Deck 3 COPY COPY

Question 1

oppositional defiant disorder

Answer 1

this is when adolescents have annoyed moods, disregard for peers, and defiant behaviors towards authority

Question 2

what is the cause of refeeding syndrome

Answer 2

increased insulin release

Question 3

what is primary eneuresis

Answer 3

this is bedwetting past 5yo

Question 4

generalized anxiety disorder worry spectrum

Answer 4

worries about everything, not just one specific area of life

Question 5

catatonia

Answer 5

when a patient doesnt speak, move, posturing, resists movement etc. can also be excitatory

Question 6

when do we see catatonia

Answer 6

often in schizophrenic and bipolar disorder

Question 7

age of onset delusional disorder

Answer 7

can be any age but is more common in older individuals

Question 8

risk factors for brief psychotic disorder

Answer 8

stressful life events, personality disorders etc

Question 9

cognitive side effect of schizophrenia

Answer 9

slowing of the working memory

Question 10

what type of therapy do you do for OCD

Answer 10

CBT

Question 11

what is panic disorder

Answer 11

this is when you have panic attacks without a trigger

Question 12

treatment for acute mania

Answer 12

antipsychotic, lithium, valproate

Question 13

can you purge in anorexia

Answer 13

yes! but if the BMI is lower than 18.5 this automatically is anorexia

Question 14

ADHD neurological abnormalities

Answer 14

minor abnormalities like brisk reflexes

Question 15

what neurotransmitter is often low in patients with impulsive PDs

Answer 15

serotonin

Question 16

what is adjustment disorder

Answer 16

emotions or excessive responses within 3 months of an identifiable stressor, emotions are out of proportion to the identifiable stressor

Question 17

which drug stays in the UDS the longest

Answer 17

marijuana

Question 18

examples of inhalants

Answer 18

toluene, nitrous oxide, glue, spray paint

Question 19

what drugs are contraindicated in cocaine intoxication

Answer 19

anything that will cause increased BP, like beta blockers (unapposed a1 activation)

Question 20

cardiac side effect of cocaine

Answer 20

coronary artery vasospasm

Question 21

how do you treat pain for a patient on methadone therapy for OUD

Answer 21

maintain their current methadone levels and then add patient controlled analgesia

Question 22

what protein is mutated in alzheimer

Answer 22

tau

Question 23

what protein is mutated in parkinsons

Answer 23

a-synuclein

Question 24

treatment of restless leg syndrome

Answer 24

dopamine agonist like ropinerole

Question 25

DUMBELLS

Answer 25

diarrhea, urination, miosis, bradycardia, bronchospasm, emesis, lacrimation, lethargy, sweating, salivation

Question 26

do patients with anticholinergic toxicity have to have sweating

Answer 26

no but they will have flushed skin

Question 27

sexual side effects of marijuana use

Answer 27

erectile dysfunction, not too severe but severe enough to not get hard enough for penetration

Question 28

wernicke encephalopathy presentation

Answer 28

ataxia, opthalmoplegia, acute altered mental status

Question 29

what happens when you have chronic wernicke encephalopathy

Answer 29

korsakoff syndrome, antero and retrograde amnesia, confabulation

Question 30

williams syndrome

Answer 30

intellectual disability, flat nasal bridge, small chin, hypersociability

Question 31

criteria for decisional capacity

Answer 31

consistent choice of care, demonstrate understanding of benefits and negative, ability to reason, ability to see how the choice fits their personal circumstances)

Question 32

should people who are cognitively impaired be able to make end of life decisions

Answer 32

yes! it can be case by case but mild impairment should not preclude

Question 33

conversion disorder disfunction

Answer 33

neurological symptoms

Question 34

oppositional defiant disorder

Answer 34

this is like conduct disorder but less dysfucntion and less severe/destructive behaviors

Question 35

how do you treat psychosis from PD treatment

Answer 35

lower Levodopa/carbidopa therapy

Question 36

diagnostic criteria for social anxiety disorder

Answer 36

>1 social situations that cause anxiety, fear of scrutiny by others, fear of judgement etc.

Question 37

treatment of social anxiety disorder

Answer 37

SSRI

Question 38

what do you do if an SSRI does not cut it for social anxiety disorder

Answer 38

propanolol especially if there is a hx of abuse in the family

Question 39

signs of youth-onset schizophrenia

Answer 39

prodromal withdrawal phase, talking to an imaginary friend, hallucinations, academic decline

Question 40

selective mutism

Answer 40

refusal to speak in a specific social situation but has normal speech in other situations, often in school

Question 41

what is a good therpapy for PTSD nightmares

Answer 41

prazosin if SSRIs are not helping sufficiently

Question 42

displacement vs. projection

Answer 42

displacement is when you shift your feelings to a safer target (med student-resident example) and projection is when you attribute your own feelings to others (so if you feel shame you attribute someone elses actions as shameful)

Question 43

how do you treat performance anxiety

Answer 43

propanolol

Question 44

which two benzos are shorter acting for anxiety

Answer 44

alprazolam or lorazepam

Question 45

medication treatment of bulemia

Answer 45

SSRI

Question 46

for BDD do you ever suggest changing their appearance

Answer 46

No never ever

Question 47

indications for ECT

Answer 47

emergent situations in which they need treatment but maybe cant take pills, or pregnancy, refusal to eat/drink, imminent suicide risk,

Question 48

monotherapy for bipolar 1

Answer 48

lithium, quitiapine, valproate, lamotragine

Question 49

severe bipolar 1 treatment

Answer 49

lithium or valproate plus antipsychotic

Question 50

signs of cocaine use

Answer 50

chest pain, tachycardia, mydriasis, seizures, agitation

Question 51

what SSRI can cause increase in BP

Answer 51

venlafaxine

Question 52

treatment of body dysmorphic disorder

Answer 52

SSRI and CBT

Question 53

which dissociative disorder has alters

Answer 53

dissociative identidy disorder

Question 54

what is first line to reduce cravings in alcohol UD and OUD

Answer 54

naltrexone

Question 55

non stimulant adult drugs for ADHD

Answer 55

atomoxetine

Question 56

what is childonset fluiency disorder

Answer 56

stuttering

Question 57

social communication disorder

Answer 57

social difficulities of verbal and nonverbal communication

Question 58

first line drugs for alcohol use disorder

Answer 58

naltrexone and acomprosate, disulfiram is second line