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Maintenance of Certification (MOC)

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2013 MOC: PQRS and the MOC Matters Website
Visit the MOC Matters Website to fulfill and document your 2013 MOC and PQRS requirements. It consists of the MOC: PQRS Attestation Module, the PQRS Registry Module and the Patient Experience of Care Survey Module. As an added feature, the freestanding Patient Survey Module is available to diplomates of all Member Boards, whether or not the diplomates are participating in MOC:PQRS. The Website also includes an updated MOC:PQRS Facts & FAQs.
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Candidates in Psychiatry: Video Vignettes
Candidates†are those in the field of Psychiatry, who are seeking ABPN Board Certification. All candidates will need to complete and submit an application in order to qualify for an examination. Each application will be reviewed by the credentials department. Candidates become diplomates after passing their examination. Diplomates will then begin the process of†maintenance of certification.

Subspecialties in psychiatry include; addiction psychiatry, brain injury medicine, child and adolescent psychiatry, clinical neurphysiology, forensic psychiatry, geriatric psychiatry, hospice and palliative medicine, pain medicine, psychosomatic medicine, and sleep medicine.

Apply for an examination | ABPN Physician Folios site | Visit the Pearson VUE Website


Candidates in Psychiatry: Video description for Video Vignettes

A 49-year-old married man is evaluated for stress at work. As a young man, the patient attended school to become a minister. However, after having an affair with a married woman in his congregation, he decided that he wasn't “worthy.” He has held various jobs since and for about six years has been a teacher in the public school system. He says he is having trouble keeping control of his classes, and he is actively looking for a new job. He has been in his third marriage for about eight years. He has no children from any of them. The patient had an uneventful childhood but tended to be shy and unathletic. He was an above average student. He was somewhat moody as a teenager but hasn't had any previous psychiatric contact. He experimented with marijuana as a youth and drinks socially. He is college educated and has no legal history. He mentions during questions in the developmental history that when he was 12 years old he discovered that he had some “homosexual tendencies.” The patient has had hypertension and hesitancy on urination in the past few years. He is being evaluated by his internist for these problems. Otherwise, he has been in good health. His evaluation is shown below.

Test answers are available at the end.

1. Video Vignette Clip for questions 1 and 2.

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Question 1 of 6
1.
Given the information shown in the video titled "Clip one," this patient’s initial presentation is most consistent with which of the following diagnoses? (Choose two.)
 
Dysthymic disorder
 
Obsessive compulsive personality disorder
 
Dependent personality disorder
 
Acute stress disorder
Adjustment disorder

Question 2 of 6
2.
Given the information shown in the video titled "Clip one," the patient's tendency to blame circumstances and others is most consistent with (Choose one.)
  the warding off of affect
  psychological mindedness
  a lack of experience in treatment
  the presence of a personality disorder
an underlying paranoid process

2. Video Vignette Clip for questions 3 and 4.

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Question 3 of 6
3.
Given the information shown in the video titled "Clip one," and "Clip two," upon learning that this patient was a pedophile years ago the psychiatrist should (choose three)
 
explore the possibility of other minors currently at risk
 
identify his clandestine relationship as a real problem
 
expand his awareness about the possible consequences of his acts
 
inform him that legally it is required to report him as a pedophile
insist that he tell his wife about the affair

Question 4 of 6
4.
Given the information shown in the video titled "Clip one," and "Clip two," which of the following areas of inquiry is most urgent regarding this patient's sexual involvement with a minor? (Choose one.)
 
How much money was paid to the youth involved
 
What the patient plans to tell his wife
 
The details of the patient's specific sexual acts with the youth
 
The details of past or present sexual urges and fantasies involving minors
Whether or not "safe sex" practices have been used

3. Video Vignette Clip for questions 5 and 6.


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Question 5 of 6
5.
Given the information shown in the video titled "Clip one," "Clip two," and "Clip three," which of the following two treatment options are the most appropriate for this patient? (Choose two.)
 
Medications
 
A specialized treatment setting for sexual identity disorders
 
Acute inpatient treatment
 
Insight-oriented psychotherapy
Group therapy for sexual dependence

Question 6 of 6
6.
Given the information shown in the video titled "Clip one," "Clip two," and "Clip three," for which of the following reasons may confidentially be breached in this case? (Choose one.)
 
As a means to engage the patient's wife in therapy
 
In order to fulfill a duty to warn homosexual lover
 
In order to learn more about the patient's HIV status
  Only with new information about the patient's suicidal intent
To alert his school principal of his pedophile tendencies

Test answers:

  1. Dysthymic disorder; adjustment disorder
  2. then presence of a personality disorder
  3. explore the possibility of other minors currently at risk; identify his clandestine relationship as a real problem; expand his awareness about the possible consequences of his acts
  4. The details of past or present sexual urges and fantasies involving minors
  5. Medications; Insight-oriented psychotherapy
  6. Only with new information about the patient's suicidal intent