Mastering Mental Health in Primary
Care – Dunphy Review & Test Prep
Blood alcohol level > 0.40 - coma
Blood alcohol level 0.10 - visible intoxication
Blood alcohol level 0.05 - no effect under the legal limit for driving
Blood alcohol level 0.20 - depression of motor function (decreased ability to
coordinate gross and fine motor tasks)
Which antidepressant medication class has the highest risk of death with overdose?
- Tricyclic antidepressants (TCAs)
Which of the following is not true regarding clozapine (Clozaril)? - Clozapine has less
metabolic risks than other antipsychotic medications
Which of the following is true regarding clozapine (Clozaril)? - Clozapine has the
lowest association with extrapyramidal symptoms when compared with other
antipsychotics
Clozapine is used to treat resistant cases of schizophrenia when other medications
have failed
Routine complete blood count (CBC) monitoring is necessary when managing a
patient on clozapine
Which of the following blood alcohol levels doesn't correspond with the appropriate
associated physical symptom? - 0.05—no effect and under the legal limit for driving
Which of the following is not a sleep hygiene strategy? - Reading in bed to help
yourself sleep
Which of the following is often used to define the speech of a schizophrenic patient
that changes topics of conversation without a coherent sequence? - Derailment
Derailment - patient that changes topics of conversation without a logical sequence.
Neologisms - creation of new words that have meaning only for the coiner
Word salad - mixture of seemingly random words without any specific or sensible
meaning
Tangentiality - disturbance in thought process in which a patient gets off topic and
never directly answers questions
Which of the following medications is first-line treatment for generalized anxiety
disorder (GAD)? - Sertraline (Zoloft)
, Which is not true regarding bupropion (Wellbutrin)? - Bupropion is safe for use in
patients with epilepsy
What is true regarding bupropion (Wellbutrin)? - This medication can cause weight
loss
This medication can be used for smoking cessation
Bupropion causes fewer sexual side effects than many other antidepressants
A 46-year-old schizophrenic patient presents to the emergency department. He lives
in a group home. The caseworker brought him in because he has been repetitively
pulling his hair out of his head for 4 days. His roommate in the group home recently
passed away, and the patient has been doing this repetitive hair pulling ever since.
What is the name for this patient's compulsion? - Trichotillomania
Which of the following is not a characteristic of substance use disorder? - Use
Characteristics of substance use disorder - Dependence.
Withdrawal.
Intoxication.
A 40-year-old male presents to the emergency department complaining of rapid,
involuntary facial movements. You observe the patient, who is poorly groomed,
smacking his lips and making facial grimaces. This patient is a "frequent flyer" at
your emergency department and is homeless. He takes haloperidol and has no
allergies. What is the most likely diagnosis? - Tardive dyskinesia
When first diagnosing depression in your primary care office, which test should be
done to rule out another medical diagnosis as a cause of the patient's symptoms? -
Thyroid-stimulating hormone (TSH)
Which medication is considered first-line treatment for manic episodes associated
with bipolar disorder? - Valproic acid
A 25-year-old female presents to your primary care clinic complaining of difficulty
concentrating in graduate school ever since she was in a car accident 18 days ago.
She had to be hospitalized for 1 day due to a concussion and broken ribs. Her car
was totaled. She is fearful of driving. She also wakes up in the middle of the night
with night terrors that involve getting into a car accident. What is the patient's
diagnosis? - Acute stress disorder (PTSD but within 30 days = acute)
Which statement best describes bipolar disorder type I? - At least 1 manic episode
preceded or followed by a depressive or hypomanic episode.
Bipolar type II - At least 1 hypomanic episode and 1 depressive episode in a patient's
life
Cyclothymic disorder - Multiple episodes of hypomania and depression that occur
over a 2-year period
Schizophrenia - At least 2 characteristic symptoms, including 1 positive symptom
Care – Dunphy Review & Test Prep
Blood alcohol level > 0.40 - coma
Blood alcohol level 0.10 - visible intoxication
Blood alcohol level 0.05 - no effect under the legal limit for driving
Blood alcohol level 0.20 - depression of motor function (decreased ability to
coordinate gross and fine motor tasks)
Which antidepressant medication class has the highest risk of death with overdose?
- Tricyclic antidepressants (TCAs)
Which of the following is not true regarding clozapine (Clozaril)? - Clozapine has less
metabolic risks than other antipsychotic medications
Which of the following is true regarding clozapine (Clozaril)? - Clozapine has the
lowest association with extrapyramidal symptoms when compared with other
antipsychotics
Clozapine is used to treat resistant cases of schizophrenia when other medications
have failed
Routine complete blood count (CBC) monitoring is necessary when managing a
patient on clozapine
Which of the following blood alcohol levels doesn't correspond with the appropriate
associated physical symptom? - 0.05—no effect and under the legal limit for driving
Which of the following is not a sleep hygiene strategy? - Reading in bed to help
yourself sleep
Which of the following is often used to define the speech of a schizophrenic patient
that changes topics of conversation without a coherent sequence? - Derailment
Derailment - patient that changes topics of conversation without a logical sequence.
Neologisms - creation of new words that have meaning only for the coiner
Word salad - mixture of seemingly random words without any specific or sensible
meaning
Tangentiality - disturbance in thought process in which a patient gets off topic and
never directly answers questions
Which of the following medications is first-line treatment for generalized anxiety
disorder (GAD)? - Sertraline (Zoloft)
, Which is not true regarding bupropion (Wellbutrin)? - Bupropion is safe for use in
patients with epilepsy
What is true regarding bupropion (Wellbutrin)? - This medication can cause weight
loss
This medication can be used for smoking cessation
Bupropion causes fewer sexual side effects than many other antidepressants
A 46-year-old schizophrenic patient presents to the emergency department. He lives
in a group home. The caseworker brought him in because he has been repetitively
pulling his hair out of his head for 4 days. His roommate in the group home recently
passed away, and the patient has been doing this repetitive hair pulling ever since.
What is the name for this patient's compulsion? - Trichotillomania
Which of the following is not a characteristic of substance use disorder? - Use
Characteristics of substance use disorder - Dependence.
Withdrawal.
Intoxication.
A 40-year-old male presents to the emergency department complaining of rapid,
involuntary facial movements. You observe the patient, who is poorly groomed,
smacking his lips and making facial grimaces. This patient is a "frequent flyer" at
your emergency department and is homeless. He takes haloperidol and has no
allergies. What is the most likely diagnosis? - Tardive dyskinesia
When first diagnosing depression in your primary care office, which test should be
done to rule out another medical diagnosis as a cause of the patient's symptoms? -
Thyroid-stimulating hormone (TSH)
Which medication is considered first-line treatment for manic episodes associated
with bipolar disorder? - Valproic acid
A 25-year-old female presents to your primary care clinic complaining of difficulty
concentrating in graduate school ever since she was in a car accident 18 days ago.
She had to be hospitalized for 1 day due to a concussion and broken ribs. Her car
was totaled. She is fearful of driving. She also wakes up in the middle of the night
with night terrors that involve getting into a car accident. What is the patient's
diagnosis? - Acute stress disorder (PTSD but within 30 days = acute)
Which statement best describes bipolar disorder type I? - At least 1 manic episode
preceded or followed by a depressive or hypomanic episode.
Bipolar type II - At least 1 hypomanic episode and 1 depressive episode in a patient's
life
Cyclothymic disorder - Multiple episodes of hypomania and depression that occur
over a 2-year period
Schizophrenia - At least 2 characteristic symptoms, including 1 positive symptom
