MEDSURG Flashcards
(100 cards)
1
Q
Tiny red or purple hemorrhagic spots appearing in clusters, may be a sign of thrombocytopenia.
a. Petechiae
b. Ecchymosis
c. Jaundice
d. Bruise
A
a. Petechiae
2
Q
Bluish-purple to greenish-yellow bruising or bleeding under the skin often caused by trauma:
a. Petechiae
b. Ecchymosis
c. Jaundice
d. Bruise
A
b. Ecchymosis
3
Q
Cerebellar pathology: rhythmic oscillations of the head; axial movement of the trunk
a. Resting tremor
b. Titubation
c. Nystagmus
d. Rebound phenomenon
A
b. Titubation
4
Q
Basal ganglia pathology: sustained involuntary contractions of agonist and antagonist muscles
a. Cogwheel rigidity
b. Hyperkinesis
c. Dystonia
d. Dyssynergia
A
c. Dystonia
5
Q
Pathway responsible for discriminative sensations, precise localization, and fine intensity gradations.
a. Dorsal column-medial lemniscal
b. Anterolateral spinothalamic
c. Corticospinal
d. Rubrospinal
A
a. Dorsal column-medial lemniscal
6
Q
Hormone in charge for fight or flight response:
a. Adrenaline
b. Glucagon
c. Insulin
d. Acetylcholine
A
a. Adrenaline
7
Q
Pain medication recommended for peptic ulcer
a. Ibuprofen
b. Ketorolac
c. Aspirin
d. Diclofenac
A
b. Ketorolac
8
Q
An acute bacterial (often streptococcus) or viral infection that spreads throughout the system; red streaks are often seen in skin proximal to infection site
a. Generalized lymphadenopathy
b. Secondary lymphadenopathy
c. Lymphadenitis
d. Lymphangitis
A
d. Lymphangitis
9
Q
Which of the following is a leukotriene receptor blocker?
a. Alprostadil
b. Aspirin
c. Montelukast
d. Ibuprofen
A
c. Montelukast
10
Q
Severe headache for almost 2 hours followed by a sudden loss of consciousness
a. Subarachnoid hemorrhage
b. Viral encephalitis
c. Migraine
d. Brain tumor
A
a. Subarachnoid hemorrhage
11
Q
Severe headache with photosensitivity, neck stiffness, and abrupt onset of symptoms
a. Subarachnoid hemorrhage
b. Viral encephalitis
c. Migraine
d. Brain tumor
A
b. Viral encephalitis
12
Q
What is the most common indirect cause of TBI?
a. Drugs
b. Alcohol
c. Cigarette smoking
d. Poisonous food
A
b. Alcohol
13
Q
If you are rubbing a salt to stimulate the taste receptors, you increase the sensitivity of sweetness. This principle is known as:
a. Simultaneous contract
b. Accommodation
c. Compensation
d. Successive contrast
A
d. Successive contrast
14
Q
Noradrenergic receptors are found in the:
a. Substantia nigra
b. Median Raphe nucleus
c. Locus Coeruleus
d. Cerebellar peduncle
A
c. Locus Coeruleus
15
Q
Ability to see in the dark
a. Dark adaptation
b. Light Adaptation
c. Dark vision
d. Light vision
A
a. Dark adaptation
16
Q
Lesion to the third frontal convolution will result to the following, except:
a. Broca’s aphasia
b. Non-fluent speech with good comprehension
c. Poor repetition, naming, writing and reading comprehension
d. All of these
e. None of these
A
c. Poor repetition, naming, writing and reading comprehension
17
Q
Fetal movement begins to be felt by:
a. 16th week of gestation
b. 20th week of gestation
c. 22nd week of gestation
d. 24th week of gestation
A
a. 16th week of gestation
18
Q
During early phase of rehabilitation of a patient post-right total hip arthroplasty, posterolateral approach, precautions for the following exercises are necessary, EXCEPT FOR:
I. Crossed-leg sitting
II. Ascending stairs with the right leg leading
III. Single-leg standing on the (R) lower extremity
IV. Bending the trunk forward to tie shoes
a. All of the allowed
b. I, II, III
c. IV only
d. All of these
A
d. All of these
19
Q
In a patient with pituitary adenoma, the mass may put pressure in all of the following structures, EXCEPT:
a. optic nerve compression
b. cranial nerves for extraocular eye movements
c. optic chiasm
d. internal carotid artery
e. NOTA
A
e. NOTA
20
Q
Criteria for hip osteoarthritis, except:
a. Pain on internal rotation
b. Hip internal rotation ≥ 15°
c. morning stiffness ≥ 60mins
d. age > 50years
A
c. morning stiffness ≥ 60mins
21
Q
A 6-year-old woman presents for a routine exam at a doctor’s office. She stands up several times during the visit to check herself in the mirror and asks if her new dress is pretty. On exam, she is wearing revealing clothing and jumps up dramatically, yelling that the stethoscope is “too cold”. At the end of the visit, she starts tearing up and says that no doctor has even been so attentive previously. You suspect that the patient has:
a. Narcissistic personality disorder
b. Obsessive-compulsive personality disorder (OCPD)
c. Histrionic personality
d. Factitious disorder
A
c. Histrionic personality
22
Q
A 15-year-old girl presents for a routine appointment. She describes problems at school with social situations, wanting to sit in with the popular crowd and be thinner. She struggles to lose weight but describes feeling out of control with food for the past 6 months, where she eats large amounts of food, such as an entire pizza and a gallon of ice cream. She quickly feels guilty afterward, and then makes herself throw up by sticking her fingers down her throat. These episodes occur at least 2-3 times per week. Her vital signs are normal, her height is 5 feet 2 inches, and she weighs 135 pounds. Her BMI is 27.5. She has sialadenosis (salivary gland enlargement), dental caries, and abrasion on the dorsum of her right hand (Russell’s sign). You suspect that the patient has:
a. Binge eating disorder
b. Bulimia nervosa
c. Anorexia nervosa
d. Avoidant restrictive food disorder
A
b. Bulimia nervosa
23
Q
A 43-year-old man is seen in the clinic after making a scene in the waiting room after being asked to wait 10 minutes for his appointment. He is annoyed that he had to wait while “regular people got to see the doctor”. He explains that he has a “very important job” and should not have to wait at all for his appointment as it is very burdensome to leave his job even for a few minutes. He explains that he got his job due to his “superior intellect” and “unprecedented business acumen”. He explains that he is “constantly needed” at his work and that his coworkers are jealous of his superiority. Physical findings are normal. You suspect that the patient has:
a. Superiority complex disorder
b. Obsessive-compulsive personality disorder (OCPD)
c. Narcissistic personality disorder
d. Histrionic disorder
A
c. Narcissistic personality disorder
24
Q
A 27-year-old wheelchair-bound woman comes to the hospital for six days of leg weakness. Four years ago, she had a traumatic stillbirth and since then has had difficulty walking. She has seen six neurologists, and none can give a physiological reason for her weakness. She worries that doctors may think she is taking her symptoms because nothing on the repeated examinations explains her weakness. She says that she would love to walk so she can travel by airplane to be there for her sister who just gave birth to her first son. On exam, she is sitting comfortably in a wheelchair, is smiling, and seems unaffected by her condition. Her weakness is lessened when distracted. You suspect that the patient has:
a. Factitious disorder
b. Conversion disorder
c. Generalize anxiety disorder
d. Conduct disorder
A
b. Conversion disorder
25
A 54-year-old woman presents for a routine exam. She states that it has taken 2 years to find a doctor because she was looking for someone who met a list of her criteria, which included making sure the doctor’s medical school was in a state that did not have a death penalty. She is an attorney and explains that she has been staying late at the office every night because she does not trust that her staff can format her work in the best way or proofread her documents as well as she can. She reports not engaging in social activities or hobbies as her reports “could always be made a little bit better”. She has missed some work deadlines as her reports were “not quite right yet”.
a. Superiority complex disorder
b. Obsessive-compulsive personality disorder (OCPD)
c. Narcissistic personality disorder
d. Histrionic disorder
b. Obsessive-compulsive personality disorder (OCPD)
26
A 45-year-old woman without past medical history presents to the emergency room with confusion, dizziness, sweating, “shakiness,” and blurred vision. She denies any alcohol or illicit drug use. She is subsequently admitted to the medical service for severe hypoglycemia. On physical exam, she is tachycardic and hypertensive. She has pale skin with needle marks and is diaphoretic, tremulous, and anxious. You suspect that the patient has:
a. Conversion disorder
b. Histrionic disorder
c. Factitious disorder
d. Malingering
c. Factitious disorder
27
A 37-year-old woman presents for a routine exam. She reports that she was recently arrested for shoplifting cosmetics. She states that her boyfriend “blew up at her” for getting arrested again. She says “I should just kill myself. That will show him!”. She admits that he sometimes physically abuses her, but she stays with him because no one else cares about her. At the end of the visit, she thanks the doctor profusely for being so much better than the last doctor … and angrily states, “He didn’t care about me at all!”. She is talkative, but all other physical findings are normal. You suspect that the patient has:
a. Generalized anxiety disorder
b. Antisocial personality disorder
c. Post-traumatic stress disorder
d. Borderline personality disorder
d. Borderline personality disorder
28
A 33-year-old woman presents with worry about an upcoming flight. The patient states she has to fly to her sister’s wedding and is terrified. She has tried to visit her sister three other times in the past, but she has panicked right before takeoff and gotten off the plane. On physical exam she has a euthymic affect but is in notable distress when talking about flying. It means that the patient has:
a. Post-traumatic stress disorder
b. Histrionic disorder
c. Specific phobia
d. Factitious disorder
c. Specific phobia
29
A 24-year-old man presents to urgent care following a physical encounter with a neighbor. He states that the neighbor “looked at him too many times” and “deserves what he got”. He then states, “I didn’t hurt him as bad as the guy last month; he was in the hospital for a week!”. He smiles during the entire encounter and is eager to share more details. On review of his chart, it is noted that the animal humane society was called in the past due to concern for abuse of his pet dog. When he was 15, he spent the night in jail after assaulting a peer, which he happily discusses. Physical exam findings are normal. This patient has:
a. Antisocial personality disorder
b. Bipolar disorder type 1
c. Bipolar disorder type 2
d. Conduct disorder
a. Antisocial personality disorder
30
A 26-year-old man presents with anxiety. He is concerned about how his anxiety is impacting his performance at a high-pressure job. He worries that people are judging his work poorly, despite never having a bad job performance evaluation. He also is concerned about his boyfriend’s health, worrying that he will crash his car or become sick. The worrying impacts his efficiency and concentration at work, but he still functions well in his job despite it being so distressful. He also reports fatigue, difficulty sleeping due to worry, and muscle tensions. At times of increased stress, he notes nausea, diarrhea, and increased sweating. This has been going on since college, but it has gotten worse since starting this job 2 years ago. On physical exam, his affect is anxious at times but otherwise normal. Patient has:
a. Major depressive disorder
b. Specific phobia
c. Generalized anxiety disorder
d. Paranoid
c. Generalized anxiety disorder
31
A 21-year-old man presents for a work physical exam. He is doing a work-from-home job because his last job required him to “interact with too many people”. He is quiet and only answers direct questions. He has been living in his mother’s basement and his mother states that he stays in the basement around 22 hours per day. He is not sexually active, and does not “have much of a social life,” but reports being content with his space and is satisfied with the work that he does. He is quiet, has a restricted affect, but other physical exam findings are normal.
a. Laid back personality disorder
b. Borderline personality disorder
c. Depressive personality disorder
d. Schizoid personality disorder
d. Schizoid personality disorder
32
A 26-year-old man is referred to his dermatologist for severely chapped skin on his hands bilaterally. He reports vigorously washing his hands in scalding hot water dozens of times daily in response to uncontrollable and intrusive fears that his hands are dirty and contaminated. He realizes this is unrealistic but feels a great deal of anxiety when he is unable to wash them. These difficulties have occurred for many years, but he was recently encouraged to seek help because it has affected his work as a waiter. On physical exam, he has erythematous, chapped hands bilaterally and is anxious appearing. This patient is probably suffering from:
a. Obsessive compulsive disorder (OCD)
b. Obsessive compulsive personality disorder (OCPD)
c. Generalized anxiety disorder
d. Panic disorder
a. Obsessive compulsive disorder (OCD)
33
A 25-year-old man who was recently discharged from the military presents with nightmares for the past 3 months. He states that he watched a tank get blown up by an improvised explosive device, and one of his friends who was on the tank died. He reports often thinking about this event in places where it “sneaks up on him”, sometimes at work or at church. He also describes being on edge and is easily startled by loud noises, and he feels guilty that he survived while his friends didn’t. The patient has:
a. Borderline personality disorder
b. Post-traumatic stress disorder
c. Compulsive behavior
d. Bipolar disorder
b. Post-traumatic stress disorder
34
A 35-year-old woman presents with chest pain. She states that it started about 2 hours ago while she was on the phone with her sister. She had sudden onset of chest pain, heart palpitation, shortness of breath, numbness/tingling around mouth and on tips of anger, and a sense of impending doom. He symptoms lasted for 20 minutes before resolving. This is her fourth presentation with the same cluster of symptoms in the last 5 months. Despite previous evaluations and reassurances, she remains concerned about these symptoms. You suspect that the patient has:
a. Generalized phobia
b. Specific phobia
c. Panic disorders
d. Generalized anxiety disorder
c. Panic disorders
35
A 45-year-old woman presents with 4 weeks of feeling very sad and hopeless about the future. She reports that she used to walk her dog every day, but lately she hasn’t been feeling up to it. She thinks this may be because she has been having trouble sleeping through the night. She says that she has no energy to take care of her house of family, but even if she did have the energy, she doesn’t think it would make any difference. She denies suicidal ideation or plan. On physical exam, she has had a 15-pound weight loss since her last visit. She has slow speech and does not make eye contact.
a. Generalized anxiety disorder
b. Major depressive disorder
c. Bipolar disorder
d. Schizophrenic disorder
b. Major depressive disorder
36
A 24-year-old man presents with 2 weeks of irritability and uncontrolled energy. He reports that he has recently become aware that he has been chosen by God to be the next great poker champion. He is proud that he has been training for 22 hours a day, requiring little sleep. He reports that he has had to take a break from practicing in the casino as he lost all of his earning last weekend but reports that he has a plan on how to win it all back so he can earn his title. On physical exam, he is pacing around the room, has very quick speech, and is hyperverbal and distractible. Patient has:
a. Schizophrenia
b. Bipolar disorder type 1
c. Paranoia
d. Major depressive disorder
b. Bipolar disorder type 1
37
A 6-year-old boy is referred for evaluation after displaying unruly behavior in school. His teachers report that he often makes careless mistakes; submits incomplete, sloppy homework; speaks out of turn; and gets out of his seat without permission. The boy’s mother notes he does not listen at home and is always running around. He has trouble following routines, like getting ready for school in the morning. Exam reveals fidgety and social disinhibited behavior, with poor concentration, and loud, rapid speech.
a. Autism spectrum disorder (ASD)
b. Conduct disorder
c. Attention-deficit/hyperactivity disorder (ADHD)
d. Dissociative identity disorder
c. Attention-deficit/hyperactivity disorder (ADHD)
38
A 28-year-old man presents with suicidal thoughts for the last 2 weeks. Patient states that voices have been telling him to “kill himself” and “finish it”. He believes that these voices are part of a conspiracy at work to get him to leave his job. According to him, he first noticed his coworkers were starting to plot against him 7 months ago when they started to blame him to work that wasn’t done. He started to hear voices 2 months after that. He has also been feeling very sad since the voices started and now feels depressed most days. Two weeks ago, he started to seriously think about suicide and developed a plan to hang himself but then decided to come seek help. On physical exam, he has restricted affect and is fearful at times. He has suicidal ideation, auditory hallucinations, and appears to be responding to internal stimuli (looks over his shoulder, saying “Stop”). Patient is most likely suffering from:
a. Schizophrenia
b. Major bipolar disorder
c. Minor bipolar disorder
d. Schizoaffective disorder
d. Schizoaffective disorder
39
A 3-year-old boy’s mother says he has failed to say any coherent words causing worry for speech delay. The child also does not reciprocate affection, such as hugging her back. Regarding his behavior, she has noticed that he constantly lines up his trains and examines their wheels intently and becomes easily agitated with changes in routine. On exam, he does not respond to questioning and exhibits limited eye contact and occasionally rocks back and forth while seated. You suspect that these are signs of:
a. Autism spectrum disorder (ASD)
b. Conduct disorder
c. Attention-deficit/hyperactivity disorder (ADHD)
d. Dissociative identity disorde
a. Autism spectrum disorder (ASD)
40
A 21-year-old man presents with 2 months of paranoia and odd behavior. He reports that someone planted a microchip in his brain and his thoughts are being intercepted. He hears their voices for most of the day and believes the voices are CIA officers. His family reports that the odd behavior started 7 months ago, which they thought was due to school stress. On physical exam, he is paranoid, disheveled, malodorous, nervous, and has flat affect. His thoughts are illogical and disorganized with thought blocking. Patient has:
a. Schizophrenia
b. Major bipolar disorder
c. Paranoid disorder
d. Schizoaffective disorder
a. Schizophrenia
41
A 13-year-old boy is brought for evaluation due to disruptive behavior. His parents report that he has been suspended from school numerous times for initiating fights with other kids and stealing from them. They state that he is consistently disobedient, staying out late, and lying about what he has been doing. The other day they found him trying to put his hamster in the microwave. Physical exam is normal. You suspect that the patient has:
a. Compulsive disorder
b. Histrionic disorder
c. Conduct disorder
d. Factitious disorder
c. Conduct disorder
42
A 23-year-old woman is brought to clinic. The patient recently visited her family for the holidays. Her boyfriend states that she had to interact with her abusive, alcoholic father and seems like someone else ever since. The patient speaks in a childlike singsong voice and asks to be called by a name different than what is listed on her driver’s license. She states she does not recognize her boyfriend despite their dating for 10 months. Vital signs are normal and she is cooperative but childlike in attitude and not oriented to her name. She is probably suffering from:
a. Anterograde amnesia
b. Dissociative identity disorder
c. Retrograde amnesia
d. Personality disorder
b. Dissociative identity disorder
43
A 7-year-old boy is having behavioral and social difficulties in his second-grade class. Although he seems to be able to attend and is doing “well” from an academic standpoint (though seemingly not what he is capable of), he is constantly interrupting, fidgeting, talking excessively, and getting out of his seat. He has friends, but he sometimes annoys his peers because of his difficulty sharing and taking turns and the fact that he is constantly talking over them. Although he seeks out play dates, his friends tire of him because he wants to play sports nonstop. At home, he can barely stay in his seat for a meal and is unable to play quietly. Although he shows remorse when the consequences of his behavior are pointed out to him, he can become angry in response and seems nevertheless unable to inhibit himself. What is the most likely diagnosis?
a. Autism spectrum disorder
b. Generalized anxiety disorder
c. Attention-deficit/hyperactivity disorder
d. Specific learning disorder
c. Attention-deficit/hyperactivity disorder
44
A 15-year-old boy is referred to your care. His mother tells you that during middle school, he was teased for having vocal and motor tics. Since starting ninth grade, his tics have become less frequent. Currently, only mild motor tics remain. What is the appropriate DSM-5 diganosis?
a. Tourette’s disorder
b. Persistent (chronic) motor tic disorder
c. Provisional tic disorder
d. Unspecified tic disorder
e. Persistent (chronic) vocal tic disorder
a. Tourette’s disorder
45
A 45-year-old man has always experience co-occurring symptoms of depression – including feeling “down in the dumps,” having poor appetite, feeling hopeless, and suffering from insomnia – during his episodes of active psychosis. These depressive symptoms occurred only during his psychotic episodes. After his psychotic episodes were successfully controlled by medication, no further symptoms of depression were present. The patient has never met full criteria for major depressive disorder at any time. What is the appropriate DSM-5 Diagnosis?
a. Schizophrenia
b. Schizoaffective disorder
c. Persistent depressive disorder (dysthymia)
d. Schizophrenia and persistent depressive disorder (dysthymia)
e. Unspecific schizophrenia spectrum and other psychotic disorder
a. Schizophrenia
46
A 32-year-old man reports 1 week of feeling unusually irritable. During this time, he has increased energy and activity, sleep less, and finds it difficult to sit still. He also is more talkative than usual and is easily distractible, to the point of finding it difficult to complete his work assignments. A physical examination and laboratory workup are negative for any medical cause of his symptoms and he takes no medications. What diagnosis best fits this clinical picture?
a. Manic episode
b. Hypomanic episode
c. Bipolar 1 disorder, with mixed features
d. Major depressive episode
d. Cyclothymic disorder
a. Manic episode
47
A 45-year-old woman with multiple sclerosis was treated with interferon beta-1a a year ago, which resolved her physical symptoms. She now presents with depressed mood (experience daily for the past several months), middle insomnia (of recent onset), poor appetite, trouble concentrating, and lack of interest in sex. Although she has no physical symptoms, she is frequently absent from work. She denies any active plans to commit suicide but admits that she often thinks about it, as her mood has worsened. What is the most likely diagnosis?
a. Major depressive disorder
b. Persistent depressive disorder (dysthymia)
c. Depressive disorder due to another medical condition
d. Substance/medication-induced depressive disorder
e. Persistent depressive disorder (dysthymia) and multiple sclerosis
c. Depressive disorder due to another medical condition
48
A 50-year-old man reports episodes in which he suddenly and unexpectedly awakens from sleep feeling a surge of intense fear that peaks within minutes. During this time, he feels short of breath and has heart palpitations, sweating, and nausea. His medical history is significant only for hypertension, which is well controlled with hydrochlorothiazide. As a result of these symptoms, he has begun to have anticipatory anxiety associated with going to sleep. What is the most likely explanation for his symptoms?
a. Anxiety disorder due to another medical condition (hypertension)
b. Substance/medication-induced anxiety disorder
c. Panic disorder
d. Sleep terrors
e. Panic attacks
c. Panic disorder
49
A 31-year-old man narrowly escapes (without injury) from a house fire caused when he dropped the lighter while trying to light his crack pipe. Six weeks later, while smoking crack cocaine, he thinks he smells smoke and runs from the building in a panic, shouting “it’s on fire!”. Which of the following symptoms or circumstances would rule out a diagnosis of posttraumatic stress disorder for this patient?
a. Having difficulty falling asleep
b. Being uninterested in going back to work
c. Inappropriately getting angry at family members
d. Experiencing symptoms only when smoking crack cocaine
e. Concluding that “the world is completely dangerous”.
d. Experiencing symptoms only when smoking crack cocaine
50
Over a period of several years, a 50-year-old woman visits her dermatologist’s office every few weeks to be evaluated for skin cancer, showing the dermatologist various freckles, nevi, and patches of dry skin about which she has become concerned. None of the skin findings have ever been abnormal and the dermatologist has repeatedly reassured her. The woman does not have pain, itching, bleeding or other somatic symptoms. She does have a history of occasional panic attacks. What is the most likely diagnosis?
a. Unspecific anxiety disorder
b. Illness anxiety disorder
c. Hypochondriasis
d. Somatic symptom disorder
e. Factitious disorder
b. Illness anxiety disorder
51
What are the three essential diagnostic features of anorexia nervosa?
a. Persistently low self-confidence, intense fear of becoming fat, and disturbance in motivation
b. Low self-esteem, disturbance in self-perceived weight or shape, and persistent energy restriction
c. Restricted affect, disturbance in motivation, and low-calorie intake
d. Persistent restriction of energy intake, intense fear of becoming fat, and disturbance in self-perceived shape
e. Persistent lack of weight gain, disturbance in motivation, and restricted affect
d. Persistent restriction of energy intake, intense fear of becoming fat, and disturbance in self-perceived shape
52
Refers to frequent and persistent pattern of angry/irritable mood, argumentative behavior, or vindictiveness.
a. Intermittent explosive disorder
b. Oppositional defiant disorder
c. Conduct disorder
d. Violent behavior
b. Oppositional defiant disorder
53
A feeling of irrational guilt about an event.
a. Even guilt
b. Intermittent guilt
c. Survivor guilt
d. Anxious guilt
c. Survivor guilt
54
Often argues with authority figures; often actively refuses to comply with requests from authority; deliberately annoys others.
a. Intermittent explosive disorder
b. Oppositional defiant disorder
c. Conduct disorder
d. Violent behavior
b. Oppositional defiant disorder
55
Discrete episodes of failure to resist aggressive impulses that result in serious assaultive acts or destruction of property.
a. Intermittent explosive disorder
b. Oppositional defiant disorder
c. Conduct disorder
d. Violent behavior
a. Intermittent explosive disorder
56
Aggressive act is typically out of proportion to stressor.
a. Intermittent explosive disorder
b. Oppositional defiant disorder
c. Conduct disorder
d. Violent behavior
a. Intermittent explosive disorder
57
Repetitive and persistent pattern of behavior in which the basic rights of others or major age-appropriate societal norms or rules are violated.
a. Intermittent explosive disorder
b. Oppositional defiant disorder
c. Conduct disorder
d. Violent behavior
c. Conduct disorder
58
Impulsive or anger-based aggressive outbursts; have a rapid onset and typically little or no prodromal period.
a. Intermittent explosive disorder
b. Oppositional defiant disorder
c. Conduct disorder
d. Violent behavior
a. Intermittent explosive disorder
59
Symptoms are typically shown only at home and with the family members.
a. Intermittent explosive disorder
b. Oppositional defiant disorder
c. Conduct disorder
d. Violent behavior
b. Oppositional defiant disorder
60
Failure to maintain normal body weight, fear and preoccupation with gaining weight and unrealistic self-evaluation as overweight.
a. Binge-eating disorder
b. Bulimia nervosa
c. Anorexia nervosa
d. Purging behavior
c. Anorexia nervosa
61
Conscious production of signs and symptoms for an obvious gain.
a. Malingering
b. Overthinking
c. Anxiety
d. Depression
a. Malingering
62
Excessive, poorly controlled anxiety about life circumstances that continues for 6 months.
a. Generalized anxiety disorder
b. Specific anxiety disorder
c. Anxiety caused by illness
d. Anxiety
a. Generalized anxiety disorder
63
Emotional response to real or perceived imminent threat.
a. Avoidance
b. Fear
c. Anxiety
d. Panic attack
b. Fear
64
Anticipation of future threat.
a. Avoidance
b. Fear
c. Anxiety
d. Panic attack
c. Anxiety
65
Worry that is difficult to control, hypervigilance and restlessness, difficulty concentrating, and sleep disturbance.
a. Physiologic anxiety
b. Psychologic anxiety
c. Physical anxiety
d. Social anxiety
b. Psychologic anxiety
66
Worry that includes autonomic hyperactivity and motor tension
a. Physiologic anxiety
b. Psychologic anxiety
c. Physical anxiety
d. Social anxiety
a. Physiologic anxiety
67
Feature prominently within anxiety disorders as a particular types of fear response; not limited to anxiety disorders but rather can be seen in other mental disorders as well.
a. Paranoia
b. Panic attacks
c. Anxiety attack
d. Fear
b. Panic attacks
68
Chronic, fluctuating mood disturbance involving numerous periods of hypomanic symptoms and periods of depressive symptoms that are distinct from each other for at least 2 years.
a. Bipolar 1
b. Bipolar 2
c. Cyclothymic
d. Major depression
c. Cyclothymic
69
Atleast one hypomanic episode and atleast one major depressive episode; no manic episode.
a. Bipolar 1
b. Bipolar 2
c. Cyclothymic
d. Major depression
b. Bipolar 2
70
Manic episode may have been preceded by and may be followed by hypomanic or major depressive episodes.
a. Bipolar 1
b. Bipolar 2
c. Cyclothymic
d. Major depression
a. Bipolar 1
71
Fixed beliefs that are not amenable to change in light of conflicting evidence.
a. Hallucinations
b. Delusions
c. Disorganized thinking
d. Grossly disorganized or abnormal motor behavior
b. Delusions
72
Perception-like experiences that occur without an external stimulus.
a. Hallucinations
b. Delusions
c. Disorganized thinking
d. Grossly disorganized or abnormal motor behavior
a. Hallucinations
73
Individual may switch from one topic to another; answers to questions may be obliquely related or completely unrelated.
a. Hallucinations
b. Delusions
c. Disorganized thinking
d. Grossly disorganized or abnormal motor behavior
c. Disorganized thinking
74
Belief that one is under surveillance by the police, despite a lack of convincing evidence.
a. Bizarre delusions
b. Non-bizarre delusion
c. Bizarre hallucinations
d. Non-bizarre hallucinations
b. Non-bizarre delusion
75
Belief that an outside force has removed his or her internal organs and replaced someone else’s organs without leaving any wounds or scars.
a. Bizarre delusions
b. Non-bizarre delusion
c. Bizarre hallucinations
d. Non-bizarre hallucinations
a. Bizarre delusions
76
Previously a form of autism that do not present with language deficit/s.
a. Asperger’s syndrome
b. Harbinger’s syndrome
c. Sparger’s syndrome
d. Spurger’s syndrome
a. Asperger’s syndrome
77
Sudden, rapid, recurrent, nonrhythmic motor movement or vocalization
a. Strout’s
b. Snorts
c. Tics
d. Trouts
c. Tics
78
A 28-year-old woman presents to her physician with abdominal pain that has persisted intermittently for a decade. The pain has been particularly intense for the past several weeks. She is unable to sleep at night and has “tried everything for the pain but it won’t go away.” She reports nausea and diarrhea. She also has longstanding complaints of chronic headaches, muscle spasms, and dyspareunia (painful sexual intercourse). Her chart shows multiple visits over the years for similar symptoms with only vague physical examination findings and no laboratory findings. She has had several investigative surgeries and procedures without results. She asks if she should have another surgery to find out what is wrong.
a. Body dysmorphic disorder
b. Conversion disorder
c. Illness anxiety disorder
d. Somatic symptom disorder
d. Malingering
d. Somatic symptom disorder
79
A 40-year-old man is referred to a psychiatrist by his physician because he is “too shy.” He has trouble going to parties, feels anxious about getting close to others, and stays at home in fear that others would laugh at him. When confronted by others, he develops severe anxiety as well as hyperventilation and increased sweating. Which is the most likely diagnosis?
a. Panic disorder
b. Social anxiety
c. Generalized anxiety disorder
d. Specific phobia
e. Acute stress disorder
b. Social anxiety
80
A 7-year-old boy in second grade displays significant delays in his ability to reason, solve problems, and learn from his experiences. He has been slow to develop reading, writing, and mathematics skills in school. All through development, these skills lagged behind peers, although he is making slow progress. These deficits significantly impair his ability to play in an age- appropriate manner with peers and to begin to acquire independent skills at home. He requires ongoing assistance with basic skills (dressing, feeding, and bathing himself, doing any type of schoolwork) on a daily basis. Which of the following diagnoses best fits this presentation?
a. Global Developmental Delay
b. Intellectual Disability
c. Specific Learning Disorder
d. Asperger’s Syndrome
b. Intellectual Disability
81
A 19-year-old woman is hospitalized for dehydration caused by severe, laxative- induced diarrhea. She is depressed about the recent breakup of a romantic relationship. She admits that she uses laxatives because she has been binge- eating frequently and is worried about gaining weight. Although the woman has BMI 16, she believes that she is overweight. Which of the following most likely diagnosis?
a. Anorexia nervosa
b. Bulimia nervosa
c. Binge-eating disorder
d. Major depressive disorder
d. Brief psychotic disorder
a. Anorexia nervosa
82
All of the following are Cluster B Personality disorders, EXCEPT:
a. Narcissistic
b. Histrionic
c. Antisocial
d. Avoidant
e. Borderline
d. Avoidant
83
Most affected area in Trichotillomania:
a. Eyebrows
b. Scalp
c. Axilla
d. Nostrils
b. Scalp
84
A 5-year-old child was present when her babysitter was sexually assaulted. Which of the following symptoms would be most suggestive of posttraumatic stress disorder (PTSD) in this child?
a. Playing normally with toys
b. Having dreams about princesses and castles
c. Taking the clothing off her dolls while playing
d. Expressing no fear when talking about the event
e. Talking about the event with her parents
c. Taking the clothing off her dolls while playing
85
"Free association”
a. Carl Jung
b. Alfred Adler
c. Erik Erikson
d. Sigmund Freud
d. Sigmund Freud
86
First-line treatment for panic disorder:
a. SNRIs
b. SSRIs
c. Alprazolam
d. Bezodiazipines
b. SSRIs
87
Smallest organism considered to cause illness:
a. Virus
b. Bacteria
c. Fungi
d. Protozoa
a. Virus
88
All of the following are symptoms of RESPIRATORY ACIDOSIS, EXCEPT
a. Anxiety
b. Somnolence
c. Dizziness
d. Headache
c. Dizziness
89
A high school student complains of fatigue and a sore throat. She has swollen, tender lymph nodes and a fever. Blood test results show an increased white blood cell count with many atypical lymphocytes; the number and appearance of the erythrocytes are normal. This student is likely to have
a. Acquired Immunodeficiency Syndrome
b. Pernicious anemia
c. Infectious mononucleosis
d. Hodgkin disease
e. Factor VIII deficiency
c. Infectious mononucleosis
90
A 30-year-old patient has been anemic for several years. The patient now complains of poor vision and hearing loss. It is determined that the patient lost function of some of the cranial nerves. Based on these findings, the patient might be having:
a. Acromegaly
b. Osteopetrosis
c. Osteoporosis
d. Osteomalacia
e. Rickets
b. Osteopetrosis
91
How do you differentiate heat exhaustion from heat stroke?
a. Heat stroke does not present with altered mental status, delirium, seizures
b. Body temperature for heat exhaustion goes beyond 104 degrees Fahrenheit
c. Exhaustion presents with decreased sympathetic activity resulting to diaphoresis, flushing
d. Heat stroke can lead to heat exhaustion of not promptly treated
c. Exhaustion presents with decreased sympathetic activity resulting to diaphoresis, flushing
92
Medial winging of the scapula is typically seen in:
a. Weakness of serratus anterior
b. Upper trunk nerve injuries
c. Blunt trauma to long thoracic nerve
d. A and C
e. All of these
d. A and C
93
A patient who reports falling on the shoulder during a biking competition came to the emergency room. According to the chart made by the resident-in- duty, the patient presented with a “step-off deformity” and the clavicle appears to be completely higher than the tip of the shoulder. Imaging studies show that both the coracoclavicular and acromioclavicular ligaments have been torn. How would you document these findings?
a. (+) AC joint dislocation, Type II
b. (+) AC joint dislocation, Type III
c. (+) AC joint dislocation, Type IV
d. (+) AC joint dislocation, Type V
b. (+) AC joint dislocation, Type III
94
A patient complains of right shoulder pain since falling onto the right shoulder 3 weeks ago. There was no dislocation and x-rays were negative. AROM is 35o of flexion and abduction with scapular elevation noted. Passive ROM is nearly full with mild pain and muscle guarding at the end of range. Resisted abduction is weak with pain noted in the anterior and lateral deltoid region. There is no atrophy. Based on the above findings, the occupational therapist should MOST LIKELY suspect:
a. Rotator cuff tear
b. Axillary nerve palsy
c. Supraspinatus tendinitis
d. Adhesive capsulitis
a. Rotator cuff tear
95
Mr Woods, comes to your clinic and complains of medial elbow pain. He was diagnosed with golfer’s elbow. Which among the following management should not be included in the plan of care?
a. Use larger grip
b. Strike the ground less forceful
c. Improve trunk rotation
d. NOTA
d. NOTA
96
During which phase of throwing is the elbow joint placed under the most valgus stress?
a. Follow-through
b. Wind-up
c. Early cocking
d. Late cocking
e. NOTA
d. Late cocking
97
Bennet’s fracture:
a. Fracture of the neck of the thumb
b. Fracture of the base of the fifth metacarpal
c. Fracture of the base of the fifth metatarsal
d. Fracture of the base of thumb
d. Fracture of the base of thumb
98
Dorsal prominence of lower end of ulna, instability of distal radioulnar articulation.
a. Monteggia
b. Galeazzi
c. Madelung
d. Colle’s
e. NOTA
c. Madelung
99
All are found in a patient with Volkmann Ischemia, except:
a. Tenderness
b. Pale skin
c. Paresis or paralysis
d. Weak pulse
e. Absent DTRs
e. Absent DTRs
100
This deformity is a result of the avulsion of the central slip of the extensor tendon proximal to its insertion in the base of the middle phalanx:
a. Swan neck deformity
b. Boutonniere deformity
c. Mallet finger
d. Trigger finger
b. Boutonniere deformity
