Comquest Q 1

Question 1

Two approved drug classes for slowing down dementia?

Answer 1

Cholinesterase blockers

NMDA blockers

Question 2

What will be specific to the vignette to to differentiate between carbamazepine and clozapine?

Answer 2

Clozapine is only used when everything else fails.

Carbamazepine would be used in a newly diagnosed patient with bipolar

Question 3

What is intellectualization?

Answer 3

Focuses on the intellectual part of an event to avoid the emotional part

Question 4

What is thought blocking?

Answer 4

Schizo patients stop mid sentence and go blank

Question 5

How do we define recurrent brief depressive episode?

Answer 5

Depression at least 2 days but less than 2 weeks. For at least a year.

Question 6

What combinations of meds can cause serotonin syndrome?

Answer 6

SSRIs, SNRIs, MAOI, St. John warts

Question 7

What is the most common physical manifestation of anxiety? What are the other 5 criteria?

Answer 7

Insomnia

Restless, tired, concentration sucks, irritable, muscle tension

Question 8

What is the NT of the reward system stimulated by addiction?

Answer 8

Dopamine

Question 9

4 steps of PTSD?

Answer 9

Re experience, avoid, disassociate and hyperarousal

Question 10

How is atypical depression different?

Treatment?

Answer 10

Increased sleep and appetite

MAOI

Question 11

PCP works through which NT?

Answer 11

Glutamate

Question 12

Very common side affect of topiramate for migraines?

Answer 12

Cognitive suppression

Question 13

What is neologism?

Answer 13

Schizo pts. Creating new words to refer to something we already have a word for.

Question 14

When is therapy good for anorexia in a vignette?

Answer 14

When the patient admits to the problem and wants help.

Question 15

4 complications/side effects to remember about Lithium?

Answer 15

No pregnancy
Causes diabetes insipidus
Renal damage
Hypothyroid

Question 16

Best class of meds for OCD and what specific med is mentioned?

Answer 16

SSRI

Clomipramine

Question 17

Simple way to define delirium?

Answer 17

Fluctuating levels of consciousness

Question 18

Common side effect of levetiracetam?

Answer 18

Psychiatric, especially anxiety

Question 19

what type of electrolyte disturbances do the following drugs cause?
Lithium?
Carbamazepine?
What about pts with dementia, mania, and schizo?

Answer 19

Diabetes insipidus
SIADH
Psychogenic polydipsia

Question 20

What is the difference between psychogenic polydipsia and SIADH?

Answer 20

Dilute urine in psychogenic and concentrated in SIADH

Question 21

When people experience steroid induced mood disorders, like from prednisone, what is the primary reason for severity?

Answer 21

Dose dependent

Question 22

What is the MAO of aripiprazole and what do we use it for?

Answer 22

Partial dopamine agonist, so it can be less antipsychotic.

Used to augment depression meds.

Question 23

Big difference between dementia and peudodementia?

Answer 23

In pseudo the patient has insight into it and dementia they don’t have insight into their cognitive struggle.

Question 24

If I see a patient and they are psychotic and epistaxis is part of the vignette, what am I thinking?

Answer 24

Cocaine, substance abuse psychosis

Question 25

What is happening with the eyes in opiate intoxication and withdrawal?
Common side effect of opiate withdrawal to know that is weird?

Answer 25

Miosis
Mydriasis

Runny nose