Family Practice Exam Mental Health 5

Question 1

A 70-year-old develops visual hallucinations and Parkinsonism 3 months after mild cognitive decline. Neuroleptic sensitivity is noted. The most likely diagnosis is:

Accepted Answer

Lewy body dementia

Answer

Lewy body dementia presents with cognitive fluctuations, recurrent visual hallucinations, Parkinsonism, and severe neuroleptic sensitivity.

Question 2

Which of the following is the most appropriate initial treatment for a patient with generalized anxiety disorder (GAD)?

Accepted Answer

Buspirone or an SSRI plus CBT

Answer

First-line treatment for GAD is an SSRI or buspirone combined with CBT; benzodiazepines are not recommended for long-term use.

Question 3

A patient with schizophrenia shows flat affect, alogia, and avolition with intact thought organization. These symptoms are best described as:

Accepted Answer

Negative symptoms

Answer

Flat affect, alogia, and avolition are negative symptoms reflecting diminution of normal functions.

Question 4

A 55-year-old on lithium for bipolar disorder presents with coarse tremor, confusion, and diarrhea. His lithium level is 2.4 mEq/L. The next step is:

Accepted Answer

Hold lithium and initiate hemodialysis

Answer

Lithium toxicity above 2.0 mEq/L with neurological symptoms requires immediate lithium discontinuation and hemodialysis.

Question 5

Which of the following best differentiates delirium from dementia?

Accepted Answer

Acute onset with fluctuating consciousness

Answer

Delirium is distinguished from dementia by its acute onset, fluctuating course, and disturbance in attention and consciousness.

Family Practice Exam Practice Test

Family Practice Exam Practice Test

Family Practice Exam Mental Health 5