Zunkel FINAL

Q UES TI ON 1
1. Select the diagnostic criterion for catatonia resulting from a medical condition.
A
Loose association
.
B
Pressured speech
.
C
Waxy flexibility
.
D Involuntary
. movement

1 points
Q UES TI ON 2
1. Select the negative symptom of schizophrenia.
A
Anhedonia
.
B
Delusions
.
C
Catatonia
.
D Hallucinatio
. ns

1 points
Q UES TI ON 3
1. Select the most defining characteristic of inevitable suicide.
A
Lack of family history
.
B Unexpected adverse drug
. effect
C Provider loses hope in
. patient
D
Failure of best therapy
.
1 points
Q UES TI ON 4
1. Select the type of neurochemical receptor that is blocked by caffeine.
A
GABA
.
Zunkel FINAL

B
Glutamate
.
C
Adenosine
.
D Norepinephri
. ne

1 points
Q UES TI ON 5
1. Select the main cause female orgasmic disorder.
A
Cultural
.
B
Genetic
.
C
Hormonal
.
D Psychologi
. cal

1 points
Q UES TI ON 6
1. Select the symptom not present in paranoid personality disorder.
A Denial of
. responsibility
B
Fixed delusions
.
C Suspicious of
. coworkers
D Hostility and
. irritability

1 points
Q UES TI ON 7
1. Select the disorder that is often comorbid with brief psychotic disorder.
A Generalized
. anxiety
B
Bipolar I
.
C
Depressive
.
D
Personality
.
Zunkel FINAL

1 points
Q UES TI ON 8
1. Select the age before which a majority of paraphilic disorders occurs.
A2
. 2
B1
. 8
C2
. 5
D5
. 0

1 points
Q UES TI ON 9
1. Select the lifetime prevalence of schizophrenia in the United States.
A 0.1-
. 1.0%
B
1-5%
.
C
5-10%
.
D
0.08%
.
1 points
Q UES TI ON 10
1. Select the age range of the highest rate of substance dependence or abuse.
A
12-17
.
B
18-25
.
C
26-40
.
D 65 and
. older

1 points
Q UES TI ON 11
1. Select the characteristic that is greater in childhood than adult onset schizophrenia.
A
Delusions
.
Zunkel FINAL

B
Social withdrawal
.
C
Hallucinations
.
D Disorganized
. speech

1 points
Q UES TI ON 12
1. Select the personality disorder in which patients are most likely to tolerate spousal
abuse to avoid losing sense of attachment.
A
Dependent
.
B
Narcissistic
.
C Passive-
. aggressive
D
Depressive
.
1 points
Q UES TI ON 13
1. Select the personality disorder in which patients exhibit covert obstructionism,
procrastination and pessimism.
A Obsessive-
. compulsive
B
Sadomasochistic
.
C
Borderline
.
D
Passive-aggressive
.
1 points
Q UES TI ON 14
1. Select the drug of choice to treat psychosis in delirious patients.
A Chlorpromazi
. ne
B
Alprazolam
.
C
Clozapine
.
Zunkel FINAL

D
Haloperidol
.
1 points
Q UES TI ON 15
1. Select the substance of abuse with the strongest evidence for genetic association.
A
Heroin
.
B Marijuan
. a
C
Alcohol
.
D
Cocaine
.
1 points
Q UES TI ON 16
1. Select the type of hallucinations most common in schizophrenia.
A
Tactile
.
B
Visual
.
C Auditor
. y
D Olfacto
. ry

1 points
Q UES TI ON 17
1. Select the neurotransmitter system that is most associated with the addictive
rewarding properties of opioids.
A Dopaminer
. gic
B Serotonergi
. c
C
Adrenergic
.
D Glutamater
. gic

1 points
Q UES TI ON 18
Zunkel FINAL

1. Select the preferred drug used to treat alcohol withdrawal.

A Fluoxetin
. e
B Propranol
. ol
C Lorazepa
. m
D
Phenytoin
.
1 points
Q UES TI ON 19
1. Select the neurotransmitter that is most associated with the occurrence of ADHD.
A
Serotonin
.
B
Dopamine
.
C Acetylcholi
. ne
D
Glutamate
.
1 points
Q UES TI ON 20
1. Select the most frequently abused illicit drug.
A
Marijuana
.
B
Heroin
.
C
Cocaine
.
D Phencyclidi
. ne

1 points
Q UES TI ON 21
1. Select the percentage of substance-addicted persons with a concurrent psychiatric
disorder.
A6
. 0
B5
. 0
Zunkel FINAL

C4
. 0
D2
. 0

1 points
Q UES TI ON 22
1. Select the drug that is most safe and effective in treating mild to moderate memory
loss in early Alzheimer’s disease.
A
Donepezil
.
B Risperido
. ne
C Benztropi
. ne
D
Tacrine
.
1 points
Q UES TI ON 23
1. Select the usual time delay to the onset of tardive dyskinesia symptoms after
initiating antipsychotic drug therapy.
A 7-10
. days
B
6 weeks
.
C 3
. months

D6
. months

1 points
Q UES TI ON 24
1. Select two comorbid factors common in schizophrenic patients.
A
Substance abuse
.
B Residing in a low population
. density
C Lack of seasonal influenza
. vaccination
D
Undiagnosed medical illness
.
Zunkel FINAL

1 points
Q UES TI ON 25
1. Select the psychiatric disorder for which the term neuroleptic is used to describe drug
effects.
A
Bipolar I
.
B
Schizophrenia
.
C Generalized
. anxiety
D
Depression
.
1 points
Q UES TI ON 26
1. Select the two characteristics that describe normal sexual behavior.
A
Varies from era to era
.
B
Reflects cultural mores
.
C Remains consistent from era
. to era
D
Is compulsive
.
1 points
Q UES TI ON 27
1. Select the most common paraphilic disorder.
A Voyeuris
. m
B
Zoophilia
.
C Pedophili
. a
D Fetishis
. m

1 points
Q UES TI ON 28
1. Select the brain region devoid of cannabinoid receptors.
A
Brain stem
.
Zunkel FINAL

B Basal
. ganglia
C
Cerebellum
.
D Hippocamp
. us

1 points
Q UES TI ON 29
1. Select the most common error by the provider in the practice of family-oriented
therapy for persons with schizophrenia.
A
Reducing drug dosage to eliminate adverse effects too quickly
.
B
Encouraging family to promote patients to resume normal activity too quickly
.
C Controlling emotional intensity of family sessions with patients with
. schizophrenia
D Open discussion by practitioner with family about the patient’s frightening
. psychotic symptoms

1 points
Q UES TI ON 30
1. Select the rating scale used to assess medication-induced movement disorders.
A CAG
. E
B MMS
. E
C
AIMS
.
D
BPRS
.
1 points
Q UES TI ON 31
1. Select the theorist who first studied social and cultural influences on suicide.
A
Freud
.
B Durkhei
. m
C Menning
. er
Zunkel FINAL

D
Beck
.
1 points
Q UES TI ON 32
1. Select the time of treatment of schizophrenic patients with correct antipsychotic drug
therapy that represents an adequate medication trial.
A
2 to 4 weeks
.
B
4 to 6 weeks
.
C 3 to 6
. months
D 6 to 12
. months

1 points
Q UES TI ON 33
1. Select the two behaviors of schizophrenic patients that occur more frequently than in
the general population.
A Homicid
. e
B
Violence
.
C
Suicide
.
D Pyroman
. ia

1 points
Q UES TI ON 34
1. Select the neurotransmitter that increases sexual desire.
A Norepinephri
. ne
B
Dopamine
.
C
GABA
.
D
Serotonin
.
1 points
Q UES TI ON 35
Zunkel FINAL

1. Select the two Freudian stages of psychosexual development.

A Olfacto
. ry
B
Oral
.
C
Tactile
.
D
Genital
.
1 points
Q UES TI ON 36
1. Select the most frequent cause of intellectual disability in U.S. children.
A
Lead poisoning
.
B Fetal alcohol
. syndrome
C Dietary protein
. deficiency
D Maternal marijuana
. use

1 points
Q UES TI ON 37
1. Select the substance that is most commonly abused by adolescents.
A
Cocaine
.
B
Marijuana
.
C Methamphetam
. ine
D
Alcohol
.
1 points
Q UES TI ON 38
1. Select the percent blood alcohol level at which voluntary motor activity becomes
impaired.
A 0.
. 4
B 0.
. 3
Zunkel FINAL

C 0.
. 2
D 0.
. 1

1 points
Q UES TI ON 39
1. Select the disorder in which the highest percentage of patients commit suicide.
A
Schizophrenia
.
B
Anxiety
.
C Alcohol
. dependence
D
Mood
.
1 points
Q UES TI ON 40
1. Select the psychiatric disorder in which patients refuse mental health care and deny
their problems.
A Obsessive-
. compulsive
B
Depressive
.
C
Personality
.
D
Anxiety
.
1 points
Q UES TI ON 41
1. Select the two patient populations in which delirium occurs most frequently.
A General
. surgical
B
Terminally ill
.
C Long-term
. care
D
Critical care
.
Zunkel FINAL

1 points
Q UES TI ON 42
1. Select the procedure most applicable to confirming a diagnosis of delirium.
A MR
. I
B
CT
.
C EE
. G
D PE
. T

1 points
Q UES TI ON 43
1. Select the subtype of schizophrenia in which auditory hallucinations are frequent.
A
Catatonic
.
B
Paranoid
.
C Disorganiz
. ed
D
Residual
.
1 points
Q UES TI ON 44
1. Select the two defense mechanisms used commonly by patients with personality
disorders.
A Introjectio
. n
B Repressio
. n
C
Splitting
.
D
Projection
.
1 points
Q UES TI ON 45
1. Select the two drugs used to treat alcohol dependence.
A Naltrexo
.
Zunkel FINAL

ne
B
Clonidine
.
C Lorazepa
. m
D Disulfira
. m

1 points
Q UES TI ON 46
1. Select two criteria to diagnose gender dysphoria in children.
A Play preferred with same gender
. children
B Urinating in body position of desired
. gender
C Play preferred with opposite gender
. children
D Dressing in clothing of assigned
. gender

1 points
Q UES TI ON 47
1. Select the time of onset for tolerance to develop from continuous use of
hallucinogens such as LSD.
A 1-2
. days
B 3-4
. days
C 4-7
. days
D
5-9
.
1 points
Q UES TI ON 48
1. Select the youngest age by which early-onset schizophrenia occurs.
A1
. 0
B1
. 3
C1
Zunkel FINAL

. 5
D1
. 8

1 points
Q UES TI ON 49
1. Select the category of symptoms that is most commonly comorbid with cognitive
disorders.
A Behavior
. al
B Emotion
. al
C
Medical
.
D
Physical
.
1 points
Q UES TI ON 50
1. Select the most reliable method to make a diagnosis of schizophrenia.
A
Mental status exam
.
B Intermittent
. hallucinations
C Impaired abstract
. thinking
D
Patient history
.
1 points
Q UES TI ON 51
1. Select the percentage of the U.S. population with a substance dependence problem
as of year 2012.
A 25
. %
B 20
. %
C 10
. %
D
5%
.
Zunkel FINAL

1 points
Q UES TI ON 52
1. Select the disorder in which is characterized by lack breast development.
A Klinefelter’s
. syndrome
B 5-α-reductase
. deficiency
C
Turner’s syndrome
.
D Transvestic disorder
.

1 points
Q UES TI ON 53
1. Select two terms preferred to describe sexual orientation.
A
Gay
.
B Heterosex
. ual
C Homosexu
. al
D
Lesbian
.
1 points
Q UES TI ON 54
1. Select the characteristic of masturbation.
A Can predispose to mental
. illness
B
Decreases sexual potency
.
C Is most universally
. practiced
D Is a sin against religious
. doctrine

1 points
Q UES TI ON 55
1. Select the medical condition that occurs less frequently in schizophrenic patients
than in the general population.
A Diabetes mellitus
Zunkel FINAL

.
B
Obesity
.
C Cardiovascular
. disease
D Rheumatoid
. arthritis

1 points
Q UES TI ON 56
1. Select the factor that best correlates with attempted and completed suicide.
A
Mental illness
.
B Socioeconomic
. status
C
Religion
.
D
Age
.
1 points
Q UES TI ON 57
1. Select the drug that is most likely to cause parkinsonian movement symptoms.
A Lorazepa
. m
B Propranol
. ol
C Benztropi
. ne
D Haloperid
. ol

1 points
Q UES TI ON 58
1. Select the personality disorder in which patients are continually in crisis and exhibit
unpredictable behavior.
A Antisocia
. l
B
Paranoid
.
C Borderlin
Zunkel FINAL

. e
D Histrioni
. c

1 points
Q UES TI ON 59
1. Select the main goal of psychosocial therapies for persons with schizophrenia.
A
Reduce frequency of auditory hallucinations
.
B Develop coping skills for adverse effects of
. antipsychotic drugs
C
Develop skills for independent living
.
D
Reduce exacerbations and re-hospitalizations
.
1 points
Q UES TI ON 60
1. Select the most common cause of dementia in elderly persons.
A Parkinson’s
. disease
B
Alcohol abuse
.
C Alzheimer’s
. disease

D Subdural
. hematoma

1 points
Q UES TI ON 61
1. Select the development time of symptoms in neuroleptic malignant syndrome.
A 12-24
. hours
B 24-72
. hours
C
4-7 days
.
D 10-14
. days

1 points
Zunkel FINAL

Q UES TI ON 62
1. Select the brain region that shows the greatest anatomical abnormalities in
schizophrenic patients.
A
Hippocampus
.
B
Amygdala
.
C Prefrontal
. cortex
D
Basal ganglia
.
1 points
Q UES TI ON 63
1. Select the mental function that is most affected in mild cognitive impairment.
A
General cognition
.
B Activities of daily
. living
C Geographic
. orientation
D
Recent memory
.
1 points
Q UES TI ON 64
1. Select the time frame for symptoms of schizophreniform disorder.
A 2 to 6
. weeks
B 1 to 5
. months
C 6 to 8
. months
D
1 year
.
1 points
Q UES TI ON 65
1. Select the personality disorder in which patients are preoccupied with perfectionism
and interpersonal control.
A
Passive-aggressive
.
Zunkel FINAL

B Obsessive-
. compulsive
C
Narcissistic
.
D
Avoidance
.
1 points
Q UES TI ON 66
1. Select the factor associated with a four- to five-fold greater occurrence of gender
dysphoria in male than in female children.
A Social stigma against male
. feminism
B Deficiency of androgenic
. hormones
C Social acceptance of female
. masculinity
D
Excess of estrogenic hormones
.
1 points
Q UES TI ON 67
1. Select the age range at which most children with gender dysphoria begin to show
increased anxiety over anticipated changes to their bodies.
A 11 to
. 14
B 7 to
. 10
C
6 to 8
.
D
3 to 4
.
1 points
Q UES TI ON 68
1. Select the drug used to treat age-related sexual dysfunction.
A
sildenafil
.
B
fluoxetine
.
C oxandrolo
. ne
Zunkel FINAL

D
lorazepam
.
1 points
Q UES TI ON 69
1. Select the characteristic of sexually abused children.
A
More common in females
.
B
Denial of abuse episodes
.
C Sexual knowledge beyond their
. age
D Non-recognition of abusive
. behaviors

1 points
Q UES TI ON 70
1. Select the rare adverse effect of SSRI antidepressants.
A
Tardive dyskinesia
.
B Restless leg
. syndrome
C Parkinsonian
. symptoms
D Hyperthermia
.

1 points
Q UES TI ON 71
1. Select the drug that is least life-threatening when consumed in an overdose.
A Pentobarbit
. al
B
Zolpidem
.
C Eszopiclon
. e
D
Diazepam
.
1 points
Q UES TI ON 72
Zunkel FINAL

1. Select the distinguishing characteristic of paraphilic disorders.

A Deviation from normal sexual
. behavior
B
Motivated by need to procreate
.
C Expression of love between two
. persons

D Cooperation to achieve mutual

. pleasure

1 points
Q UES TI ON 73
1. Select the neurotransmitter that is most implicated in schizophrenia based on the
effectiveness of antipsychotic drug therapy.
A Norepinephri
. ne
B
Dopamine
.
C
GABA
.
D
Glutamate
.
1 points
Q UES TI ON 74
1. Select the initial intervention to treat children experiencing acute school refusal.
A One-week delay until return to
. school
B Return to school the next
. normal day
C Seek enrollment in a different
. school
D
Start therapy with imipramine
.
1 points
Q UES TI ON 75
1. Select the two patient populations most likely suffer neuroleptic-induced
parkinsonian symptoms.
A
Female
.
B Male
Zunkel FINAL

.
C
Elderly
.
D Adolescen
. ts

1 points
Q UES TI ON 76
1. Select the psychoactive substance that is most frequently consumed worldwide.
A
Nicotine
.
B
Caffeine
.
C
Alcohol
.
D Marijuan
. a

1 points
Q UES TI ON 77
1. Select the intrinsic chemical released in orgasm that reinforces pleasurable
sensation.
A
Dopamine
.
B
Serotonin
.
C Epinephri
. ne
D
Oxytocin
.
1 points
Q UES TI ON 78
1. Select the comorbid disorder that is more frequent in children with gender dysphoria.
A Down
. syndrome
B
Bipolar I
.
C Autism
. spectrum
D
ADHD
.
Zunkel FINAL

1 points
Q UES TI ON 79
1. Select the age at which sexual identity is self-evident.
A 6 months to 1
. year
B
2 to 3 years
.
C
4 to 5 years
.
D
6 to 8 years
.
1 points
Q UES TI ON 80
1. Select two of the “Four A’s” symptoms of schizophrenia described by Bleuler.
A
autism
.
B ambivalen
. ce
C
anhedonia
.
D
abstract
.
1 points
Q UES TI ON 81
1. Select the brain region that is associated with substance addiction.
A Prefrontal
. cortex
B Caudate
. nucleus
C
Basal ganglia
.
D Ventral
. tegmental

1 points
Q UES TI ON 82
1. Select the two essential features of sexual dysfunction.
A
Failure to achieve orgasm
.
B Nonresponse to sexual
Zunkel FINAL

. stimulation
C
Pain during sexual activity
.
D
Presence of substance
.
1 points
Q UES TI ON 83
1. Select the neurotransmitter for which the metabolite 5-HIAA in CSF is evident and
predictive of suicide.
A
Serotonin
.
B
Dopamine
.
C Norepinephri
. ne
D
GABA
.
1 points
Q UES TI ON 84
1. Select the factor that is most influential in determining gender role development.
A Parentin
. g
B Genetic
. s
C Learnin
. g
D Hormon
. al

1 points
Q UES TI ON 85
1. Select the primary defense mechanism that is common in delusional disorder.
A
Projection
.
B
Repression
.
C
Suppression
.
D Rationalizati
. on
Zunkel FINAL

1 points
Q UES TI ON 86
1. Select the epidemiologic characteristic of tardive dyskinesia symptoms.
A
Absence during sleep
.
B
Most common in men
.
C
Absence in age less than 50
.
D 5% to 10% of patients require
. hospitalization

1 points
Q UES TI ON 87
1. Select the percentage of remission that results from correct antipsychotic drug
therapy of schizophrenic patients.
A1
. 5
B3
. 0
C4
. 5
D7
. 0

1 points
Q UES TI ON 88
1. Select the two normal functions in Asperger’s Disorder that are absent in Autism
Spectrum Disorder.
A Cognitive
. ability
B Precocious
. skills
C Language
. skills
D Social
. interaction

1 points
Q UES TI ON 89
Zunkel FINAL

1. Select the non-drug therapy in which mastery of anxiety through desensitization is

critical to successful treatment of sexual dysfunction.
A Mindfulne
. ss
B Analyticall
. y
C
Behavior
.
D
Group
.
1 points
Q UES TI ON 90
1. Select the neurotransmitter that inhibits sexual orgasm.
A
Serotonin
.
B Norepinephri
. ne
C
Dopamine
.
D
Acetylcholine
.
1 points
Q UES TI ON 91
1. Select two psychiatric disorders that are often misdiagnosed as childhood-onset or
early-onset schizophrenia.
A
Autism spectrum
.
B Obsessive-compulsive
. disorder
C
Bipolar II
.
D
Bipolar I
.
1 points
Q UES TI ON 92
1. Select the characteristic found in persons with intersex conditions.
A Desire for opposite gender
. anatomy
B
Birth with atypical anatomy
.
Zunkel FINAL

C
Dissatisfaction dysphoria
.
D
Chromosome X abnormality
.
1 points
Q UES TI ON 93
1. Select the pair of terms that represents the greatest conflict regarding sexual
behavior.
A
gay and lesbian
.
B cultural and
. spiritual
C
medical and legal
.
D political and
. religious

1 points
Q UES TI ON 94
1. Select the most effective form of questioning when taking a sex history.
A Multiple
. choice
B
Open-ended
.
C
Yes-no
.
D
Why
.
1 points
Q UES TI ON 95
1. Select the two main conditions to initially identify in adult psychiatric emergencies.
A
Violence
.
B
Suicide
.
C
Psychosis
.
D Substance
. intoxication

1 points
Zunkel FINAL

Q UES TI ON 96
1. Select the primary method to assess cognition.
A
Serum electrolytes
.
B
Thyroid function
.
C
Mental status exam
.
D Brief psychiatric rating
. scale

1 points
Q UES TI ON 97
1. Select the neurotransmitter that has least involvement in drug-induced movement
disorders.
A Norepinephrin
. e
B
Acetylcholine
.
C
Dopamine
.
D Serotonin (5-
. HT)

1 points
Q UES TI ON 98
1. Select the personality disorder that presents the greatest challenge to diagnose by
experienced providers.
A Borderlin
. e
B
Paranoid
.
C Schizotyp
. al
D
Antisocial
.
1 points
Q UES TI ON 99
1. Select the two factors that are not applicable to diagnosing schizoaffective disorder.
A Manic
. episodes
Zunkel FINAL

B Major
. depression
C Medical
. condition
D Substance
. abuse

1 points
Q UES TI ON 100
1. Select the infectious disease that when untreated may lead to an incorrect diagnosis
of depression.
A
Syphilis
.
B
Lyme
.
C
Rabies
.
D Meningit
. is

1 points
Q UES TI ON 101
1. When completing this exam, did you comply with Walden University’s
Code of Conduct including the expectations for academic integrity?
Ye
s

No