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ABIM IM Recert > Board Vitals Psychiatry > Flashcards

Board Vitals Psychiatry Flashcards

1
Q

Is relapse of depression common after discontinuation of pharmacotherapy?

A

No

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2
Q

Do benefits of psychotherapy for depression persist after discontinuation?

A

Yes

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3
Q

What is the heart rate in patients with anorexia nervosa?

A

Bradycardia (< 60/min)

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4
Q

When feeding is started in a bradycardic anorexia nervosa patient, her heart rate returns to normal.

What is the next step?

A

Evaluation for refeeding syndrome and impending cardiac compromise (relative tachycardia).

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5
Q

What is the first electrolyte abnormality in anorexia nervosa patients with refeeding syndrome?

A

Hypophosphatemia

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6
Q

If patients with anorexia nervosa are in danger of developing refeeding syndrome then what should you do?

A

Reduce the calorie intake

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7
Q

What heart rate is concerning for refeeding syndrome with heart failure in anorexia nervosa patients?

A

> 70 beats/min

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8
Q

What is the minimum criteria to diagnose bipolar type II disorder?

A
  • One hypomanic episode
  • Depressive episode
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9
Q

What is the minimum criteria to diagnose bipolar type I disorder?

A
  • One manic episode
  • Depressive episode
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10
Q

An illness in Mexican, Central and South American cultures where it is believed that a frightening event can cause one’s soul to leave one’s body. Symptoms similar to post-traumatic stress disorder.

Terminology?

A

Susto

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11
Q

Entity in Southeast Asia characterized by symptoms of anxiety and depression occurring in the setting of somatic complaints attributed to semen loss.

Terminology?

A

Dhat syndrome

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12
Q

Belief that illness occurs because of destiny.

Terminology?

A

Fatalismo

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13
Q

Ongoing illness caused by challenging life circumstances, including depression, anxiety and somatoform features.

Terminology?

A

Nervios

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14
Q

Belief that illness is a result of long-term social struggle.

Terminology?

A

Coraje

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15
Q

What are residential services for psychiatric patients or those with substance abuse disorders?

A

Community-based treatments like halfway houses

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16
Q

What is the first line management for opioid use disorder?

A

Medication-assisted treatment (MAT)

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17
Q

Which opioid antagonist can prevent the effects of opioid intoxication, thereby reinforcing abstinence?

A

Naltrexone

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18
Q

Which drug is an acetyaldehyde dehydrogenase that is used to manage alcohol use disorder?

A

Disulfiram

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19
Q

Which drug is an acetaldehyde dehydrogenase that is used to manage alcohol use disorder?

A

Disulfiram

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20
Q

Which opioid antagonist is used to rapidly treat acute opioid overdose and should not be used to manage chronic opioid use disorder?

A

Naloxone

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21
Q

What is the mechanism of action of buprenorphine?

A

Partial mu-opioid agonist

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22
Q

Does disulfiram reduce alcohol cravings?

A

No

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23
Q

Is disulfiram a first line treatment for alcohol use disorder?

A

No

24
Q

Which medication reduces cravings for alcohol?

A

Naltrexone

25
Q

Which medication reduces cravings for nicotine?

A

Varenicline (Chantix)

26
Q

What is the first line treatment (medication) for opioid use disorder in a patient who is still using and has withdrawal symptoms?

A

Buprenorphine

27
Q

Which medications can increase serum lithium levels?

A
  • Diuretics (especially thiazides)
  • ACE inhibitors
  • NSAIDs
28
Q

Does fentanyl respond to naloxone?

A

Not unless very high doses are given.

29
Q

Which drug is responsible for the most overdose deaths?

A

Fentanyl

30
Q

Can ecstasy cause rhabdomyolysis?

A

Yes

31
Q

What is benzolecgonine a metabolite of?

A

Cocaine

32
Q

What is 3-morphine glucuronide a metabolite of?

A

Morphine

33
Q

What is 6-(mono)acetylmorphine a metabolite of?

A

Heroin

34
Q

What is 4-aniline-N-phenethyl-4-piperidinone a metabolite of?

A

Fentanyl analogs

35
Q

What is codeine-6-glucuronide a metabolite of?

A

Codeine

36
Q

What is the treatment of acute lithium toxicity?

A

Hemodialysis

37
Q

What is the initial treatment of neuroleptic malignant syndrome?

A

ICU admission
Aggressive supportive care

38
Q

What is the initial medical treatment of neuroleptic malignant syndrome?

A

Dantrolene

39
Q

Which one involves secondary gain - malingering or factitious disorder?

A

Malingering

40
Q

What should be tried first for hospital acquired delirium - conservative measures like reorientation or antipsychotics?

A

Conservative measures

41
Q

What should you do in severe alcohol withdrawal not responding to benzodiazepines?

A

Use alternative agents:
- Phenobarbital
- Propofol
- Dexmedetomidine

42
Q

Which medication is used to treat generalized anxiety disorder - buspirone or bupropion?

A

Buspirone

43
Q

Which medication for generalized anxiety disorder does not have sedating or sexual dysfunction adverse effects?

A

Buspirone

44
Q

Can lithium cause hypothyroidism?

A

Yes

45
Q

Which medication can treat both opioid and alcohol use disorder?

A

Naltrexone

46
Q

What adjunct behavioral therapy is useful in bipolar disorder?

A

Group psychoeducation

47
Q

What is the mechanism of action of N-acetylcysteine (NAC)?

A

Increases glutathione levels

48
Q

What is a non-stimulant medication for ADHD?

A

Atomoxetine

49
Q

Should you prescribe stimulants to an ADHD patient who has previously abused stimulants?

A

No

50
Q

Can phenytoin increase the clearance of methadone?

A

Yes

51
Q

What is the ocular side effect of thioridazine?

A

Retinitis pigmentosa

52
Q

What medication is the most common cause of cornea verticillata?

A

Amiodarone

53
Q

What medication typically causes dyschromatopsia (decrease in color vision)?

A

Ethambutol

54
Q

What medication typically causes xanthopsia (yellowing of vision)?

A

Digoxin (toxicity)

55
Q

When a patient is malingering, should you determine motivations for behavior or confront the patient?

A

Determine motivations for behavior

56
Q

What drugs are first-line for treating generalized anxiety disorder?

A

SSRIs or SNRIs

57
Q

What class of medications is the best treatment of major depressive disorder with atypical features (depressive episode with emotional reactivity)?

A

Monoamine oxidase inhibitors

ABIM IM Recert (42 decks)

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