Family Practice Exam Mental Health 2

Question 1

A 28-year-old woman presents with recurrent, intrusive thoughts about contamination and spends 3+ hours daily washing her hands. Which first-line pharmacotherapy is indicated?

Accepted Answer

Sertraline

Answer

SSRIs such as sertraline are first-line pharmacotherapy for obsessive-compulsive disorder (OCD).

Question 2

Which of the following best characterizes the sleep disturbance pattern in major depressive disorder?

Accepted Answer

Early morning awakening with inability to return to sleep

Answer

Early morning awakening (terminal insomnia) is a classic neurovegetative symptom of major depressive disorder.

Question 3

A 45-year-old veteran avoids driving, has nightmares about a combat explosion, and has emotional numbing for 7 months. The most likely diagnosis is:

Accepted Answer

PTSD

Answer

PTSD requires symptoms persisting beyond 1 month following a traumatic event, including re-experiencing, avoidance, and hyperarousal.

Question 4

Which medication is FDA-approved specifically for the treatment of PTSD?

Accepted Answer

Paroxetine

Answer

Paroxetine (and sertraline) are the only FDA-approved medications for PTSD treatment.

Question 5

A physician notices a patient is making a fist and gritting teeth during the interview. This nonverbal observation is best described as a sign of:

Accepted Answer

Agitation or anger

Answer

Clenching fists and gritting teeth are nonverbal cues indicating agitation or suppressed anger.

Family Practice Exam Practice Test

Family Practice Exam Practice Test

Family Practice Exam Mental Health 2