Family Practice Exam Mental Health 4

Question 1

A 22-year-old college student reports recurrent binge eating followed by self-induced vomiting. Which electrolyte abnormality is most expected?

Accepted Answer

Hypokalemic metabolic alkalosis

Answer

Recurrent purging causes loss of hydrochloric acid and potassium, resulting in hypokalemic metabolic alkalosis.

Question 2

Which psychological therapy has the strongest evidence base for treating bulimia nervosa?

Accepted Answer

Cognitive behavioral therapy (CBT)

Answer

CBT is the gold-standard psychotherapy for bulimia nervosa with the strongest evidence for reducing binge-purge cycles.

Question 3

A patient presents with an intense fear of gaining weight, BMI of 16, and absence of menstruation for 6 months. Which lab finding is most expected?

Accepted Answer

Low LH and FSH

Answer

Anorexia nervosa causes hypothalamic suppression, leading to low LH and FSH with resulting amenorrhea.

Question 4

Which of the following is a hallmark feature of borderline personality disorder?

Accepted Answer

Identity disturbance and fear of abandonment

Answer

Borderline personality disorder is characterized by unstable identity, intense fear of abandonment, and impulsive behaviors.

Question 5

A 50-year-old man presents with progressively worsening memory, personality changes, and myoclonus over 6 months. MRI shows cortical ribboning. The most likely diagnosis is:

Accepted Answer

Creutzfeldt-Jakob disease

Answer

Rapidly progressive dementia with myoclonus and cortical ribboning on DWI MRI is classic for Creutzfeldt-Jakob disease (CJD).

Family Practice Exam Practice Test

Family Practice Exam Practice Test

Family Practice Exam Mental Health 4