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Mental Health Flashcards

6 cards from real AANP practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

Read the first 6 Mental Health flashcards as text

  1. A patient with a history of alcohol use disorder presents with tremors, diaphoresis, and hallucinations 24 hours after his last drink. What is the priority treatment?

    Answer: IV benzodiazepines (e.g., lorazepam, diazepam)

    Alcohol withdrawal can be life-threatening; IV benzodiazepines are the standard of care for moderate-to-severe withdrawal, preventing progression to seizures and delirium tremens.

  2. Which medication is FDA-approved for maintenance treatment to reduce alcohol cravings in patients with alcohol use disorder?

    Answer: Naltrexone

    Naltrexone blocks opioid receptors involved in the reinforcing effects of alcohol, reducing cravings and the risk of relapse; it is FDA-approved for alcohol use disorder.

  3. A patient with schizophrenia is non-adherent to oral antipsychotics due to forgetfulness. What formulation would improve adherence?

    Answer: Long-acting injectable (LAI) antipsychotic

    Long-acting injectable antipsychotics given every 2–4 weeks or monthly eliminate the need for daily compliance and significantly improve adherence in schizophrenia.

  4. What is the hallmark feature that distinguishes bipolar II disorder from bipolar I disorder?

    Answer: Hypomanic rather than full manic episodes

    Bipolar II disorder is defined by hypomanic episodes (less severe, less than 4–7 days, no functional impairment) rather than the full manic episodes of bipolar I.

  5. According to USPSTF, depression screening is recommended for which population group?

    Answer: All adults aged 18 and older, including pregnant and postpartum women

    The USPSTF recommends depression screening for all adults 18 and older, including pregnant and postpartum women, as part of routine primary care.

  6. A patient on an SSRI for depression develops agitation, hyperthermia, diaphoresis, clonus, and hyperreflexia after starting tramadol for pain. What is the most likely diagnosis?

    Answer: Serotonin syndrome

    Serotonin syndrome results from excess serotonergic activity; tramadol inhibits serotonin reuptake and when combined with an SSRI can trigger the syndrome.