COL Smith Psych Review

Question 1

Mental Status Exam

Answer 1

AMSIT

A - Appearance (speech + thought )
M - mood affect
S - sensorum 
I - intelligence
T - thought

Question 2

GAD

Answer 2

• Worry about everything
• Excessive anxiety and worry
• Worry all the time, about everyone

They realize its “silly” but they do it anyway

Question 3

GAD txt?

Answer 3

Buspar

Psychotherapy and SSRI combo works the best

Question 4

Panic d/o

Answer 4

Recurrent unprecipitated (no trigger) panic attack

Worry about having a panic attack > 1 month

Question 5

Panic attack?

Answer 5

Single episode

• “Going Crazy”
• Crawling out of skin
• Palpitations
• SOB
• Loss of control
• Sweating

Question 6

How long does a panic attack last?

Answer 6

10 min

Question 7

Txt for panic do?

Answer 7

CBT

Question 8

What is social anxiety?

Answer 8

Fear of embarrassing themselves (>6mo)

Question 9

Txt for social anxiety?

Answer 9

B blocker - intermittent prob

SSRI for more common

CBT

Question 10

Txt for specific phobia?

Answer 10

CBT

Question 11

Agoraphobia?

Answer 11

Avoiding places where one cannot escape

> 6 mo

Question 12

What is somatic symptom disorder?

Answer 12

General symptoms not related to anything

• they think they are sick though
• usually its a specific disease i.e. cancer

Question 13

What is illness anxiety disorder?

Answer 13

Fear of a specific disease.
Someone they knew had it
They have no real symptoms

Question 14

What is conversion d/o?

Answer 14

Pseudo neurologica condition

• pseuodseizures
• blindness
• ricky bobby

They seem to be ok with their new disorder

Question 15

Factious disorder?

Answer 15

Want attention
- no specific gain

Made up or self induced symptoms
- want to play the sick role

Question 16

OCD is comprised of?

Tx?

Answer 16

Thoughts or actions

CBT

Question 17

Body dismorphic do?

Answer 17

Obsession about a certain body trait or perceived defect

Question 18

Trickotilomania

Answer 18

Hair pulling due to anxiety

Question 19

Excoriation

Answer 19

Picking at the skin to relieve anxiety

Question 20

Dont give benzo’s to?

Answer 20

HTN pts

Question 21

Dont give welbutrin to?

Answer 21

Manics

Seizure pts

Question 22

Giver rimeron for?

Answer 22

Sleep and eating

Question 23

Give trazidone for? Be careful though it can cause?

Answer 23

Help them sleep

Can cause prioprism

Question 24

SIGECAPS?

Answer 24

For assessing depression

S: sleep
I: interest
G: guilt, hopelessness
E: energy
C: concentration
A: appetite
P: psychomotor agitation/retardation
S: suicidal ideation

Question 25

Persistent depressive do

?

Answer 25

Depression for 2+ yrs

Question 26

Bipolar 1 and 2?

Answer 26

Bipolar 1 Manic episode

• 7 days
• hospitalization

Bipolar 2 Hypomanic episode

• 4 days
• no hospitalization

Question 27

Bipolar meds?

Answer 27

Mood stabilizers

Not SSRI or CBT

Question 28

3 main things of narcolepsy?

Answer 28

Hallucination
Sleep paralysis
Cataplexy

Question 29

Restless leg syndrome vs periodic limb movement?

Answer 29

Restless leg syndrome - getting ready to go to sleep

Periodic limb movement - movement while asleep

Question 30

Sleep hallucinations

Answer 30

Hypnogogic = going to sleep

Hypnopompic = waking up

Question 31

Schizophrenia

Answer 31

• dont function in society
• min 6 months
• POS symptoms
• NEG symptoms
• refer to BH

Question 32

Positive symptoms

Answer 32

Hallucinations
Dillusions
Disorganized behavior

Question 33

Negative symptoms

Answer 33

A’s
Affect
Anidonia (no pleasure)
Alogia (dont takl)

Question 34

Delusional disorder?

Answer 34

They seem normal except for their delusion

Question 35

Acute stress and PTSD

Answer 35

Acute < 30 days
PTSD > 30 days

• Intrusion (nightmares)
• Disassociation (flashbacks)
• Avoid reminders
• Arousal
• Exaggerated response

Trauma

• direct or witnessed
• also can be 2nd hand w fam member

Question 36

Tx for PTSD?

Answer 36

SSRI - sertraline - zoloft