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NR607 Week 4: PMH Pre-Diagnostic Exam

Question 1

A transgender client prefers he/him pronouns. What is the biological sex of the client?

  • Lesbian
  • Female
  • Male
  • Asexual

Question 2

A cultural explanation of distress involving semen loss (dhat). Where is this commonly found?

  • Australia and Fiji
  • China and Southeast Asia
  • Russia and Ukraine
  • India and Pakistan

Question 3

In Dhat syndrome, patients most commonly report symptoms of:

  • Paranoia and grandiosity
  • Muscle stiffness and headaches
  • Numbness and hallucinations
  • Fatigue, weakness, and loss of appetite

............

Question 143

A 22-year-old intentionally punctures his foot and contaminates the wound, then lies about the cause. There is no external gain. What is the diagnosis?

  • Malingering
  • Conversion disorder
  • Borderline personality disorder
  • Factitious disorder

Question 144

A woman repeatedly fears having COVID-19 despite multiple negative tests and has a history of similar fears about other illnesses. Most likely diagnosis?

  • Factitious disorder by proxy
  • Panic disorder
  • Illness anxiety disorder
  • Somatic symptom disorder

Question 145

A man with past testicular cancer checks himself daily and repeatedly seeks care despite negative tests. Diagnosis?

  • Body dysmorphic disorder
  • Pain disorder
  • Testicular cancer reoccurrence
  • Somatic symptom disorder

Question 146

In substance use disorder treatment, what is the primary mechanism of naltrexone?

  • Serotonin reuptake inhibitor
  • Dopamine receptor antagonist
  • Opioid receptor antagonist
  • GABA receptor agonist

Question 147

Which of the following is NOT a DSM-5 alcohol withdrawal symptom?

  • Increased hand tremor
  • Pulse greater than 100 bpm
  • Generalized tonic-clonic seizures
  • Hypothermia

Question 148

A woman in alcohol withdrawal (tachycardia, tremors, hypertension) requires first-line inpatient treatment. What is appropriate?

  • Lorazepam
  • Disulfiram
  • Haloperidol
  • Clonidine

Question 149

Needing increased doses to achieve the same effect or reduced effect at the same dose describes:

  • Withdrawal
  • Tolerance
  • Addiction
  • Dependence

Question 150

A patient on methadone maintenance undergoes surgery. Best postoperative pain management strategy?

  • Discontinue methadone and use morphine
  • Continue methadone and supplement with short-acting opioids as needed
  • Increase methadone dose for analgesia
  • Prescribe non-opioid pain relief only


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