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Question 1 The Confusion Assessment Methods Instrument (CAMI) is a standardized assessment ‘tool for which of the following disorders? A. Dementia B. Delirium C. Pick's disease D.AandCc The answer is B-Delirium Question 2 Which of the following is a common sensory deficit of conversion disorder? Check all that apply. A. Blindness B . Tunnel vision C. Blindness D. Deafness The answer is A-Blindness and D-Deafness Question 3 Delirium is an example of which type of clinical problem in psychosomatic medicine? A. Psychiatric symptoms secondary to a medical condition B . Psychiatric symptoms as a reaction to a medical condition of treatment C . Psychiatric complications of medical conditions and treatment D . Medical complications of psychiatric conditions or treatment The answer is A- Psychiatric symptoms secondary to a medical condition Question 4 All the following medications are used in the treatment of Parkinson's disease dementia/psychosis EXCEPT for A. Nuplazid B . Rivastigmine Cc. Pimavanserin D . Memantine The answer is D-Memantine Question 5 Indicators of imitative dissociative identity disorder include which of the following symptoms? A. Symptom exaggeration B . Confusion and shame related fo symptoms C . Use of symptoms to excuse antisocial behaviors D.Aand C only The answer is B- confusion and shame related to symptoms Question 6 Which of the following can lower a person's resistance to control impulses? Which of the following biological factors have been associated with kleptomania? Check all that apply. A. Brain diseases B. Cortical atrophy C .. Mental retardation D. Enlarged lateral ventricles The answers are:A-brain diseases,B-Cortical atrophy,and D-enlarged lateral ventricles Question 13 Aneurodevelopmental disorder characterized by impairment confined to a specific area of academic achievement (i.e.. reading, writing, arithmetic, spelling) without deficits in intellectual and adaptive behaviors is A. Intellectual disability B .. Communication disorder C.. Specific learning disorder D . Autism spectrum disorder The answer is A-Intellectual disability Step-by-step explanation Question 14 Which of the following approaches/treatments are recommended in working with patients with a conversion disorder? A. After a very thorough evaluation to r/o any medical cause, tell the patient that the symptoms are imaginary. B . Recommend psychotherapy to focus on issues of stress and coping. C . Recommend psychoanalysis to explore intrapsychic conflicts. D.BandC only The answer is B -Recommend psychotherapy to focus on issues of stress and coping Question 15 Experiences of depersonalization and derealization are common in which of the following patients? A. Patients with seizures B. Patients with migraines C.. Patients who use marijuana D. All of the above The answer is C- Patients who use marijuana Question 16 Under hypnosis or during psychotherapy. a patient may recover a memory of a painful experience that is etiologically significant. This is known as which of the following? A. False memory syndrome B. Recalled memory syndrome C . Dissociative trance disorder D . Recovered identity disorder The answer is C- Dissociative trance disorder Question 17 Which of the following is recommended as a first line therapy for a patient with dementia and behavioral disturbance? A Valproic acid (Depakote) B. Risperdal C . Haloperidol D . None of the above The answer is D-none of the above Question 18 According to the DSM-5, delirium is specified as acute or persistent. Which of the following time frames is consistent with acute delirium specification? A.A few hours or days B . Three weeks or less C.. One month or less D . Less than 3 months The answer is A- A few hours or days Question 19 Which of the following is true about impulses? Check all that apply. A. Impulses are acted upon with the expectation of receiving pleasure B. Impulses are usually ego-dystonic. C. Impulsive behaviors are characterized by their repetitive nature. D. The repeated acting out of impulses leads to psychological impairment. The answers are B-,. Impulses are usually ego-dystonic, C- Impulsive behaviors are characterized by their repetitive nature ,and D-. The repeated acting out of impulses leads to psychological impairment Question 20 MRI findings in patients with intermittent explosive disorder may reveal changes to which area of the brain that is associated with loss of impulse control? A. Cerebellum B . Prefrontal cortex C Temporal lobe D . Parietal lobe The answer is B-Prefrontal cortex Question 21 Patients with kleptomania have a high lifetime comorbidity of which of the following disorders? A. Mood disorders B . Schizophrenia C . Dissociative disorders D .All of the above The answer is A-Mood disorders Question 22 The epidemiology related to kleptomania includes which of the following? A.. Kleptomania is more prevalent in males than females. B . Kleptomania is estimated to be about 10 percent in the general population. C . Kleptomania is reported to occur in fewer than 5 percent of identified shoplifters. D . All of the above The answer is A- Kleptomania is more prevalent in males than females Question 28 The ARNP in working with a parent of a 6-month-old would offer which of the following in anticipatory guidance? A.. Give baby much attention. B . Attune to baby's needs for hunger, fatigue, diaper change. C . Provide supervised time for crawling, sitting, and rolling. D . All the above The answer is C- Provide supervised time for crawling, sitting, and rolling Question 29 The symptom of giving approximate answers is known as which of the following? A. Alogia B. Paralogia Cc. Analogia D. Symlogia The answer is A-Alogia Question 30 Identifying developmental milestones is an important skill set for ARNPs for which of the following reasons? A. Often developmental milestones go unrecognized until a child is much older. B . Knowing when a significant variation in development has occurred improves diagnostic accuracy. C The sooner a significant developmental impairment is identified and addressed, the . better the long-term outcomes could be for patients. D. All of the above The answer is C- The sooner a significant developmental impairment is identified and addressed, the . better the long-term outcomes could be for patients. Question 31 Which of the following can cause delirium? Check all that apply. A. Polypharmacy B. Sleep deprivation C.. Admission/transfer/discharge from a healthcare facility D . None of the above The answers are A- Polypharmacy, and C- Admission/transfer/discharge from a healthcare facility Question 32 A patient who has been raped, presents with the inability to recall important personal information and any information about the rape, does recall events prior and since. There does not appear to be any physiological reason for this. This presentation is consistent with which of the following diagnoses? A. Dissociative amnesia B . Dissociative amnesia with dissociative fugue C . Localized dissociative amnesia D . Generalized dissociative amnesia The answer is C-Localized dissociative amnesia Question 33 A term use to describe a neurodevelopmental disorder characterized by impairments in reciprocal social communication and a tendency to engage in repetitive stereotyped patterns of behaviors, interests and activities is A. Intellectual disability B.. Specific learning disorder C.. Autism spectrum disorder (ASD) D. Attention deficit/hyperactivity disorder (ADHD) The answer is C- Autism spectrum disorder (ASD) Question 34 Acute withdrawal from alcohol represents which type of clinical problem in psychosomatic medicine? A. Medical complications of psychiatric conditions or treatments B . Psychiatric complications of medical conditions and treatments C. Psychiatric symptoms as a reaction to medical treatments. D. Co-occurring medical and psychiatric conditions. The answer is B- Psychiatric complications of medical conditions and treatments Question 35 A dissociative disorder described as an identity disturbance due to prolonged and intense coercive persuasion is known as which of the following? A. Brainwashing B . Ganser syndrome C. Imitative dissociative identity disorder D. Factitious dissociative identity disorder The answer is A-Brainwashing c A Illness anxiety disorder is more common in men than in women. c B Illness anxiety disorder is seen more frequently in persons with higher education. Surveys indicate that up to 15 percent of the general population worry about C becoming sick and incapacitated as a result. c D Iltness anxiety disorder is more common among caucasians than among other races. Question 38 Which of the following treatments is 11OT recommended in treating Dissociative Identity Disorder? a A Cognitive Therapy c B Hypnosis o C Antidepressants Group c Psychotherapy Question 39 A person reveals to the ARIIP that they steal to get the things they want and cannot afford. The person says they just can’t help themselves, because they have kleptomania. The ARIIP realizes the following: cA This presentation is consistent with kleptomania. This presentation is not consistent with kleptomania because a person with © kleptomania does not realize they have kleptomania. The person likely does not have kleptomania because a person with kleptomania is c C more concerned with the act of stealing rather than the obtaining the object which . has been stolen. D The presentation is consistent with kleptomania because the person is stealing co things they need. Question 40 A subcortical dementia with parenchymal abnormalities which can be visualized on MRI is known as which of the following? -~ AHIV dementia cB Kluver-Bucy syndrome Cc Alzheimer’s type o dementia D Creutzfeldt-Jakob © disease Question 41 Predisposing factors for delirium include which of the following? Check all that apply. A Dementia ra CD B History of falls ww C Age 65 and olde 7 \¥ impairment Question 42 Which of the following diagnostic instruments for Autism Spectrum Disorder is recommended for universal clinical practice? A Autism Diagnostic Interview -Revised (ADI - R) c : Diagnostic Interview for Social and Communication © Disorder (DISCO) c C Development, Dimensional and Diagnostic Interview c D None of the above Question 43 A capacity evaluation prior to an organ transplantation is an example of which of the following clinical problems in psychosomatic medicine? c Psychiatric symptoms secondary to a medical condition B Medical complications of psychiatric treatments Cc Psychological factors precipitating medical conditions D Psychiatric/psychosocial assessment Question 47 Difficulty with immediate memory is attributed to impairment in which of the following regions of the brain? Select all that apply. cr A Broca p Wernick - c cesta c p Jemeor Question 48 Which of the following would not be included in the treatment plan for a patient with illness anxiety disorder? c A Behavioral therapy c B Group psychotherapy c C Insight oriented psychotherapy Exploratory invasive procedures to obtain © diagnosis Question 49 Which of the following would demonstrate the normal achievement of gross motor developmental milestone for a 6-month-old? A Pulls to stand eB Transfers items hand to hand c c C Briefly sits alone: pivots in prone Feeds self crackers; stares at c new faces. Question 50 A process by which repressed material is brought back to consciousness and the person relives the repressed material accompanied ty the appropriate affective response. CA Abulia B Abreactio n c ¢ C Adynamia Alexit! c D’ lexithym Question 51 The term psychosomatic literally refers to which of the following? A Imaginary illness C ~-_ B Psychiatric iltness c How the mind effects the Cc body D How the body effects the cC mind Question 52 Which of the following is consistent with normal range gross motor developmental milestones for a 4 year old? A Walks down stairs, jumps backwards c B Balances on one foot for 4 seconds, can broad c jump 1 foot C writes part of name; copies a square. C c D Eats independently, unbuttons items Question 53 Which of the following speech and language skills are consistent with normal developmental milestones of a 3-year-old? A Uses three-word sentences; names body Cc parts. Uses two-word sentences; understands me Cc and you Question 57 Recognizable skills or abilities that have an expected range and order of appearance such as a child taking his first step around the time of his first birthday is known as which of the following? oc ALife skills cB Motor development c Developmental Cc history D Developmental Cc milestones Question 58 A condition characterized by the person giving approximate answers, with clouding of consciousness, frequently accompanied by hallucinations or other dissociative, somatoform or conversion symptoms is c AGanser Syndrome c B Schizophrenia Dissociative trance c disorder D Dissociative identity c disorder Question 59 Somatoform disorders represent which type of clinical problem in psychosomatic Medicine? - A Co-oceurring medical and psychiatric conditions. Psychiatric complications of medical conditions and Cc treatments. Psychiatric symptoms secondary to a medical C condition. D Psychological factors precipitating medical c symptoms. Question 60 Which is I1OT consistent with what is known about Ganser syndrome? A Three of Ganser’s first four cases were convicts. B Cases have been reported in a variety of cultures. C Women outnumber men by approximately 2 to 1. It is considered by some to be an indicator of potential malingering. Question 61 The second-most common type of dementia caused by cardiovascular and cerebrovascular disease with progressive cognitive decline in stepwise fashion is known as which of the following? c APick’s disease c¢ BHiVdementia c Vascular Cc dementia p Lewy-body Cc dementia Question 62 Deficits in attention and the ability to complete multi-step commands are associated with impairment in which of the following regions of the brain? c AFrontal c B Prefrontal c Cingulate Cc gyrus c D All the above Question 63 A person erroneously believes they sustained an emotional or physical trauma in early life is known as which of the following? c c A Ganser syndrome B False memory syndrome D Alzheimer’s type Cc dementia Question 67 Which of the following is a common visceral symptom of conversion disorder? cA Seizures cB Diarrhea c. © Paralysis Mid-line Cc anesthesia Question 68 The ARIIP is working with the family of a patient with Alzheimer’s Disease who keeps stating the family is plotting against her, trying to have her “snuffed out.” The family is distraught because they state they are doing their best to make sure their family member is safe. The ARHP explains which of the following in educating the patient about the patient's The patient is hallucinating. An estimated 20-30 percent of patient with dementia Cc have hallucinations. B The patient is delusional. An estimated 30-40 percent of patients with dementia Cc have delusions. c C The patient likely has valid concerns and adult protective services needs to be called. Disturbance in percepti is Common in patients with Alzheimer’s Disease and Cc patient needs to be hospitalized immediately. Question 69 Which of the following questions would be important when differentiating pyromania from schizophrenia? c A Was the fire set in response to a delusion or hallucination? Was the fire set deliberately, not a failure to resist an c impulse? © Was the fire set as an act of sabotage? D Was the fire set with a failure to appreciate the Cc consequences of the act? Question 70 The ARIIP notices that a patient with a conversion disorder unable to walk has an inappropriately cavalier attitude toward what seems to be a major impairment and recognizes this an associated psychological symptom known as which of the following? c A Identification cB Primary gain c¢ © Secondary gain Dp La belle Cc indifference Question 71 The ARIIP recognizes which of the following when the 2-month-old opens her mouth when she sees a bottle. The 2-month-old must be quite advanced as this is a visual motor skill normally seen Cc in a 4 month old. c B The 2-month-old is demonstrating a normal developmental adaptive skill. Cc C The 2-month-old is demonstrating a normal developmental visual motor skill. D The 2-month-old is demonstrating an advanced developmental gross motor skill. Question 72 Neuropsychiatric testing is defined as which of the following? c A Acomprehensive mental status exam c B A neurological evaluation of brain function Standardized quantitative reproducible evaluation of a patient’s Cc cognitive abilities. D A non-invasive test of brain function which analyzes electrical Cc rhythms in the brain Question 73 Deficits in language including naming, repetition, reading and comprehension, and writing is NOT associated with impairment in which of the following regions of the brain? Cc ABroca 
