Which of the following is NOT an appropriate treatment for OCD?

Which of the following is NOT an appropriate treatment for OCD? a) Slowly titrated TCA b) High dose SSRI c) Psychotherapy alone Answer: ...

Which of the following is NOT associated with a good prognosis in an OCD patient?

Which of the following is NOT associated with a good prognosis in an OCD patient? a) Good social and occupational adjustment b) The presence of a...

Which of the following does NOT lead to a poor prognosis in an OCD patient?

Which of the following does NOT lead to a poor prognosis in an OCD patient? a) Yielding to compulsions b) Adolescence onset c) Bizarre compulsions d)...

T/F Many OCD patients keep their symptoms secret, which delays them from seeking treatment for 5-10 years.

T/F Many OCD patients keep their symptoms secret, which delays them from seeking treatment for 5-10 years. Answer: Tr...

Which statement best describes the onset of OCD?

Which statement best describes the onset of OCD? a) Insidious onset after recurring traumatic and anxiety provoking events b) Abrupt onset usually...

Which symptom pattern of OCD is most common?

Which symptom pattern of OCD is most common? a) Contamination b) Pathological doubt c) Intrusive thoughts d) Symmetry Answer: ...

Which of the following is NOT an OCD symptom pattern?

Which of the following is NOT an OCD symptom pattern? a) Contamination--> Excessive handwashing b) Pathological doubt followed by a compulsion of...

Dysregulation in which of the following is associated with OCD?

Dysregulation in which of the following is associated with OCD? a) Serotonin b) NE c) Dopamine Answer: ...

What's the average onset of OCD?

What's the average onset of OCD? a) 30 b) 20 c) 40 d) Early childhood Answer: ...

Who is OCD more common in?

Who is OCD more common in? a) Women b) Men c) Women and men are affected equally Answer: ...

Patient continuously thinks about whether or not they locked all of their doors. How would you document this behavior?

Patient continuously thinks about whether or not they locked all of their doors. How would you document this behavior? a) Obsession b) Compulsion c)...

Patient has to touch their doorknob 5 times before leaving their house. How would you document this behavior?

Patient has to touch their doorknob 5 times before leaving their house. How would you document this behavior? a) Obsession b) Compulsion c) Psychotic Answer:...

Which of the following is NOT part of the psychotherapy for social phobia?

Which of the following is NOT part of the psychotherapy for social phobia? a) Cognitive retraining b) Desensitiazation c) Respiratory training d)...

What is the BEST treatment for social phobia?

What is the BEST treatment for social phobia? a) SSRI + psychotherapy b) Benzodiazepines + psychotherapy c) TCA + psychotherapy Answer: ...

15 year old female presents to your office with the complaint of stage fright. She is an incredible ballerina when practicing one-on-one with her dance instructor, but experiences a panic attack every time she attempts to go on stage to perform in front of a large crowd of unfamiliar people. As a result she usually doesn't make it on stage and has recently begun to avoid dancing altogether. She knows her fear is excessive since it's now interfered with her doing what she loves. These symptoms have been going on for the past 8 months. What's your DDx?

15 year old female presents to your office with the complaint of stage fright. She is an incredible ballerina when practicing one-on-one with her dance...

What pharmacotherapy is prescribed to specific phobia patients especially those associated with panic attacks?

What pharmacotherapy is prescribed to specific phobia patients especially those associated with panic attacks? a) Benzodiazepines b) SSRI c) Beta-adrenergic...

What is the most common treatment for specific phobias?

What is the most common treatment for specific phobias? a) Exposure therapy b) Pharmacotherapy c) Cognitive therapy Answer: ...

Which of the following is NOT one of the 4 types of specific phobias identified by DSM-V-TR?

Which of the following is NOT one of the 4 types of specific phobias identified by DSM-V-TR? a) Blood-injection type b) Animal type c) Situational...

Which of the following is NOT a situational type of specific phobia as classified by DSM-V-TR?

Which of the following is NOT a situational type of specific phobia as classified by DSM-V-TR? a) Public speaking b) Elevators c) Airplanes Answer:...

Which of the following is NOT a natural type of specific phobia as classified by DSM-V-TR?

Which of the following is NOT a natural type of specific phobia as classified by DSM-V-TR? a) Storms b) Choking c) Heights Answer: ...

A 16 year old presents to your office and states that he is excessively fearful of dogs. Even seeing a dog across the street or hearing one bark on TV illicits a panic attack. For that reason he only watches Netflix, which has no commercials, and stays indoors as often as possible. He began to recognize that his fear was unreasonable after his girlfriend broke up with him because he wouldn't go to her house due to her dogs. This has been going on for about 7 months and he has no other mental disorders. What's your DDx?

A 16 year old presents to your office and states that he is excessively fearful of dogs. Even seeing a dog across the street or hearing one bark on...

Overproduction of what chemical is linked to specific and social phobias?

Overproduction of what chemical is linked to specific and social phobias? a) NE b) Dopamine c) GABA Answer: ...

Patients that have first degree relatives with social phobia are _____ times more likely to develop it?

Patients that have first degree relatives with social phobia are _____ times more likely to develop it? a) 10 times b) 3 times c) 0 times--there...

Which is more common, a social phobia or a specific phobia?

Which is more common, a social phobia or a specific phobia? Answer: Specific phob...

Who are social phobias more common in?

Who are social phobias more common in? a) Women b) Men c) Women and men are affected equally Answer: ...

Who are specific phobias more common in?

Who are specific phobias more common in? a) Women b) Men c) Women and men are affected equally Answer: ...

A patient has an excessive fear of using public restrooms at work because he's afraid his co-workers will see him and make fun of him which will cause him severe embarrassment. What's your DDx?

A patient has an excessive fear of using public restrooms at work because he's afraid his co-workers will see him and make fun of him which will cause...

While treating a patient with panic disorder, you remind him that he has control over his anxiety. You teach him techniques to control his anxiety using calming images and muscle relaxation. What type of therapy is this?

While treating a patient with panic disorder, you remind him that he has control over his anxiety. You teach him techniques to control his anxiety using...

Which of the following is NOT one of the two major foci of cognitive therapy for panic disorder?

Which of the following is NOT one of the two major foci of cognitive therapy for panic disorder? a) Teaching the patient not to misinterpret normal...

Patient presents with newly diagnosed panic disorder. He has been on Paxil for the past month and states that he finally feels like he's getting his symptoms under control. In regards to his treatment, what's the most appropriate next step?

Patient presents with newly diagnosed panic disorder. He has been on Paxil for the past month and states that he finally feels like he's getting his...

Evidence suggests that which drug class has superiority in treating panic disorder?

Evidence suggests that which drug class has superiority in treating panic disorder? a) Benzodiazepines b) MAOI c) SSRI d) TCA Answer:...

What 2 drugs are FDA approved for the treatment of panic disorder?

What 2 drugs are FDA approved for the treatment of panic disorder? a) Alprazolam/Xanax and Paroxetine/Paxil b) Fluphenazine/Prolixin and Haloperidol/Haldol c)...

A patient states that he has significant anxiety about going to concerts and festivals because they are very crowded and he feels like he won't be able to escape in the event of a panic attack. What's your DDx?

A patient states that he has significant anxiety about going to concerts and festivals because they are very crowded and he feels like he won't be able...

In addition to the panic attack not having an obvious precipitant, DSM-TV requires the presence of at least one symptom of worry about a subsequent attack for a minimum of one month. Which of the below is NOT a symptom related to worry about a subsequent attack?

In addition to the panic attack not having an obvious precipitant, DSM-TV requires the presence of at least one symptom of worry about a subsequent...

Describe the character of the panic attack that is required to fulfill DSM-TV diagnostic criteria

Describe the character of the panic attack that is required to fulfill DSM-TV diagnostic criteria a) Panic attack has a known trigger b) Panic attack...

What is the onset of panic disorder?

What is the onset of panic disorder? a) Late adolescence or early adulthood b) Early adolescence c) Childhood d) Late adulthood Answer: ...

What does Research Diagnostic Criteria require in order to diagnose someone with panic disorder?

What does Research Diagnostic Criteria require in order to diagnose someone with panic disorder? a) 3 panic attacks during a 3 week period b) 6 panic...

Your friend has had bouts of chest pain, nausea and fears of losing control. She states that when these occur she also feels like someone is somthering her with a pillow because she can't seem to catch her breath. She has had 4 attacks in 4 weeks. According to ICD-9, how would you classify her panic disorder?

Your friend has had bouts of chest pain, nausea and fears of losing control. She states that when these occur she also feels like someone is somthering...

The night before a Clin Med test your friend begins to sweat, feel dizzy and have palpitations. You take her pulse and determine her heart rate to be 120. She also complains of numbness in her fingers and toes. Thankfully for you, this peaked at 10 minutes. What do you think was going on with your friend?

The night before a Clin Med test your friend begins to sweat, feel dizzy and have palpitations. You take her pulse and determine her heart rate to be...

Which of the following is NOT commonly associated with panic attacks?

Which of the following is NOT commonly associated with panic attacks? a) Specific phobia b) Acute distress disorder c) Social phobia d) PTSD Answer:...

Which of the following is NOT a panic inducing substance associated with GAD?

Which of the following is NOT a panic inducing substance associated with GAD? a) Sodium chloride b) Caffeine c) CO2 d) Bicarbonate e) Yohimbine Answer:...

Which of the following is NOT a common co-morbidity of GAD patients?

Which of the following is NOT a common co-morbidity of GAD patients? a) Panic disorder b) Dependent c) Depression d) Social phobia Answer:...

What is the typical onset of GAD?

What is the typical onset of GAD? a) Before 15 b) Before 18 c) Before 20 Answer: ...

Who is GAD more common in?

Who is GAD more common in? a) Women b) Men c) Women and men are affected equally Answer: ...

A patient presents to your office stating that they still have feelings of fear and flashbacks of being in the twin towers on 9/11. What's your DDx?

A patient presents to your office stating that they still have feelings of fear and flashbacks of being in the twin towers on 9/11. What's your DDx? a)...

Patient states that they have recurrent feelings of terror. What's your DDx?

Patient states that they have recurrent feelings of terror. What's your DDx? a) Phobia b) Panic disorder c) OCD d) GAD e) PTSD Answer: ...

Patient states that they are intensely afraid of clowns and missed their sister's circus themed wedding because of this fear. What's your DDx?

Patient states that they are intensely afraid of clowns and missed their sister's circus themed wedding because of this fear. What's your DDx? a)...

Patient presents with diffuse, unpleasant vague sensation that continues to persist. What's your DDx?

Patient presents with diffuse, unpleasant vague sensation that continues to persist. What's your DDx? a) Phobia b) Panic disorder c) OCD d) GAD e)...

Which drug enhances the activity of GABA and has undisputed efficacy in the treatment of anxiety?

Which drug enhances the activity of GABA and has undisputed efficacy in the treatment of anxiety? a) Flumazonil/Romazicon b) Benzodiazepines c) Celexa Answer:...

How can drugs with multiple serotonergic and non-serotonergic effects affect anxiety?

How can drugs with multiple serotonergic and non-serotonergic effects affect anxiety? a) Increase anxiety b) Decrease anxiety c) No effect Answer:...

Patient presents with anxiety, panic attacks, insomnia and autonomic hyperarousal. Poorly regulated activity leading to occasional burst of which neurotransmitter could be contributing to his symptoms?

Patient presents with anxiety, panic attacks, insomnia and autonomic hyperarousal. Poorly regulated activity leading to occasional burst of which neurotransmitter...

Which of the following neurotransmitters is not associated with anxiety?

Which of the following neurotransmitters is not associated with anxiety? a) NE b) Dopamine c) Serotonin d) GABA Answer: ...

Which anxiety disorder theory states that anxiety is the response to the perceived void in existence and meaning/living in a purposeless world.

Which anxiety disorder theory states that anxiety is the response to the perceived void in existence and meaning/living in a purposeless world. a)...

Which anxiety disorder theory states that anxiety is a conditioned response to a specific environmental stimulus?

Which anxiety disorder theory states that anxiety is a conditioned response to a specific environmental stimulus? a) Psychoanalytic b) Behavioral c)...

Which anxiety disorder theory explains how a child being raised by an abusive father initially develops anxiety when she sees her father and through generalization she grows to distrust all men?

Which anxiety disorder theory explains how a child being raised by an abusive father initially develops anxiety when she sees her father and through...

Which anxiety disorder theory states that anxiety is the result of psychic conflict between unconscious sexual or aggressive wishes and corresponding threats from the superego or external reality?

Which anxiety disorder theory states that anxiety is the result of psychic conflict between unconscious sexual or aggressive wishes and corresponding...

Which of the following is NOT an anxiety disorder theory?

Which of the following is NOT an anxiety disorder theory? a) Psychoanalytic b) Cognitive-behavioral c) Behavioral d) Existential Answer: ...

Which of the following does anxiety NOT affect?

Which of the following does anxiety NOT affect? a) Motor b) Visceral c) Teaching d) Confusion and distortion of perceptions of time, space, people...

What are the 2 components of anxiety?

What are the 2 components of anxiety? a) Awareness of the physiological sensation b) Awareness of threat c) Awareness of being nervous or frightened d)...

What is the main psychological difference between anxiety and fear?

What is the main psychological difference between anxiety and fear? a) Fear is not accompanied by autonomic symptoms, anxiety is accompanied by autonomic...

What best describes the threat that elicits anxiety?

What best describes the threat that elicits anxiety? a) Unknown, internal, vague or conflictual b) Known, external, definite or non conflictual Answer:...

Patient states that they've had a body wide unpleasant sense of apprehension accompanied by headache, sweating, palpitations, tightness in chest, stomach discomfort and restlessness. How would you document this symptom?

Patient states that they've had a body wide unpleasant sense of apprehension accompanied by headache, sweating, palpitations, tightness in chest, stomach...

Patient states that for the past 2 years she's had bouts of hyperactivity, talkativeness and inflated self esteem that cycle with feelings of hopelessness, fatigue, guilt and low self esteem. The hyperactivity lasts no more than 5 days. Her former psychologist told her that her depression is not severe enough to fulfill the MDD diagnosis and that her hypomanic symptoms do not fulfill the diagnostic criteria of mania. What's your DDx?

Patient states that for the past 2 years she's had bouts of hyperactivity, talkativeness and inflated self esteem that cycle with feelings of hopelessness,...

Patient states that she has felt "down in the dumps" for the past 2 years, but her former psychologist told her that her symptoms weren't severe enough to fit the diagnosis of major depressive disorder. What's your DDx?

Patient states that she has felt "down in the dumps" for the past 2 years, but her former psychologist told her that her symptoms weren't severe enough...

Patient presents with feelings of fatigue, inability to concentrate and diminished interest in exercise which she used to love doing. She states that these symptoms cycle with hyperactivity, buying an obscene amount of books on amazon and attempting to finish all of them. She states that this cycle occurs almost daily and has been going on for at least a week. What's your differential?

Patient presents with feelings of fatigue, inability to concentrate and diminished interest in exercise which she used to love doing. She states that...

Which of the following would NOT be demonstrated in a patient with a depressed mood?

Which of the following would NOT be demonstrated in a patient with a depressed mood? a) Loss of energy and interest b) Feelings of guilt c) Difficulty...

Which of the following would NOT be demonstrated in a patient with an elevated mood?

Which of the following would NOT be demonstrated in a patient with an elevated mood? a) Expansiveness b) Loss of energy c) Flights of ideas d) Grandiose...

What is a group of mental disorders characterized by a loss of sense of control and a subjective experience of great distress?

What is a group of mental disorders characterized by a loss of sense of control and a subjective experience of great distress? a) Bipolar disorders b)...

When documenting your encounter with a patient, you note that their sustained feeling of internal sadness was influencing their behavior and perception of the world. What are you describing?

When documenting your encounter with a patient, you note that their sustained feeling of internal sadness was influencing their behavior and perception...

When documenting your encounter with a patient, you note that their external mood expression appeared elevated. What are you describing?

When documenting your encounter with a patient, you note that their external mood expression appeared elevated. What are you describing? a) Mood b)...

You're interviewing a patient that complains of a recent decline in test scores. When inquiring about the events leading up to this, she states that after answering a question wrong in class, she couldn't stop telling herself how stupid she was. She noticed that the more she told herself she was stupid, the worse her grades got. What's this an example of?

You're interviewing a patient that complains of a recent decline in test scores. When inquiring about the events leading up to this, she states that...

Cognitive disorientations in which of the following is NOT associated with depression?

Cognitive disorientations in which of the following is NOT associated with depression? a) Views about self b) Views about family and friends c) Views...

Which of the following conditions is NOT associated with an increased risk of developing depression?

Which of the following conditions is NOT associated with an increased risk of developing depression? a) OCD b) Histrionic c) Antisocial d) Borderline Answer:...

Which of the following is NOT a common first stressor that can alter the brain's biology?

Which of the following is NOT a common first stressor that can alter the brain's biology? a) Loss of a parent before age 2 b) Loss of spouse c) Unemployment Answer:...

Which neurotransmitter may have INCREASED activity in manic patients?

Which neurotransmitter may have INCREASED activity in manic patients? a) NE b) Dopamine c) Serotonin d) a and b e) a and e Answer: ...

Which neurotransmitter is most often associated with depression?

Which neurotransmitter is most often associated with depression? a) NE b) Dopamine c) Serotonin d) a and b e) a and e Answer: ...