HOSA Behavioral Health (Latest 2024/ 2025 Updates
STUDY BUNDLE PACKAGE WITH SOLUTIONS) Qs & As|
Grade A| 100% Correct (Verified Answers)
You provide care to a middle-aged man with hypertension and diabetes. He recently
lost his job, and you are concerned that he may be exhibiting mild symptoms of
depression. According to the US Preventive Services Task Force, screening for
depression is recommended if which of the following exists?
A local suicide prevention hotline routinely handles calls from your surrounding area
The patient has a strong social support of friends, family and coworkers
There is a cognitive-behavior therapist that works in your clinic
You have developed a detailed depression screening form - ANSWERC-There is a
cognitive-behavior therapist that works in your clinic
The US Preventive Services Task Force recommends that adults should only be
screened for depression when there is staff-assisted care and support available to
make an accurate diagnosis, offer effective treatment and provide follow-up care
Which of the following is true regarding anorexia nervosa?
Affects men more than women
Anti-depressants are an effective treatment
Associated with a body image disturbance
Menorrhagia is an early symptom - ANSWERC-Associated with a body image
disturbance
An individual with anorexia nervosa refuses to maintain a minimally normal body
weight, is fearful of gaining weight, and exhibits a distorted body self-image. The
patient's body image is the predominant measure of self-worth, along with denial of
the seriousness of the illness.
A 55-year-old man with COPD presents to his primary care physician. He has a 20
pack-year smoking history and requests a prescription for smoking cessation. His last
colonoscopy was five years ago and he received the influenza vaccine earlier this
year. Which of the following should also be offered to the patient?
Abdominal aortic ultrasound
Colonoscopy
Influenza vaccine
Pneumococcal vaccine - ANSWERD-Pneumococcal vaccine
Pneumococcal vaccine is recommended for all adults aged 65 or older. Patients aged
2 years or older who are immunocompromised or who have chronic diseases should
also receive the pneumococcal vaccine
,A patient with chronic spinal pain begins to obtain off-the-street opioids in an
attempt to enhance his prescribed opioid analgesics. In addition to psychotherapy
for substance dependence, you prescribe which of the following substitution
adjuvant medications?
Bromocriptine
Buprenorphine and naloxone
Disulfiram
Modafinil - ANSWERB-Buprenorphine and naloxone
The goal of this is to provide a clinically supervised, stable dose of a partial opioid
agonist (buprenorphine) and opioid-antagonist (naloxone) to provide pain and
craving control, which allows the addict to function while reducing the negative
aspects of addiction.
You examine a 12-month-old girl for a health supervision visit. She is asymptomatic
and the mother has no complaints. The family lives in a house built in 1940s and so
you perform a lead level in clinic which was read as elevated. You send the girl for a
venous lead level at the hospital and the lead level obtained is 10. What is the next
best step?
Give more iron supplements
Make changes in the home
No intervention needed
Treat with chelation - ANSWERB-Make changes in the home
For patients found to have mild elevations, (a level of 10-20) changes in the home
should be made. Management usually requires the assistance of public health and
housing agencies as well as education for the parents. The family should move out of
a lead-contaminated apartment until repairs are completed.
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?
Antisocial personality disorder
Avoidant personality disorder
Dependent personality disorder
Paranoid personality disorder - ANSWERB-Avoidant personality disorder
Avoidant personality disorder is characterized by this patient's symptoms of low self-
esteem and desire for relationships which remains fruitless due to persistent fear of
rejection. Other symptoms of avoidant personality disorder include a
hypersensitivity to criticism and failure, often making patients unable to hold jobs
and maintain relationships.
,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 - ANSWERC-Early intervention with a
multidisciplinary approach improves outcomes
The term autism refers to a spectrum of pervasive developmental disorders
characterized by various degrees of impaired social interaction and communication
and repetitive, stereotyped patterns of behavior. These patients like aloneness, are
hypersensitive to touch, desire sameness in every day activity, often have a lack of
understanding, and can have good rote memory skills.
A 19-year-old man presents with his parents who state that their son has shown
signs of impulsivity, pressured speech, racing thoughts, and a decreased need for
sleep over the last 3-4 weeks that has caused him to miss school. What is the most
likely diagnosis?
Attention-Deficit/Hyperactivity Disorder
Bipolar disorder
Major depressive disorder
Schizophrenia - ANSWERB-Bipolar disorder
Manic episodes are distinct periods of abnormally and persistent moods that can be
euphoric, expansive, or irritable. Manic patients often have greatly inflated self-
esteem, confidence, decreased need for sleep, pressured speech, racing or crowded
thoughts, distractibility, increased involvement in goal-directed activities
A mother presents to clinic with her 15-year-old son. She is concerned because over
the past 2 years he has been having significant behavioral problems. At home he is
bullying his younger siblings, staying out past curfew, and she recently caught him
setting fires in the backyard. At school he is consistently truant and failing all of his
classes. Last weekend police picked him up for spray-painting graffiti on a local
church. When asked to explain his behavior, the patient says, "I don't have to explain
anything, I can do what I want." This patient meets criteria for which of the following
disorders?
Antisocial personality disorder
Attention deficit/hyperactivity disorder
Conduct disorder
Oppositional-defiant disorder - ANSWERC-Conduct disorder
conduct disorder is characterized by behavior which violates the basic rights of
others, societal norms, or age-appropriate rules in a repetitive and persistent
manner. At least 3 criteria need to be present for the past 12 months
, A patient with schizophrenia is starting treatment with clozapine. Which of the
following needs to be monitored weekly?
Electrocardiogram
Fasting plasma glucose
Hemoglobin and hematocrit
White blood cell and absolute neutrophil count - ANSWERD-White blood cell and
absolute neutrophil count
clozapine involves a risk of life-threatening agranulocytosis, therefore regular
monitoring of white blood cell and absolute neutrophil count (ANC) is required
An 18-year-old woman complains of heart palpitations, diaphoresis, nausea, shaking
of her whole body along with a choking sensation. These symptoms have occurred 3-
4 times per week for the last 2 weeks. She states that the symptoms are most
common shortly before going to bed and begin suddenly peaking in 10 minutes and
eventually spontaneously resolving. These symptoms are accompanied with the
intense fear that she is going to die. Which of the following is the most likely
diagnosis?
Angina
Bipolar disorder
Generalized anxiety disorder
Panic attack - ANSWERD-Panic attack
Panic attacks are discrete periods of intense fear in the absence of real danger,
accompanied by at least 4 of 13 cognitive and physical symptoms. The attacks have a
sudden onset, build to a peak quickly, and are often accompanied by feelings of
doom
What are the components of the "female athlete triad"?
Anemia, iron deficiency, menorrhagia
Delayed puberty, ligamentous injuries, weight loss
Low bone density, menstrual dysfunction, low energy availability
menstrual dysfunction, hirsutism, ovarian cysts - ANSWERC-Low bone density,
menstrual dysfunction, low energy availability
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?
Administer 5 mg of intramuscular haloperidol
Consult the psychiatry service
STUDY BUNDLE PACKAGE WITH SOLUTIONS) Qs & As|
Grade A| 100% Correct (Verified Answers)
You provide care to a middle-aged man with hypertension and diabetes. He recently
lost his job, and you are concerned that he may be exhibiting mild symptoms of
depression. According to the US Preventive Services Task Force, screening for
depression is recommended if which of the following exists?
A local suicide prevention hotline routinely handles calls from your surrounding area
The patient has a strong social support of friends, family and coworkers
There is a cognitive-behavior therapist that works in your clinic
You have developed a detailed depression screening form - ANSWERC-There is a
cognitive-behavior therapist that works in your clinic
The US Preventive Services Task Force recommends that adults should only be
screened for depression when there is staff-assisted care and support available to
make an accurate diagnosis, offer effective treatment and provide follow-up care
Which of the following is true regarding anorexia nervosa?
Affects men more than women
Anti-depressants are an effective treatment
Associated with a body image disturbance
Menorrhagia is an early symptom - ANSWERC-Associated with a body image
disturbance
An individual with anorexia nervosa refuses to maintain a minimally normal body
weight, is fearful of gaining weight, and exhibits a distorted body self-image. The
patient's body image is the predominant measure of self-worth, along with denial of
the seriousness of the illness.
A 55-year-old man with COPD presents to his primary care physician. He has a 20
pack-year smoking history and requests a prescription for smoking cessation. His last
colonoscopy was five years ago and he received the influenza vaccine earlier this
year. Which of the following should also be offered to the patient?
Abdominal aortic ultrasound
Colonoscopy
Influenza vaccine
Pneumococcal vaccine - ANSWERD-Pneumococcal vaccine
Pneumococcal vaccine is recommended for all adults aged 65 or older. Patients aged
2 years or older who are immunocompromised or who have chronic diseases should
also receive the pneumococcal vaccine
,A patient with chronic spinal pain begins to obtain off-the-street opioids in an
attempt to enhance his prescribed opioid analgesics. In addition to psychotherapy
for substance dependence, you prescribe which of the following substitution
adjuvant medications?
Bromocriptine
Buprenorphine and naloxone
Disulfiram
Modafinil - ANSWERB-Buprenorphine and naloxone
The goal of this is to provide a clinically supervised, stable dose of a partial opioid
agonist (buprenorphine) and opioid-antagonist (naloxone) to provide pain and
craving control, which allows the addict to function while reducing the negative
aspects of addiction.
You examine a 12-month-old girl for a health supervision visit. She is asymptomatic
and the mother has no complaints. The family lives in a house built in 1940s and so
you perform a lead level in clinic which was read as elevated. You send the girl for a
venous lead level at the hospital and the lead level obtained is 10. What is the next
best step?
Give more iron supplements
Make changes in the home
No intervention needed
Treat with chelation - ANSWERB-Make changes in the home
For patients found to have mild elevations, (a level of 10-20) changes in the home
should be made. Management usually requires the assistance of public health and
housing agencies as well as education for the parents. The family should move out of
a lead-contaminated apartment until repairs are completed.
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?
Antisocial personality disorder
Avoidant personality disorder
Dependent personality disorder
Paranoid personality disorder - ANSWERB-Avoidant personality disorder
Avoidant personality disorder is characterized by this patient's symptoms of low self-
esteem and desire for relationships which remains fruitless due to persistent fear of
rejection. Other symptoms of avoidant personality disorder include a
hypersensitivity to criticism and failure, often making patients unable to hold jobs
and maintain relationships.
,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 - ANSWERC-Early intervention with a
multidisciplinary approach improves outcomes
The term autism refers to a spectrum of pervasive developmental disorders
characterized by various degrees of impaired social interaction and communication
and repetitive, stereotyped patterns of behavior. These patients like aloneness, are
hypersensitive to touch, desire sameness in every day activity, often have a lack of
understanding, and can have good rote memory skills.
A 19-year-old man presents with his parents who state that their son has shown
signs of impulsivity, pressured speech, racing thoughts, and a decreased need for
sleep over the last 3-4 weeks that has caused him to miss school. What is the most
likely diagnosis?
Attention-Deficit/Hyperactivity Disorder
Bipolar disorder
Major depressive disorder
Schizophrenia - ANSWERB-Bipolar disorder
Manic episodes are distinct periods of abnormally and persistent moods that can be
euphoric, expansive, or irritable. Manic patients often have greatly inflated self-
esteem, confidence, decreased need for sleep, pressured speech, racing or crowded
thoughts, distractibility, increased involvement in goal-directed activities
A mother presents to clinic with her 15-year-old son. She is concerned because over
the past 2 years he has been having significant behavioral problems. At home he is
bullying his younger siblings, staying out past curfew, and she recently caught him
setting fires in the backyard. At school he is consistently truant and failing all of his
classes. Last weekend police picked him up for spray-painting graffiti on a local
church. When asked to explain his behavior, the patient says, "I don't have to explain
anything, I can do what I want." This patient meets criteria for which of the following
disorders?
Antisocial personality disorder
Attention deficit/hyperactivity disorder
Conduct disorder
Oppositional-defiant disorder - ANSWERC-Conduct disorder
conduct disorder is characterized by behavior which violates the basic rights of
others, societal norms, or age-appropriate rules in a repetitive and persistent
manner. At least 3 criteria need to be present for the past 12 months
, A patient with schizophrenia is starting treatment with clozapine. Which of the
following needs to be monitored weekly?
Electrocardiogram
Fasting plasma glucose
Hemoglobin and hematocrit
White blood cell and absolute neutrophil count - ANSWERD-White blood cell and
absolute neutrophil count
clozapine involves a risk of life-threatening agranulocytosis, therefore regular
monitoring of white blood cell and absolute neutrophil count (ANC) is required
An 18-year-old woman complains of heart palpitations, diaphoresis, nausea, shaking
of her whole body along with a choking sensation. These symptoms have occurred 3-
4 times per week for the last 2 weeks. She states that the symptoms are most
common shortly before going to bed and begin suddenly peaking in 10 minutes and
eventually spontaneously resolving. These symptoms are accompanied with the
intense fear that she is going to die. Which of the following is the most likely
diagnosis?
Angina
Bipolar disorder
Generalized anxiety disorder
Panic attack - ANSWERD-Panic attack
Panic attacks are discrete periods of intense fear in the absence of real danger,
accompanied by at least 4 of 13 cognitive and physical symptoms. The attacks have a
sudden onset, build to a peak quickly, and are often accompanied by feelings of
doom
What are the components of the "female athlete triad"?
Anemia, iron deficiency, menorrhagia
Delayed puberty, ligamentous injuries, weight loss
Low bone density, menstrual dysfunction, low energy availability
menstrual dysfunction, hirsutism, ovarian cysts - ANSWERC-Low bone density,
menstrual dysfunction, low energy availability
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?
Administer 5 mg of intramuscular haloperidol
Consult the psychiatry service
