Object constancy - ANS According to Margaret Mahler's developmental theory of psychology,
which of the following indicates a successful resolution of the process of
separation-individuation in a toddler?
Synaptic pruning - ANS Which of the following neurodevelopmental processes predominantly
occurs during adolescence and young adulthood?
Cohort study - ANS Medical record data was used to estimate the prevalence of diabetes
among patients who started on an antipsychotic medication. Which of the following best
describes this study design?
Poverty of speech - ANS An 80-year-old presents with depressed mood and cognitive decline.
The patient answers the interviewer's questions with brief, one-word responses and rare
spontaneous elaboration. This is an example of which of the following?
Schedule frequent brief follow-up appontments - ANS Despite an extensive workup, no medical
etiology can be identified as the cause of a patient's leg pain and weakness. The patient's
primary care physician suspects a diagnosis of somatic symptom disorder. Which of the
following responses is the most appropriate next step?
ODD - ANS Over the last six months a ten-year-old child has been exhibiting anger and temper
tantrums. The child has been deliberately annoying others and blaming this misbehavior on
classmates. This has led to multiple disciplinary actions at school. What is the most likely
diagnosis?
Depersonalization/derealization disorder - ANS A patient presents to the psychiatrist with the
complaint of, "I think I'm going crazy." The patient reports that she often feels as if she has "no
self" and her thoughts are not her own. In fact, she often feels like a robot and as if she is
unable to control her body. She states that she knows she has feelings but is not able to feel
them, instead feeling emotionally numb, and she frequently feels that her head is "full of cotton."
Recently, she has begun having "out of body" experiences. Which of the following is the most
likely diagnosis?
Conditioned response - ANS A cancer patient becomes nauseous when seeing a commercial
on television for the local cancer center where they receive chemotherapy. The patient's nausea
is best described as what element of classical conditioning?
Fluoxetine - ANS In the 1970's, evidence for the role of serotonin in depression and a desire to
develop drugs with a better side effect profile than the tricyclics and monoamine oxidase
inhibitors, led to the development of which of the following medications?
, Prion disease - ANS A 72-year-old patient is seen for a six-month history of rapid dementia, gait
unsteadiness and jerky movements. Electroencephalogram (EEG) demonstrates a periodic
discharge with sharp waves occurring every one second. What is the most likely diagnosis?
Collaborative care - ANS A primary care practice follows patient progress through a registry.
Each patient is assigned a primary care provider and a behavioral health care manager. A
psychiatrist is consistently available to these providers for consultation. This arrangement is best
described by which model?
Effectiveness trials - ANS Which of the following types of research studies is most likely to result
in external validity?
Mirtazapine - ANS Which antidepressant has demonstrated efficacy in the treatment of
akathisia?
Alpha - ANS An awake electroencephalogram (EG) in a patient with encephalopathy will show
which of the following waves?
Nonmaleficence - ANS A 16-year-old patient was brought to the emergency room after an
overdose of acetaminophen in a suicide attempt. After medical stabilization, the parents
demand that the patient return home rather than going to a psychiatric hospital for continuing
suicidal ideation. The psychiatrist decides that the patient should remain in the hospital due to
being a danger to self. This action by the psychiatrist is best described by which ethical
principle?
Disinhibition impulsivity and tactlessness - ANS Lesions to the orbitofrontal-subcortical circuit
produce which of the following behaviors?
Arcuate fasciculus - ANS Which of the following connects the frontal and temporal lobes?
Fluctuating consciousness - ANS An elderly patient with confusion is admitted and a psychiatric
consultation is sought. In discerning delirium from dementia, depression, or psychosis, which of
the following aspects of the mental status is most important?
Kava - ANS A 38-year-old with a long history of social anxiety and treatment with clonazepam is
brought to the emergency room disoriented and confused. Neurological exam is notable for
dyskinesias of the upper extremities. Which of the following, if taken in conjunction with the
currently prescribed medication, is most likely to cause these symptoms?
The psychiatrist's use of coercion invalidated informed consent - ANS An agitated patient with
bipolar disorder, manic, was evaluated in the emergency department and resisted voluntary
psychiatric hospitalization. The frustrated psychiatrist said to the patient "You can come in
voluntarily and choose when you will be discharged, or I will involuntarily hospitalize you so that
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