Question 1

Which of the following is NOT one of the five types of schizophrenia?

Accepted Answer

The five types of schizophrenia are paranoid, disorganized, catatonic, undifferentiated, and residual. "Manoliphic" is not a recognized subtype of schizophrenia.

Question 2

What drug could be given to treat depression?

Accepted Answer

Zoloft is a selective serotonin reuptake inhibitor (SSRI) and is a commonly prescribed medication for depression. Adderall, Valium, and Dilantin are not typically used to treat depression.

Question 3

The most common type of intellectual disability is the mild type,which affects ____ of those who have intellectual disabilities.

Accepted Answer

According to the American Association on Intellectual and Developmental Disabilities, 85% of those with intellectual disabilities have a mild type.

Question 4

A patient is admitted to the hospital for confusion.According to the family,the patient has been more difficult to manage at home and no longer is able to care for himself.The patient has known Alzheimer's disease.No medical cause could be determined for the patient's increasing confusion,and it is believed that nursing home placement is appropriate.Discharge Diagnosis: Alzheimer's dementia.

Accepted Answer

The primary diagnosis is Alzheimer's dementia (G30.9), which should be listed first. The secondary diagnosis is confusion (F02.80), which is due to the dementia. Therefore, the correct code combination is G30.9 for Alzheimer's dementia and F02.80 for confusion due to dementia.

Question 5

Severe intellectual disability is classified when the person has an IQ of ____.

Accepted Answer

The answer of Severe intellectual disability is classified when the...

Question 6

A 28-year-old man was brought to the ER by a friend who stated that the patient had been acting bizarrely.The patient has been irritable,pacing the apartment,and talking nonstop.He was admitted to the psychiatric unit for management of his manic symptoms.Final Diagnosis: Bipolar affective disease.Severe manic phase.Recurrent episode with psychosis.

Accepted Answer

The answer of A 28-year-old man was brought to the...

Question 7

Patient is receiving behavioral therapy for treatment of chronic pain syndrome due to psychological factors.

Accepted Answer

G89.4 is the ICD-10 code for Chronic pain syndrome, and F45.42 is the code for Pain disorder with related psychological factors. These codes accurately represent a patient receiving behavioral therapy for chronic pain syndrome due to psychological factors.

Question 8

What drug could be given to treat ADD or ADHD?

Accepted Answer

Ritalin (methylphenidate) is a central nervous system stimulant that is commonly used to treat both ADD and ADHD. It works by increasing the activity of certain neurotransmitters in the brain, which can improve focus and attention. Dilantin is an anti-epileptic drug and Librium and Paxil are both anti-anxiety drugs, so they are not appropriate for treating ADD or ADHD.

Question 9

Adjustment disorder with depressed mood due to unemployment.

Accepted Answer

Adjustment disorder with depressed mood (F43.21) is the primary diagnosis, as it is the most prominent symptom. Unemployment is the cause of the adjustment disorder, making it a secondary diagnosis (Z56.0).

Question 10

Patient was admitted to the psychiatric floor for evaluation of mood disorder.After extensive testing and evaluation,it was determined that patient was suffering from major depression that is severe in nature and that some psychotic features are present.Final Diagnosis: Major depressive disorder,severe with psychosis.

Accepted Answer

According to the International Classification of Diseases, 10th Revision (ICD-10), F32.3 is the code for severe depressive episode with psychotic symptoms. This diagnosis aligns with the given information that the patient has major depressive disorder with psychotic features.

Question 11

Which of the following is NOT associated with psychosis?

Accepted Answer

All the options listed (visual hallucinations, disorganized thinking, and paranoia) are associated with psychosis.

Question 12

An adult female patient is admitted for treatment of anorexia nervosa.The patient has moderate malnutrition,severe electrolyte imbalance,and nutritional cardiomyopathy.The dietician documents BMI of 18.

Accepted Answer

The correct codes are F50.00 for anorexia nervosa, E44.0 for moderate malnutrition, E87.8 for electrolyte imbalance, I43 for nutritional cardiomyopathy, and Z68.1 for BMI of 18.

Question 13

Which of the following is NOT a sign/symptom of alcoholism?

Accepted Answer

The ability to stop drinking once the person starts is not a symptom of alcoholism; rather, an inability to stop is a common symptom.

Question 14

Seizure due to alcohol withdrawal.Patient is dependent on alcohol and usually drinks every day.

Accepted Answer

Code F10.230 represents alcohol withdrawal with withdrawal seizures, which is the most accurate code for the given scenario. Code R56.9 represents unspecified convulsions, which is also applicable in this case. However, the primary reason for the seizure is alcohol withdrawal, which is represented by the code F10.230. Therefore, option B is the best choice.

Question 15

Patient presented to the ER requesting detox.Patient had a previous admission for heroin dependence 2 years ago.Patient used about $50 per day and occasionally smoked cocaine.Patient is unemployed.Patient was admitted,and the detoxification protocol was implemented.The patient did experience some mild withdrawal symptoms.The patient was discharged after 3 days and was instructed to attend 90 NA meetings in 90 days and to find a sponsor.Discharge Diagnosis: Heroin dependence with withdrawal.Cocaine abuse.

Accepted Answer

The answer of Patient presented to the ER requesting detox.Patient...

Question 16

Fragile X syndrome with mild intellectual disability.

Accepted Answer

The answer of Fragile X syndrome with mild intellectual disability.
...

Question 17

A patient is admitted following seizure like activity.It is determined that the patient has a conversion disorder with seizures.

Accepted Answer

Conversion disorder with seizures is coded as F44.5 according to ICD-10-CM.

Question 18

Patient is admitted with abdominal pain.After investigation,it is determined that the patient has alcoholic gastritis.Patient has a history of alcohol dependence.

Accepted Answer

The answer of Patient is admitted with abdominal pain.After investigation,it...

Question 19

Which of the following can cause intellectual disability to a child during the mother's pregnancy?

Accepted Answer

Malnutrition, mother's use of alcohol or drugs, and exposure to environmental toxins during pregnancy can cause intellectual disability in the child. It is important for expectant mothers to take care of their health and avoid any harmful substances to ensure healthy fetal development.

Question 20

Patient was admitted with delirium tremens as a result of alcohol withdrawal.Patient has had a bout of acute gastroenteritis and has not had a drink for a couple of days.Patient was admitted and was started on IV fluids and a banana bag.Patient is hypokalemic with a potassium of 3.0 and is dehydrated.Patient's potassium was repleted with oral medication.Final Diagnoses: Acute gastroenteritis.Alcohol withdrawal.Hypokalemia.

Accepted Answer

- F10.231 for alcohol withdrawal
- K52.9 for acute gastroenteritis
- E87.6 for hypokalemia
- E86.0 for dehydration (due to hypokalemia)

Quiz 13: Mental, Behavioral, and Neuro developmental Disorders