Deck 17: Psychiatric Mental Health

Question 1

All of the following are true regarding depression except:

A) It is associated with a 25% lifetime prevalence
B) There is a 50% risk of recurrence after one episode
C) There is a 70% risk of recurrence after two episodes
D) All of the above are true

Answer 1

It is associated with a 25% lifetime prevalence

Question 2

Patients with anxiety frequently complain of all of the following except:

A) Chest pain
B) Dizziness
C) Generalized rash
D) Chronic fatigue

Answer 2

Generalized rash

Question 3

In obsessive-compulsive disorder, a common obsession:

A) Is that of contamination and washing or avoidance of a particular object that is contaminated
B) Involves repetitive behaviors in response to preoccupations with perceived flaws in physical appearance
C) Is a marked fear of being the center of attention or behaving in a way that will result in embarrassment or humiliation
D) None of the above

Answer 3

Is that of contamination and washing or avoidance of a particular object that is contaminated

Question 4

In bipolar 2 disorder, individuals:

A) Do not experience depression
B) Do not experience manic episodes
C) Have episodes of elation and high energy
D) Do not experience hypomania

Question 5

Which of the following statements is not true regarding phobia?

A) The anxiety associated with phobia is out of proportion to the actual danger or threat in the situation.
B) Diagnosis is based on the presence of symptoms for at least a 6-week duration.
C) Persons with phobias have apprehension of a future attack, which is referred to as anticipatory anxiety.
D) Diagnosis is made at any age.

Question 6

It is a psychiatric emergency if a patient confides in you that:

A) There are no reasons for him to keep from dying
B) He is having episodes of elation and increased energy
C) He is experiencing free floating anxiety and fear
D) Death and dying is constantly on his mind

Question 7

In order to diagnose an individual with bipolar 1 syndrome, the clinician should look for episodes of:

A) Irritability and rage
B) Grandiosity and high self-esteem
C) Rapidly alternating moods
D) None of the above

Question 8

Which of the following medications may cause depression in some individuals?

A) Allopurinol
B) Statin anti-lipidemia drugs
C) Levodopa
D) Retin-A

Question 9

Hypomania is different from mania in that:

A) Hypomania does not cause impaired social or occupational functioning
B) Hypomania requires hospitalization
C) Mania can endure for a longer period of time than hypomania
D) All of the above are true

Question 10

High distractibility or leaving projects unfinished is characteristic of:

A) Hypomania
B) Mania
C) Obsession
D) Cyclothymic disorder

Question 11

In bereavement-associated depression:

A) Antidepressant medications usually do not provide relief
B) The same antidepressants used for nonbereavement depression can provide relief
C) Only SSRI antidepressants can provide relief for grieving individuals
D) Only TCA antidepressants can provide relief for bereaved individuals

Question 12

It is widely recognized that bereavement-associated depression can last for up to:

A) 6 months
B) 1 year
C) 2 years
D) 5 years

Question 13

Depression can cause the following physiological changes:

A) Lack of appetite or overeating
B) Avolition or agitation
C) Insomnia or hypersomnia
D) All of the above

Question 14

Clinical depression with mixed features:

A) Indicates at least three manic symptoms coexist with a major depressive episode
B) Is more prevalent in older adults than adolescents and young adults
C) Decreases the likelihood that the illness exists in a bipolar spectrum
D) All of the above

Question 15

What percentage of patients who commit suicide have depressive illness?

A) 100%
B) 90%
C) 70%
D) 50%

Question 16

Abuse of alcohol or street drugs is a frequent cause of:

A) Mania
B) Obsessive-compulsive disorder
C) Depression
D) Hypomania

Question 17

A manic episode is a distinct period of a persistently elevated, expansive, or irritable mood lasting at least:

A) 1 week
B) 2 weeks
C) 3 months
D) 6 months

Question 18

Which of the following is true about separation anxiety?

A) It is a fear mainly expressed by children and adolescents under age 18.
B) It is a fear limited to children under age 8.
C) A duration of 6 weeks is required to minimize overdiagnosis of transient fears.
D) A and C

Question 19

For premenstrual dysphoric disorder the clinician should:

A) Give the patient a trial of an SSRI to see if it relieves symptoms
B) Recognize that oral contraceptives can relieve symptoms
C) Ask the patient to keep a diary of mood and menses for 2 months
D) Diagnose the disorder only if the patient exhibits psychotic symptoms

Question 20

Which of the following statements is true regarding anxiety disorders?

A) Recent studies suggest that chronic anxiety disorders may increase the rate of cardiovascular-related mortality.
B) Women are 60% more likely than men to experience an anxiety disorder over their lifetime.
C) Men are 60% more likely than women to experience an anxiety disorder over their lifetime
D) Approximately 50% of patients with anxiety present primarily with somatic complaints in primary care and emergency department settings.

Question 21

It is important for the clinician to recognize that elderly patients may present with drug-induced psychosis, particularly with:

A) Beta blocker drugs
B) Anticholinergic drugs
C) Antibiotics
D) Antiviral agents

Question 22

A significant physical finding in females with anorexia is:

A) An irregular menstrual cycle or amenorrhea
B) Hair loss
C) Ascites
D) Esophageal tear

Question 23

Individuals with bulimia are commonly:

A) Overweight
B) Normal weight
C) Underweight
D) Obese

Question 24

Individuals with bulimia commonly have:

A) Hypernatremia
B) Loss of teeth enamel
C) Enlarged cervical lymph nodes
D) All of the above

Question 25

To diagnose a patient with binge eating, a binge is defined as occurring at least:

A) Once a week for 3 months.
B) Twice a week for 6 months
C) Three times a week for 3 months
D) At least 12 times in a year

Question 26

Individuals with anorexia are below ____ of the normal weight for their height, which is not attributed to a medical condition.

A) 25%
B) 50%
C) 85%
D) 100%

Question 27

Which of the following mental health disorders commonly affects substance abusers?

A) Obsessive-compulsive disorder
B) Antisocial personality
C) Mania
D) None of the above

Question 28

A schizoaffective disorder is characterized by:

A) Mood component coexisting with the schizophrenic symptoms
B) Thought disorder that comes and goes
C) Psychotic disorder with substance abuse
D) Schizophrenia with auditory and visual hallucinations

Question 29

Which of the following questions is not used to diagnose an individual with anorexia?

A) "Do you think your current weight is normal or excessive?"
B) "Do you think that any part of your body is still too fat?"
C) "Do you have concern or fear about gaining weight even though you are underweight?"
D) "Do you want to gain weight?"

Question 30

Eating disorders are driven by:

A) Perfectionism
B) Heightened sense of power
C) Obsessive-compulsive disorder
D) Chronic depression