Psychiatry Test Preparation and Review Manual: Expert Consult - Online by Spiegel J Clive & Kenny John M

Author:Spiegel, J Clive & Kenny, John M. [Spiegel, J Clive]
Language: eng
Format: epub
ISBN: 9781455775750
Publisher: Elsevier Health Sciences
Published: 2013-01-09T00:00:00+00:00

Five

Test Number Five

1. Blocking the H1 receptor will lead to which of the following?

A Weight gain

B Dry mouth

C Orthostatic hypotension

D Elevated prolactin

E Urinary retention

2. Needle electromyographic studies of muscles of patients with myasthenia gravis would be expected to reveal:

A Delayed F-responses

B Slow nerve conduction velocities

C Decrementing response to repetitive stimulation

D Incrementing response to repetitive stimulation

E Increased motor latencies

3. While working in the ER you evaluate a patient with confusion, myoclonus, diarrhea, hypotension, tachycardia and a normal CPK. The patient is not speaking. His family tells you that he was recently started on a new medication by his psychiatrist for treatment of bipolar disorder. They don’t know the name of the medication or what kind of medication it was. Using your astute clinical skills and significant psychiatric knowledge you narrow the diagnosis down to either NMS or serotonin syndrome. But alas, you must pick one diagnosis for the medical record. Which one will it be and why?

A NMS because the patient is confused

B NMS because rigidity is more commonly part of serotonin syndrome

C Serotonin syndrome because it commonly presents with hypotension

D NMS because it usually presents with normal CPKs

E Serotonin syndrome because it more commonly presents with myoclonus and GI symptoms

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