AANP Mental Health

Question 1

A patient who survived a serious car accident 2 months ago now has nightmares, hypervigilance, avoidance of driving, and emotional numbing. What is the most likely diagnosis?

Accepted Answer

Post-traumatic stress disorder (PTSD)

Answer

Acute stress disorder

Answer

Generalized anxiety disorder

Answer

Adjustment disorder

Question 2

Which medication is FDA-approved as a first-line pharmacological treatment for PTSD?

Accepted Answer

Sertraline

Answer

Alprazolam

Answer

Olanzapine

Answer

Propranolol

Question 3

A patient presents with a 2-week history of depressed mood, anhedonia, hypersomnia, psychomotor retardation, and suicidal ideation. What is the minimum duration criterion for major depressive disorder?

Accepted Answer

2 weeks

Answer

1 week

Answer

1 month

Answer

6 months

Question 4

A patient on lithium for bipolar disorder develops coarse tremor, confusion, and vomiting after starting a new NSAID. What is the most likely cause?

Accepted Answer

Lithium toxicity due to reduced renal clearance

Answer

Serotonin syndrome

Answer

NSAID hypersensitivity reaction

Answer

Neuroleptic malignant syndrome

Question 5

Which screening tool is validated for detecting depression in the primary care setting?

Accepted Answer

PHQ-9

Answer

CAGE questionnaire

Answer

AUDIT-C

Answer

GAD-7

Question 6

What is the most appropriate initial intervention for a patient who discloses active suicidal ideation with a plan and access to a firearm?

Accepted Answer

Initiate an emergency psychiatric evaluation or involuntary hold

Answer

Schedule a follow-up appointment next week

Answer

Prescribe an antidepressant and monitor

Answer

Refer to outpatient therapy