Family Practice Exam Mental Health 3

Question 1

A 35-year-old presents with pressured speech, decreased need for sleep, grandiosity, and increased goal-directed activity for 10 days. He has never had a depressive episode. What is the diagnosis?

Accepted Answer

Bipolar I disorder

Answer

A manic episode lasting ≥7 days without a required depressive history meets criteria for Bipolar I disorder.

Question 2

Which of the following is the safest antidepressant in pregnancy?

Accepted Answer

Sertraline

Answer

Sertraline has the most safety data in pregnancy and is generally considered first-line when antidepressant treatment is needed.

Question 3

A patient on clozapine develops a fever and sore throat. The most urgent concern is:

Accepted Answer

Agranulocytosis

Answer

Clozapine can cause agranulocytosis; fever and sore throat are warning signs requiring immediate CBC with differential.

Question 4

Which cognitive domain is primarily impaired early in Alzheimer's disease?

Accepted Answer

Episodic memory

Answer

Episodic memory (new learning and recent recall) is the earliest and most prominently affected domain in Alzheimer's disease.

Question 5

A patient taking an MAOI for depression wants to eat at a restaurant. Which food must be strictly avoided?

Accepted Answer

Aged cheddar cheese

Answer

Aged cheeses contain high tyramine content; consumption with an MAOI can trigger a hypertensive crisis.

Family Practice Exam Practice Test

Family Practice Exam Practice Test

Family Practice Exam Mental Health 3