11. Which of the following is NOT part of the organic triad seen in organic dementia? A. Orientation B. Memory C. Judgment D. Location 12. Which of the following is NOT among the criteria for a major depressive episode? A. Anhedonia B. Hypersomnia C. Feelings of hopelessness, helplessness, and worthlessness D. Dysthymia 13. Having lower levels of which of the following neurotransmitters has been implicated as a cause of depressive disease? A. Enkephalins B. Dopamine C. Octopamine D. Glutamic acid 14. Which class of antidepressant drugs can cause a possibly fatal hypertensive crisis if consumed with foods high in tyramine? A. Monoamine oxidase inhibitors B. Selective serotonin reuptake inhibitors C. Serotonin–norepinephrine reuptake inhibitors D. Tricyclics and tetracyclics 15. Which of the following statements about drug dependency is FALSE? A. There is an apparent genetic tendency to alcoholism and drug dependency. B. Tolerance is defined as the need to increase dosage continually to achieve the desired effect. C. Alcohol abuse is the most common type of substance abuse in our culture. D. Drugs like heroin and angel dust have never been legal to use in the United States. 16. Which of the following is NOT true about anxiety disorders? A. Symptoms include recurrent feelings of dread, worry or fear that distract the patient’s attention from daily life. B. Anxiolytics like amphetamine are drugs that are used to treat psychosis. C. People with chronic anxiety have abnormal levels of some neurotransmitters in their brain tissue. D. Generalized anxiety disorders are often accompanied by depression. 17. In your work as an acute care medical transcriptionist, you transcribe the work of a psychiatrist with a heavy accent who speaks very rapidly during the mental status exam. You know that when you cannot understand a phrase because of an accent or other speech problem, it is helpful to rule out possible phrases that would not fit the situation. Which of the following phrases would be the LEAST likely to be heard in the dictation of a mental status exam on a patient with acute schizophrenia? A. Flight of ideas B. Oriented in all spheres C. Looseness of associations D. Pressured speech 18. In which of the following disorders might a patient display symptoms of psychosis? A. Agoraphobia B. Schizoaffective disorder C. Depression D. Obsessive-compulsive disorder 19. Which of the following tests might be performed by a general practitioner as a method of screening for Alzheimer dementia? A. MMPI B. Oswestry Disability Index C. Wechsler Memory Scale D. Mini Mental State Examination 20. Which of the following laboratory tests could diagnose Alzheimer’s disease as a cause of dementia? A. Cerebrospinal fluid analysis for specific markers B. Therapeutic blood level C. Toxicology screen D. Complete blood count with WBC differential 21. Which of the following is NOT an example of drugs used to treat anxiety disorders? A. Antidepressants like fluvoxamine (Luvox) and fluoxetine (Prozac). B. Beta blockers like propranolol (Inderal). C. Antimanics like lithium carbonate. D. Benzodiazepines like alprazolam and diazepam. 22. Which of the following is NOT a behavior associated with the main characteristics of attention-deficit hyperactivity disorder? A. Distractibility and inability to complete tasks or follow directions B. An urge to repeat a ritualistic type of behavior such as repetitive handwashing C. Blurting out one’s thoughts or butting in front of others in line D. Restlessness, fidgeting, or excessive talking 23. Which of the following is a feature of bulimia nervosa? A. Slightly overweight or normal weight B. Wasting of muscle mass C. Amenorrhea D. Anemia and dry skin 24.Which of the following is a generic name for a tranquilizer or anxiolytic medication? A. Bupropion B. Doxepin C. Risperidone D. Clorazepate 25. Which of the following is a feature of a major tranquilizer or neuroleptic drug? A. Block dopamine receptors in the brain B. Help treat psychosis by decreasing symptoms of hostility, agitation, and paranoia C. Nonaddictive, not schedule drugs