Activation of which of the following receptors is thought to be responsible for the anti-anxiety, motor-impairing and sedative-hypnotic effects of alcohol?
A. D2
B. CB1
C. 5-HT3
D. NMDA
E. GABA-A - ANSWERE
GABA-A: Alcohol-> Anti-Anxiety, Anti-Motor
A patient reports insomnia, frequent nig...
Activation of which of the following receptors is thought to be responsible for the anti-anxiety,
motor-impairing and sedative-hypnotic effects of alcohol?
A. D2
B. CB1
C. 5-HT3
D. NMDA
E. GABA-A - ANSWERE
GABA-A: Alcohol-> Anti-Anxiety, Anti-Motor
A patient reports insomnia, frequent nighttime awakenings and excessive daytime sleepiness. A sleep
study reveals brief LE jerks with brief repeated arousals. The patient is unaware of these movements.
What is the dx?
A Narcolepsy
B Primary insomnia
C Sleep terror disorder
D Periodic limb movement disorder
E Circadian rhythm sleep disorder - ANSWERD
Periodic Night Wakenings, Periodic limb movements (LE jerks) and Periodic Daytime sleepiness.
Person unaware of movements.
Which of the following symptoms is considered to be an irreversible effect of chronic anabolic steroid
use?
A Infertility
B Hirsutism
C Impotence
D Gynecomastia
E Testicular atrophy - ANSWERB
Hirsutism is Here to Stay with Steroids
An infant who engages in an interactive game of peek-a-boo most closely demonstrates the concept
of which of the following cognitive abilities?
A Centering
,B Egocentrism
C Conservation
D Object permanence
E Tertiary circular reactions - ANSWERD
Peek-a-boo: Permanence
Compensatory strategy- behavioral/environmental changes to help with deficits in attention,
memory, executive function
Which of the following is the most significant barrier to accessing mental health services in school-
based health centers?
A lower quality of care
B stricter referral process
C Health insurance restrictions
D Concerns about confidentiality
E Limited access to appointments - ANSWERD
School based health centers- have a hard time with confidentiality
Which of the following forms of psychotherapy is most likely to describe a therapeutic goal as
"improving ego functioning and self esteem"?
A Family therapy
B Exposure therapy
C Supportive therapy
D Dialectical behavioral therapy
E Interpersonal psychotherapy - ANSWERC
Supportive- Improvement of Ego, function, Self esteem
Which letter corresponds to the brain structure that is commonly termed the habenular nucleus?
SKIP - ANSWERHabenular nucleus
Epithalamus: Emotional response to smell
A 27-year-old patient is seen for intermittent muscle twitching. Exam demonstrates full strength with
normal muscle bulk. An EMG study demonstrates spontaneous discharges which are relatively
constant and represent firing of the motor unit. The findings are typical of
A cramps
B spasms
C myokymia
D fibrillations
,E fasciculations - ANSWERE
cramp- sustained m. spasm
spasms- painful m. contractions
myokymia- lower eye lid muscle contractions
fibrillations- not visible, detectable by EMG
fasciculations- visable and detectable spontaneous/constant
A 26-year-old patient presents with HA and clumsiness of the R hand for several weeks. PE is
noteworthy for difficulty with RAM on R hand, an overt intention tremor on finger to nose testing,
and mildly dysmetric finger tapping. CN intact and there is no pailledema. Damage to which of the
following structures will most likely be seen on MRI?
A. Medulla
B. Putamen
C. Cerebellum
D. Cisterna magna
E. Cerebellar tonsils - ANSWERC
RAM, coordination, clumsy= Cerebellum
A resident who runs a lecture course for medical students is told that the medical school now
requires all teachers to consider "learning styles" when planning curicula. Which of the following
changes to curriculum would be supported by existing literature?
A Transition all lectures to small group problem-based formats
B Offer several different modalities and allow students to choose
C Make no changes, lecture based curricula results in higher test scores
D Allow students to self-declare learning styles and opt out of certain requirements
E Use supplemental material designed to address the needs of all types of learners. - ANSWERE
A therapist is treating a high-achieving patient who has become increasingly anxious about the
perception of her work. This has led to the patient working long hours to be viewed positively by her
team. The therapist asks whether the long hours are truly needed to be successful and the pt
responds "I always have to work harder than anyone else to succeed." In cognitive theory, this
statement is an example of
A a schema
B globalization
C internalization
D an automatic thought
E a compensatory strategy - ANSWERA
, Schema- experiences/interactions that project how someone understands/sees the world.
Globalization- International trade/socialization
Internalization- learning by experience rather than being told
Automatic thought- image/thought produced by trigger
A professional dancer who sees a psychiatrist for psychotherapy made her Broadway debut last
week. Although her performance and show won wide acclaim, she cannot stop replaying a minor
misstep she made. It does not appear the misstep was noticed by the audience or other performers.
Despite being congratulated she feels that she has let herself down. Which of the following cognitive
errors is the patient displaying?
A Minimization
B Personalization
C Overgeneralization
D Selective abstraction
E Dichotomous thinking - ANSWERD
- Minimization- thinking it isn't a big deal and it is
- Personalization- seeing self as cause of negative: guilt/shame
- Overgeneralization- using isolated event to generalize other events
- Selective abstraction- conclusions from an isolated detail of an event
- Dichotomous thinking
Which of the following is the primary purpose of mental health courts?
A Adjudicate insanity defense
B Determine fitness to stand trial
C Divert offenders with mental illness away from incarceration
D Provide preliminary rulings on psychiatric malpractice cases
E Civilly commit dangerous mentally ill patients to outpatient treatment - ANSWERC
Disruption in cortico-striato-thalamo-cortical circuit function is most closely associated with what
group of disorders?
A mood
B somatoform
C schizophrenia
D PTSD
E obsessive-compulsive - ANSWERE
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