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High Yield Warm-up Questions: Behavioral Medicine, Part B GENERAL PRINCIPLES SET 11: BEHAVIORAL MEDICINE, PART B A 45-year-old male is called into his supervisor’s office because of an error that he made earlier in the week The supervisor yells at his employee and indicates that if he makes the same mistake again he will not have a job When the man arrives home, his wife asks him how his day went The husband starts yelling at his wife What defense mechanism best describes the husband’s reaction to his wife? A 23-year-old male is diagnosed with a condition that is characterized by disorganized speech, flat affect, social withdrawal and psychosis What neurotransmitter is most primarily involved in this patient’s condition? A male is brought to the emergency department by his wife due to a recent onset of disorganized thinking with altered levels of consciousness Does this patient likely have delirium or dementia? An 8-year-old is brought to the pediatrician because her mother is worried about her daughter’s behavior Her mother indicates that her daughter cried hysterically every morning when she had to ride the bus to school The mother then began to drive her to school and the daughter exhibited the same behavior After meeting with her teacher, she found out that her daughter is not being bullied; however, continually cries for her ‘mommy’ The mother also states that her daughter refuses to sleep over at anyone’s house including her grandmother’s house The child continually has nightmares about being alone This child most likely has what disorder? A 2-year-old boy is brought to the pediatrician because he is not yet ‘speaking’ properly His mother indicates that he does not use single words and seems completely disinterested in playing with other children his age His mother indicates that he does not play with toys in the same manner as other children and when he wants a toy he pulls a parent to where the toy is located and then screams He also does not seem to care when his parents leave the room The pediatrician should evaluate the child for what disorder? A 16-year-old male is diagnosed with Tourette’s syndrome His condition is unresponsive to alpha-agonist therapy He would then likely be treated with a medication that primarily targets the action of what neurotransmitter? 1 High Yield Warm-up Questions: Behavioral Medicine, Part B A 48-year-old male is brought to the emergency department by his wife because she found him sitting in a chair at home trembling When she asked what was wrong he spoke incoherently She also indicated that he vomited on the way to the hospital While in the emergency department, the patient removed his shirt and asked if there were spiders or other bugs crawling on his back When asked by the physician, the patient denies hearing voices in his head What is the most likely cause of the patient’s symptoms? A patient being treated for schizophrenia suddenly develops neuroleptic malignant syndrome This patient is mostly likely going to be treated with what medication? A 23-year-old male presents with bizarre delusions, auditory hallucinations, flat affect, and disorganized speech A diagnosis of schizophrenia is made and the physician prescribes haloperidol Will this medication effectively treat all of the patient’s symptoms? 10 A patient with bipolar disorder develops a secondary condition that is associated with the development of polyuria, polydipsia and formation of hypotonic urine What drug was the patient receiving for the management of their bipolar disorder? 11 A 46-year-old single female comes to the physician because her friend told her that she probably has depression During the examination, the patient says that she has sporadic depressive symptoms but has at least ‘good days a week’ where she feels normal On her ‘bad’ days she is fatigued, does not want to have lunch with friends She also does not make plans ahead of time because she ‘never knows if the event will occur on a good day or a bad day’ She does not drink alcohol or use illicit drugs and her thyroid function is normal She also reports that her symptoms have been occurring for or more years Does the patient have depression or dysthymia? High Yield Warm-up Questions: Behavioral Medicine, Part B 12 A patient recently diagnosed with major depression attempted to commit suicide and was admitted to the hospital After a short stay at the hospital, the patient is discharged on an antidepressant For the next several weeks the patient receives psychotherapy on a weekly basis Approximately 60 days after her suicide attempt, the patient visits with her psychiatrist The psychiatrist notices a marked improvement in the patient’s depression symptoms After hearing the physician’s comments, the patient indicates that she is very happy with the evaluation but is worried that if she has another acute depressive episode she might commit suicide and now wants to ‘live life to the fullest’ The physician prescribes electroconvulsive therapy for the patient Did the physician make the right decision? 13 A 38-year-old female comes to the physician because she states that she is ‘on the verge of losing her job’ due to what her coworkers claim is ‘odd behavior’ When the physician first encounters the patient, she shakes her hand and the patient immediately takes a large bottle of hand sanitizer out of her purse and begins cleansing her hands The patient indicates that she has an intense fear of germs and cannot use public bathrooms or open doors without intensely scrubbing her hands clean She recently was asked to leave a meeting because when handed a folder by her boss, she immediately began scrubbing her hands and did so multiple times when others in the meeting handed her papers What is the most likely diagnosis? 14 A 22-year-old college student comes to the physician because of an inability to sleep, disinterest in friends and nervousness throughout the day She indicates that four months earlier, she was raped at a fraternity party and the man who raped her was never charged because the police said there was insufficient evidence to charge him She has a panic attack every time she sees him on campus and continually has nightmares about the incident She also states that she withdrew from a class because the ‘rapist’ was also taking the same class What is the most likely diagnosis? 15 A 62-year-old male is diagnosed with generalized anxiety disorder His past medical history is significant for moderate hepatic dysfunction What drugs would most likely be used for the treatment of acute anxiety in this patient? These question sets are intended to be completed before viewing the High Yield course lectures Video explanations can be found on the Warm-up Questions page within the online High Yield course For further review of the topics covered in this set, refer to the following lectures: Behavioral Medicine and Ethics: • Introduction to Psychiatric Disorders • Childhood and Pervasive Disorders • Schizophrenia and Dissociative Disorders • Mood Disorders • Anxiety Disorders, OCD and PTSD 3 ... open doors without intensely scrubbing her hands clean She recently was asked to leave a meeting because when handed a folder by her boss, she immediately began scrubbing her hands and did so multiple... Yield Warm-up Questions: Behavioral Medicine, Part B A 48-year-old male is brought to the emergency department by his wife because she found him sitting in a chair at home trembling When she asked... patient immediately takes a large bottle of hand sanitizer out of her purse and begins cleansing her hands The patient indicates that she has an intense fear of germs and cannot use public bathrooms
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