NRNP 6635 Final Exam

NRNP 6635 Final Exam 

Psychopathology Diag Reasoning

Question 1

Select the brain region that is associated with substance addiction.

	A.	Prefrontal cortex
	B.	Caudate nucleus
	C.	Basal ganglia
	D.	Ventral tegmental

Question 2

Select the preferred drug used to treat alcohol withdrawal.

	A.	Fluoxetine
	B.	Propranolol
	C.	Lorazepam
	D.	Phenytoin

Question 3

Select the theorist who first studied social and cultural influences on suicide.

	A.	Freud
	B.	Durkheim
	C.	Menninger
	D.	Beck

Question 4

Select the drug that is least likely to cause male sexual dysfunction.

	A.	trazodone
	B.	lithium
	C.	sertraline
	D.	cocaine

Question 5

Select two comorbid factors common in schizophrenic patients.

	A.	Substance abuse
	B.	Residing in a low population density
	C.	Lack of seasonal influenza vaccination
	D.	Undiagnosed medical illness

Question 6

Select the two Freudian stages of psychosexual development.

	A.	Olfactory
	B.	Oral
	C.	Tactile
	D.	Genital

Question 7

Select the substance of abuse with the strongest evidence for genetic association.

	A.	Heroin
	B.	Marijuana
	C.	Alcohol
	D.	Cocaine

Question 8

What laboratory test assists with the diagnosis of schizophrenia?

	A.	SHBG Blood Test
	B.	Genesight Test
	C.	Both A and B
	D.	No lab test

Question 9

Select the characteristic that is greater in childhood than adult onset schizophrenia.

	A.	Delusions
	B.	Social withdrawal
	C.	Hallucinations
	D.	Disorganizedspee ch

 

Question 10

Select the procedure most applicable to confirming a diagnosis of delirium.

	A.	MRI
	B.	CT
	C.	EEG
	D.	PET

Question 11

Select the psychiatric disorder in which patients refuse mental health care and deny their problems.

	A.	Obsessive-compulsive
	B.	Depressive
	C.	Personality
	D.	Anxiety

Question 12

Select the factor that exerts the strongest influence on the initiation of substance use disorder in adolescents.

	A.	Peers
	B.	Genetics
	C.	Parents
	D.	Anxiety

Question 13

Select the neurotransmitter that inhibits sexual orgasm.

	A.	Serotonin
	B.	Norepinephrine
	C.	Dopamine
	D.	Acetylcholine

Question 14

Select the neurotransmitter that increases sexual desire.

	A.	Norepinephrine
	B.	Dopamine
	C.	GABA
	D.	Serotonin

Question 15

Select the brain region devoid of cannabinoid receptors.

	A.	Brain stem
	B.	Basal ganglia
	C.	Cerebellum
	D.	Hippocampus

Question 16

Select the main goal of psychosocial therapies for persons with schizophrenia.

	A.	Reduce frequency of auditory hallucinations
	B.	Develop coping skills for adverse effects of antipsychotic drugs
	C.	Develop skills for independent living
	D.	Reduce exacerbations and re-hospitalizations

Question 17

In the diagnosis of schizophrenia, symptoms must persist for how long?

	A.	1-2 months
	B.	3-4 months
	C.	6-8 months
	D.	8-10 months

Question 18

Select the neurotransmitter deficiency that is most associated with delirium.

	A.	Serotonin
	B.	Acetylcholine
	C.	Norepinephrine
	D.	Dopamine

Question 19

Select two terms preferred to describe sexual orientation.

	A.	Gay
	B.	Heterosexual
	C.	Homosexual
	D.	Lesbian

Question 20

Select the primary defense mechanism that is common in delusional disorder.

	A.	Projection
	B.	Repression
	C.	Suppression
	D.	Rationalization

Question 21

Select the two defense mechanisms used commonly by patients with personality disorders.

	A.	Introjection
	B.	Repression
	C.	Splitting
	D.	Projection

Question 22

Select the most defining characteristic of inevitable suicide.

	A.	Lack of family history
	B.	Unexpected adverse drug effect
	C.	Provider loses hope in patient
	D.	Failure of best therapy

Question 23

Select the most common cause of dementia in elderly persons.

	A.	Parkinson’s disease
	B.	Alcohol abuse
	C.	Alzheimer’s disease
	D.	Subdural hematoma

Question 24

Select the hepatic enzyme that performs the initial metabolism of alcohol.

	A.	ADH
	B.	ALT
	C.	GGT
	D.	AST

Question 25

Select the drug that is most likely to cause parkinsonian movement symptoms.

	A.	Lorazepam
	B.	Propranolol
	C.	Benztropine
	D.	Haloperidol

Question 26

The FDA requires a black box warning of monitoring for agranulocytosis for which antipsychotic medication?

	A.	Clozapine
	B.	Haloperidol
	C.	Ziprasidone
	D.	Olanzapine

Question 27

Select the personality disorder in which patients are preoccupied with perfectionism and interpersonal control.

	A.	Passive-aggressive
	B.	Obsessive-compulsive
	C.	Narcissistic
	D.	Avoidance

Question 28

Select the drug most likely to inhibit female orgasm.

		Lorazepam
		Paroxetine
		Bupropion
		Valproate

Question 29

Select the comorbid disorder that is more frequent in children with gender dysphoria.

	A.	Down syndrome
	B.	Bipolar I
	C.	Autism spectrum
	D.	ADHD

Question 30

Select the disorder that is often comorbid with brief psychotic disorder.

	A.	Generalized anxiety
	B.	Bipolar I
	C.	Depressive
	D.	Personality

Question 31

Select
the two patient populations in which delirium occurs most frequently.

	A.	General surgical
	B.	Terminally ill
	C.	Long-term care
	D.	Critical care

Question 32

Select the age at which sexual identity is self-evident.

	A.	6 months to 1 year
	B.	2 to 3 years
	C.	4 to 5 years
	D.	6 to 8 years

Question 33

In the dopamine hypothesis, what is known to be linked to the severity of positive psychotic symptoms in schizophrenia?

	A.	Excessive dopamine release
	B.	Reduced dopamine release
	C.	Increased muscarinic and nicotinic receptors
	D.	None of the above

Question 34

Select two psychiatric disorders that are often misdiagnosed as childhood-onset or early-onset schizophrenia.

	A.	Autism spectrum
	B.	Obsessive-compulsive disorder
	C.	Bipolar II
	D.	Bipolar I

Question 35

Select the youngest age by which early-onset schizophrenia occurs.

	A.	10
	B.	13
	C.	15
	D.	18

Question 36

Select the most distinguishing characteristic of delirium.

	A.	Prolonged worsening course
	B.	Sudden onset
	C.	Lack of a stimulus
	D.	Gradual increase

Question 37

Select the youngest age at which childhood-onset schizophrenia can be distinguished from autism spectrum.

	A.	3
	B.	4
	C.	5
	D.	6

Question 38

Select the psychoactive substance that is most frequently consumed worldwide.

	A.	Nicotine
	B.	Caffeine
	C.	Alcohol
	D.	Marijuana

Question 39

Select the drug used to treat age-related sexual dysfunction.

	A.	sildenafil
	B.	fluoxetine
	C.	oxandrolone
	D.	lorazepam

Question 40

Heavy use of cannabis in individuals with no previous psychiatric illnesses can produce:

	A.	Depression
	B.	Tics
	C.	Amnesia
	D.	Psychosis

Question 41

Select the two most life-threatening adverse effects of cocaine use.

	A.	Respiratory depression
	B.	Cardiac arrhythmias
	C.	Cerebrovascular infarction
	D.	Muscular paralysis

Question 42

Select the personality disorder that presents the greatest challenge to diagnose by experienced providers.

	A.	Borderline
	B.	Paranoid
	C.	Schizotypal
	D.	Antisocial

Question 43

Schizophrenia is equally prevalent in men and women.

	A.	True
	B.	False

A

Question 44

Select the age before which a majority of paraphilic disorders occurs.

	A.	22
	B.	18
	C.	25
	D.	50

Question 45

Select the drug most likely to be effective treating paraphilic disorders.

	A.	Dexamethasone
	B.	Nandrolone
	C.	Fluticasone
	D.	Medroxyprogesterone

 

Question 46

Select the non-drug therapy in which mastery of anxiety through desensitization is critical to successful treatment of sexual dysfunction.

	A.	Mindfulness
	B.	Analytically
	C.	Behavior
	D.	Group

Question 47

Select the personality disorder in which patients seek social withdrawal.

	A.	Schizoid
	B.	Paranoid
	C.	Antisocial
	D.	Schizotypal

Question 48

Select the factor associated with a four- to five-fold greater occurrence of gender dysphoria in male than in female children.

	A.	Social stigma against male feminism
	B.	Deficiency of androgenic hormones
	C.	Social acceptance of female masculinity
	D.	Excess of estrogenic hormones

Question 49

Select the drug of choice to treat psychosis in delirious patients.

	A.	Chlorpromazine
	B.	Alprazolam
	C.	Clozapine
	D.	Haloperidol

Question 50

Select the mental function that is most affected in mild cognitive impairment.

	A.	General cognition
	B.	Activities of daily living
	C.	Geographic orientation
	D.	Recent memory

Question 51

Select the gender dysphoria in which genital surgery is usually not chosen.

	A.	Genderqueer
	B.	Transsexual
	C.	Crossdresser
	D.	Transgender

Question 52

Select the most effective form of questioning when taking a sex history.

	A.	Multiple choice
	B.	Open-ended
	C.	Yes-no
	D.	Why

Question 53

Select the most common paraphilic disorder.

	A.	Voyeurism
	B.	Zoophilia
	C.	Pedophilia
	D.	Fetishism

Question 54

Select the two normal functions in Asperger’s Disorder that are absent in Autism Spectrum Disorder.

	A.	Cognitive ability
	B.	Precocious skills
	C.	Language skills
	D.	Social interaction

Question 55

Select the two essential features of sexual dysfunction.

	A.	Failure to achieve orgasm
	B.	Nonresponse to sexual stimulation
	C.	Pain during sexual activity
	D.	Presence of substance

Question 56

Select the factor that best correlates with attempted and completed suicide.

	A.	Mental illness
	B.	Socioeconomic status
	C.	Religion
	D.	Age

Question 57

What theorist saw schizophrenia as a reaction to life stressors?

	A.	Schneider
	B.	Meyer
	C.	Bleuler
	D.	Kraepelin

Question 58

Select the characteristic of sexually abused children.

	A.	More common in females
	B.	Denial of abuse episodes
	C.	Sexual knowledge beyond their age
	D.	Non-recognition of abusive behaviors

Question 59

Select the characteristic found in persons with intersex conditions.

	A.	Desire for opposite gender anatomy
	B.	Birth with atypical anatomy
	C.	Dissatisfaction dysphoria
	D.	Chromosome X abnormality

Question 60

Select the rating scale used to assess medication-induced movement disorders.

	A.	CAGE
	B.	MMSE
	C.	AIMS
	D.	BPRS

Question 61

Select the two characteristics that describe normal sexual behavior.

	A.	Varies from era to era
	B.	Reflects cultural mores
	C.	Remains consistent from era to era
	D.	Is compulsive

Question 62

Select the difference between illusions and hallucinations.

	A.	Hallucinations ARE based upon real images or sensation.
	B.	Hallucinations ARE NOT based upon real images or sensations.
	C.	Illusions ARE NOT based upon real images or sensations.
	D.	None of the above.

Question 63

Select the most reliable method to make a diagnosis of schizophrenia.

	A.	Mental status exam
	B.	Intermittent hallucinations
	C.	Impaired abstract thinking
	D.	Patient history

Question 64

Select the drug that is most safe and effective in treating mild to moderate memory loss in early Alzheimer’s disease.

	A.	Donepezil
	B.	Risperidone
	C.	Benztropine
	D.	Tacrine

Question 65

Select the neurotransmitter system that is most associated with the addictive rewarding properties of opioids.

	A.	Dopaminergic
	B.	Serotonergic
	C.	Adrenergic
	D.	Glutamatergic

Question 66

Select the intrinsic chemical released in orgasm that reinforces pleasurable sensation.

	A.	Dopamine
	B.	Serotonin
	C.	Epinephrine
	D.	Oxytocin

Question 67

What is known as the peak age of onset for schizophrenia in males?

	A.	3-9 years old
	B.	10-25 years old
	C.	25-40 years old
	D.	40+ years old

Question 68

What is the terminology term for the dream-like state of patients with schizophrenia who are engaged in their hallucinations and exclude involvement in the real world?

	A.	Oneiroid
	B.	Euphoria
	C.	Imaginative
	D.	Paraphrenia

Question 69

Select the factor that increases suicidal risk in patients in early treatment with SSRI antidepressants.

	A.	Suspicion
	B.	Isolation
	C.	Energy
	D.	Guilt

Question 70

The presence of hallucinations or delusions IS needed for a diagnosis of schizophrenia.

	A.	True
	B.	False

Question 71

Select the hormone class that determines fetal sexual differentiation.

	A.	Corticosteroids
	B.	Estrogens
	C.	Progestins
	D.	Androgens

Question 72

Select the psychiatric emergency that is indicated by mothers who express inadequate distress over their children’s medical symptoms.

	A.	Klinefelter’s syndrome
	B.	PTSD
	C.	Dissociative disorders
	D.	Munchausen’s syndrome

Question 73

Bleuler identified “Four As” as fundamental symptoms of schizophrenia to frame his theory of internal mental schisms of patients that include all the following EXCEPT:

	A.	Ambivalence
	B.	Affective disturbances
	C.	Arrogance
	D.	Autism

Question 74

All of the following are subtypes of schizophrenia EXCEPT

	A.	Schizophreniform type
	B.	Paranoid type
	C.	Catatonic type
	D.	Residual type

Question 75

Select the most frequently abused illicit drug.

	A.	Marijuana
	B.	Heroin
	C.	Cocaine
	D.	Phencyclidine

Question 76

Select the main cause female orgasmic disorder.

	A.	Cultural
	B.	Genetic
	C.	Hormonal
	D.	Psychological

Question 77

Select the type of neurochemical receptor that is blocked by caffeine.

	A.	GABA
	B.	Glutamate
	C.	Adenosine
	D.	Norepinephrine

Question 78

Select the pair of terms that represents the greatest conflict regarding sexual behavior.

	A.	gay and lesbian
	B.	cultural and spiritual
	C.	medical and legal
	D.	political and religious

Question 79

All of the following are symptoms of alcoholic withdrawal delirium EXCEPT

	A.	Agitation
	B.	Autonomic dysfunction
	C.	Confusion
	D.	Delusions

Question 80

Select the personality disorder in which patients exhibit covert obstructionism, procrastination and pessimism.

	A.	Obsessive-compulsive
	B.	Sadomasochistic
	C.	Borderline
	D.	Passive-aggressive

Question 81

Select the neurotransmitter for which the metabolite 5-HIAA in CSF is evident and predictive of suicide.

	A.	Serotonin
	B.	Dopamine
	C.	Norepinephrine
	D.	GABA

Question 82

Select
the two patient populations most likely suffer neuroleptic-induced parkinsonian symptoms.

	A.	Female
	B.	Male
	C.	Elderly
	D.	Adolescents

Question 83

Select the usual time delay to the onset of tardive dyskinesia symptoms after initiating antipsychotic drug therapy.

	A.	7-10 days
	B.	6 weeks
	C.	3 months
	D.	6 months

Question 84

Select the neurotransmitter that is most associated with the occurrence of ADHD.

	A.	Serotonin
	B.	Dopamine
	C.	Acetylcholine
	D.	Glutamate

Question 85

All of the following are criteria for gender dysphoria diagnosis in children EXCEPT

	A.	Play preferred with same gender children
	B.	Urinating in body position of desired gender
	C.	Play preferred with opposite gender children
	D.	Dressing in clothing of assigned gender

Question 86

Select the two main conditions to initially identify in adult psychiatric emergencies.

	A.	Violence
	B.	Suicide
	C.	Psychosis
	D.	Substance intoxication

Question 87

Select the initial intervention to treat children experiencing acute school refusal.

	A.	One-week delay until return to school
	B.	Return to school the next normal day
	C.	Seek enrollment in a different school
	D.	Start therapy with imipramine

Question 88

The enzyme ADH that catalyzes the conversion of alcohol into acetaldehyde is inhibited by which medication?

	A.	Disulfiram
	B.	Haloperidol
	C.	Lorazepam
	D.	Naloxone

Question 89

Select the distinguishing characteristic of paraphilic disorders.

	A.	Deviation from normal sexual behavior
	B.	Motivated by need to procreate
	C.	Expression of love between two persons
	D.	Cooperation to achieve mutual pleasure

Question 90

Select two treatments for adults who identify as transgender.

	A.	Hormonal
	B.	Mood stabilizers
	C.	ECT
	D.	Surgical

Question 91

Select the medical condition in which erectile dysfunction drugs (e.g., sildenafil) are likely to be ineffective.

	A.	Insulin-dependent diabetes
	B.	Rheumatoid arthritis
	C.	Chronic obstructive pulmonary disease (COPD)
	D.	Ischemic heart disease

Question 92

Select the negative symptom of schizophrenia.

	A.	Anhedonia
	B.	Delusions
	C.	Catatonia
	D.	Hallucinations

Question 93

Select the development time of symptoms in neuroleptic malignant syndrome.

	A.	12-24 hours
	B.	24-72 hours
	C.	4-7 days
	D.	10-14 days

Question 94

Select the brain region that shows the greatest anatomical abnormalities in schizophrenic patients.

	A.	Hippocampus
	B.	Amygdala
	C.	Prefrontal cortex
	D.	Basal ganglia

Question 95

Select the factor that is most influential in determining gender role development.

	A.	Parenting
	B.	Genetics
	C.	Learning
	D.	Hormonal

Question 96

Select the disorder in which is characterized by lack breast development.

	A.	Klinefelter’s syndrome
	B.	5-α-reductase deficiency
	C.	Turner’s syndrome
	D.	Transvestic disorder

Question 97

Select the personality disorder that is assigned to Cluster B in DSM-5-TR.

	A.	Dependent
	B.	Paranoid
	C.	Histrionic
	D.	Schizoid

Question 98

Select the category of symptoms that is most commonly comorbid with cognitive disorders.

	A.	Behavioral
	B.	Emotional
	C.	Medical
	D.	Physical

Question 99

Select the drug used to treat neuroleptic malignant syndrome.

	A.	Trihexyphenidyl
	B.	Clonidine
	C.	Dantrolene
	D.	Buspirone

Question 100

Select the most frequent cause of infant and childhood intellectual disability that is attributed to a specific gene.

	A.	Fragile X
	B.	Prader-Willi
	C.	Down syndrome
	D.	Cri-du-chat

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