LMR EXAM REVIEW QUESTIONS
WITH CORRECT DETAILED
ANSWERS
What should you screen for in older adults with depression - Answer-COGNITIVE
SCREENING. older adults with depression more likely to have cognitive deficits
How does depression present differently in older adults? - Answer-more likely to have
IRRITABILITY, AGITATION, HALLUCINATIONS, and DELUSIONS
Early signs of HIV dementia - Answer-Cognitive decline
motor abnormalities
behavioral abnormalities
Dementia with recurrent visual hallucinations - Answer-Lewy body
Early signs of frontotemporal dementia - Answer-personality and behavior changes
slurred speech
Dementia with high incidence of depression and psychosis - Answer-huntingtons
Treatments for psychosis and agitation in dementia? which comes first - Answer-
Nonpharm first
atypicals first line
Patient comes saying they do a lot of IV drugs. Also presenting with early signs of HIV
dementia. what should you do? - Answer-ORDER HIV test
recommended pharm for HIV dementia - Answer-Antiretrovirals
dementia that presents as inappropriate social behavior and aggression - Answer-
Frontaltemporal dementia (sx associated with frontal lobe)
Amygdala function - Answer-AGGRESSION, fear, anxiety, emotions
hippocampus fucntion - Answer-EMOTIONS, STRESS, learning, memory
part of brain responsible for cognitive functions, decision making, empathy, impulse
control, emotions - Answer-anterior cingulate
part of brain responsible for balance and posture - Answer-cerebellum
,NE produced where - Answer-LC and medullary reticular formation
DA produced where? which area regulates motor movements - Answer-Substantia nigra
(reg motor movements)
VTA
Nuc Accumbens
ACh sythesized by what in brain - Answer-nucleus of meynert
Pt lives in rural house built in 1970s... what should you screen/test for? - Answer-TEST
for LEAD
Signs of lead poisoning - Answer-developmental delay, learning difficulties, irritability,
weight loss, loss of appetite, sluggishness, fatigue abdominal pain, vomiting,
constipation, hearing loss, seizures, Pica (eating things like paint chips)
taking care of infant who is about to die. How should you approach/respond to parents
dealing with this info? - Answer-allow parents to GRIEVE THEIR LOSS
Tips for treating child who is grieving a loss - Answer-NORMALIZE grief and loss
Don't tell them how to grieve
Treatment for treating child who is grieving a loss - Answer-SUPPORTIVE GROUP
THERAPY
Most important aspect that will help child move through grief - Answer-INTACT FAMILY
which will help them ADAPT EASILY
NT involved in mood disorders - Answer-DA, NE**, 5HT**, GABA, Glut
Risk factors for osteoporosis - Answer-SMOKING, CAFFEINE, LACK of weight bearing
exercises, LACK of DIET RICH IN CALCIUM and VITAMIN D.
You are facilitating group therapy and you have a patient who is not comfortable sharing
problem. What do you do? What yalom group factor are you promoting? - Answer-You
want to promote INTERPERSONAL LEARNING. Your next action: Encourage them to
keep attending group therapy and offer individual sessions with patient to help facilitate
their group involvement
What is enmeshment? how might this show up in the provider/patient relationship? -
Answer-personal boundaries become unclear
can occur during countertransference, provider becomes too emotionally connected to
pt and boundaries blur
, cognitive distortions:
example of labeling/mislabeling - Answer-assigning a label to self or others based on a
past experience i.e. your dumb because you failed a test
cognitive distortion involving "what if" questions - Answer-catastrophizing
Component of cognitive therapy to replace distortions with positive thinking - Answer-
COGNITIVE REHEARSAL: Rehearsing positive thought so when they are faced with
situation can use positive thought you rehearsed.
Examples of behavioral therapy - Answer-PROBLEM SOLVING, ROLE PLAYING,
RELAXATION, SKILLS TRAINING, EXPOSURE, MODELING
two major CBT tools - Answer-JOURNALING and COGNITIVE RESTRUCTURING
therapy that assumes people strive toward self-directed growth and self actualization. -
Answer-humanistic
key words for humanistic therapy - Answer-person centered
self-directed growth
self-actualization
therapy that assumes people are naturally good - Answer-humanistic
therapy good for marital conflict - Answer-interpersonal therapy
Therapy that targets 12-17 year olds with antisocial, problematic behavior, and with
serious criminal offenses - Answer-multi systemic family therapy MST
Multisystemic family therapy
for who?
focus of therapy? - Answer-youths (12-17) with antisocial, problematic bheavior who
have serious criminal offenses
empowering parents with resources and skills to manage youth
reduce barriers that keep families from accessing services
treatment rec for patient with serious criminal offense - Answer-Multisystemic family
therapy
Paradoxical directive is part of which therapy? - Answer-strategic
Solution focused therapy tecniques - Answer-MIRACLE QUESTIONS, exception finding
questions, scaling questions
Triangles/triangulation/self-differentiation therapy - Answer-family system therapy
