BH Rosh Boost Exam
What is the difference between oppositional defiant disorder and conduct disorder? -
ANS-Conduct disorder is considered a complication of untreated oppositional defiant
disorder and has more severe symptoms.
T/F: Thyroid function is usually normal in patients with bulimia nervosa - ANS-True
What are important risk factors for developing refeeding syndrome? - ANS-The amount
of weight loss during the current episode and the rapidity of nutritional rehabilitation
According to the cognitive behavioral theory, what is the underlying pathology in panic
disorder? - ANS-An acquired, maladaptive fear of bodily sensations, particularly those
having to do with autonomic arousal
Does conversion disorder occur more frequently in men or women? - ANS-Women, at
least twice as often as men
What type of medication is the mainstay of management for persistent depressive
disorder? - ANS-SSRIs
What is refeeding syndrome? - ANS-Electrolyte and fluid shifts that occur when a
severely malnourished patient (e.g. patient with anorexia nervosa) is refed too quickly,
which can cause fluid retention, hypophosphatemia, hypomagnesemia, and
hypocalcemia
Which agent may be added to CBT and serotonergic antidepressants when only a
partial response is obtained in a patient with generalized anxiety disorder? -
ANS-Buspirone or pregabalin
Which five drugs are screened for in a basic biologic screen for addictive drugs? -
ANS-Amphetamine, cocaine, cannabis, some opioids, and PCP
T/F: Routine EKG monitoring of patients taking second-generation antipsychotics is
required for patients without cardiac risk factors. - ANS-False
What is derealization? - ANS-Persistent or recurrent experiences of unreality of
surroundings, as if the world were unreal, distant, or dream-like
, What time interval is used to diagnose cyclothymic disorder in children? - ANS-Ongoing
symptoms for at least one year
According to the Diagnostic Statistical Manual V, which personality disorder cluster does
paranoid personality disorder fall under? - ANS-Cluster A
What is superior mesenteric artery syndrome? - ANS-Loss of the fat pad surrounding
the superior mesenteric artery in severe anorexia nervosa which leads to compression
of the third portion of the duodenum between the superior mesenteric artery and the
aorta, causing a small bowel obstruction
What is the desired therapeutic lithium level in a patient with acute mania? -
ANS-0.8-1.2 mEq/L
Do all patients with panic disorder demonstrate agoraphobia? - ANS-No, but the two
often present concomitantly. Agoraphobia is diagnosed independently of panic disorder.
How can generalized anxiety disorder be distinguished from MDD or dysthymia? -
ANS-Patients with generalized anxiety disorder tend to worry about future events, while
those with major depressive or dysthymic disorder tend to brood self-critically over past
events
What differentiates specific phobia from other anxiety disorders? - ANS-Symptoms only
occur in the presence of the situation or object that produces the phobia
What does anosognosia mean? - ANS-Poor insight
How many distinct identities or personality states must be present for a patient to meet
criteria for dissociative identity disorder? - ANS-2
What is the duration of an adequate trial of a pharmacotherapeutic agent in deciding
efficacy? - ANS-Six to 12 weeks
What common stimulants are used to treat attention-deficit/hyperactivity disorder? -
ANS-Methylphenidate and amphetamine.
Which personality disorders share a common feature of being perceived as odd or
eccentric? - ANS-Paranoid, schizoid, and schizotypal personality disorders.
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