Blueprints Online

Question 1

Signs of lithium toxicity

Answer 1

• excessive urination due to renal tubular thickening (dehydration)
• Nausea
• vomiting
• diarrhea
• tremor/ataxia

Question 2

Which statute allows you to break patient-doc confidentiality to warn potential victims?

Answer 2

Tarasoff

Question 3

Pt with rising urea and urine specific gravity with depression that is refusing to eat. She is on an antidepressant already. What do you do next?

Answer 3

ECT

Switching drugs requires time to produce an effect, and she is requiring rapid treatment

Question 4

Industry vs. inferiority

Answer 4

Ages 5-13; develop a sense of self based upon the things that they create

Question 5

What kind of side effects do you expect from a TCA?

Answer 5

Anticholinergic effects

Question 6

“grave disability”

Answer 6

inability to meet safely the ordinary demands of life in the community

Question 7

Break up and then feels fatigue, hypersomnolence, increased appetite. Got better when she got back with bf. Diagnosis?

Answer 7

Major depression with atypical features

Question 8

Antipsychotic that won’t worsen motor symptoms in Parkinson’s?

Answer 8

Clozapine

Question 9

Erikson life cycle stages

Answer 9

Integrity vs despair = late-life acceptance of one’s place in the life cycle vs regret of unfulfilled desires

Trust vs. mistrust @ 18 months old

Generativity = 4-60 years old with role and commitment to society at large

Intimacy vs isolation (adulthood)

Industry vs inferiority - mastery and competence over creating (5-13 years)

Question 10

Huntington’s presentation

Answer 10

Movement disorder followed by emotional lability or depression. Family usually dies early

Question 11

Schizophrenic symptoms for < 6 months

Answer 11

Schizophreniform

Question 12

Falls asleep during a conversation and vivid visions when about to fall asleep and cataplexy

Answer 12

Narcolepsy

Question 13

Why do antipsychotic drugs elevate prolactin?

Answer 13

Prolactin is under tonic inhibitory control by dopamine, and antipsychotics block hypothalamic D2 receptors

Question 14

Conversion disorder

Answer 14

Somatoform disorder - expression of physical signs and symptoms in the absence of a known medical cause.

Somatization disorder must involve multiple systems

Question 15

1st line psychotherapy for borderline personality disorder

Answer 15

Dialectical behavioral therapy (DBT)

Question 16

Cross-taper of clomipramine and phenelzine when pt gets delirium, tremor, diaphoresis, rigidity, hyperpyrexia, and myoclonus. What’s going on?

Answer 16

Serotonin syndrome

Question 17

Dissociative amnesia

Answer 17

inability to recall important personal information of traumatic or stressful nature that is too extensive for normal forgetfulness. Reversible.

Question 18

Dissociative fugue

Answer 18

Amnesia for one’s identity coupled with sudden unexplained travel away from home.

Question 19

How now. now we’re in the hospital. The hospital is on the hill. Hills and peaks and valleys. the valley’s where the water flow. Flowing deep down below = what kind of thought process

Answer 19

flight of ideas - loose connections between sentences, but switching rapidly from one topic to another.