PSYCHIATRY EOR EXAM (A NEW UPDATED VERSION)
2024 COMPLETE EXAM TEST BANK WITH ACTUAL
QUESTIONS AND WELL ELABORATED ANSWERS
(CORRECT VERIFIED ANSWERS) |ALREADY GRADED A+
Which of the following is a risk factor for suicide?
female sex
first trimester pregnancy
first year marriage
recent incarceration - ANSWER: recent incarceration
A 23-year-old man with a history of opiate use presents to the emergency
department with tachycardia, hypertension and mydriasis. Which medication do you
give? - ANSWER: Clonidine (opioid withdrawal treatment)
A 22-year-old war veteran returns from Afghanistan. Shortly after returning home,
he is found wandering in a city far from his home and does not recall his name or
how he got there. What is the most likely diagnosis? - ANSWER: Dissociative Fugue
(loss of identity and travel to new location)
An 82-year-old woman presents for evaluation of pain on her sacrum. The patient is
alert and oriented to person, place, and time. Physical examination is notable for a
stage II pressure ulcer. Multiple bruises are noted on her legs as well. She
acknowledges that she remains in bed most of the day and sometimes her son who
is her caretaker forgets to give her meals or change her diaper. She also states that
the son causes her pain by pinching her arms and legs when she does not move
quickly enough. You are concerned about elder neglect and abuse. She does not wish
to report her son or speak with social work. Which is your most appropriate action? -
ANSWER: Notify adult protective services ( in most states, emergency med providers
are mandatory reports of adult abuse)
Which two fractures are highly suspicious for non-accidental trauma in a pediatric
patient? - ANSWER: posterior rib fractures
fractures of different ages
A 28-year-old man presents to the clinic for his annual physical. The patient has a
history of schizophrenia, which has been well managed with the medication
olanzapine. What screening test should you do? - ANSWER: Lipid panel
blood glucose measurements
An 18-year-old woman with a history of frequent visits to the ED presents with
multiple superficial lacerations to her left wrist. She is agitated and states she is
suicidal. She is yelling at the nurses and demands to be seen only by the psychiatrist.
,Which of the following is the most appropriate next step in management? -
ANSWER: Engage in discussion, validate distress, discuss symptoms
Which of the following is correct with regards to autism?
Caused by thimerosal-containing vaccines
Developmental screening tests have good sensitivity for autism
Early intervention with a multidisciplinary approach improves outcomes
Onset typically occurs after the age of 5 - ANSWER: Early intervention with a
multidisciplinary approach improves outcomes
A 19-year-old woman is brought in by her husband for evaluation. He states that
over the last week, she has exhibited a number of concerning symptoms including
tremors and seizures. On entering the room, the patient is noted to be resting
comfortably. When asked about the tremor, the patient begins to exhibit coarse
diffuse tremors. During the evaluation the patient has generalized shaking but is able
to respond to questions. Further discussion with the patient's husband reveals that
they are currently going through a separation and there has been a lot of stress at
home. Which of the disorder accounts for the patient's symptoms? - ANSWER:
Factitious disorder
Which of the following is associated with an organic cause of psychosis?
Auditory hallucinations
Disorientation
Normal vital signs
Slow onset of symptoms - ANSWER: Disorientation
A 35-year-old man with a history of alcohol abuse presents to your office with
complaints of a 3-day history of abdominal pain and vomiting after a night of binge
drinking. He has not eaten in days. Laboratory values show an elevated anion gap,
ketonemia and normal glucose levels. In addition to thiamine, what other treatment
should be provided for this patient? - ANSWER: Normal saline and glucose
Which of the following is consistent with a diagnosis of bulimia?
Congestive heart failure
Contraction alkalosis
Hyperkalemia
, Hypothermia - ANSWER: Contration alkalosis
What is considered the first-line therapy for bulimia? - ANSWER: cognitive behavioral
therapy (SSRI is second line)
A 29-year-old woman presents to the psychiatric clinic for a "lifetime" of intense
anxiety not relieved by 12-weeks on fluoxetine. She reports low self-esteem, feeling
"very uneasy" in social situations, and says she wishes she could make friends but
worries that she'll say something "dumb" to people. Which of the following
personality disorders does she most likely have? - ANSWER: Avoidant personality
disorder
A 46-year-old man with a history of depression presents with a self inflicted
laceration to the left arm. The wound is superficial and the patient states that he
didn't want to hurt himself. He reports that he is recently divorced, lives alone, and
has increased stress at work. These stressors have worsened his depression. Which
of the following is the next best step in management of this patient? - ANSWER:
Emergency consultation to psychiatry
Which medication can be prescribed to assist in weight gain for a patient with
anorexia nervosa? - ANSWER: Olanzapine
A 16-year-old girl presents to the ED via ambulance for general pain. She is a refugee
from a conflict area who is known to have frequent nighttime visits to the ED over
the past year for the same chief complaint. She's undergone multiple medical
workups that have all been negative. In the ED she appears angry, irritable, and
demonstrates hypervigilance. After a brief conversation with the patient her pain
resolves and she feels much better. Which of the following is the most likely
diagnosis? - ANSWER: post traumatic stress disorder
A 32-year-old man with a past medical history of depression and schizophrenia
presents to your clinic for a routine follow-up appointment. Six months ago, he was
prescribed olanzapine for management of his schizophrenia and has since had a 10
kg increase in weight. He states that he is concerned about the weight gain as his
father was "overweight and died of a heart attack in his 40s." Which medication
would be most appropriate for this patient?
Chlorpromazine
Clozapine
Quetiapine
Ziprasidone - ANSWER: Ziprasidone (aripiprazole and ziprasidone least associated
with weight gain of the antipsychotics)
2024 COMPLETE EXAM TEST BANK WITH ACTUAL
QUESTIONS AND WELL ELABORATED ANSWERS
(CORRECT VERIFIED ANSWERS) |ALREADY GRADED A+
Which of the following is a risk factor for suicide?
female sex
first trimester pregnancy
first year marriage
recent incarceration - ANSWER: recent incarceration
A 23-year-old man with a history of opiate use presents to the emergency
department with tachycardia, hypertension and mydriasis. Which medication do you
give? - ANSWER: Clonidine (opioid withdrawal treatment)
A 22-year-old war veteran returns from Afghanistan. Shortly after returning home,
he is found wandering in a city far from his home and does not recall his name or
how he got there. What is the most likely diagnosis? - ANSWER: Dissociative Fugue
(loss of identity and travel to new location)
An 82-year-old woman presents for evaluation of pain on her sacrum. The patient is
alert and oriented to person, place, and time. Physical examination is notable for a
stage II pressure ulcer. Multiple bruises are noted on her legs as well. She
acknowledges that she remains in bed most of the day and sometimes her son who
is her caretaker forgets to give her meals or change her diaper. She also states that
the son causes her pain by pinching her arms and legs when she does not move
quickly enough. You are concerned about elder neglect and abuse. She does not wish
to report her son or speak with social work. Which is your most appropriate action? -
ANSWER: Notify adult protective services ( in most states, emergency med providers
are mandatory reports of adult abuse)
Which two fractures are highly suspicious for non-accidental trauma in a pediatric
patient? - ANSWER: posterior rib fractures
fractures of different ages
A 28-year-old man presents to the clinic for his annual physical. The patient has a
history of schizophrenia, which has been well managed with the medication
olanzapine. What screening test should you do? - ANSWER: Lipid panel
blood glucose measurements
An 18-year-old woman with a history of frequent visits to the ED presents with
multiple superficial lacerations to her left wrist. She is agitated and states she is
suicidal. She is yelling at the nurses and demands to be seen only by the psychiatrist.
,Which of the following is the most appropriate next step in management? -
ANSWER: Engage in discussion, validate distress, discuss symptoms
Which of the following is correct with regards to autism?
Caused by thimerosal-containing vaccines
Developmental screening tests have good sensitivity for autism
Early intervention with a multidisciplinary approach improves outcomes
Onset typically occurs after the age of 5 - ANSWER: Early intervention with a
multidisciplinary approach improves outcomes
A 19-year-old woman is brought in by her husband for evaluation. He states that
over the last week, she has exhibited a number of concerning symptoms including
tremors and seizures. On entering the room, the patient is noted to be resting
comfortably. When asked about the tremor, the patient begins to exhibit coarse
diffuse tremors. During the evaluation the patient has generalized shaking but is able
to respond to questions. Further discussion with the patient's husband reveals that
they are currently going through a separation and there has been a lot of stress at
home. Which of the disorder accounts for the patient's symptoms? - ANSWER:
Factitious disorder
Which of the following is associated with an organic cause of psychosis?
Auditory hallucinations
Disorientation
Normal vital signs
Slow onset of symptoms - ANSWER: Disorientation
A 35-year-old man with a history of alcohol abuse presents to your office with
complaints of a 3-day history of abdominal pain and vomiting after a night of binge
drinking. He has not eaten in days. Laboratory values show an elevated anion gap,
ketonemia and normal glucose levels. In addition to thiamine, what other treatment
should be provided for this patient? - ANSWER: Normal saline and glucose
Which of the following is consistent with a diagnosis of bulimia?
Congestive heart failure
Contraction alkalosis
Hyperkalemia
, Hypothermia - ANSWER: Contration alkalosis
What is considered the first-line therapy for bulimia? - ANSWER: cognitive behavioral
therapy (SSRI is second line)
A 29-year-old woman presents to the psychiatric clinic for a "lifetime" of intense
anxiety not relieved by 12-weeks on fluoxetine. She reports low self-esteem, feeling
"very uneasy" in social situations, and says she wishes she could make friends but
worries that she'll say something "dumb" to people. Which of the following
personality disorders does she most likely have? - ANSWER: Avoidant personality
disorder
A 46-year-old man with a history of depression presents with a self inflicted
laceration to the left arm. The wound is superficial and the patient states that he
didn't want to hurt himself. He reports that he is recently divorced, lives alone, and
has increased stress at work. These stressors have worsened his depression. Which
of the following is the next best step in management of this patient? - ANSWER:
Emergency consultation to psychiatry
Which medication can be prescribed to assist in weight gain for a patient with
anorexia nervosa? - ANSWER: Olanzapine
A 16-year-old girl presents to the ED via ambulance for general pain. She is a refugee
from a conflict area who is known to have frequent nighttime visits to the ED over
the past year for the same chief complaint. She's undergone multiple medical
workups that have all been negative. In the ED she appears angry, irritable, and
demonstrates hypervigilance. After a brief conversation with the patient her pain
resolves and she feels much better. Which of the following is the most likely
diagnosis? - ANSWER: post traumatic stress disorder
A 32-year-old man with a past medical history of depression and schizophrenia
presents to your clinic for a routine follow-up appointment. Six months ago, he was
prescribed olanzapine for management of his schizophrenia and has since had a 10
kg increase in weight. He states that he is concerned about the weight gain as his
father was "overweight and died of a heart attack in his 40s." Which medication
would be most appropriate for this patient?
Chlorpromazine
Clozapine
Quetiapine
Ziprasidone - ANSWER: Ziprasidone (aripiprazole and ziprasidone least associated
with weight gain of the antipsychotics)
