diff diagnosis and management L

Question 1

delusional disorder usu tx w

Answer 1

antipsychotic

Question 2

TCAs can have proarrhythmic effect: true or false

Answer 2

true

Question 3

acute manic state-what tx?

Answer 3

antipsychotic and benzo for symptoms of agitation, delusional thinking, and disruptive behavior

mood stabiliezr such as lithium or carabamazeipne could work as well BUT these aren’t expected to start showing effect for AT LEAST A WEEK, so not important to start emergently

Question 4

muscle stiffness-cause and tx?

Answer 4

parkinsonian sidef effect of antipsychotic

lower dose of antipsychotic or give anticholinergic med

Question 5

it’d be uncommon for 59 yo woman to suddenly develop panic attacks: true or false

Answer 5

true

Question 6

SSRIs can cause

Answer 6

diarrhea
HAs
nausea
sedation
sexual dysfxn

Question 7

most common cause of death w TCA

Answer 7

cardiac arrhythmia

Question 8

alcohol withdrawal symptoms

Answer 8

tremors-begin 6-8 hrs after cessation
within 8-12 hrs: psychotic and perceptual abnormalities (hallucinosis)

seizures (12-72 hrs after)
DT-anytime in first wk

Question 9

agitation, psychosis, vital sign instability, tics

Answer 9

PCP intoxication

Question 10

diff btwn adjustment disorder and MDD

Answer 10

in adjustment d/o, marked change in ability to fxn in school, work, or interpersonal relationships

disturbances in adj disorder however are not so severe to suggest diagnosis of MDD

Question 11

PCP clinical

Answer 11

nystagmus

Question 12

LSD clinical

Answer 12

visual hallucinations

Question 13

cocaine clinical

Answer 13

chest pain

seizures

Question 14

tx for NMS

Answer 14

dantrolene
bromocriptine
amantadine

Question 15

first line tx for bipolar acute mania

Answer 15

atypical antipsychotics
lithium
valproic acid

for mild to mod: can use any of above
for severe: can combine anticonvul w atypical antipsy

Question 16

panic disorder

Answer 16

recurrent UNEXPECTED attacks

Question 17

first line tx for mild to mod Tourette disorder

Answer 17

mild to mod: clonidine

severe: antipsychotic

Question 18

AD typically presents with memory problems as well as

Answer 18

either an aphasia, apraxia, agnosia, or distrubances in executive fxn

Question 19

Beck triad

Answer 19

negative thoughts regarding self, the world, and the future

Question 20

if person able to abstain from alcohol for a month, what is the likelihood of depression remaining?

Answer 20

5 percent

Question 21

residual type of schizophrenia

Answer 21

absence of positive symptoms and preponderance of negative symptoms

Question 22

zolpidem has addictive potential: true or false

Answer 22

true