Question bank

Identify the following personality disorders with the symptoms listed below. Seems to not care what others think or feel; is aloof antisocial avoidant borderline dependent histrionic

You are asked to perform a high school physical examination for a 16-year-old female patient. She is on the track team. By history, she is healthy except for the fact that she has been amenorrheic for 4 months. She denies current or past sexual activity. On examination, she is 5 ft 9 in. tall and weighs 115 lbs. Her heart rate is 50 bpm. She has dry skin with lanugo. She has several sores in her mouth and obvious dental caries. She has several scratches on the backs of her hands. She is tanner stage III on breast examination. Her pelvic examination is remarkable for findings of urogenital atrophy. Her urine -hCG is negative. This patient is at risk for developing which of the following?

A25-year-old man presents in the emergency department for a 2-week problem of worsening urinary hesitancy. He has had problems getting his urine stream started and has noted a decrease in the force of the stream. Now it seems to just "dribble out." He denies any pain or burning, any medical problems, and any exposure to sexually transmitted diseases. For approximately 1 month, he has been taking thioridazine, 200 mg bid, and benztropine, 2 mg qid, and "sometimes one or two benztropine" prn.Given the above information, which of the following is the most likely cause of this man's problem? Which of the following is a safer choice of medication for this man?

A 40-year-old man has been unsuccessfully treated for depression with two different medications for the past 3 months. He has a number of medical problems, and he recently was hospitalized after threatening suicide. His psychiatrist is considering the use of ECT for the patient. Which of the following is a relative contraindication to ECT?

Identify the following personality disorders with the symptoms listed below. Is quick to perceive a slight as an attack or assault on one's character antisocial avoidant borderline dependent histrionic

You are asked to perform a high school physical examination for a 16-year-old female patient. She is on the track team. By history, she is healthy except for the fact that she has been amenorrheic for 4 months. She denies current or past sexual activity. On examination, she is 5 ft 9 in. tall and weighs 115 lbs. Her heart rate is 50 bpm. She has dry skin with lanugo. She has several sores in her mouth and obvious dental caries. She has several scratches on the backs of her hands. She is tanner stage III on breast examination. Her pelvic examination is remarkable for findings of urogenital atrophy. Her urine -hCG is negative. At this point in time, appropriate management of this patient would include which of the following?

Identify the defense mechanisms with the descriptions below. Working as a nurse in a pediatric ward because one would like to have children but cannot acting out altruism displacement intellectualization passive-aggressive behavior projection

A fourth-year medical student on an emergency medicine clerkship is fascinated by the number of personality disordered patients who come to the emergency room on weekends. Which of the following personality disorders belongs to cluster A (odd, eccentric) in the DSM-IV-TR (Diagnostic and Statistical Manual of Mental Disorders, 4th ed., Text Revision) classification of personality disorders?

Identify the following personality disorders with the symptoms listed below. Chronic feelings of emptiness, fear of abandonment; unstable self-image antisocial avoidant borderline dependent histrionic

Identify the following personality disorders with the symptoms listed below. Preoccupied with feelings of superstitiousness; has a sixth sense; seems odd antisocial avoidant borderline dependent histrionic

Identify the defense mechanisms of a person becoming angry with one's spouse at a party and calling him or her a name in front of everyone acting out altruism displacement intellectualization passive-aggressive behavior

A 44-year-old man presents with fears that his mathematical abilities have been slowly sucked out of his brain for the last 4 years. He believes an "alien force disguised as a human being" is responsible. To avoid contacting this being, he has isolated himself in a room in a boarding house. His wife divorced him and left with their children. After 10 years teaching math at a local high school, he resigned about 3 years ago. He supports himself by "collecting cans." His affect is blunted. His appearance is disheveled, unshaven, and unwashed. Which of the following factors in this case would favor a more positive prognosis?

A2-year-old child is brought to the emergency department with sudden onset of nresponsiveness, miosis, bradycardia, and muscle fasciculations. These findings are most suggestive of poisoning with which of the following? acetaminophen

A45-year-old woman, seen by her medical internist, has been experiencing fears that she may have a serious illness. She complains that after eating she experiences "a lot of gas" and abdominal pain, followed by diarrhea on occasion. Her heart at times seems to be beating rapidly, and she feels faint at times, has chest "discomfort," and wonders if she is having a heart attack. Multiple tests have identified only a mild irritable bowel syndrome. The woman's fears are not allayed by this. She makes repeated calls to be seen by her doctors as well as seeking consultation from other specialists. She insists that "there's something there" and believes the doctors are not taking her seriously. Which of the following is the most effective long-term management of this patient?

A25-year-old man presents in the emergency department for a 2-week problem of worsening urinary hesitancy. He has had problems getting his urine stream started and has noted a decrease in the force of the stream. Now it seems to just "dribble out." He denies any pain or burning, any medical problems, and any exposure to sexually transmitted diseases. For approximately 1 month, he has been taking thioridazine, 200 mg bid, and benztropine, 2 mg qid, and "sometimes one or two benztropine" prn.Given the above information, which of the following is the most likely cause of this man's problem?

A5-year-old girl had been doing well at home and with her playmates until she started kindergarten 1 month ago. She cries whenever her mother and father go to drop her off at school, and she complains of fearing that she will never see them again. She complains of nightmares and refuses to go to school due to severe stomachaches. Which of the following is the most likely diagnosis?

A mother brings her baby girl for a 9-month wellchild visit. You have been following her since birth. Her growth chart is shown in Figure. Her vital signs and examination are otherwise normal. The growth pattern is most consistent with which of the following?

Identify the most likely diagnosis with the case descriptions below. A55-year-old man requests "some kind of pain medication that really works!" to relieve the "extreme" pain in his foot. He walks with a cane. He angrily claims that his previous employer did not care about what happened to him in an accident 1 year earlier in which his foot was struck by an iron rod. No fracture was found. He claims his doctor said he had a "severe contusion" and then states "the doctor didn't know anything." body dysmorphic disorder conversion disorder factitious disorder

Identify the most likely diagnosis with the case descriptions below. A 40-year-old woman is brought to the emergency department after she had frantically called the paramedics because she thought she would die. She was experiencing sharp chest pain, shortness of breath, racing heartbeat, and cold, sweaty chills. Cardiac assessment proved negative for myocardial ischemia. body dysmorphic disorder conversion disorder factitious disorder

A 70-year-old female with chronic paranoid schizophrenia presents to the ER acutely confused with visual hallucinations. Her skin is warm and dry and her heart rate is 110 beats per minute. Her group home nurse tells you that the patient had been complaining of having a dry mouth and having difficulty initiating urination this past week. Which of the following is the most likely cause for this presentation?