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| Section | Weight | Objectives |
|---|---|---|
| Scientific Foundation | 22% | - Neuroanatomy, neurophysiology, neurochemistry - Psychopharmacology, pharmacokinetics, pharmacodynamics - Pathophysiology of mental health disorders - Genetics, epigenetics, and developmental processes |
| Diagnosis and Treatment | 22% | - Diagnostic classification systems (DSM-5, ICD-10) - Pharmacological management and monitoring - Biological, environmental, and lifestyle interventions - Differential diagnosis across lifespan |
| Ethics, Legal Principles, and Cultural Care | 17% | - Legal regulations, confidentiality, informed consent - Advocacy, policy, and quality improvement - Cultural, spiritual, and social determinants of health - Professional ethics, scope of practice, standards of care |
| Advanced Practice Skills | 27% | - Cultural competence, communication, and patient education - Screening, risk assessment, and safety evaluation - Care coordination, interprofessional collaboration - Health assessment, history taking, diagnostic reasoning |
| Psychotherapy and Related Theories | 11% | - Therapeutic frameworks and modalities - Crisis intervention and stabilization - Evidence-based psychotherapy approaches - Group, family, and individual therapy principles |
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NEW QUESTION # 270
What term most accurately describes a group of members of Congress or a political party created to support a defined political ideology?
Answer: B
Explanation:
A caucus is a group of members of Congress or a political party created to support a defined political ideology.
Grassroots lobbying occurs when nonpaid individuals contact their legislators to influence policy. A special interest group is a collection of individuals who coordinate lobbying efforts around a common interest and seek to influence policymakers. A legislative assistant is an employee of a senator or representative who keeps the legislator informed, meets with constituents, and drafts reports.
NEW QUESTION # 271
Which personality disorder is most likely to cause one to read hidden meaning into innocent remarks?
Answer: D
Explanation:
Patients with paranoid personality disorder are suspicious, have few friends, and read hidden meanings into innocent remarks.
Patients with narcissistic personality disorder act self-important. They are preoccupied with envy, fantasies of success, and ruminations about the uniqueness of their problems. They reject criticism and need constant admiration from others.
Patients with dependent personality disorder fear abandonment, feel helpless when they are alone, and are miserable when relationships end. They desperately desire the approval of others and often volunteer for unpleasant tasks to gain the favor of others.
Patients with obsessive-compulsive personality disorder are perfectionistic and rigid. They are often workaholics who are indecisive, excessively scrupulous, and preoccupied with detail.
NEW QUESTION # 272
Delirium and dementia are often confused and misdiagnosed. Which of the following is most associated with dementia?
Answer: B
Explanation:
Patients with delirium can return to baseline with appropriate diagnosis and treatment of the delirium.Other findings of delirium are as follows:
* Acute onset of confusion
* Picking and random actions that are purposeless
* Acute reversal of sleep-wake cycle
* Disturbance that fluctuates, usually during the day
* Impaired recent and intermediate memory
* Psychomotor agitation
* Course of illness that may resolve within hours to days
Dementia is a group of disorders characterized by the gradual development of multiple cognitive deficits. Patients with dementia present with the following findings:
* Impaired executive functioning
* Impaired global intellect with preservation of level of consciousness
* Impaired problem-solving
* Impaired organizational skills
* Altered memory
NEW QUESTION # 273
Decreased levels of sodium (Na) are caused by which of the following?
Answer: A
Explanation:
Syndrome of inappropriate antidiuretic hormone (SIADH) leads to hyponatremia due to excessive fluid retention. Increased levels of sodium are caused by dehydration, diabetes insipidus, and gastroenteritis.
NEW QUESTION # 274
A 36-year-old South Asian female presents to your office accompanied by her husband. He reports that since the death of their daughter three months ago, his wife has been having episodes of strange behavior. He describes these episodes as beginning with a headache. Then, she suddenly acts as though their deceased daughter has taken control of her body. After a few minutes, she "snaps back to herself." The patient states that she cannot remember anything about these episodes.
What culture-bound syndrome would you include in your differential diagnosis?
Answer: A
Explanation:
Possession syndrome is an umbrella English-language term used to describe South Asian presentations of involuntary possession trances. These episodes usually begin with a somatic complaint like a headache or abdominal pain. Next, patients appear as though they are possessed by a secondary personality, usually either a culturally famous figure or a recently deceased family member. Often, the patient will develop partial or total amnesia related to the altered state.
NEW QUESTION # 275
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