBPRS
DSANS
QUESTION 65 Select the twosymptoms that result from prolonged sleep deprivation.
A Ambition
B Hallucinations
C Contentedness
D Irritability
QUESTION 66 Select the least effective method to treat dissociative amnesia.
A Antipsychotic drugs
B Cognitive therapy
C Hypnosis
D Group therapy
.
QUESTION 68 Select the twodiverse symptoms of OCD.
A Rituals
B Flashbacks
C Loose associations
DIntrusive thoughts
QUESTION 69. Select the antidepressant drug that is effective in treating OCD, because it is the most selective in preventing serotonin uptake.
A Clomipramine
B Valproate
C Lithium
D Venlafaxine
QUESTION 70. Select the drug in addition to a benzodiazepine used to treat generalized anxiety disorder.
A Buspirone
B Trazodone
C Quetiapin
D Lamotrigine
QUESTION 72. Episodes of major depression and hypomania are the main characteristics of:
A Dysthymia
B Bipolar I Disorder
C Mixed Mood Disorder
D Bipolar II Disorder
QUESTION 73. Benzodiazepine treatment for anxiety conditions lasts for:
A 3 months
B 1 year
C indefinitely
D 6 weeks
QUESTION 74 Select the comorbid disorder most frequently associated with anorexia nervosa.
A Depression
B Anxiety
C Schizophrenia
D Substance use disorder
QUESTION 75. Which side effect of venlafaxine places the medication as a second-line choice when compared with SSRIs?
A Nausea
B Increased blood pressure
C Headache
D Fatigue
QUESTION 76 Select the therapy for insomnia that can be effective at up to three years after discontinuation.
ACognitive-behavioral
B Sedating antihistamines
C Benzodiazepines
D Paradoxical intention
QUESTION 77 Select the twotypes of symptom patterns common to OCD patients.
A Recurrent nightmares
B Flight of ideas
C Intrusive thoughts
D Contamination
QUESTION 79 Select the largest percentage prevalence of psychiatric disorders in patients hospitalized for medical conditions.
A1. 0
B3. 3
C5. 0
D6. 7
QUESTION 80 Select the symptom that is most likely improve early in the drug treatment of major depression.
A Poor concentration
B Sleep problems
C Excessive guilt
D Decreased appetite
QUESTION 81. Select the most effective treatment found in the studies of adolescents with depression.
A SSRI plus. SNRI
B CBT
C SSRI plus. CBT
DSSRI
QUESTION 82. Select the mood disorder in which diagnosis requires symptoms present for at least two years.
A Major. depression
BDysthymia
C Bipolar II
D Cyclothymia
QUESTION 83 Select the twomost commonly co-occurring anxiety disorders that may present with
generalized anxiety disorder.
A PTSD
B Dissociative disorder
C OCD
D Delusional disorder
QUESTION 84 Select the factor that best correlates with the occurrence of PTSD in children.
A Excessive dopamine metabolites
B Higher IQ
C Larger corpus callosum
D Lower IQ
QUESTION 85 Select twoevents that are excluded as causes of dissociative trance disorder.
A Natural disaster
B Substance abuse
C Experienced violence
D Appropriate drug therapy
QUESTION 86. According to Bowlby’s theory of anxiety, what is fundamental to the growth of attachment in an infant?
A Loud noises
B Exposure to strangers
C Mother’s ability to relieve infant anxiety
D Placing the infant in isolated areas
QUESTION 87. Select the preferred treatment for bulimia nervosa.
A Cognitive-behavior therapy (CBT)
B SNRI antidepressants
C Monoamine oxidase inhibitors (MAOIs)
D Dynamic psychotherapy
QUESTION 89. Select the life stage at which emotional and social behavior begin.
AToddler
BInfancy
C Middle years
D Preschool
QUESTION 90. Select the symptom that is least associated with manic and hypomanic episodes.
A Suicidal ideation
B Inflated self- esteem
C Distractibility
D Pressured speech
QUESTION 91. Select the twoprimary psychometric properties of psychiatric rating scales.
A Reproducibility
B Reliability
C Validity
D Variability
QUESTION 95. Select the antidepressant drug most likely to cause sexual dysfunction.
A Sertraline
B Amitriptyline
C Duloxetine
D Clomipramine
QUESTION 96 Select the theorist who is credited with establishing the area of psychosomatic medicine.
A Freud
B Abraham
C Groddeck
D Ferenczi
QUESTION 97. Select twocommon uses of items taken in kleptomania.
A Gifts
B Displaying
CSelling
DHiding
QUESTION 98. Select the age group in which adjustment disorders occur most frequently.
A Childhood
B Middle adult
C Young adult
D Adolescent
QUESTION 99. Select the percent rate of mortality in anorexia nervosa patients.
A 1 to 5
B 3 to. 12
C 5 to. 18
D 18 to. 25
