Although delusional disorders are difficult to treat because patient's are resistant to seek care, what is the treatment of choice?

Although delusional disorders are difficult to treat because patient's are resistant to seek care, what is the treatment of choice? a) TCA b) SSRI c)...

Patient is convinced that he is somehow related to the Kardashians. He believes it's the only way to explain his good looks, power and knowledge. Although he told you that he's "practically the CEO of a startup company", you decide to investigate and find that he's just a mid level office worker. How would you classify his delusional disorder?

Patient is convinced that he is somehow related to the Kardashians. He believes it's the only way to explain his good looks, power and knowledge. Although...

Patient's mother is in the best nursing home that money can buy. Every time she goes to visit her mother, her mother seems extremely happy, but the patient is convinced this is a facade and that the nursing home staff are actually neglecting her mother and treating her poorly. How would you classify her delusional disorder?

Patient's mother is in the best nursing home that money can buy. Every time she goes to visit her mother, her mother seems extremely happy, but the...

Patient states that she's convinced her husband is cheating on her. Even though they're together every night, she's convinced that his infidelities occur at some point during his work hours. She recently put a tracking device on his phone so that she can see if he leaves his office. How would you classify her delusional disorder?

Patient states that she's convinced her husband is cheating on her. Even though they're together every night, she's convinced that his infidelities...

Patient states that he believes he has cancer in spite of the fact that no blood test, CT scan or other diagnostic studies have demonstrated that he's anything but healthy. How would you classify his delusional disorder?

Patient states that he believes he has cancer in spite of the fact that no blood test, CT scan or other diagnostic studies have demonstrated that he's...

Patient states that she thinks her boss is in love with her and wants to leave his wife for her. How would you classify her delusional disorder?

Patient states that she thinks her boss is in love with her and wants to leave his wife for her. How would you classify her delusional disorder? a)...

Seemingly normal patient presents to your office with the chief complaint of "I think my ex boyfriend is stalking me". She said she's been thinking this for the last 2 months after he liked one of her most recent Facebook photos. A substance being the source of her thoughts has been ruled out. What's your DDx?

Seemingly normal patient presents to your office with the chief complaint of "I think my ex boyfriend is stalking me". She said she's been thinking...

What 2 major drug classes are used for the treatment of brief psychotic disorder?

What 2 major drug classes are used for the treatment of brief psychotic disorder? a) Antipsychotics + Benzodiazepines b) Antipsychotics + SSRI c)...

Which psychotic disorder is often seen in patients with Histrionic, Narcissistic, Paranoid, Schizotypal and Borderline personality disorders?

Which psychotic disorder is often seen in patients with Histrionic, Narcissistic, Paranoid, Schizotypal and Borderline personality disorders? a) Schizophreniform b)...

Patient states that she was hearing voices for 4 days last week, but they have since disappeared. Her symptoms cannot be better explained by a mood disorder with psychotic features or substances. What's your DDx?

Patient states that she was hearing voices for 4 days last week, but they have since disappeared. Her symptoms cannot be better explained by a mood...

Patient presents with complaints of hyperactivity characterized by beginning a number of household and work projects that she never finishes for the last 4 weeks. She states that two weeks prior to this she was "seeing ghosts" in her house. What's the most appropriate treatment for this patient?

Patient presents with complaints of hyperactivity characterized by beginning a number of household and work projects that she never finishes for the...

Patient presents with complaints of hyperactivity characterized by beginning a number of household and work projects that aren't finished for the last 4 weeks. She states that two weeks prior to this she was "seeing ghosts" in her house. Her labs come back negative for psychotropic drug use. What's your DDx?

Patient presents with complaints of hyperactivity characterized by beginning a number of household and work projects that aren't finished for the last...

An extremely confused Schizophreniform patient presents with hallucinations, catatonic behavior and disorganized speech. She states that these began about 4 weeks after she noticed a change in her behavior. She was a college professor prior to the onset of these symptoms and does not have a blunted affect. How would you describe her prognosis?

An extremely confused Schizophreniform patient presents with hallucinations, catatonic behavior and disorganized speech. She states that these began...

Patient presents with hallucinations and disorganized speech that were present for a month, but have not recurred since. Schizoaffective mood disorder and the effects of a substance have been ruled out as causes of their symptoms. What would be the MOST appropriate treatment for this patient?

Patient presents with hallucinations and disorganized speech that were present for a month, but have not recurred since. Schizoaffective mood disorder...

Patient presents with hallucinations and disorganized speech that were present for a month, but have not recurred since. Schizoaffective mood disorder and the effects of a substance have been ruled out as causes of their symptoms. What's your DDx?

Patient presents with hallucinations and disorganized speech that were present for a month, but have not recurred since. Schizoaffective mood disorder...

Which of the following best describes 2nd generation/atypical anti-psychotics?

Which of the following best describes 2nd generation/atypical anti-psychotics? a) They are dopamine antagonists with representative agents of Respirdal,...

Which of the following is NOT a 1st generation anti-psychotic?

Which of the following is NOT a 1st generation anti-psychotic? a) Chlorpromazine/Thorazine b) Fluphenazine/Prolixin c) Aripiprazole/Abilify d) Haloperidal/Haldol Answer:...

Which of the following is NOT a side effect of 1st generation anti-psychotics?

Which of the following is NOT a side effect of 1st generation anti-psychotics? a) Dystonia b) Akathasia c) Tardive dyskinesia d) Hyperglycemia Answer:...

Which of the following is NOT part of the treatment of ACUTE Schizophrenia?

Which of the following is NOT part of the treatment of ACUTE Schizophrenia? a) 1 year course b) Antipsychotics delivered IM c) Benzodiazepines delivered...

Which of the following would not be considered a negative symptom cluster in a Schizophrenic patient?

Which of the following would not be considered a negative symptom cluster in a Schizophrenic patient? a) Affective blunting b) Poverty of speech c)...

Schizophrenic patient appears with speech that has no fluidity, movements with no apparent purpose and a flat affect. How would you classify their Schizophrenia?

Schizophrenic patient appears with speech that has no fluidity, movements with no apparent purpose and a flat affect. How would you classify their Schizophrenia? a)...

Schizophrenic patient admits to hallucinations and ambivalence/mixed feelings or contradictory ideas about something for the past 3 months, but denies hallucinations or delusions. There is an absence of disorganized thoughts or behavior and no echolalia, extreme negativism, stupor or excess motor activity. How would you classify their Schizophrenia?

Schizophrenic patient admits to hallucinations and ambivalence/mixed feelings or contradictory ideas about something for the past 3 months, but denies...

Schizophrenic patient presents to your office. She denies seeing or hearing things that aren't there. Although her affect is flat, her speech is fluid and organized and her behavior is not catatonic or unorganized. She states that she continuously lacks motivation, is socially detached and doesn't feel pleasure. How would you classify her Schizophrenia?

Schizophrenic patient presents to your office. She denies seeing or hearing things that aren't there. Although her affect is flat, her speech is fluid...

Schizophrenic patient presents with complaints of transient losses of consciousness. You notice that he's continuously fidgeting in order to assume a bizarre posture. He repeats all questions you ask and is extremely resistant to all instructions. How would you classify their Schizophrenia?

Schizophrenic patient presents with complaints of transient losses of consciousness. You notice that he's continuously fidgeting in order to assume...

Schizophrenic patient states they hear voices several times a day that interfere with their thoughts. He articulates these symptoms well and at an appropriate pace. His affect is not flat and is appropriate for the situation. How would you classify their Schizophrenia?

Schizophrenic patient states they hear voices several times a day that interfere with their thoughts. He articulates these symptoms well and at an appropriate...

Which of the following is FALSE concerning Schizophrenic patients?

Which of the following is FALSE concerning Schizophrenic patients? a) Memory is intact b) Judgement and insight are poor c) They are less reliable...

Which of the following is a Schizophrenic patient not usually oriented to?

Which of the following is a Schizophrenic patient not usually oriented to? a) Person b) Situation c) Time d) Place Answer: ...

A Schizophrenic patient comes to your office saying "I had a dog that sat on a log and wrote a blog for a new pair of clogs". What type of thought PROCESS is this?

A Schizophrenic patient comes to your office saying "I had a dog that sat on a log and wrote a blog for a new pair of clogs". What type of thought PROCESS...

A Schizophrenic patient has difficulty telling you how an orange and apple are similar. What type of thought PROCESS is this?

A Schizophrenic patient has difficulty telling you how an orange and apple are similar. What type of thought PROCESS is this? a) Perseveration b)...

You ask a Schizophrenic patient "What did you do last night?" and they reply "I went to dinner with my mom". You then proceed to say "That sounds fun, where did you and your mom go to eat?" and they reply "I went to dinner with my mom". What type of thought PROCESS is this?

You ask a Schizophrenic patient "What did you do last night?" and they reply "I went to dinner with my mom". You then proceed to say "That sounds fun,...

A Schizophrenic patient states "My favorite restaurant is Outback, I love their steaks. Yesterday I went to the mall with my mom. I had to iron my shirt this morning." What type of thought PROCESS is this?

A Schizophrenic patient states "My favorite restaurant is Outback, I love their steaks. Yesterday I went to the mall with my mom. I had to iron my shirt...

While interviewing a Schizophrenic patient, they say "yesterday I went to the pool and right as I was about to jump off the diving board, last night I had a steak for dinner". What thought PROCESS is this?

While interviewing a Schizophrenic patient, they say "yesterday I went to the pool and right as I was about to jump off the diving board, last night...

While interviewing a Schizophrenic patient, you notice that they only reply with "yes" "no" or "Dunno". What thought PROCESS is this?

While interviewing a Schizophrenic patient, you notice that they only reply with "yes" "no" or "Dunno". What thought PROCESS is this? a) Perseveration b)...

While interviewing a Schizophrenic patient you notice that every time you ask them a question, they only reply with nods. What FORM of thought is this?

While interviewing a Schizophrenic patient you notice that every time you ask them a question, they only reply with nods. What FORM of thought is this? a)...

When interviewing a Schizophrenic patient they say "Life green lemons, I just, everybody go swimming, mountains brown interesting, dog bear." What FORM of thought is this?

When interviewing a Schizophrenic patient they say "Life green lemons, I just, everybody go swimming, mountains brown interesting, dog bear." What FORM...

You ask a Schizophrenic patient how he got to his appointment today. He says "the bus, the bus, the bus, I rode the bus, I rode the bus". What FORM of thought is this?

You ask a Schizophrenic patient how he got to his appointment today. He says "the bus, the bus, the bus, I rode the bus, I rode the bus". What FORM...

You ask a Schizophrenic patient, "Has this medication improved your symptoms?" and they reply "Has this medication improved your symptoms?". What FORM of thought is this?

You ask a Schizophrenic patient, "Has this medication improved your symptoms?" and they reply "Has this medication improved your symptoms?". What FORM...

During an interview with a Schizophrenic patient, he says "I drew a selfie of a flower at the park". What FORM of thought is this?

During an interview with a Schizophrenic patient, he says "I drew a selfie of a flower at the park". What FORM of thought is this? a) Neologism b)...

When asking about the event that precipitated the onset of your patient's Schizophrenia. They tell you that a huge red SUV with a family of 4 inside ran a red light at the intersection of South Blvd and Abercorn St at 8:00 AM on Saturday July, 29 and hit them. The patient proceeds to tell you that damage from the accident caused him to rip his favorite pair of blue jeans, but the white button down he was wearing survived. What FORM of thought is this?

When asking about the event that precipitated the onset of your patient's Schizophrenia. They tell you that a huge red SUV with a family of 4 inside...

While asking a Schizophrenic patient if he's ever had hallucinations, he replies "my friend tells me that he constantly hears an evil woman's voice in his head that tells him he's disgusting". What FORM of thought is this?

While asking a Schizophrenic patient if he's ever had hallucinations, he replies "my friend tells me that he constantly hears an evil woman's voice...

You're talking to a Schizophrenic patient about their initial diagnosis. In the middle of describing their age of onset and initial symptoms they begin telling you about a really good new restaurant in town. What FORM of thought is this?

You're talking to a Schizophrenic patient about their initial diagnosis. In the middle of describing their age of onset and initial symptoms they begin...

Patient states that every time he looks in the mirror his face looks distorted. He also states that his favorite song sounded jumbled on the radio the other day. How would you describe this symptom in his chart?

Patient states that every time he looks in the mirror his face looks distorted. He also states that his favorite song sounded jumbled on the radio the...

A patient complains of hearing voices that are threatening, obscene, accusatory and insulting. Occasionally he notes that he hears an additional voice that converses with the other voice. How would you describe this symptom in his chart?

A patient complains of hearing voices that are threatening, obscene, accusatory and insulting. Occasionally he notes that he hears an additional voice...

What are common affective symptoms in Schizophrenic patients?

What are common affective symptoms in Schizophrenic patients? a) Reduced emotional responses and overly active, inappropriate emotions b) Reduced...

Which of the following is NOT a common presentation of a Schizophrenic patient?

Which of the following is NOT a common presentation of a Schizophrenic patient? a) Bizarre posturing b) Failure to bathe c) Poor grooming d) Wearing...

How would you best describe negative Schizophrenic symptoms?

How would you best describe negative Schizophrenic symptoms? a) Psychotic b) Deficits of normal functioning c) Depressive Answer: ...

15 year old Schizophrenic male presents your office. Review of his history reveals that he was diagnosed with Schizophrenia at age 10. Prior to his diagnosis, he had to attend summer school almost every year due to failing grades. His father is also a Schizophrenic. He states that since his diagnosis he has lost pleasure in all activities. How would you rate his prognosis?

15 year old Schizophrenic male presents your office. Review of his history reveals that he was diagnosed with Schizophrenia at age 10. Prior to his...

34 year old female was recently diagnosed with Schizophrenia. She is an engineer and has been able to keep her job, but occasionally reports hearing voices or seeing things that aren't there. Dependent mood disorder is the only significant family history she has. How would you rate her prognosis?

34 year old female was recently diagnosed with Schizophrenia. She is an engineer and has been able to keep her job, but occasionally reports hearing...

15 year old boy presents to the psychologist's office with his father who states that his son has dropped out of chess club and lost his job at the local icecream shop. He has recently become enamored by the preachings a local cult leader and has begun saying weird phrases and standing in weird postures. What phase of Schizophrenia could this patient potentially be in?

15 year old boy presents to the psychologist's office with his father who states that his son has dropped out of chess club and lost his job at the...

An 18 year old presents to your office with his mother who is concerned about him leaving for college since he is extremely quiet and passive and would prefer to watch TV or play video games instead of attend social activities. Throughout his life he has had few friends and was diagnosed as Schizoid. What phase of Schizophrenia could this patient potentially be in?

An 18 year old presents to your office with his mother who is concerned about him leaving for college since he is extremely quiet and passive and would...

T/F No clinical sign or symptom is pathognomonic for Schizophrenia because every sign and symptom of Schizophrenia is seen in other psychiatric illness.

T/F No clinical sign or symptom is pathognomonic for Schizophrenia because every sign and symptom of Schizophrenia is seen in other psychiatric illness. Answer:...

If a patient has a history of Autism spectrum disorder, the diagnosis of Schizophrenia can only be made in the presence of what for at least 1 month?

If a patient has a history of Autism spectrum disorder, the diagnosis of Schizophrenia can only be made in the presence of what for at least 1 month? a)...

Continuous signs of the disturbance must persist for how long in order to fulfill the diagnostic criteria of Schizophrenia?

Continuous signs of the disturbance must persist for how long in order to fulfill the diagnostic criteria of Schizophrenia? a) 1 month b) 6 months c)...

In order to fulfill the diagnostic criteria of Schizophrenia, patients must have at least 2 symptoms for a 1 month period. Which of the following is NOT a symptom that they are required to have ONE of in combination with the other symptoms on the list?

In order to fulfill the diagnostic criteria of Schizophrenia, patients must have at least 2 symptoms for a 1 month period. Which of the following is...

Which of the following is NOT a neurogenic finding in Schizophrenic patients?

Which of the following is NOT a neurogenic finding in Schizophrenic patients? a) Abnormal circuits in the occipital lobe--> Abnormal eye movements b)...

Which of the following is NOT a finding you'd see in a CT scan of a Schizophrenic patient's brain?

Which of the following is NOT a finding you'd see in a CT scan of a Schizophrenic patient's brain? a) Enlargement of the lateral and third ventricles b)...

Which of the following describes the biochemical aspect of Schizophrenia development?

Which of the following describes the biochemical aspect of Schizophrenia development? a) Excess Dopamine b) Excess Serotonin c) Too little Dopamine d)...

What are the two most commonly abused substances in Schizophrenic patients?

What are the two most commonly abused substances in Schizophrenic patients? a) Cocaine + Tobacco b) Cocaine + Cannibis c) Cocaine + Alcohol d) Cannibis...

How does smoking affect Schizophrenic patients?

How does smoking affect Schizophrenic patients? a) Increases rate of antipsychotic drug metabolism b) Decreases Parkinsonian symptoms c) Decreases...

Which of the following is NOT a positive symptom in Schizophrenia?

Which of the following is NOT a positive symptom in Schizophrenia? a) Delusions b) Hallucinations c) Impaired memory d) Hostility e) Disorganized...

Which of the following is NOT a negative symptom/4 A's in Schizophrenia?

Which of the following is NOT a negative symptom/4 A's in Schizophrenia? a) Affect b) Anxiety c) Associations d) Autism e) Ambivalence Answer:...

When would you be most worried about suicide in a Schizophrenic patient?

When would you be most worried about suicide in a Schizophrenic patient? a) First 5 years after diagnosis b) First 10 years after diagnosis c) First...

All of the following are associated with increased prevalence of Schizophrenia except what?

All of the following are associated with increased prevalence of Schizophrenia except what? a) Cities b) Northeast and Western US c) People born...

When would you anticipate that your Schizophrenic patient's birthday is?

When would you anticipate that your Schizophrenic patient's birthday is? a) May-July b) July-September c) January-April d) August-December Answer:...

What is the average onset of Schizophrenia in FEMALES?

What is the average onset of Schizophrenia in FEMALES? a) 25-35 b) 10-25 c) Before 10 d) After 60 Answer: ...

What is the average onset of Schizophrenia in MALES?

What is the average onset of Schizophrenia in MALES? a) 25-35 b) 10-25 c) Before 10 d) After 60 Answer: ...

Who is Schizophrenia more common in?

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

Schizophrenia is a conflict between which things?

Schizophrenia is a conflict between which things? a) Emotions, behaviors, cognition b) Personality and cognition c) Mood, activity and cognition Answer:...

Patient appears withdrawn from reality, does NOT seem to be making logical connections, states that he often sees and hears aliens speaking to him. His PCP referred him to your office and noted that he had significant emotional and behavioral disturbances. What's your DDx?

Patient appears withdrawn from reality, does NOT seem to be making logical connections, states that he often sees and hears aliens speaking to him....

A GAD patient presents to your office after being prescribed an SSRI by his PCP. He seems extremely agitated when you try to elicit history from him and he states that his anxiety has gotten significantly worse since he began taking the drug a few days ago. Without looking at his chart, what do you think his PCP prescribed him?

A GAD patient presents to your office after being prescribed an SSRI by his PCP. He seems extremely agitated when you try to elicit history from him...

Which of the following is NOT treated by Venlafaxine an SSNRI in GAD patients?

Which of the following is NOT treated by Venlafaxine an SSNRI in GAD patients? a) Insomnia b) Poor concentration c) Restlessness d) Irritability e)...

Which aspect of GAD psychotherapy focuses on uncovering unconscious conflicts and identifying ego strengths?

Which aspect of GAD psychotherapy focuses on uncovering unconscious conflicts and identifying ego strengths? a) Relaxation b) Biofeedback c) Insight...

T/F Buspirone/BuSpar/ A 5-HT1A partial receptor agonist is not effective in the treatment of GAD if a patient has been on Benzodiazepines.

T/F Buspirone/BuSpar/ A 5-HT1A partial receptor agonist is not effective in the treatment of GAD if a patient has been on Benzodiazepines. Answer:...

Which of the following is the MOST effective treatment for GAD?

Which of the following is the MOST effective treatment for GAD? a) Buspirone/BuSpar/A 5-HT1A partial receptor agonist + Benzodiazepines b) Benzodiazepines...

Which etiological theory of GAD states that anxiety is the response of unresolved, unconscious conflicts?

Which etiological theory of GAD states that anxiety is the response of unresolved, unconscious conflicts? a) Psychoanalytic b) Cognitive-behavioral c)...

Which etiological theory of GAD states that the disorder is a response to incorrectly and inaccurately perceived dangers?

Which etiological theory of GAD states that the disorder is a response to incorrectly and inaccurately perceived dangers? a) Psychoanalytic b) Cognitive-behavioral c)...

Patient states that he has been worried about his upcoming bar exam, current financial status and his girlfriend's fidelity for the past 7 months. Although he admits that he's been anxious for as long as he remembers, he feels like it has recently gotten worse. Every time he thinks about these things his neck muscles tense up. His worry makes him feel extremely irritable and has significantly disrupted his sleep. He was diagnosed with panic disorder 2 years ago. What's your DDx?

Patient states that he has been worried about his upcoming bar exam, current financial status and his girlfriend's fidelity for the past 7 months. Although...

Which of the following describes the psychotherapy used for PTSD patients?

Which of the following describes the psychotherapy used for PTSD patients? a) Exposure therapy using graded systemic desensitization b) Exposure...

Pharmacotherapy for PTSD typically treats what aspect of the disorder?

Pharmacotherapy for PTSD typically treats what aspect of the disorder? a) Avoidance, denial and emotional numbing b) Depression, anxiety, and hyper...

How long should you continue SSRI in a PTSD patient?

How long should you continue SSRI in a PTSD patient? a) 6 months b) Once symptoms subside c) At least 1 year d) At least 2 years Answer:...

What is the first line therapy for PTSD?

What is the first line therapy for PTSD? a) Sertaline/Zoloft b) Paraoxitene/Paxil c) Imipramine/Tofranil d) Amitryptiline/Elavil e) a and b f) c and...

Patient presents with suspected PTSD following a high school shooting 6 months ago. Symptoms began about a week after the event and persisted for about 5 months. He was extremely functional prior to the event with no history of psychiatric illness. Both his mom and dad came to the appointment to support him and are inquiring about his prognosis. What would you tell them?

Patient presents with suspected PTSD following a high school shooting 6 months ago. Symptoms began about a week after the event and persisted for about...

A patient was involved in a horrific bus hijacking 3 months ago in which she was shot and numerous people around her were shot to death. She comes to your office complaining of dreams that wake her up in a cold sweat and cause her extreme distress to the point that she can't go back to sleep. You are the first person that she's discussed this with as she tries to avoid conversations of the event at all cost. She no longer rides the bus and states that she's distanced herself from those close to her. You accidentally dropped your pen during the interview and noticed that she became extremely startled. These symptoms have been going on for 2 months and continue to interfere with her performance at work. What's your DDx?

A patient was involved in a horrific bus hijacking 3 months ago in which she was shot and numerous people around her were shot to death. She comes to...

What 2 things must be present in the initial event in order to fulfill DSM-V-TR diagnostic criteria for PTSD?

What 2 things must be present in the initial event in order to fulfill DSM-V-TR diagnostic criteria for PTSD? a) The person's response involved intense...

All of the following EXCEPT what is a predisposing factor for the development of PTSD?

All of the following EXCEPT what is a predisposing factor for the development of PTSD? a) Being male b) Childhood trauma c) Inadequate family or peer...

Which of the following personality traits is NOT a predisposing factor for PTSD?

Which of the following personality traits is NOT a predisposing factor for PTSD? a) Borderline b) Paranoid c) Schizotypal d) Antisocial Answer:...

Which SSRI is NOT approved for OCD treatment?

Which SSRI is NOT approved for OCD treatment? a) Prozac b) Lexapro c) Luvox d) Paxil e) Zoloft f) Celexa Answer: ...