Before diagnosing a patient with obsessive-compulsive disorder, the patient must have two essential features. What are these essential features?
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You are seeing a 24-year-old who wants to quit smoking. The…
You are seeing a 24-year-old who wants to quit smoking. The patient reports that he has tried to quit smoking so many times, and has even used the nicotine patch and gum. The patient reports that he read on the internet that bupropion may help him quit smoking. You know that bupropion helps with nicotine withdrawal by
You are training a new psychiatric nurse practitioner who as…
You are training a new psychiatric nurse practitioner who asks you what the difference between obsessive-compulsive personality disorder and obsessive-compulsive disorder. The correct response would be:
A 45-year-old male is brought to ER by his son in an agitate…
A 45-year-old male is brought to ER by his son in an agitated and disoriented state after tonic-clonic convulsions. His blood pressure is 170/105, pulse is 125/min, RR is 15/min, and temperature is 99°F. Which of the following is the most likely diagnosis?
The DSM-V has 11 criteria for a substance use disorder. How…
The DSM-V has 11 criteria for a substance use disorder. How many need to be met to meet the “severe” subclassification?
Once an individual has detoxified successfully from alcohol,…
Once an individual has detoxified successfully from alcohol, maintenance of the abstinence is the next goal, which is a difficult goal to achieve. It has been estimated that approximately 50% of patient with chronic alcohol use disorder relapse within 3 months after completing treatment. Which of the following is not a recommended medication for relapse prevention in detoxified patients with chronic alcohol use disorder?
Patients with a history of childhood separation anxiety or c…
Patients with a history of childhood separation anxiety or chronic illness may be predisposed to a certain personality disorder. What is that disorder?
Before prescribing a benzodiazepine for anxiety, you should…
Before prescribing a benzodiazepine for anxiety, you should always weight the risks and benefits of prescribing benzodiazepines. Which of the following statements about benzodiazepines’ side effects and drug interactions is true?
Which of the following medications would you educate the pat…
Which of the following medications would you educate the patient to look for the development of a rash in week four of treatment?
Whenever 34-year-old Margaret has to give a presentation in…
Whenever 34-year-old Margaret has to give a presentation in front of a group, she becomes very nervous. She starts sweating profusely, her legs feel like “spaghetti,” and she often has immense trouble remembering what she wanted to say. The patient states that these events are infrequent. She is otherwise without anxiety symptoms and does not want to take something that would make her feel “loopy.” Vital signs are within normal limits. Medical history is significant for past alcohol abuse, from which she has been abstaining for 7 years. What is the most appropriate prescription?