DHA DHA Mental Health & Psychiatry 4

Question 1

A patient with bipolar I disorder is stable on lithium but presents with a serum lithium level of 1.8 mEq/L and coarse tremor. What is the most appropriate next step?

Accepted Answer

Hold lithium and assess for toxicity symptoms

Answer

A lithium level above 1.5 mEq/L with symptoms like coarse tremor indicates early toxicity and requires holding the dose and clinical reassessment.

Question 2

Which defense mechanism is a patient using when they attribute their own unacceptable feelings of anger onto another person?

Accepted Answer

Projection

Answer

Projection involves attributing one's own unacceptable thoughts or feelings to another person.

Question 3

A 28-year-old female presents with recurrent episodes of binge eating followed by excessive exercise but no purging. Her BMI is 22. Which diagnosis best fits?

Accepted Answer

Bulimia nervosa, non-purging subtype

Answer

Bulimia nervosa non-purging subtype involves compensatory behaviors like excessive exercise rather than vomiting or laxative use.

Question 4

Which medication is FDA-approved for the treatment of irritability associated with autism spectrum disorder in children?

Accepted Answer

Aripiprazole

Answer

Aripiprazole (and risperidone) are FDA-approved for treating irritability associated with autism spectrum disorder in pediatric patients.

Question 5

A patient describes hearing a voice that comments on their actions throughout the day. This is best described as:

Accepted Answer

Third-person auditory hallucination

Answer

A voice that comments on the patient's actions is a third-person auditory hallucination, characteristic of schizophrenia.

DHA - Dubai Health Authority Practice Test

DHA - Dubai Health Authority Practice Test

DHA DHA Mental Health & Psychiatry 4