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Psych EOR questions and answers rated A+ 2024/2025
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Psych EOR questions and answers rated A+ 2024/2025
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Psych EOR1) A 15-yr-antique boy is added to the office by his mother because of "ordinary conduct." Since
moving to a brand new college eight months in the past, the boy has commenced speakme to
his imaginary friend Henry once more. His mom reports that he had this imaginary pal for some
months in kindergarten. The boy has been spending extra time by myself, and he spends time
guffawing and speaking to Henry. His teachers report that the patient has now not been paying
attention in class or completing his homework. He now not spends time with his siblings and
says he "would instead play video video games with Henry." The patient states, "Henry is
constantly with me and loves to comment on what I am doing." He has tried marijuana within the
past however does no longer use other pills. On intellectual status exam, the patient avoids eye
touch and has a flat have an effect on. Which of the subsequent is the maximum in all likelihood
cause of the affected person's behavior?
A. Schizoid personality disorder
b. - ANSB
eight-month history of auditory hallucinations plus terrible signs (social withdrawal, flat affect)
resulting in significant functional decline = consistent with schizophrenia. Hallucinations =
greater common than delusions in pediatric schizophrenia.
2) A forty two-12 months-old guy is added to the emergency department by way of his spouse
after he assaulted her. The affected person has now not slept or eaten for days; he have
become agitated and started out accusing her of plotting to homicide him. The affected person
additionally feels as though bugs are crawling beneath his pores and skin. He had a previous
psychiatric hospitalization 8 months ago while he was admitted for paranoid delusions and
visual hallucinations. He is uncooperative, speaks hastily and loudly, gets as much as tempo at
some stage in the interview, and shouts "I do not agree with any of you; you are on this
together." Temperature is 100º F, BP is 140/ninety, pulse is 104, and RR is 20. Exam indicates a
thin, diaphoretic guy with poor grooming and dentition. He clenches his enamel, picks at his
skin, and has a couple of sores on his face and body. Which of the following is the most
probable prognosis on this affected person?
A. Alcohol withdrawal
b. Bipolar I ailment
c. Delusional disorder, somatic subty - ANSD
Methamphetamine intoxication:
• Euphoric/dysphoric temper (tension, irritability)
• Agitation (restlessness, tremor)
• Bruxism/bad dentition
• Psychotic signs and symptoms (delusions, hallucinations, "insects crawling underneath the
pores and skin", excoriations from pores and skin choosing)
• Anorexia
,• Decreased want for sleep
• Sympathomimetic results (tachycardia, hypertension, mydriasis, diaphoresis)
three) A fifty nine-yr-antique female comes to the workplace because of upper breathing signs
for the beyond three days. She arrives an hour past due for her appointment, blaming it on an
emergency at work that "handiest I should take care of." The patient is indignant that the issuer
refused to prescribe antibiotics for her over the phone, and she or he paces at the reception
table, insisting that the office body of workers paintings her into the schedule because "I'm very
busy and ought to be visible at once." The patient then talks at duration approximately feeling
depressed due to the fact her kids no longer need to see her even though she is a "excellent
mom." She is disillusioned that her daughter lately canceled plans to go to to be able to help a
chum who become in a near-fatal motor automobile collision. Which of the following is the great
cause of this affected person's behavior?
A. Borderline personality disease
b. Histrionic personality ailment
c. Narcissistic personality ailment
d. P - ANSC
3. Narcissistic character sickness (cluster B): grandiosity, need for admiration, experience of
entitlement, lack of empathy; issue sustaining relationships
4) A 42-yr-old man involves the office for a observe-up. Last yr, the affected person become
hospitalized for acute gastritis. During the hospitalization, he went into alcohol withdrawal that
became dealt with with chlordiazepoxide. The affected person become abstinent for 2 weeks
following discharge, however then started ingesting again. Over the past numerous months, he
has been drinking 6-10 beers every day. The affected person says "I need to cut down, but the
cravings are too sturdy." He fears he will lose his job and family if he keeps to drink. Vital signs
and physical exam are ordinary. Which of the subsequent is the maximum suitable
pharmacotherapy for this patient's alcohol use ailment?
A. Buprenorphine
b. Bupropion
c. Chlordiazepoxide
d. Naltrexone
e. Varenicline - ANSD
four. Pharmacotherapy for alcohol use disorder:
• Naltrexone: decreases cravings, reduces heavy drinking days, increases days of abstinence,
can be initiated even as patient remains drinking
o CI in patients taking opioids (can precipitate withdrawal)
o CI in patients with acute hepatitis or liver failure
• Acamprosate (desired for patients with liver disease or opioid use, CI in sufferers with renal
impairment)
• Disulfiram (simplest used second-line; patient must be notably-motivated)
,5) A 17-yr-old girl involves the office because of "disturbing pix" she has visible over the last 12
months. She says, "I'd be status within the kitchen supporting my mom chop veggies, and
terrible snap shots of stabbing her inside the again with a knife could pop into my head." The
affected person is beaten with tension on every occasion this takes place, ensuing in setting the
knife down and going for walks out of the kitchen. She counts down from 5 to at least one
several times to try to "get rid" of the thoughts. The affected person has a anxious and
demanding affect, and becomes tearful whilst discussing how she might in no way need to hurt
her mother. She reports no depressed temper or suicidal ideation. Which of the subsequent is
the most appropriate pharmacotherapy for this patient?
A. Aripiprazole
b. Buspirone
c. Haloperidol
d. Lorazepam
e. Sertraline - ANSE
5. Diagnosis = OCD; treatment = SSRI, CBT
6) A forty-12 months-antique lady involves the emergency department fearing she is having a
heart attack. While clutching her chest and breathing heavily, she says "I experience like I'm
death." BP is 125/86 and pulse is a hundred and ten and normal. Laboratory evaluation and
ECG show no abnormalities. The pain resolves within 10 mins without remedy, and the patient
reviews, "I changed into taking the bus domestic from paintings whilst my chest began feeling
certainly tight. I'm lucky my buddy become there and capable of help me get to the health
facility. What if she's not there subsequent time?" She describes experiencing similar episodes
which are characterised by using a pounding heart, trembling, dizziness, and sweating. This
patient most probably has which of the following additional problems?
A. Acute strain disorder
b. Agoraphobia
c. Brief psychotic disorder
d. Dependent character disease
e. Separation anxiety disorder - ANSB
6. Patient's prognosis = panic sickness; sufferers with panic disease regularly increase
agoraphobia (avoidance of conditions wherein they'll experience trapped/helpless)
7) A 34-year-antique guy comes to the sanatorium for follow-up of schizophrenia. The patient
has had a couple of trials of antipsychotic medicinal drugs with minimal development and is now
taking aripiprazole. Despite adherence to his medication routine, he has chronic psychotic
signs. The patient has been unable to work, hears voices throughout the day, and is just too
paranoid to attend organization remedy. He has no different clinical situations. After a dialogue
of the dangers and blessings, the patient consents to a tribulation of clozapine. Which of the
subsequent have to be completed with use of this medication?
A. Baseline and periodic liver feature checks
b. Baseline electrocardiography and serum electrolytes
, c. Periodic clozapine plasma ranges
d. Regular CBCs
e. Regular thyroid and kidney function assessments - ANSD
7. Clozapine detrimental effects: agranulocytosis/neutropenia; CBC tracking is obligatory for
routine absolute neutrophil counts (clozapine is 2d-line because of this)
eight) A forty two-12 months-vintage man is brought to the emergency department after he
became discovered wandering aimlessly at an airport. The man is alert and answers questions
appropriately; however, he seems to be pressured approximately his identification and does not
understand the call on his Nevada driver's license in his pockets. The patient is perplexed and
does now not bear in mind where he lives, how he were given to the airport, his own family
participants, or his profession. His cognitive feature is in any other case intact. A seek of his
private assets exhibits an airline price ticket from Las Vegas to Arlington, Virginia. An
emergency touch on the patient's telephone results in his wife in Nevada, who reports that her
husband "just disappeared" after he determined out that his father had surpassed away that
morning. Which of the subsequent is the most probably prognosis?
A. Acute pressure sickness
b. Depersonalization/derealization ailment
c. Dissociative amnesia
d. Dissociative iden - ANSC
eight. Dissociative amnesia:
• Inability to don't forget crucial non-public information
• Usually prompted with the aid of demanding/worrying occasion
• Not explained via another disorder (e.G. PTSD, substance abuse)
nine) A 65-yr-vintage lady involves the workplace because of deteriorating reminiscence. She
used to delight herself on her sharp memory, but over the last 6 months, has been forgetting
minor things. The patient has had to delegate household chores and cooking to her husband
because of her negative memory and "cloudy wondering." "I had been feeling useless and
nugatory in view that retiring final yr." The patient used to garden every day, but now spends her
days looking television and barely has sufficient energy to eat. She's misplaced five kg (11 lb)
during the last 2 months. On testing with the Montreal Cognitive Assessment, she rankings
24/30 (normal: ≥ 26) with deficits in behind schedule recall and interest. Laboratory results and
MRI of the head are unremarkable. Which of the subsequent is the subsequent best step in
control?
A. Donepezil
b. Escitalopram
c. Memantine
d. Memory education and vitamin E
e. Reassure that this is age-associated reminiscence alternate - ANSB
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