,1. A 35-year-old female presents with anxiety, palpitations, and
sweating. Upon mental status examination, she has a score of 22 on
the Hamilton Anxiety Rating Scale. Which of the following
neurotransmitter systems is most implicated in her symptoms?
- A) Dopaminergic
- B) Cholinergic
- C) Serotonergic
- D) GABAergic
- Correct Answer: D) GABAergic
- Rationale: GABA is an inhibitory neurotransmitter that is often
implicated in the regulation of anxiety, and GABAergic dysfunction
is commonly associated with anxiety disorders.
2. In assessing sleep disturbances in a patient with seasonal
affective disorder (SAD), which of the following tools would be
most appropriate to use?
- A) PHQ-9
- B) Epworth Sleepiness Scale
- C) Pittsburgh Sleep Quality Index
- D) Beck Depression Inventory
- Correct Answer: C) Pittsburgh Sleep Quality Index
, - Rationale: The Pittsburgh Sleep Quality Index (PSQI) is a
standardized self-report questionnaire assessing sleep quality and
disturbances over a 1-month interval, suitable for patients with
mood disorders like SAD.
### Fill-in-the-Blank
3. The Mini-Mental State Examination (MMSE) is a commonly
used tool in psychiatric assessments and evaluates five areas of
cognitive function: orientation, registration, attention and
calculation, recall, and __________.
- Correct Answer: Language
- Rationale: The MMSE assesses various cognitive domains, and
language is an essential component of cognitive function assessed
by this tool.
4. In advanced health assessment, cultural competence requires
understanding the patient's cultural _______, which includes their
beliefs, practices, and the meaning they attribute to health and
illness.
- Correct Answer: Context
- Rationale: Cultural context encompasses the social, historical,
and personal perspectives that influence a patient's healthcare
experiences and expectations.
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