Final Exam: MN 566/ MN566 (New 2024/ 2025 Update) Questions and Verified Answers| 100% Correct| A Grade QUESTION The clinician is caring for Diane, a 22-year-old woman who presents with an injured ankle. Diane asks the clinician if she will need an x-ray. The clinician explains to Diane that an x-ray is not always necessary for an injured ankle and that the decision to obtain radiographs is dependent on the examination and Diane's description of her injury. Which of the following clues in Diane's examination or history would alert the clinician to the need for obtaining radiographs? a. Ability to bear weight immediately after the injury b. Development of minor ankle swelling after the injury c. Slight bruising over the injury site 2 days after injury d. Crepitation with palpation or movement of the ankle Answer: d. Crepitation with palpation or movement of the ankle QUESTION What is the presentation of a complex motor tic? a. Simultaneous shoulder shrugs and head turns b. Eye blinks and extension of extremities c. Throat clearing and finger raising d. Barking, screaming, and snorting Answer: a. Simultaneous shoulder shrugs and head turns QUESTION Which of the following is considered first-line treatment for panic disorders? a. Benzodiazepines b. Selective serotonin reuptake inhibitors (SSRIs) c. Tricyclic antidepressants d. Cognitive behavioral therapy Answer: b. Selective serotonin reuptake inhibitors (SSRIs) QUESTION Rapid eye movement (REM) sleep occurs how frequently during non-REM sleep? a. Every 30 to 40 minutes b. Every 60 to 80 minutes c. Every 90 to 100 minutes d. Every 180 to 200 minutes Answer: c. Every 90 to 100 minutes QUESTION Which is the most prevalent psychiatric condition in the United States? a. Depression b. Anxiety c. Substance-related addictions d. Gambling addiction Answer: b. Anxiety QUESTION The effectiveness of benzodiazepines in treating anxiety disorders suggests that which of the following neurotransmitters plays a role in anxiety? a. Acetylcholine b. Gamma-amino butyric acid (GABA) c. Dopamine d. Serotonin Answer: d. Serotonin QUESTION It is important for the clinician to discuss the long-term effects of sexual assault with survivors. Which of the following is the most common long-term effect of sexual assault? a. Depression b. Obsessive-compulsive disorder c. Substance abuse d. PTSD Answer: a. Depression QUESTION Which of the following neuroendocrine abnormalities is implicated in depression? a. Decrease in adrenal size b. Hypersecretion of cortisol c. An exaggerated response of thyrotropin (TRH) to infusion of thyroid-releasing hormone d. Increased inhibitory response of glucocorticoids to dexamethasone Answer: b. Hypersecretion of cortisol QUESTION What prenatal factor could increase risk for ADHD? a. Exposure to lead b. Zinc Deficiency c. Maternal allergies d. Central nervous system (CNS) infections Answer: b. Zinc Deficiency QUESTION What is the median reduction in life expectancy among those with mental illness? a. 15.4 years b. 10.1 years c. 5.7 years d. 9.2 years Answer: b. 10.1 years QUESTION Bipolar disorder requires differential diagnosis from all of the following except: a. Substance abuse and medication effects b. Medical and neurological disorders c. Cluster B personality disorders and depression d. Obsessive-compulsive disorder Answer: d. Obsessive-compulsive disorder QUESTION What is the likely result of the over-prescription, over-supply, and over-production of opioids? a. Opioid use b. Opioid abuse c. Opioid dependence d. Opioid resistance Answer: c. Opioid Dependence