Barkley DRT #2 Practice Exam with Answers (100 Solved Questions)

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Barkley DRT #21.During a suicide intervention with your 28yo male patient, to which agreement should you ask for his consent,verbally or in writing?a.-“No Harm” contract-health care professionals are obligated to ask suicidal patients to agree to a noharm contract, verbally or in writing, detailing specifically that the patient will restrain from harmingthemselvesb.“No Suicide” contract-typical contracts used in the prevention of suicidec.“Prevention” Contract-typical contracts used in the prevention of suicided.“Affirming Life” contract-typical contracts used in the prevention of suicide2.Courtney 35 is a rape victim. You note that she has an expressed style of coping in her acute rape traumasyndrome. Which of the following would most lead you to this conclusion?a.Patients Masked faceb.Patients Distractibiityc.Patient Smilingd.Patient having difficulty making decisions3.Which of the following patients would not require hospitalization?a.A 29yo self-admitted bulimic male with bradycardiab.A 27yo female with repeated use of laxatives and diuretics at least two times a week for 3 monthsc.A 20yo male suffering from persistent hypothermiad.A 18yo young woman who is 5’4” and weighs 92 pounds4.Terry, 35yo, visits your office with the assumption that he is experiencing depression. Terry explains that he hasa history of substance abuse and a family history of mood disorders. He claims that he has recently beenincredibly fatigued, possessing no energy to even perform day to day activities. Even with the sudden onset offatigue. Terry explains that he is still experiencing insomnia. He also complains about recurring confusion andloss of weight, and confesses that he has been experiencing more recurrent suicidal thoughts. Of the followingwhich is the best medication to prescribe Terry for his situation?a.Sympathomimetics-thought to be most effective pharmacological treatment for depression, howeverthey have a potential for abuseb.Bupropion-better choice due to history of substance abusec.Olanzapine-mood stabilizer more effective for bipolard.Risperidone-for mania5.You are attending to a 30yo male after he was shot at and almost killed. By showing empathy, confrontation, andimmediacy, you are exhibiting which of the following?a.Identifying the hazard and precipitating event- involves differentiating the precipitating event from longterm psychological problems.b.Counseling keystones relevant to assessment of a crisis-Three of the counseling keystones relevant toassessment of a crisis are empathy, confrontation, and immediacy.c.Identifying coping mechanisms-does not involve wide-ranging keystones such as empathy, but ratherspecific actions such as questioning and increasing adaptive coping by recommending the patient seekinformation.d.Situational support6.A patient with which of the following findings should be referred to primary care for cardiovascular problems?a.A patient with a blood pressure of 130/85-considered prehypertension and should be referred toprimary care.b.Systolec.Diastoled.Low density lipoprotein level (LDL) of 69 mg/dl-is the desired LDL for patients, anything over 100 mg/dlshould warrant a referral to primary care for evaluation of cholesterol.

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7.Patients with severe and persistent mental illness (SPMI) exhibit symptoms which interfere with occupational,academic, and social functioning. Which of the following illnesses eventually touches 100% of patients affectedwith SPMI?a.Unipolar depression- affects 20-30% of SPMI patientsb.Schizophrenia- affects 90% of SPMI patientsc.Dementia-100% of patients with SPMI are eventually affected by varying degrees of dementia whichinterfere with occupational, academic and social functioningd.Bipolar Depression- affects 40-50% of SPMI patients8.Before patients enter a hospice they are advised of their right to refuse care, but only if they have which of thefollowing?a.Decisional capabilityb.A living willc.A healthcare directived.Informed consent9.Which of the following statements is not a correct association with the Bronfenbrenner’s ecological systemmodel?a.Children are dynamic entities and develop the skills necessary to _____ that settingb.The ___ child ____ may be established as _____ by the parents relationshipsc.Objective reality influences behaviors and development more than ones perception of environmentd.Changes in family structure such as the birth of a sibling affect a child’s development10. A 34yo man who recently had a major car accident comes to your office. He reports that his car hit the car infront of him. The man says he has a relative with intermittent explosive disorder and worries, that he may alsohave it. He is worried that if he has this disorder, it could lead to further problems in the future. When asked ifhe hit the car on purpose, he initially denies it, but then indicates that he was particularly annoyed with thedriver in front of him. Which of the following would not be a typical characteristic of this disorder?a.The degree of aggression was out of proportion to the precipitating psychological stressorb.He had been drinking alcohol extensively earlier in the nightc.He felt immediately guilty after the episoded.He experienced tingling and chest tightness shortly before episode.11. Of the following antidepressant medications, which is a tetracyclic antidepressant?a.Maprotiline- a tetracyclic antidepressant, chemical compound consists of primarily 4 rings of atoms.b.Amitriptyline-tricyclic antidepressantc.Amoxapine-tricyclic antidepressantd.Phenetzine sulfate-MAOI12. The sexually transmitted disease that causes superficial, painful ulcers surrounded by an erythematous halo inmen but is usually asymptomatic in women is which of the following?a.Chancroid-although women are usually asymptomatic, men usually have superficial painful, and erosiveulcers, which are surrounded by an erythematous halo, on the genitalia when affected by chancroid.b.Herpes Simplex virus type I-painful ulcers on face no haloc.Human Papillomavirus-single or multiple soft, fleshy, papillary, or sessile, painless keratinized growtharound anus, vulvovaginal area, penis urethra, or perineum.d.Lymphogranuloma venereum- painless and involves bubo13. The medical profession categories the various levels of prevention that caregivers practice on their patients. Apap smear screening corresponds to which of these types of prevention?a.Primary preventionb.Secondary preventionc.Quaternary Preventioind.Tertiary Prevention

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14. Schizophrenia is a complex illness with certain accepted phases; and often lifelong movement between phases,which of the following is not a phase of schizophrenia?a.Prodromalb.Premorbidc.Relapsabled.Acute15. Eric, a 34yo male, diagnosed as schizophrenic 5yrs ago. Among his characteristics and features is an apparentemotional detachment from his action and surroundings. During interviews with him, you note his persistentlyconfused speech and behavior. You are also informing Eric’s family members of his diagnosis, you should tellthem that Eric displays characteristics of which type of schizophrenia?a.Disorganizedb.Catatonicc.Residuald.Paranoid16. In the treatment of GAD, benzos are advisable typically for short term use. Which of the following is not a riskassociated with this treatment?a.Toleranceb.Blood clotsc.Dependencyd.Withdrawal symptoms when discontinued17. Vitamin B12 deficiency can lead to clinical symptoms of dementia. In patients with dementia, which of thefollowing findings would you also expect to see as a result of this deficiency?a.Markedly increased neuritic plaques and neurofibrillary tangles-hallmark of Alzheimers as is decreasedavailability of acetylcholine.b.Demyelination and axon loss in the brain and spinal cord-dementia due to B12 is caused bydemyelination and axon loss in brain and spinal cord.c.Decreased availability of acetylcholined.Substantial reduction in neurons in the substantia nigra -aka atrophy of the substantia nigra is a clinicalfeature of Parkinson’s disease and not related to B12.18. You are treating SergeI, who speaks limited English, and you do not know enough Russian to treat him.According to the standards of Culturally and Linguistically Appropriate Services, you must provide all of thefollowing for Sergei, except:a, b, and c all are part of (CLAS)- One of the standards of Culturally and Linguistically Appropriate Services (CLAS)is the requirement that health organizations must provide language assistance Services. This includes bilingualstaff or interpreter services at no cost to the patient. Their right to this service must be made known to thepatient in their preferred language, both verbally and in written notices. Additionally, the patient’s family orfriends may be used as translators unless specifically requested by the patient.a.Bilingual staff and interpreter services at no cost to the patientb.An English-Russian translator application on your computer- does not meet the stadards of CLASc.Verbal and written notices in the patient’s native languaged.A trusted family member or friend who can translate, if requested19. Matthias, 8yo male, is having difficulty in school. His mother is concerned about his social withdrawal andisolation. His mother tells you that she is worried that it may be schizophrenia because her older brother has thecondition. You tell her that Matthias may be in the premorbid phase of schizophrenia, which requires earlyintervention. The premorbid phase contains all of the following characteristics except:a.Echopraxia-the involuntary repetition of another individual’s observed actions. This is a feature of theacute or psychotic phase of schizophrenia, not the premorbid phase.b.Enuresis-premorbid phase can also include involuntary urination or enuresisc.Irritability and or anger- major characteristics of premorbid phase

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d.Depression- major characteristics of premorbid phase20. A physical therapist helps Chris who was paralyzed below his waist after falling off a horse. He is now post spinalcord surgery and he is able to feel his legs and feet again. What level of prevention is occurring here?a.Secondary Preventionb.Tertiary Preventionc.Primary Preventiond.Quaternary prevention21. The following choices represent the predisposing factors for enuresis except:a.African Americanb.Malec.Small bladder capacityd.Poor nutrition22. You are meeting Ginger, a 10yo, who was brought to you by a social worker. You notice that Ginger is wary ofadult contact, withdrawn and responds to your questions in monosyllabic answers. You also gather that she isfrightened of her parents, yet she makes constant efforts to please them. The patient’s behavior is mostindicative of which of the following?a.Neglect y caretakersb.Emotional abuse by caretakersc.Sexual abuse by caretakersd.Physical abuse by caretakers23. Despite the fact that she claims she “forgot” to pay for the items. Cynthia was recently arrested for shoplifting ata clothing store. Looking at this 32yo, female’s history, you realize she has a history of shoplifting often by herselfand with no apparent need or want for the items. Which of the following would you expect to see in Cynthia’sfamily history?a.Her sister was addicted to pain killersb.Her mother has OCDc.Her father was an alcoholicd.Her aunt suffered from panic attacks24. You are performing a comprehensive health history of 20yo Ricky. He has been in and out of juvenile detentioncenters because of his violent history over the last 3 years. You are trying to delineate whether his propensity forviolence is associated with internal or external factors. Yu should pay special attention to the following possibleissues except:a.GI problemsb.History of substance abusec.High feversd.Head injury25. Jameson, 47, is a self-described “neurotic overachiever” who is obsessed with growing his small business.During your interview, you note that he appears arrogant and grandiose. He is convinced that his largestbusiness competitor is intent on sabotaging his company. He appears unable to empathize with the feelings andneeds of others and has few friends or interests outside of work as a result. Which of the following personalitydisorders best explains Jameson’s behavior?a.Obsessive-Compulsiveb.Histrionicc.Borderlined.Narcissistic26. You see an Alzheimer’s patient you treat regularly, 77yo Jane. In your last checkup you have noticed bruises onher, and Jane is in no state to recall what occurred. In most states, which of the following would you be legallyrequired to report to social services?a.Neither incident

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b.The incident of domestic abusec.Both incidentsd.The incident of elder abuse27. When treating a patient with hyperactive delirium, you must help the patient in managing his or her symptomsuntil the delirium has resolved. Which of the following would be least appropriate for this type of patient?a.Schedule treatments and medications at times that will not interrupt nighttime sleepb.Clearly identify staff and their functionc.Allow the patient to sit up partiallyd.Provide the patient with a semi-darkened room28. Even though many types of dementia are permanent and become progressively worse, there is a potentiallyeversible form of dementia. This type of dementia impairs the return of cerebral spinal fluid to brain from thespinal column because of enlarged ventricles. Which of the following matches this description?a.Dementia due to Picks diseaseb.Dementia due to normal-pressure hydrocephalusc.Dementia due to HIVd.Dementia due to Creutzfeld-Jacob disease29. Which of the following are two risk factors for the recurrence of major depressive disorder?a.Prior history of multiple major depressive episode and a later age of onset—earlier age of onset notlaterb.Negative Cognitive style and persistent sleep disturbance-along with a prior history of major depressiveepisodes, ongoing psychosocial stress, negative cognitive style, and earlier age of onset, and persistentsleep disturbances are some of the risk factors for the recurrence of major depressive disorder.c.Sociopathic behavior and paranoid behavior-suggests less of a risk for mood disorders.d.Ongoing psychosocial stress and family history of major depressive disorder-family history of MDD not arisk factor for its recurrence30. Which of the following statements about elder abuse is false?a.Elderly women are at higher risk of being abused than elderly men-elderly men at higher risk of beingabused than women, especially if the elderly men were abusive in the past.b.About one in ten elders in the community are mistreated-truec.Elder abuse increases with increase in “caretaker burden”-trued.More than half of abused dependent elders are abused by their spouse-true31. Abnormalities in neurotransmitters such as serotonin and dopamine may be a neurological predisposing factorfor bipolar disorders. An abnormality of which of the following may also be a neurological predisposing factor?Neurological predisposing factors for bipolar disorders include, but are not limited to, abnormalities of cortisol,norepinephrine, glutamate, and acetylcholine.a.Somatostatinb.Epinephrinec.Cortisold.dimethyltryptamine32. Which of the following findings is not among the list of necessary symptoms for a diagnosis of dementia?a.Agnosiab.Aphasiac.Anosognosiad.Apraxia33. Samuel is under your care for depression. Your medication of choice in his case is a prescription for a serotoninnorepinephrine reuptake inhibitor (SNRI). This type of medication blocks the reuptake of neurotransmitters aftertheir release from the presynaptic terminal. Which of the following medications did you prescribe?a.Venlafaxineb.Thioridazine

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