Exam Guru 4

Question 1

What are poor prognostic factors for Schizophrenia?

Answer 1

Negative symptoms (blunted affect…)
Early onset
Family history schizo

Question 2

Dementia + behavior changes, think…

Answer 2

Pick’s disease = frontotemporal dementia

Concrete (not abstract) thinking
Table and chair are both made of wood

Question 3

A woman who thinks she has cancer jogs to decrease her anxiety…what mechanism?

Answer 3

Sublimation: channel displeasing impulses into constructive and positive actions

Question 4

Concrete thought (can't do abstract)
Impaired executive function
Disorganization

Answer 4

Cognitive symptoms of Schizophrenia

- used to be considered a dementia!

Question 5

OCD often presents with?

- because?

Answer 5

OCD and GAD
- both are anxiety disorders
TREAT both with SSRI

Question 6

Steroids may induce what psych disorder?

- how?

Answer 6

Manic symptoms - or a mood disorder

- dose dependent

Question 7

What if psychosis for 1 month

but negative symptoms for 1 year?

Answer 7

Schizophrenia

• one month of full criteria
• plus at least 6 months of some symptoms

Question 8

What does tobacco do to antipsychotic meds?

Answer 8

Increases metabolism

- therefore decreases effectiveness

Question 9

1st line for atypical depression?

What is atypical depression?

Answer 9

SSRI - sert/fluox/paroxe/citalop/fluvoxamine

Depression but pt’s perk up with positive situation or experience

Question 10

+ and - of Bupropion?

Answer 10

Helps with smoking cessation
Treat SAD; atypical antidepressant
Bad: lowers seizure threshold
can’t use if eating disorder

Question 11

Overworked doctor wants to date a female patient who came in for drug overdose. ???

Answer 11

Countertransference

Question 12

What is identification?

Answer 12

Your personality is molded after an authority figure…child perpetuates domestic violence after watching dad do it.

Question 13

What SSRI least likely to be involved in SSRI withdrawal for people who might forget to take it for 1-3 days?

Answer 13

Fluoxetine - half life of 4-6 days

Question 14

What make you think sexual abuse rather than just normal sexual exploration of kids?

Answer 14

Every 1-2 weeks - normal
General stuff - normal
Inserting objects, mimicking intercourse = abuse
Attempt to engage in specific acts w/ others = abuse
Pervasive/daily = abuse

Question 15

Atypical depression…

Answer 15

Increased sleep

Increased appetite

Question 16

Atypical depression…how treat?

Answer 16

MAOI - more efficacious (Selegiline)

- but SSRI still 1st line due to safety proflie

Question 17

When get Serotonin syndrome?

Answer 17

MAOI + SSRI

FOOD + MAOI

Question 18

Agoraphobia goes with?

Answer 18

Panic disorder

Question 19

What score is normal for older person on mini-mental?

Answer 19

24 and up = normal

below = dementia

Question 20

Major symptoms of acute alcohol intoxication?

Answer 20

Nystagmus
Lack coordination
Impairment cognition

Question 21

Haldol SE’s?

Answer 21

High incidence EPS

Question 22

Chlorpromazine

Answer 22

Sedation
Orthostatic hypotension
Anticholinergic effects

Question 23

Thioridazine

Answer 23

Cardiac disturbances

Retinitis pigmentosa - so night vision problems

Question 24

Mesoridazine

Answer 24

Cardiac arrhythmias

Question 25

Major depression, see what in brain?

Answer 25

Hypothalamic dysfunction

- consistent w/ alterations in sleep/appetite

Question 26

How can anti-cholinergic effects lead to delirium in the elderly?

Answer 26

Think TCA and take too many anti-diarrheal medications.

Amitriptyline

Question 27

Describe the acid-base abnormalities in acute alcohol intoxication?

Answer 27

Anion gap
Metabolic acidosis
With respiratory compensation

Question 28

When consider psychometric testing in kid?

Answer 28

IQ test - for autism spectrum disorder