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Emergency Medicine Examination & Board Review

Susan Promes

Chapter 18

Psychosocial Disorders Emergencies - all with Video Answers

Educators

Chapter Questions

01:06

Problem 1

Using the DSM multiaxial classification system, a broken wrist in an intoxicated patient would be noted in which of the following axes?
(A) Axis I.
(B) Axis II.
(C) Axis III.
(D) Axis IV.

Emily Himsel
Emily Himsel
Numerade Educator

Problem 2

An 18-year-old patient presents to the ED, brought by his mother after about 2 months of worsening paranoid delusions and hearing voices. On exam he is found to be alert without signs of depression and has disorganized speech and auditory hallucinations. Screen for drugs of abuse is negative. What is the MOST appropriate diagnosis?
(A) Schizophrenia.
(B) Schizophreniform disorder.
(C) Brief psychotic disorder.
(D) Delirium.

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01:45

Problem 3

Which of the following is MORE characteristic of an organic than a functional disorder?
(A) Paranoid delusions.
(B) Auditory hallucinations.
(C) Memory impairment.
(D) Visual hallucinations.

Dennis Howard
Dennis Howard
Numerade Educator

Problem 4

Among patients who attempt suicide, which of the following characteristics when present is associated with a successful suicide attempt?
(A) Substance abuse.
(B) Personality disorder.
(C) Male sex.
(D) Wrist cutting.

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Problem 5

The agent droperidol was "black boxed" by the FDA due to which of the following?
(A) Hypotension.
(B) Torsades de pointes.
(C) Ventricular fibrillation.
(D) Severe dystonic reactions.

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02:20

Problem 6

A newly psychotic patient receives a dose of haloperidol and begins to undergo spasms of the neck. Which of the following is the MOST desirable medication to counteract this problem?
(A) Benztropine.
(B) Lorazepam.
(C) Propanolol.
(D) Bromocriptine.

Emily Himsel
Emily Himsel
Numerade Educator
01:33

Problem 7

of the following antipsychotics, which would be most likely to cause cardiovascular side effects?
(A) Chlorpromazine (Thorazine).
(B) Thioridazine (Mellaril).
(C) Haloperidol (Haldol).
(D) Droperidol (Inapsine).

Keronhica Desir
Keronhica Desir
Numerade Educator
03:39

Problem 8

Which of the following physiologic changes is associated with eating disorders?
(A) Elevated serum insulin levels.
(B) Elevated T3.
(C) Elevated sedimentation rate.
(D) Hypercholesterolemia.

Rehana Riaz
Rehana Riaz
Numerade Educator

Problem 9

Which of the following medical disorders has the MOST well-documented association with panic attacks?
(A) Asthma.
(B) Fibromyalgia.
(C) Hypertension.
(D) Irritable bowel syndrome.

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01:34

Problem 10

A patient presents with mild recurrent panic attacks. Of the medications listed
below, which is the MOST appropriate outpatient treatment?
(A) Lorazepam.
(B) Trazodone.
(C) Venlafaxine.
(D) Sertraline.

Keronhica Desir
Keronhica Desir
Numerade Educator
01:28

Problem 11

A patient who presents repeatedly with intermittent total blindness despite a full workup eliminating physical causes would best be categorized as which of the following?
(A) Somatization disorder.
(B) Conversion disorder.
(C) Hypochondriasis.
(D) Depersonalization disorder.

ED
Elaine Dorr
Numerade Educator

Problem 12

How long does the normal grieving process typically last?
(A) 2-4 weeks.
(B) 2-4 months.
(C) 6-8 months.
(D) 1 year or more.

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02:39

Problem 13

What is the MOST appropriate time to request organ donation from a family after the death of a loved one?
(A) As part of the conversation informing them of the death.
(B) Before taking them in to view the deceased.
(C) After viewing the deceased.
(D) When the patient's personal physician can discuss it.

Ali Crampton
Ali Crampton
Numerade Educator
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Problem 14

Which of the following persons exceeds the National Institute on Alcohol Abuse and Alcoholism (NIAAA) definitions for at-risk drinking?
(A) A 40-year-old woman who has 2 glasses of wine 3 nights a week.
(B) A 50-year-old man who drinks a 6-pack of beer every Sunday.
(C) A 64-year-old man who drinks 3 vodka tonics 4 times per week.
(D) A 22-year-old woman who drinks 3 beers every Saturday night.

Rashmi Sinha
Rashmi Sinha
Numerade Educator
03:50

Problem 15

What is the MOST important type of sleep for psychological well-being?
(A) Slow wave sleep.
(B) Delta wave sleep.
(C) Alpha wave sleep.
(D) Rapid eye movement sleep.

Vishal Sharma
Vishal Sharma
Numerade Educator