Aaron: Psychiatry

Question 1

What is the difference between grief and depression?

Answer 1

Grief improves when discussing things that remind the patient about their loved one. Depression does not improve with these discussions

Question 2

If a patient assaults a staff member after verbal redirection, what is the next best step?

Answer 2

Four point restraints and IM sedation

Question 3

Increased depression can cause an increase in what?

Answer 3

Cardiovascular disease

Question 4

What is the treatment for catatonia?

Answer 4

Lorazepam

Question 5

Premenstrual Syndrome is treated first line with Sertraline, second line is what?

Answer 5

Citalopram

Question 6

When is it best to take ADHD medication?

Answer 6

After breakfast

Question 7

While taking anti-psychotics, someone cannot sit still, what is the next best step?

Answer 7

Give them Propanolol

Question 8

While taking anti-psychotics, someone cannot sit still, what is the next best step?

Answer 8

Give them Propanolol, Benzotropine, or benzos

Question 9

Before starting an ADHD medication, what is the first thing that should be done?

Answer 9

Cardiac History and physical Exam

EKG is not required

Question 10

If ADHD medications are started with intolerable side effects, what is the next best step?

Answer 10

Switch them to something else

Question 11

What is a good drug for acute mania?

Answer 11

Risperione

Question 12

What is a good drug for acute mania?

Answer 12

Risperidone

Question 13

Difficulty sleeping and depression, what is the drug of choice?

Answer 13

Citolopram

Question 14

If a patient takes an SSRI, has a good response, and he has intolerable jittery and insomnia, what should he do next?

Answer 14

Switch to Citolopram

Question 15

What needs to be seen in order to diagnosis adjustment disorder?

Answer 15

Social and Occupational impairment

Question 16

Difficulty sleeping and depression, what is the drug of choice?

Answer 16

Citalopram

Question 17

Eldery patients that have difficulty sleeping, what is the first line treatment?

Answer 17

CBT (Cognitive Behavioral Therapy)

Question 18

Tourette’s syndrome patient’s have an increase risk of forming what disease?

Answer 18

Obsessive Compulsive Disorder

Question 19

What is the best Borderline Personality Disorder treatment?

Answer 19

Dialectical Behavior Therapy

Question 20

What is the best step in assessing patient’s potential mental health concerns?

Answer 20

Stopping drug use

Question 21

First line treatment for patient’s manic episode while manic?

Answer 21

Haloperidol

Question 22

Before ADHD medication is started, what is the first non medical thing has to be explored?

Answer 22

ADHD Collateral Information and Prior Stimulant Use

Question 23

What are the side effects of using Varenacline?

Answer 23

Bad dreams, no extreme contraindications