Laboratory Tests in Psychiatry pt. 2

Eleanor garvey
Quiz by Eleanor garvey, updated more than 1 year ago
Eleanor garvey
Created by Eleanor garvey about 1 year ago
5
1

Description

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

Resource summary

Question 1

Question
Test 4 Question 19. Patients with obsessive–compulsive disorder are noted to have anomalies of which one of the following brain regions?
Answer
  • Corpus callosum
  • Striatum
  • Hippocampus
  • Caudate nucleus
  • Cerebellum

Question 2

Question
Test 4 Question 124. Which one of the following lab tests is most likely to pick up alcohol abuse?
Answer
  • γ-Glutamyl transferase (GGT)
  • Mean corpuscular volume (MCV)
  • Uric acid
  • Serum glutamic–oxaloacetic transaminase (SGOT)
  • Serum glutamic–pyruvic transaminase (SGPT)

Question 3

Question
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?
Answer
  • 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

Question 4

Question
Test 5 Question 47. Which of the following conditions is not a potential effect of low folate levels?
Answer
  • Fatigue
  • Panic attacks
  • Agitation
  • Delirium
  • Dementia

Question 5

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

Question 6

Question
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?
Answer
  • 2 days
  • 3 weeks
  • 10 days
  • 8 weeks
  • 5 days

Question 7

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

Question 8

Question
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?
Answer
  • Cardiomyopathy
  • Shortening of QTc interval
  • Leukocytosis
  • Increased serum amylase
  • Infection

Question 9

Question
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?
Answer
  • Lithium
  • Olanzapine
  • Carbamazepine
  • Quetiapine
  • Topiramate

Question 10

Question
Test 6 Question 111. Which of the following is not part of the recommended monitoring for patients taking risperidone?
Answer
  • Weight
  • Blood pressure
  • Glucose
  • Thyroid function tests
  • Lipid profile

Question 11

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

Question 12

Question
Test 6 Question 131. Which of the following tests is not considered routine monitoring for patients taking lithium?
Answer
  • Complete blood count
  • Serum electrolytes
  • 24-hour urine for creatinine and protein
  • Blood urea nitrogen and creatinine
  • Thyroid function tests
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