AAFP Psych

Question 0

Sleep disturbance in children more likely to occur in second-half of night?

Answer 0

Nightmares (during REM sleep)

Question 1

Parasomnias? More likely to occur when?

Answer 1

Sleepwalking
#Confusional arousal
#Sleep tears

1-2 hours after sleep onset, transitioning from first phase of Slow wave sleep (NREM)

Question 2

Only antidepressant approved for treatment and children aged 8 to 17?

Drug in same class that is not recommended?

Answer 2

Fluoxetine (Prozac)

Paroxetine (suicidial ideation)

Question 3

Anti psychotic medication likely to cause agranulocytosis?

Answer 3

Clozipine

Question 4

Absolute contraindications to ECT?

Not contraindications, but more complications are seen in patients with history of?

Answer 4

None (not pregnancy, not seizures, not peacemakers etc)

#Recent cerebral hemorrhage, stroke
#Increased ICP

Question 5

Atypical antipsychotic that has no clinically significant effects on dopamine receptor (and can be used in Parkinson’s patients)?

Answer 5

Quetiapine (Seroquel)

Question 6

Brief psychotic disorder - timeline?

Answer 6

At least one day but less than one month

Question 7

Nonpharmacologic treatment for insomnia?

Answer 7

CBT

Question 8

Busipirone used for treatment of?

Answer 8

Anxiety (not depression!)

Question 9

Drug for patient with bad PMS dysphoria?

Answer 9

SSRI the last two weeks of menstrual cycle

Question 10

Major advantage of second-generation atypical antipsychotics over first-generation?

Answer 10

Less tardive dyskinesia

Question 11

Benzodiazepine with shortest half-life? Second shortest?

Answer 11

Alprazolam (12)

Clonazepam (25)

Question 12

Treatment for depression dying patient with a few days to live? If expected to survive longer?

Answer 12

Methylphenidate; SSRI

Question 13

SSRI that does not have P450 interactions?

Answer 13

Citalopram

Question 14

Common ECT complication? Response rates?

Answer 14

Reversible short-term memory loss; 60-90%

Question 15

Treatment of somatoform disorder?

Answer 15

# frequent regular office visits
# avoid telling the patient the problem is not physical
#Avoid psychotropic medications