Behavioral
Showing posts with label Behavioral. Show all posts
Showing posts with label Behavioral. Show all posts

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?

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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?




a) Somatic
b) Persecutory
c) Grandiose
d) Erotomanic
e) Jealous





Answer: C

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?

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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?



a) Somatic
b) Persecutory
c) Grandiose
d) Erotomanic
e) Jealous





Answer: B

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?

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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?



a) Somatic
b) Persecutory
c) Grandiose
d) Erotomanic
e) Jealous





Answer: E

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?

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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?



a) Somatic
b) Persecutory
c) Grandiose
d) Erotomanic
e) Jealous




Answer: 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?

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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?




a) Schizophreniform
b) Schizoaffective
c) Delusional disorder
d) Brief psychotic disorder






Answer: C

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?

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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?



a) Schizophreniform
b) Schizoaffective
c) Delusional disorder
d) Brief psychotic disorder





Answer: D

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?

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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?



a) Mood stabilizer, antidepressants, antipsychotics and psychotherapy
b) Mood stabilizer + antidepressant
c) Mood stabilizer+ Antipsychotic





Answer: A

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?

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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?



a) Schizophreniform
b) Schizoaffective
c) Delusional disorder
d) Brief psychotic disorder





Answer: B

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?

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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?



a) Poor prognosis
b) Good prognosis
c) Prognosis can't be determined as recurrence is common






Answer: B

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?

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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?




a) 3-6 month course of Antipsychotic medication
b) Lithium prophylaxis
c) Hospitalization





Answer: A

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?

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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?



a) Delusional disorder
b) Schizoid disorder
c) Schizophreniform disorder
d) Brief psychotic disorder





Answer: C

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

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




a) They are dopamine antagonists with representative agents of Respirdal, Zyprexa, Seroquel, Clozaril, Geodon and Abilify and metabolic side effects
b) They are serotonin-dopamine antagonists with representative agents of Respirdal, Zyprexa, Seroquel, Clozaril, Geodon and Abilify and metabolic side effects
c) They are dopamine antagonists with representative agents of Respirdal, Zyprexa, Seroquel, Clozaril, Geodon and Abilify and extrapyramidal side effects
d) They are serotonin-dopamine antagonists with representative agents of Respirdal, Zyprexa, Seroquel, Clozaril, Geodon and Abilify and extrapyramidal side effects




Answer: B
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