Diff

Question 0

Adjustment disorder?

Answer 0

Within 3 months of stressor onset

Once stressor is gone, cannot continue for more than 6 months

(Cannot be severe)

Question 1

Acute stress disorder timeline?

PTSD?

Answer 1

2 days to 1 month

Over 1 month

Question 2

Child - burns on both buttocks or bruises - next step? Then?

If over 65?

If 35?

Answer 2

Skeletal survey. Then call protective services

Same thing

Nothing you can do unless patient reports that her life has been threatened (warn authorities)

Question 3

elevated CPK and rigidity?

Answer 3

Neuroleptic malignant syndrome

Question 4

Patient on TCA with prolonged QTc - treatment?

Answer 4

Stop medication

Then Bicarbonate

Question 5

TCAs - serious adverse effects?

Answer 5

Three Cs - Convulsion, cardiotoxicity, coma

Question 6

Percentages of NREM sleep vs REM?

Answer 6

5, 45, 12, 13 (each stage of NREM)

25% (REM)

Question 7

Stage:

Sleep talking?

Teeth grinding

Sleep walking

Nightmare

Answer 7

NREM

Stage 2

Stage 3 & 4

REM

Question 8

Narcolepsy?

Answer 8

#hypnagogic and hypnapompic 
#cataplexy
#daytime sleepiness
#sleep paralysis

Question 9

Cataplexy vs catalepsy

Answer 9

XZY - sleep

S - schizophrenia

Question 10

NT for LSD?

Answer 10

5HT

Question 11

NMDA receptor drugs?

Answer 11

Acamprosate
Memantadine
PCP
Ketamine

Question 12

Alcohol abuse drugs?

Answer 12

Naltrexone
Entabuse
Acamprosate

Question 13

Know fragile X, Prader-Willi, Angelman

Answer 13

See above

Question 14

Sexual side effects of SSRI - treatment?

Answer 14

#Bupropion
#Mirtazapine

Question 15

Accutane - risk of?

Answer 15

Suicide

Question 16

Delusional disorder - treatment?

Answer 16

Pinozide (old antipsychotic)

Question 17

Huntingtons disease chromosome?

Answer 17

Short arm of chromosome 4

Question 18

MRI of Wasting temporal or frontal lobe

Answer 18

Pick’s disease

Question 19

Schizophrenia MRI?

Answer 19

Dilated ventricles

Question 20

OCD - brain lesion? Drugs to treat?

Non-pharmacologic treatments?

Answer 20

Caudate nucleus

Fluvoxamine; chlormipramine

ERP - exposure response prevention;
ECT
Cingulotomy

Question 21

ECT immediately?

Answer 21

Mania in pregnancy and depression with psychotic treatment?

Question 22

Drugs that can cause hyponatremia?

Answer 22

SSRIs and carbamazepine

Question 23

Somatization criteria ?

Answer 23

4 pain
2 GI
1 Neuro
1 sexual

Question 24

Most dangerous day for DTs?

Mortality with treatment?

Answer 24

Day 4-5

15%

Question 25

Drug that gives jaw clenching?

Answer 25

Ecstasy

Question 26

PMDD diagnose after? treatment?

Answer 26

Symptom diary; SSRI

Question 27

Enuresis vs Encopresis?

Answer 27

Bladder training, ddAVP/imipramine vs Stool softeners, family therapy