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Family Medicine PAEA - Psychiatry questions and answers rated A+ 2024/2025
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Family Medicine PAEA - Psychiatry questions and answers rated A+ 2024/2025
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Family Medicine PAEA - PsychiatryA toddler has been below treatment for interest-deficit hyperactivity disease (ADHD). No
response has befell with behavioral diversifications. Which of the subsequent categories of
medicine have to this affected person take delivery of?
O A. Stimulants
o B. Anxiolytics
o C. Antipsychotics
o D. Antidepressants - ANSA
( Stimulants, together with Ritalin, Dexedrine, and Cylert, are effective in 50 to eighty% of
youngsters with ADHD)
Which of the following antipsychotic medications is associated with tremendous agranulocytosis
however now not with extrapyramidal aspect effects?
O A. Clozapine (Clozaril)
o B. Haloperidol (Haldol)
o C. Chlorpromazine (Thorazine)
o D. Fluphenazine (Prolixin) - ANS( Clozapine is referred as an "ordinary" antipsychotic agent. It
can purpose agranulocytosis and need to be monitored with weekly CBC. This is not a primary
line remedy drug)
Which of the subsequent is powerful inside the long-time period treatment of panic assaults?
O A. Triazolam
o B. Propranolol (Inderal)
o C. Lorazepam (Ativan)
o D. Fluoxetine (Prozac) - ANSD
(SSRI's, along with fluoxetine, are the preliminary pills of desire for the long-term treatment of
panic disorders)
Phenothiazines exert their antipsychotic results by using blockading
o A. Alpha-adrenergic receptors
o B. Dopamine receptors
o C. Histamine receptors
o D. Serotonin receptors - ANSB
(Blockage of the dopamine receptors within the mesolimbic regions of the mind is responsible
for the antipsychotic consequences of the phenothiazines; blockage of the dopamine receptors
within the nigrostriatal regions lead to the motor facet effects, which includes dystonia and
akathisia)
,Which of the subsequent historic elements differentiates publish-annoying strain disorder from
acute pressure disease?
O A. The incapability of the character to don't forget an vital issue of the occasion
o B. Avoidance of stimuli that invokes memories of the event
o C. A belief that their future has been foreshortened due to the occasion
o D. The presence of sleep disorder - ANSC
(Post-stressful stress ailment and acute strain disorder have a few of the equal characteristics.
A feel of a foreshortened future, inclusive of no longer anticipating a ordinary life span or a
profession due to the trauma, distinguishes post-disturbing stress disease from an acute
pressure disorder. The different answers are not unusual to each disorders)
A affected person with obsessive-compulsive disease would most in all likelihood have which of
the following findings?
O A. Raw, crimson hands
o B. Priapism
o C. Memory impairment
o D. Abdominal ache - ANSA
(Common manifestations of obsessive-compulsive disease consist of phobias of germ and
contaminants, which leads to common hand washing leading to chafe and reddened palms. The
other answers are inconsistent with obsessive-compulsive disorder)
A affected person offers within one hour of eating 30 tablets of diazepam (Valium). Which of the
following is the most suitable intervention?
O A. IV naloxone
o B. Alkalinization of the urine
o C. Cardiac pacing
o D. Gastric lavage - ANSD
(Gastric lavage, in conjunction with the administration of activated charcoal and monitoring of
vital signs and symptoms and CNS status is the mainstay of therapy in the person who has
overdosed on benzodiazepines. Vomiting ought to be precipitated in the person who is not
comatose. Flumazenil (Romazicon), a particular benzodiazepine antagonist, might be used with
caution in positive patients)
The maximum vital preliminary aspect of evaluating a patient with depressive contamination is
o A. Assessment of suicidal hazard
o B. Assessment of reminiscence feature
o C. Determination of the presence of hallucinations
o D. Willpower of the degree of intellectual impairment - ANSA
(Two-thirds of all depressed sufferers ponder suicide, and 10 to 15% dedicate suicide)
, A 53 12 months-antique guy with a records of high blood pressure is being treated with atenolol
(Tenormin). He currently offers complaining of continual fatigue, insomnia, decreased appetite,
and issue concentrating for the beyond three weeks. His spouse additionally notes that he no
longer is going bowling together with his pals and has misplaced interest in any sexual intimacy.
Physical exam is unremarkable. Which of the following is the most likely prognosis?
O A. Fundamental despair
o B. Dysthymic disorder
o C. Bizarre melancholy
o D. Drug-triggered depression - ANSA
(Diagnostic standards for a chief depressive sickness encompass a lack of satisfaction in usual
activities, vegetative or physical modifications (bad urge for food, lack of energy), and cognitive
changes together with difficulty in concentrating)
• A fifty six yr-old guy is admitted to a clinic unit for assessment of rectal bleeding and weight
reduction. He has a strong circle of relatives records of cancer. Soon after admission, a barium
enema is scheduled. The affected person refuses the "prep" due to the fact he fears x-ray
radiation. He states he has had preceding x-rays, however becomes apprehensive at the idea of
an x-ray and "can't face it." The most likely diagnosis is
o A. Hysterical persona
o B. Dissociative kingdom
o C. Conversion response
o D. Phobic neurosis - ANSD
(Phobic neurosis is a phobic ideation of displacement wherein the patient transfers feelings of
hysteria from the object to one that can be prevented)
Rates of alcohol use within the adolescent are reportedly higher in:
o A. Families with rigorous parental monitoring
o B. Japanese families
o C. Adoptive youngsters whose biological parent is an alcoholic
o D. Temper issues in a grandparent - ANSC
(There is a three-to fourfold increase in danger for alcohol dependence in adopted children
whose biological mother and father are alcohol dependents)
A divorced lady affected person presents for an employment physical. She states she has had a
"run of awful success" with jobs and has not been capable of preserve any task for longer than
2-three months. She additionally states she has been arrested numerous times for entering into
fights whilst she is out with the women. She states she liquids an occasional beer, but denies
any good sized issues with alcohol. Which of the following laboratory findings would assist your
suspected prognosis?
O A. Reduced triglycerides
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