Bao is a 23-year-old woman you are are evaluating for diarrhea and suspected irritable bowel syndrome.  Other than a careful history and physical, what is the best diagnostic plan to pursue?

Anita is a 37-year-old who presents as a new admission physical from a local assisted living facility that cares for a lot of mentally ill adults. She has told the staff and yourself that she has been taking alprazolam 1 mg at least QID for the last several months (she obtained illicitly).  The staff would like to discontinue this medication.  What’s your best plan?

Kaitlyn is a 20-year-old college student who presents for evaluation of inability to quit crying.  She is accompanied by her Mom who has driven to campus to pick her up and take her home due to her concerns. Kaitlyn tells you that two weeks ago her professor in her film class had the group watch a film that “was really really scary”.   She states she is sleeping well, feels rested when she gets up, is still going to class and has been able to concentrate on her studies, “the only thing I can’t seem to do is quit crying and I haven’t been able to write my review paper for the film we watched”.  She wakes up crying each morning and will start to cry for no reason during class, “I don’t feel sad”.  You note that Kaitlyn appears Asian and her mother appears Caucasian. As part of the history, you find that she was raised in an orphanage in China until the age of 5, when she was adopted by her.  She has a very difficult time in recounting this history.  What is your working diagnosis? 

What two things are needed for accurate comprehension?

Which is/are a risk with prolonged proton pump inhibitor (ppi) use? Select all that apply.

What are the three basic elements of reading comprehension?

What do similes, metaphors and idioms all have in common?

Here is a link to the formula sheet.  3250_FormulaSheet_JMP_firstexam 2.0.pdf 3250_FormulaSheet_JMP_firstexam 2.0.docx (You may see that Honorlock flickers or that you get a warning that you are leaving the exam. Don’t worry. Continue to open the document. )   

In an inpatient detox unit, which benzodiazepine is most appropriate for managing alcohol withdrawal symptoms in a patient with comorbid hepatic disease?

An 18-year-old male with no prior psychiatric history has been increasingly socially isolated over the last three months. Although he had been a good student with many friends throughout high school, he dropped out of school in the spring of his senior year. Over the past two months, his family members report that he has started talking to himself and has yelled at them to stop talking to him when no one was actually speaking. Over the same time., He has been increasingly concerned that aliens are living in his head. Urine toxicology and standard medical work up for secondary causes of psychosis are negative. The patient does not have any changes in his mood. What is the correct DSM five diagnosis for this patient, with appropriate specifiers?