An 18-year-old woman presents to the clinic with exertional weakness and cold
intolerance. Her mother who accompanies her reports the patient has recently lost a
substantial amount of weight and frequently engages in extensive, intense exercise
multiple times throughout the day. Observation reveals an emaciated appearance with
the
physical exam findings shown above. Which of the following indicates a need for
inpatient
treatment?
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PR interval of 0.31 seconds
Which one of the following disorders has specifiers for a restricting type and binge
eating/purging type?
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, Anorexia nervosa
A 24-year-old woman presents with abnormal behavior. Over the span of the past two
weeks she has had intercourse with five different strangers, has slept 20 hours
cumulatively, has maintained a high level of energy, and has been excessively
talkative. She feels very irritable. During this time, she has had recurrent thoughts of
death, feelings of worthlessness and guilt, and has had a depressed mood. On mental
status examination, she is easily distracted and her thoughts range from one topic to
another often. Which of the following is the most likely diagnosis?
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Bipolar I disorder, current episode manic with mixed features
A 29-year-old woman presents to her physician for a prenatal appointment. She is
currently 5 weeks pregnant and has had no difficulties with her pregnancy. Her
medical history is notable for generalized anxiety disorder. She responds well to
fluoxetine and had been on a regular dose for the past 2 years. She tapered off the
medication 3 months ago while she was trying to get pregnant due to her friend's
stories about the possible complications that could occur. However, her symptoms of
anxiety have returned and are causing significant distress. She is concerned about
restarting fluoxetine but needs help controlling her anxiety. Which of the following is
the best next course of action for her physician?
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Describing the risks and benefits of fluoxetine use and allowing the patient
to choose
,A 5-year-old boy with separation anxiety disorder was involved in an adaptation of
cognitive behavioral therapy, including greater parental involvement, on a weekly
basis throughout the summer in order to prepare him for attending kindergarten. He
had refused preschool and his grandmother took care of him that year while both of
his parents worked. His grandmother has been struggling with diabetes and does not
feel comfortable caring for him on a full-time basis throughout the kindergarten year.
His mother is a high school teacher and cared for him all summer. Although the family
worked hard in therapy, the boy is refusing to go to kindergarten and, as a result, his
mother's job is at risk due to her need to stay home with him. His parents have tried to
force him to attend, but he throws temper tantrums in the car and they are unable to
get him in the door. The parents cannot afford to homeschool him. Their pediatric
Give this one a try later!
citalopram
A 22-year-old man presents for evaluation. He was recently diagnosed with schizoid
personality disorder. Of the following, which is the most appropriate first-line
treatment?
Give this one a try later!
Supportive psychotherapy
A 27-year-old woman presents to the clinic reporting anxiety. She has almost always
experienced anxiety when using public transportation, when in open spaces, and
when outside of the home alone. The locations are avoided due to a fear of an
inability to escape. In order to arrive to the clinic today, a family member needed to
assist her. As a result, she remains in her home. She has never had a panic attack. Her
symptoms have been present for the past three years and have progressively
worsened. She has no history of a psychotic,
, mood, or anxiety disorder. She takes no medications. She does not smoke or drink
alcohol, and she denies illicit drug use. Of the following, which is considered first-line
treatment for this patient's condition?
Give this one a try later!
Nonpharmacologic intervention
Which one of the following is the hallmark feature of caffeine withdrawal?
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Headache
A 15-year-old boy presents for a follow-up evaluation. He was recently diagnosed
with oppositional defiant disorder. He does not meet the criteria for conduct disorder.
Of the following, which is most likely a characteristic of his presentation?
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Symptoms have lasted for at least six months
Which of the following is the primary mechanism of action of the first medication that
was FDA approved for the treatment of irritability related to autism?
Give this one a try later!
intolerance. Her mother who accompanies her reports the patient has recently lost a
substantial amount of weight and frequently engages in extensive, intense exercise
multiple times throughout the day. Observation reveals an emaciated appearance with
the
physical exam findings shown above. Which of the following indicates a need for
inpatient
treatment?
Give this one a try later!
PR interval of 0.31 seconds
Which one of the following disorders has specifiers for a restricting type and binge
eating/purging type?
Give this one a try later!
, Anorexia nervosa
A 24-year-old woman presents with abnormal behavior. Over the span of the past two
weeks she has had intercourse with five different strangers, has slept 20 hours
cumulatively, has maintained a high level of energy, and has been excessively
talkative. She feels very irritable. During this time, she has had recurrent thoughts of
death, feelings of worthlessness and guilt, and has had a depressed mood. On mental
status examination, she is easily distracted and her thoughts range from one topic to
another often. Which of the following is the most likely diagnosis?
Give this one a try later!
Bipolar I disorder, current episode manic with mixed features
A 29-year-old woman presents to her physician for a prenatal appointment. She is
currently 5 weeks pregnant and has had no difficulties with her pregnancy. Her
medical history is notable for generalized anxiety disorder. She responds well to
fluoxetine and had been on a regular dose for the past 2 years. She tapered off the
medication 3 months ago while she was trying to get pregnant due to her friend's
stories about the possible complications that could occur. However, her symptoms of
anxiety have returned and are causing significant distress. She is concerned about
restarting fluoxetine but needs help controlling her anxiety. Which of the following is
the best next course of action for her physician?
Give this one a try later!
Describing the risks and benefits of fluoxetine use and allowing the patient
to choose
,A 5-year-old boy with separation anxiety disorder was involved in an adaptation of
cognitive behavioral therapy, including greater parental involvement, on a weekly
basis throughout the summer in order to prepare him for attending kindergarten. He
had refused preschool and his grandmother took care of him that year while both of
his parents worked. His grandmother has been struggling with diabetes and does not
feel comfortable caring for him on a full-time basis throughout the kindergarten year.
His mother is a high school teacher and cared for him all summer. Although the family
worked hard in therapy, the boy is refusing to go to kindergarten and, as a result, his
mother's job is at risk due to her need to stay home with him. His parents have tried to
force him to attend, but he throws temper tantrums in the car and they are unable to
get him in the door. The parents cannot afford to homeschool him. Their pediatric
Give this one a try later!
citalopram
A 22-year-old man presents for evaluation. He was recently diagnosed with schizoid
personality disorder. Of the following, which is the most appropriate first-line
treatment?
Give this one a try later!
Supportive psychotherapy
A 27-year-old woman presents to the clinic reporting anxiety. She has almost always
experienced anxiety when using public transportation, when in open spaces, and
when outside of the home alone. The locations are avoided due to a fear of an
inability to escape. In order to arrive to the clinic today, a family member needed to
assist her. As a result, she remains in her home. She has never had a panic attack. Her
symptoms have been present for the past three years and have progressively
worsened. She has no history of a psychotic,
, mood, or anxiety disorder. She takes no medications. She does not smoke or drink
alcohol, and she denies illicit drug use. Of the following, which is considered first-line
treatment for this patient's condition?
Give this one a try later!
Nonpharmacologic intervention
Which one of the following is the hallmark feature of caffeine withdrawal?
Give this one a try later!
Headache
A 15-year-old boy presents for a follow-up evaluation. He was recently diagnosed
with oppositional defiant disorder. He does not meet the criteria for conduct disorder.
Of the following, which is most likely a characteristic of his presentation?
Give this one a try later!
Symptoms have lasted for at least six months
Which of the following is the primary mechanism of action of the first medication that
was FDA approved for the treatment of irritability related to autism?
Give this one a try later!
