Psychiatry Quiz

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Psychiatry Quiz

You must receive a 70% or higher to pass and receive a certificate (it will be emailed upon passing the quiz - check your spam and promotions folder if you do not receive it within a few minutes after passing the quiz).

Quiz deadline: Saturday, November 12, 2022 @ 10 AM EST

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*FULL NAME *

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1. The American Medical Association’s Alcohol Consumption Guidelines state that women should limit their weekly alcohol consumption to fewer than how many drinks? *

1 point

2. A 26 y/o school teacher has been binge drinking regularly for the last 7 years. She stopped yesterday, now feels “Jittery’’and wonders if it is safe for her to just stop on her own. How would you assess whether she is at risk for alcohol withdrawal?
*

1 point

Reassure her that women in her age group are unlikely to have serious withdrawal symptoms

A detailed history of her drinking in the last 28 days will reveal if she is at risk

A review of her vital signs (HR, RR, BP) is the best way to predict withdrawal risk

Assess her symptoms using the Clinical Institute Withdrawal Assessment of Alcohol, Revised (CIWA-Ar)

There is no way to predict if she is at risk

3. A male patient was hospitalized yesterday after an auto accident for treatment of a pelvic fracture. This morning he began showing signs of alcohol withdrawal. What is the preferred medication for treating alcohol withdrawal in the medical patient? *

1 point

Chlordiazepoxide

Lorazepam

Gabapentin

Phenobarbital

Diazepam

4. True or False: Alcohol can damage almost every organ in the body. *

1 point

True

False

5. A 71 year old Caucasian male has had 2 previous episodes of the DTs (alcohol withdrawal delirium). He was admitted to the hospital this morning, again in the early stages of alcohol withdrawal. What is the best way to prevent a recurrence of the DTs? *

1 point

Anticonvulsants are the preferred medications

An alcohol taper is the safest approach

Aggressive pharmacotherapy at the earliest signs of alcohol withdrawal

Treat to keep the CIWA-Ar at 12 or below

Medicating based on any increases in her heart rate or tremor is the best approach

6. A 52 year old anesthesiologist wants to start disulfiram to avoid drinking as part of his monitoring by the Medical Board. Which of the following enzymes is inhibited by disulfiram? *

1 point

Alcohol dehydrogenase

Aldehyde dehydrogenase

Sulfuryl dehydrogenase

Glucose-6-phosphatase

7. The symptoms associated with acute alcohol withdrawal are related to over activity of which neurotransmitter? *

1 point

Glutamate

GABA

Dopamine

Serotonin

8. A 64 y.o. elementary school teacher with alcohol use disorder severe and a Creatinine Clearance lower than 30 mL/min wants to be started on pharmacotherapy to aid her in her recovery process. Which of the following medications is most strongly contraindicated in patients with advanced renal disease? *

1 point

Naltrexone

Disulfiram

Sertraline

Acamprosate

9. Select all of the following components of the Alcohol Withdrawal Treatment. *

1 point

Substitute cross-dependent drug (benzodiazepine)

Gradually withdraw substitute drug

Supplement vitamins and minerals

Thiamine

Folic Acid

Supportive treatment

Required

10. Which of the following is a cause of provoked seizures? *

1 point

Hyponatremia

Alcohol & drug withdrawal

Hypoxia

All of the above

11. Briefly, reflect on what stood out to you the most from this session. *

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