United State Medical Licensing Examination (Step 3) Set 14

A 70-year-old female with chronic paranoid schizophrenia presents to the ER acutely confused with visual hallucinations. Her skin is warm and dry and her heart rate is 110 beats per minute. Her group home nurse tells you that the patient had been complaining of having a dry mouth and having difficulty initiating urination this past week. Which of the following is the treatment of choice for this patient's acute condition?

A 25-year-old Caucasian man reports that he has got in trouble with the law as a result of his rubbing up against a woman he did not know in an elevator at work. Recurrent, intense sexually arousing fantasies, sexual urges, or behaviors involving touching and rubbing against a nonconsenting person, such as a stranger in an elevator, which occur for at least 6 months and which cause significant impairment in an individual's functioning are best characterized as which of the following?

Apatient reports that, on his way to the hospital, he saw a man feeding two squirrels in the park. He says that this means his future will be decided in 2 weeks. This man, he believes, is deliberately out to alarm him (the patient). One of the squirrels is scheming with the man; the other is innocent and trusting. Which of the following terms best describes what this man is experiencing?

A young mother seeks psychiatric help because she is unable to remember events surrounding her 3- year-old son's death after being struck by a car 2 months ago. She is worried that maybe she did something that put him at risk. Except for this brief time period, she is able to recall other events both before and after the tragedy. Given the information above, which of the following is the most likely diagnosis?

A young mother seeks psychiatric help because she is unable to remember events surrounding her 3- year-old son's death after being struck by a car 2 months ago. She is worried that maybe she did something that put him at risk. Except for this brief time period, she is able to recall other events both before and after the tragedy. Of the following treatments, which is the most appropriate to help this patient regain her memory?

A 44-year-old man presents with fears that his mathematical abilities have been slowly sucked out of his brain for the last 4 years. He believes an "alien force disguised as a human being" is responsible. To avoid contacting this being, he has isolated himself in a room in a boarding house. His wife divorced him and left with their children. After 10 years teaching math at a local high school, he resigned about 3 years ago. He supports himself by "collecting cans." His affect is blunted. His appearance is disheveled, unshaven, and unwashed. Which of the following is the most likely diagnosis?

A 44-year-old man presents with fears that his mathematical abilities have been slowly sucked out of his brain for the last 4 years. He believes an "alien force disguised as a human being" is responsible. To avoid contacting this being, he has isolated himself in a room in a boarding house. His wife divorced him and left with their children. After 10 years teaching math at a local high school, he resigned about 3 years ago. He supports himself by "collecting cans." His affect is blunted. His appearance is disheveled, unshaven, and unwashed. Which of the following factors in this case would favor a more positive prognosis?

A 44-year-old man presents with fears that his mathematical abilities have been slowly sucked out of his brain for the last 4 years. He believes an "alien force disguised as a human being" is responsible. To avoid contacting this being, he has isolated himself in a room in a boarding house. His wife divorced him and left with their children. After 10 years teaching math at a local high school, he resigned about 3 years ago. He supports himself by "collecting cans." His affect is blunted. His appearance is disheveled, unshaven, and unwashed. Which of the following hypotheses is the leading hypothesis to explain the patient's psychotic symptoms?

A 44-year-old man presents with fears that his mathematical abilities have been slowly sucked out of his brain for the last 4 years. He believes an "alien force disguised as a human being" is responsible. To avoid contacting this being, he has isolated himself in a room in a boarding house. His wife divorced him and left with their children. After 10 years teaching math at a local high school, he resigned about 3 years ago. He supports himself by "collecting cans." His affect is blunted. His appearance is disheveled, unshaven, and unwashed. Considering the information learned thus far, which of the following would be an appropriate first-line treatment for this patient?

A 17-year-old girl is brought in by her parents because of their concerns about her weight loss. She is petite, and a normal weight for someone her height is 100 lbs, but she weighs 78 lbs. She reports menstrual irregularity. The patient believes she is obese. She does not believe she has a problem. Her mother reports that she found laxatives on her daughter's nightstand, and heard her vomiting in the bathroom yesterday after dinner. Which of the following is the most likely diagnosis?