Eleanor garvey
Quiz by , created more than 1 year ago

Test IV: 19, 124 Test V: 27, 47, 65, 102, 111 Test VI: 23, 110, 111, 115, 131

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Eleanor garvey
Created by Eleanor garvey about 4 years ago
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Laboratory Tests in Psychiatry pt. 2

Question 1 of 12

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Test 4 Question 19. Patients with obsessive–compulsive disorder are noted to have anomalies of which one of the following brain regions?

Select one of the following:

  • Corpus callosum

  • Striatum

  • Hippocampus

  • Caudate nucleus

  • Cerebellum

Explanation

Question 2 of 12

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Test 4 Question 124. Which one of the following lab tests is most likely to pick up alcohol abuse?

Select one of the following:

  • γ-Glutamyl transferase (GGT)

  • Mean corpuscular volume (MCV)

  • Uric acid

  • Serum glutamic–oxaloacetic transaminase (SGOT)

  • Serum glutamic–pyruvic transaminase (SGPT)

Explanation

Question 3 of 12

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Test 5 Question 5. Which of the following must be present to meet Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM 5), criteria for somatic symptom disorder?

Select one of the following:

  • Preoccupation with acquiring a serious illness

  • Two sexual symptoms

  • Three pseudoneurological symptoms

  • Maladaptive thoughts, feelings, or behaviors in response to the symptoms

  • The illness must begin after age 30

Explanation

Question 4 of 12

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Test 5 Question 47. Which of the following conditions is not a potential effect of low folate levels?

Select one of the following:

  • Fatigue

  • Panic attacks

  • Agitation

  • Delirium

  • Dementia

Explanation

Question 5 of 12

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Test 5 Question 65. Which of the following is most likely to be found on neuroimaging of schizophrenics?

Select one of the following:

  • Increased metabolic activity in the frontal lobes

  • Increased size of the lateral ventricles

  • Increased cerebral asymmetry

  • Increased size of the fourth ventricle

  • Decreased size of the thalamus

Explanation

Question 6 of 12

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Test 5 Question 102. As part of doing blood work for an alcoholic patient you decide to order a GGT (γ-glutamyl transpeptidase). How long after the patient stopped drinking would you expect the GGT to return to normal?

Select one of the following:

  • 2 days

  • 3 weeks

  • 10 days

  • 8 weeks

  • 5 days

Explanation

Question 7 of 12

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Test 5 Question 111. Which of the following is part of the correct schedule for monitoring white blood cell (WBC) count when using clozapine?

Select one of the following:

  • Weekly WBC for the first 6 weeks and every other week thereafter

  • Daily WBC for the first week and weekly for the next 6 months

  • Weekly WBC for the first 6 months and monthly thereafter

  • Daily WBC for the first week after discontinuation of clozapine

  • Weekly for the first 6 months, then biweekly for 6months, and monthly thereafter

Explanation

Question 8 of 12

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Test 6 Question 23. A bulimic patient admits to you that she has been using large quantities of ipecac on a daily basis. Which of the following medical issues should you be most concerned with?

Select one of the following:

  • Cardiomyopathy

  • Shortening of QTc interval

  • Leukocytosis

  • Increased serum amylase

  • Infection

Explanation

Question 9 of 12

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Test 6 Question 110. An elderly bipolar patient is brought into the emergency room. He was found comatose at home by his son. His serum sodium is 115mmol/L. Which of the following medications is the most likely cause of his sodium imbalance?

Select one of the following:

  • Lithium

  • Olanzapine

  • Carbamazepine

  • Quetiapine

  • Topiramate

Explanation

Question 10 of 12

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Test 6 Question 111. Which of the following is not part of the recommended monitoring for patients taking risperidone?

Select one of the following:

  • Weight

  • Blood pressure

  • Glucose

  • Thyroid function tests

  • Lipid profile

Explanation

Question 11 of 12

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Test 6 Question 115. Which of the following is not an indication for neurological imaging in a psychiatric patient?

Select one of the following:

  • New-onset psychosis

  • Acute mental status change with neurological abnormalities

  • Delirium of unknown etiology

  • Acute mental status change in a 65-year-old patient

  • Mania

Explanation

Question 12 of 12

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Test 6 Question 131. Which of the following tests is not considered routine monitoring for patients taking lithium?

Select one of the following:

  • Complete blood count

  • Serum electrolytes

  • 24-hour urine for creatinine and protein

  • Blood urea nitrogen and creatinine

  • Thyroid function tests

Explanation

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