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| Section | Weight | Objectives |
|---|---|---|
| Evidence-Based Psychotherapy Approaches | 9% | - CBT, IPT, psychodynamic therapies - Interventions for specific disorders - Trauma-informed care |
| Legal, Ethical and Professional Issues | 7% | - Scope of practice and boundaries - Mandatory reporting and liability - Confidentiality and informed consent |
| Family and Partner Support | 7% | - Involving family in treatment - Impact on partners and family - Support systems and community resources |
| Risk Factors and Etiology | 10% | - Psychosocial and environmental factors - Biological and hormonal factors - Trauma and history of mental illness |
| Cultural and Diversity Considerations | 8% | - Cultural beliefs and practices - Disparities in access and care - LGBTQ+ and marginalized populations |
| Prevention and Early Intervention | 5% | - Early identification and intervention - Universal and targeted prevention |
| Recovery and Wellness | 5% | - Relapse prevention and maintenance - Self-care and provider wellness |
| Perinatal Mental Health Disorders | 14% | - Differentiate typical vs atypical presentations - Typical emotional, cognitive, behavioral changes - Diagnostic criteria and classification |
| Care Coordination and Systems of Care | 6% | - Interprofessional collaboration - Public health and policy - Referral pathways and care transitions |
| Special Populations and Circumstances | 8% | - Substance use and co-occurring conditions - High-risk pregnancies and complications - Pregnancy loss, infertility, perinatal grief |
| Screening, Assessment and Diagnosis | 12% | - Clinical interview and assessment methods - Validated screening tools - Differential diagnosis and comorbidity |
| Psychopharmacology | 9% | - Risks vs benefits of treatment - Breastfeeding and medication use - Medication safety in pregnancy and postpartum |
1. 43. Which of the following situations would require a referral to the nearest emergency department for urgent psychiatric evaluation of suspected postpartum psychosis?
A) A new mother reports she spends a great deal of time worrying that she will accidentally drop or otherwise harm her baby and is fearful of being left home alone with him.
B) A new mother discloses that her life has been so stressful since the baby's arrival that she has thoughts of wanting to "escape'1 and get her old. pre-motherhood life back.
C) A new mother's partner states she has become increasingly paranoid and accusatory toward him and others and on several occasions has called the baby by the wrong name.
D) A new mother completes a routine depression screen in her doctors office and indicates that she
"sometimes" has thoughts of harming herself.
2. 81. Which of the following screening tools is MOST commonly used to assess perinatal individuals?
A) The BPRS (Brief Psychiatric Rating Scale)
B) The Ham-D (Hamilton Depression Rating Scale)
C) MADRS (Montgomery-Asberg Depression Rating Scale)
D) The EPDS (Edinburgh Postnatal Depression Scale)
3. 63. Case Study
Aliya is currently pregnant with her second child at 25 weeks gestation Her first child is 20 months old. She is coming to you to help her decide if what she is experiencing is normal for pregnancy or if she is having symptoms of a perinatal mood disorder. During her interview, she describes poor sleep, increased tearfulness, low energy, and irritability. She states that her first child sleeps well and is not interrupting her sleep, and that she is not waking up due to increased urination or physical discomforts of pregnancy. She reports that she has not ever been as tearful as she is now, including during her previous postpartum period She states that she has been tested by her obstetrician (OB) care provider for anemia and thyroid dysfunction and her lab results were normal. She is noticing that her irritability is affecting her relationship with her partner She worries that she is
"pushing him away:" even though he is trying to be supportive.
Question: Which of the following common problems during pregnancy would NOT significantly affect Aliya's sleep?
A) Increased blood pressure
B) Increased thirst during the night
C) Vivid dreams
D) Restless Legs Syndrome (RLS)
4. 3. Parents can facilitate the adjustment of their other children to a new baby by:
A) having the mother carry the new baby into the home so she can show him or her to the other children.
B) emphasizing activities that keep the new baby and other children together.
C) having the children choose or make a gift to give to the new baby on its arrival home.
D) reducing stress on other children by limiting their involvement in the care of the new baby.
5. 13. Symptoms of postpartum depression include: (choose all that apply)
A) Issues with sleep
B) None of these apply
C) Euphoria
D) Changes in Diet
E) Tiredness
Solutions:
| Question # 1 Answer: C | Question # 2 Answer: D | Question # 3 Answer: A | Question # 4 Answer: C | Question # 5 Answer: A,D,E |
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