Deck 2 COPY COPY

Question 1

what antipsychotic can you use for anorexia trtment

Answer 1

olanzapine

Question 2

treatment of PTSD

Answer 2

SSRI

Question 3

even if a patient denies a suicide attempt but they seemly had an attempt what do you do

Answer 3

you must commit them

Question 4

treatment of sleep terrors

Answer 4

reassurance

Question 5

do children remember their dreams in sleep terrors

Answer 5

no

Question 6

if a patient is tolerating an SSRI but isnt getting full symptom relief whats next

Answer 6

augment their therapy with an antidepressant of another class like bupropion

Question 7

what is considered a pathologic score on the MOCA

Answer 7

<24

Question 8

signs of korsakoff syndrome

Answer 8

retro and anterograde amnesia, lack of insight, apathy, confabulation

Question 9

what is the best way to handle a concerned parent

Answer 9

first address their concerns outright

Question 10

what does PTSD put you at increased risk of

Answer 10

suicidal ideation and attempts

Question 11

what do patients who experience sexual assault often get dx with alter on

Answer 11

PTSD

Question 12

if a patient has signs of depression in an interview what should you inquire about in the current visit

Answer 12

suicidality

Question 13

how do you treat tourettes

Answer 13

antidopaminergic and alpha-2 antagonits medications

Question 14

what drug class is phenelzine

Answer 14

it is an MAO inhibitor

Question 15

signs of tourettes

Answer 15

vocal and motor tics

Question 16

vocal tics examples

Answer 16

grunting, throat clearings, shouting swear words, barking, yelling etc

Question 17

motor tic examples

Answer 17

facial grimacing, blinking, shoulder shruggin, tongue protrusion

Question 18

what is schizoaffective disorder

Answer 18

this is when you have concaminant psychosis and mood disorder (mania or depression) and then other periods of time with psychotic symtoms in the absense of mood symptoms

Question 19

schizophreniform disorder

Answer 19

this is when you have psychosis and schizophrenic like symptoms for <6months

Question 20

schizoid vs. schizotypal

Answer 20

schizoid is just a loaner schizotypal is weird and uncomfortable in social situations

Question 21

if a patient is on hospice care, what do you do in terms of pain

Answer 21

you can keep increasing their morphine despite respiratory rate

Question 22

signs of antidepressant discontinuation syndrome

Answer 22

flu like symptoms, insomnia, nausea, imbalance, electric shock like feeling, hyperarousal, dysphoria, irritability

Question 23

most common psychiatric complication of MS

Answer 23

depression

Question 24

how long do you have to have an adequate trial of SSRI

Answer 24

4-6 weeks at a therapeutic dose

Question 25

mechanism of buprenorphine

Answer 25

partial mu-opioid agonist

Question 26

benefits and disadvantages of buprenorphine

Answer 26

patients dont have to have undergone complete withdrawal, lower risk of overdose

Question 27

mechanism of methadone

Answer 27

full mu agonist, very long acting

Question 28

benefits and disadvantages of methadone

Answer 28

more instances of overdose, better patient retention

Question 29

for a patient with premenstrual syndrome whats the best first step

Answer 29

do a menstrual diary to see when their symtoms start

Question 30

treatment of severe PMS/PMDD

Answer 30

SSRI

Question 31

if a patient is stable on lithium do you switch them

Answer 31

noooo

Question 32

signs of PCP ingestion

Answer 32

violence and nystagmus

Question 33

diagnosis of postpartum depression

Answer 33

same as MDD = SIGECAPS

Question 34

if a patient has new onset rash after new med what is it

Answer 34

lamotragineeee

Question 35

withdrawal symptoms of benzo use

Answer 35

diaphoresis, hypertension, tachycardia, seizures, AMS, tremors, anxiety, insomnia depressed mood

Question 36

benzo AE after stopping abruptly

Answer 36

seizures

Question 37

how do you treat delusional disorder

Answer 37

antipsychotic

Question 38

difference between delusional disorder and schizophrenia

Answer 38

delusional disorder is when everything else in life is giong great except for the fact that they have this delusion

Question 39

types of delusional disorder

Answer 39

percusatory, erotomanic, grandiose, jealous, somatic (body)

Question 40

symptoms of alcohol withdrawal

Answer 40

tremors, anxiety, agitation, diaphoresis, seizures, tachycardia

Question 41

syptoms of opioid withdrawal

Answer 41

nausea, vomiting, cramping, muscle aches, yawning, piloerection, lacrimation, hyperactive bowel sounds

Question 42

symptoms of stimulant withdrawal

Answer 42

psychomotor slowing, increased appetite, hypersomnia, acute depression (crash)

Question 43

nicotine withdrawal symtoms

Answer 43

dysphoria, irritability, increased appetite, anxiety

Question 44

cannabis withdrawal symptoms

Answer 44

irritability, depression, anxiety, weightloss, stomach pain, headache, shakiness, fevers, chills etc.

Question 45

characteristic feature of binge eating disorder

Answer 45

feelings of losing self control

Question 46

how do you treat drug induced parkinsonism

Answer 46

benztropine and amantadine

Question 47

differentiation between PCP and canthinone intoxication

Answer 47

PCP has nystagmus and is shorter acting

Question 48

treatment of MDD with psychotic features

Answer 48

SSRI with antipsychotic OR electroconvulsive therapy

Question 49

features of GAD in children

Answer 49

perfectionism, irritability, difficulty concentrating

Question 50

signs of PTSD

Answer 50

hypervigilant, nightmares, emotional detachment, avoidant behavior, derealization

Question 51

what is a common history finding of people with PTSD

Answer 51

trauma

Question 52

treatment of specific phobia

Answer 52

exposure therapy

Question 53

what drug can cause hyperparathyroidism

Answer 53

lithium

Question 54

what drug can cause hypercalcemia

Answer 54

lithium via hyperparathyroid I

Question 55

differentiation between narcissistic PD and OC personality disorder

Answer 55

OCpd is more preoccupied iwth order and diong things a certain way because of order and efficiency. narcissistic wants to do things a certain way because they are motivated by praise and attention

Question 56

what do you use bromocriptine for

Answer 56

NMS

Question 57

signs of lithium toxicity

Answer 57

tremors, AMS, confusion, hyperreflexia,

Question 58

how long do you treat someone with schizophrenia

Answer 58

forever

Question 59

what is schizoaffective disorder

Answer 59

this is when you have schizophrenic like symptoms during a major depressive or manic episode but you ALSO have schizophrenic symptoms by themselves for >2 weeks without depressive symptoms

Question 60

if a patient continues to have hallucinations after a depressive or manic episode what is the dx

Answer 60

schizoaffective

Question 61

what is the major qualifiying symptom of bipolar disorder

Answer 61

abnormally elevated moood

Question 62

signs of OCD

Answer 62

persistant intrusive anxiety provoking thoughts, urges or images, responses to the obsessions that are unrealistic

Question 63

how do you treat acute panic episode

Answer 63

benzo

Question 64

what do you do if an SSRI precipitates a manic episode

Answer 64

D/C the SSRI, if the sx persist then you can add an antipsychotic

Question 65

signs of cushing syndrome

Answer 65

central obesity, depression, proximal muscle weakness, purple striae

Question 66

how long is the "normal" grief reaction

Answer 66

12 months great than that is persistant complex bereavement disorder

Question 67

treatment of persistant complex bereavement

Answer 67

psychotherapy

Question 68

at what point does grief become PCBD

Answer 68

>12 months of dysfunction

Question 69

benzo and opioid prescribed together

Answer 69

NO

Question 70

what else should patients be prescribed if they are on long term opioid therapy for chronic pain

Answer 70

naloxone

Question 71

naloxone vs. naltrexone

Answer 71

naloxone is short acting used for OD's, naltrexone is for long acting alcohol and opioid use disorder

Question 72

oculogyric crisis

Answer 72

sustained upward contraction of the eyes due to acute dystonia

Question 73

parent management training

Answer 73

used when a child has ADHD symptoms but is only impulsive at home

Question 74

what is does solitary play indicate

Answer 74

autism spectrum disorder

Question 75

signs of antisocial PD

Answer 75

violates the rights of others, impulsive, consistently irresponsible

Question 76

what must you have to have antisocial PD

Answer 76

must have hx of conduct disorder in children

Question 77

what antidepressant do you use if you have sexual dysfunction

Answer 77

bupropion

Question 78

difference between bupropion and buspirone

Answer 78

bupropion is for MDD and smoking cessation, buspirone is an anxiolytic

Question 79

side effects of buporpion

Answer 79

no weight gain, no sexual dysfunction, does lower seizure threshold in bulemic people

Question 80

acute stress disorder vs. adjustment disorder

Answer 80

adjustment is due to a life event and the person is signifantly impacted, acute stress disorder is like mini PTSD where you have flashbacks

Question 81

histrionic PD

Answer 81

excessive emotionality, sexually seductive, dramatic emotions

Question 82

which antipsychotic do you use for parkinsons trtment induced psychosis

Answer 82

quetiapine or clozapine

Question 83

which mood stabilizer can cause liver damage

Answer 83

valproate