Exam 2

Question 1

What is the leading preventable cause of death in the US?

Answer 1

Smoking

Responsible for 1 in 5 deaths

Question 2

What are the stages to quitting smoking?

Answer 2

1. Disinterest
2. Contemplating
3. Preparing to quit
4. Taking action to stop
5. Maintained non-smoking

Question 3

What are the five A’s in providers role in smoking cessation?

Answer 3

Ask
Advise
Assess
Assist
Arrange

Question 4

What is severe alcohol or drug use disorder?

Answer 4

Alcoholism or drug addiction

Question 5

What is mild-moderate alcohol or drug use disorder?

Answer 5

Alcohol or drug abuse

Question 6

What are the CAGE questions for alcohol?

Answer 6

Cut down
Annoyed
Guilty
Eye opener

Question 7

What are the four A’s in providers role in alcohol cessation?

Answer 7

Ask
Assess
Advise
Assist

Question 8

What does ASBIS stand for?

Answer 8

Alcohol Screening Brief Interventions

Question 9

When should a patient on alcohol withdrawal be hospitalized?

Answer 9

Homeless
Polysubstance abuse
Medical or psychiatric illness
Taking benzos in addition to alcohol

Question 10

What drugs can be given to patients on mild alcohol withdrawal?

Answer 10

Chlordiazepoxide

Lorazepam

Question 11

What drugs can be given for an opiate withdrawal?

Answer 11

Clonidine
Benzodiazepines
Antiemetics
Buprenorphine/naloxone

Question 12

What is outpatient treatment for alcohol addiction?

Answer 12

Disulfiram
Naltrexone
Acamprosate

Question 13

What is outpatient treatment for opioid addiction?

Answer 13

Naltrexone

Buprenorpine/Naloxone

Question 14

What is the 4th leading cause of disability worldwide?

Answer 14

Major Depressive Disorder

Question 15

What are the two questions to begin the screening for depression (PHQ-2)?

Answer 15

Have you had little interest or pleasure in the last two weeks?
Have you been feeling down, depressed, or hopeless in he last two weeks

Question 16

What do the different rankings of PHQ-9 represent?

Answer 16

1 - 4 = minimal depression
5 - 9 = mild
10 - 14 = moderate
15 - 19 = mod - severe
20 - 27 = severe

Question 17

What is bipolar 1 disorder?

Answer 17

History of 1 event for depression and 1 for mania

Question 18

What is bipolar 2 disorder?

Answer 18

History MDD episodes but not mania

Question 19

What type of drug does melancholia respond best to?

Answer 19

Tricyclics

Question 20

What scale can be used to determine risk factors for suicide?

Answer 20

SAD PERSONS scale

Question 21

What is first line treatment for mild to moderate depression?

Answer 21

Psychotherapy

Question 22

What is the most efficacious treatment for severe depression?

Answer 22

Electroconvulsive therapy (ECT)

Question 23

What drug can be used for insomnia with depression?

Answer 23

Mirtazapine

Question 24

What drug can be used for fatigue with depression?

Answer 24

SNRI or buproprion

Question 25

What drug can be used for pain with depression?

Answer 25

Duloxetine

Question 26

What drug can be used for cognitive impairments with depression?

Answer 26

Vortioxetine

Question 27

What is the GAD-2 questioning?

Answer 27

Over the past 2 weeks have you felt nervous, anxious, or on edge.
OR
Not be able to stop or control worrying

Question 28

What are the six steps to making behavioral changes?

Answer 28

Precontemplation
Contemplation
Preparation/Determination
Action
Maintenance
Relapse

Question 29

What must a clinician emphasize during motivational interviewing?

Answer 29

Empathy
Curiosity
Self Determination
Acceptance

Question 30

What are the two forces that provide motivation to try a new behavior?

Answer 30

Conviction - that a behavior is necessary

Confidence - that a patient can successfully carry it out

Question 31

What are the three reasons patients do not comply to treatment plans?

Answer 31

Don’t understand
Lacks motivation
No workable strategy

Question 32

What is the IMS model for patient adherence?

Answer 32

Information
Motivation
Strategy - workable strategy

Question 33

What components fall into the information side of the IMS model?

Answer 33

Listen

Teach

Question 34

What components fall into the motivation side of the IMS model?

Answer 34

Shared decision making
Culturally sensitive
Understand consequences

Question 35

What is the HITS screening instrument?

Answer 35

Hit
Insulted
Threatened
Screamed at
Used for IPV screening

Question 36

What are physical exam findings of IPV?

Answer 36

Inappropriate behavior
Multiple injuries
Injuries at different stages of healing
Injuries to the central body and upper extremities

Question 37

What forms can elder abuse occur in?

Answer 37

Physical abuse
Physical neglect
Emotional abuse
Financial abuse

Question 38

What are risk factors of a patient for elder abuse?

Answer 38

Social isolation
Shared living arrangement
Incontinence
High degree of dependence
Dementia and behavior issues

Question 39

What are risk factors of a caregiver for elder abuse?

Answer 39

Substance abuse
Mental or physical illness
History of violence
Dependence on elder
Stress

Question 40

What are ways of preventing elder mistreatment?

Answer 40

Decrease caregiver stress
Prevent social isolation
Evaluate home situation
Manage medical issues

Question 41

What is psychological maltreatment?

Answer 41

Failure to provide normal experiences necessary for a child to feel loved, secure, and wanted

Question 42

When is the presence of any bruising concerning in children?

Answer 42

If they are immobile (under 2 years)

Question 43

What is a sentinel injury?

Answer 43

A previous injury that was suspicious for abuse

Question 44

What is the most common type of abuse related burns?

Answer 44

Immersion burns