Day 1 - Psych Part 1 Quiz

Question 1

Drug category of choice for tx of negative sx of schizophrenia

Answer 1

Atypical antipsychotics (e.g., Risperidone)

Question 2

Tx bipolar disorder in patient w/ renal failure

Answer 2

Valproic acid or Carbamazepine (metabolized by liver, unlike Lithium)

Question 3

Pt on haloperidol develops sustained contraction of neck - Tx?

Answer 3

Acute dystonia - Diphenhydramine or Benztropine (i.e., anticholinergic)

Question 4

Tx OCPD

Answer 4

SSRI; 2nd line Clomipramine

Question 5

Pt on haloperidol develops fever, muscle rigidity, confusion, , diaphoresis - Tx

Answer 5

Neuroleptic malignant syndrome - Dantrolene

Question 6

Most problematic congenital disorder assoc. w/ maternal lithium disorder

Answer 6

Ebstein anomaly

Question 7

Most common s/e of Olanzapine

Answer 7

Weight gain (may have DM & DKA, dyslipidemia)

Question 8

Tx mania w/ psychosis

Answer 8

Atypical antipsychotics; Old tx - Haloperidol, may still be possible

Question 9

TCA toxicity sx

Answer 9

Cardiotoxicity, CNS toxicity, Anticholinergic s/e

Question 10

Sx of serotonin syndrome

Answer 10

Autonomic excitation, AMS, neuromuscular hyperactivity including ocular clonus

Question 11

Ingestion of tyramine while on MAO inhibitors

Answer 11

Hypertensive crisis

Question 12

Antidepressant w/ s/e of priapism

Answer 12

Trazodone

Question 13

Antidepressant lowers seizure threshold

Answer 13

Bupropion

Question 14

Antidepressant works well with SSRIs & increases REM sleep

Answer 14

Trazodone

Question 15

Antidepressant also appetite stimulant likely to result in weight gain

Answer 15

Mirtazipine

Question 16

Antidepressant can be used for smoking cessation

Answer 16

Bupropion

Question 17

Antidepressant can be used to tx bed-wetting in children

Answer 17

Imipramine

Question 18

Neuroleptics known for extrapyramidal side effects

Answer 18

High potency traditional neuroleptics (e.g., Haloperidol, Fluphenazine, Thiothixene)

Question 19

Tx for (1) Acute dystonia (2) Tardive dyskinesia (3) Neuroleptic malignant syndrome

Answer 19

(1) Diphenhydramine or benztropine (2) Stop meds or reduce dose; Switch to low potency neuroleptic or atypical antipsychotic (3) Dantrolene

Question 20

Tx options for GAD

Answer 20

SSRIs, Buspirone, Venlafaxine, Beta blockers

Question 21

Adjustment disorder w/ depressed mood differ from MDD

Answer 21

w/i 3 mo. of stressor & disappeaers w/i 6 mo. of stressor removed; Stressor other than bereavement; Not meet criteria for MDD