The condition is associated with loss of subcutaneous fat, orthostatic hypotension,
bradycardia, dysmenorrhea, hair loss, and hypothermia. Osteopenia is not uncommon. -
anorexia
Are specific phobias genetic? - yes
Which of the following reactions mediates the formation of methemoglobinemia from
amyl nitrite exposure? - oxidation
Patient uses amyl nitrite recreationally. On exam, there is significant cyanosis, a clear
airway, and good respiratory effort. Patient remains cyanotic despite oxygen delivery at
10 liters per minute through a non-rebreathing mask. - methemoglobinemia
What antibiotic is commonly associated with methemoglobinemia? - dapsone
Tx methemoglobinemia - methylene blue
Causes of _: dapsone, nitrates, antimalarials, -aines - methemoglobinemia
Which of the following is an important routine assessment for patients with factitious
disorder? - suicide risk
Cannabis can be detected in the urine for up to _ in a patient with moderate to heavy
use while with light use it may only be detectable for _ - 1 month
1 week
Which finding would suggest a diagnosis of social anxiety disorder rather than
agoraphobia? - fear is due to the presence of people
A 20-year-old woman presents to the clinic for a sports physical. Her body mass index
is 15 kg/m2. She reports restricting her diet for the past 3 months to 800 calories per
day and running at least 10 miles each day. She states she wants to be healthy and
fears being out of shape. Which of the following would lead to a diagnosis of anorexia
nervosa in this patient? - patient believes she is currently overweight
Considered a complication of untreated oppositional defiant disorder and has more
severe symptoms. - conduct disorder
Tx for _: refer the family to parent management therapy that includes the patient and his
mother - ODD
, Which of the following would be the best choice for initial, non-pharmacologic treatment
of his panic disorder? - CBT
Which one of the following personality disorders is most characterized by a pattern of
distrust and suspiciousness that interprets the motives of others as malevolent? -
paranoid personality disorder
What class of medication is most effective in treating a patient with somatic symptom
disorder that has not improved with therapy? - antidepressants
Tx alcohol withdrawal delirium - benzos
What supplement has been shown to be effective in treating somatic symptom disorder
independent of any existing depression? - St. John's wort
1st line txs for tobacco use disorder - varenicline, bupropion, and combo nicotine
replacement
A 24-year-old man is brought into the ED by a friend who states the man is "acting
crazy" and is fighting with an imaginary person. The patient's behavior became erratic
after he ingested what appeared to be a pill. He appears disoriented and agitated. He
took a swing at the security guard on his way into the building but lost his balance.
Physical exam shows both vertical and horizontal nystagmus. What medication is the
first-line therapy to treat this patient's intoxication? - benzos
PCP
Which of the following best represents an indication for use of electroconvulsive therapy
as first-line treatment in bipolar I disorder? - major depressive episode with malignant
catatonia
Which of the following childhood exposures increases the risk of conduct disorder? -
neglect
What is the hallmark and predominant cause of refeeding syndrome? -
hypophosphatemia
Dental caries - bulimia
What is the best way to diagnose this patient's condition? - patients history
A 30-year-old man who was recently arrested is brought to the jail health care clinic for
intake evaluation. He says he has been arrested multiple times, with his first arrest
occurring at 15 years old after vandalizing his school auditorium. He states he has
always had problems with authority figures and has a hard time getting along with his
peers. He has never been able to keep a job for longer than a few weeks, which is why
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