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Select the correct description of a somatoform disorder. A.

Somatization disorder - manifests as a pain syndrome with a significant loss of or alteration in physical function that mimics a physical disorder

B.

Conversion disorder - pain that causes significant impairment in occupation or social function, induces marked distress, or both

C.

Hypochondriasis - persistent belief that one has a serious illness, despite extensive medical evaluation

D.

Pain disorder - intentional production or feigning of physical symptoms

FILL IN THE BLANK: ___________ is the main neurotransmitter behind reward systems in the brain, which usually leads to addiction when altered in any way.

A.

Norepinephrine

B.

Serotonin

C.

Dopamine

D.

Acetylcholine

Of the following medications, which one is contraindicated with stimulants such as Ritalin or Adderall?

A.

Atomoxetine

B.

Clonidine

C.

Amitriptyline

D.

Phenelzine

A new patient presents to your clinic today. The patient is a 13-year-old boy who complains that he has no interest in anything. The patient states, "I just want to sleep more than I normally do, and I don't care much for playing my video games anymore." His mother states he cannot focus on anything for more than a few minutes at a time, and that he often gets in trouble at school because he cannot sit still. What would you recommend at this time?

A.

Recommend doing a full evaluation to distinguish if this patient is presenting with ADHD symptoms or depressive symptoms

B.

Begin a stimulant at appropriate dose once patient's weight is known

C.

Refer to a behavioral counselor

D.

Begin an SSRI at lowest initial dose and provide counseling on the increased risk of suicide during the first few months of therapy

The experience of pain is ALWAYS subjective

A.

True

B.

False

E. B., a 55-year-old female, is a patient at your clinic today who has a past medical history significant for breast cancer, hypertension, hepatic cirrhosis, type 2 diabetes, and a recent diagnosis of alcohol use disorder. She has no known drug allergies. She states she is ready to quit drinking but fears the cravings that it may bring. Which medication would you recommend for E. B. to begin?

A.

Naltrexone

B.

Acamprosate

C.

Any benzodiazepine

D.

Thiamine

Which of the following drugs is structurally similar to tramadol; thus, its opioid-mediated analgesia can be reversed by naloxone in mice?

A.

Venlafaxine

B.

Ketorolac

C.

Duloxetine

D.

Gabapentin

Which of the following psychiatric conditions is present in both domains (i.e., core psychopathology & pain-related psychological symptoms) of chronic pain that will likely lead to an outcome of disability, pain, and poor quality of life?

A.

Major depression

B.

Personality disorder

C.

Anger

D.

Anxiety

Disorientation, tremor, hyperactivity, fever, hallucinations, marked wakefulness, and increased autonomic tone are all features that are consistent with which part of alcohol withdrawal?

A.

Alcohol withdrawal seizures

B.

Korsakoff's Psychosis

C.

Wernicke's encephalopathy

D.

Alcohol withdrawal delirium

Which features are consistent with delirium?

  1. Acute onset
  2. Gradual onset
  3. Course of disease fluctuates
  4. Course of diseases does not fluctuate
  5. Impaired attention
  6. Normal attention

A.

II, IV, and VI

B.

I and III

C.

II and IV

D.

I, III, and V

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