GAD, eating

Question 1

GAD is diag’d after XXX months

Answer 1

6

Question 2

Rule out caffiene and abuse hx in what disease?

Answer 2

GAD, and rule out hyper thyroid

Question 3

GAD TX?

Answer 3

CBT, SSRI, buspirone

Question 4

Benzos are CI in what patients?

Answer 4

Substance abuse

Question 5

agoraphobia, and recurrent unexpected panic attacks, worry of future attacks, worry out of proportion is?

Answer 5

Panic disorder

Question 6

Panic disorder sxs?

Answer 6

Palp, tacky, sweat, shaking, fear.

Question 7

Panic disorder tx?

Answer 7

CBT, SSRI/SNRI, Benzo if acute

Question 8

Agoraphobia is

Answer 8

fear of enclosed space in a crowd, social setting, escape is difficult.

Question 9

specific phobia is a fear of?

Answer 9

a specific thing, hieghts, needles

Question 10

specific phobia tx?

Answer 10

1st = CBT.
acute = benzo, exposure therapy, ssri, Propranolol, snri. fear reduction thru extinction

Question 11

OCD has a fear of contamination, doubt, and needsXXXXX

Answer 11

Symmetry, 1 hour or more a day on the OCD activity

Question 12

OCD meds

Answer 12

SSRI (higher dose), CBT, goal is to not do OCD activity for 1 hour a day

Question 13

PTSD is due to (4)?

Answer 13

intrusion, avoidance, altered mood, hyperactivity.

Question 14

acute stress rnx >1month is?

Answer 14

PTSD, dysfuntion

Question 15

PTSD tx?

Answer 15

paroxetine/Sertraline and Prazosin (for nightmares)

Question 16

Low food, low body weight, intense fear of getting fat is?

Answer 16

Anorexia nervosa

Question 17

Anorexia nervosa BMI?

Answer 17

<17

Question 18

Anorexia nervosa behaviors?

Answer 18

purge, workout alot, laxatives, fasting,

Question 19

lugano, ekg changes, dehydration, anemia, low estrogen is due to?

Answer 19

Anorexia nervosa

Question 20

Anorexia nervosa tx?

Answer 20

dietician, malnutrition, inpatient. Fluoxetine, olanzipine

Question 21

refeeding synd

Answer 21

agressive refeeding: hypophosephetemia, hypokalemia, mypomag. decreased cardion contractility

Question 22

delusions, hallucinations, disorganized speech, affect flat?

Answer 22

schizophrenia, >6 months

Question 23

patho of schizophrenia

Answer 23

early insults, genetics, fx, marijuana usage

Question 24

schizoform is less than 6 months, breif epsisode > 1 month, and schizoaffective is psychotic mood (MDD with psychotic sxs)

Answer 24

Yes, schizoeffective: after manic, schizo persists

Question 25

schizophrenia tx

Answer 25

Antispych ( olanzapine, quetiapine, resperidone) | Next (haldol, -zine: SE = movement, pyramid)

Question 26

Clonazipine SE?

Answer 26

DVT, myocarditis, agranulocytosis

Question 27

benztropine tx?

Answer 27

EPS

Question 28

Akasthasia (cant sit still) is tx with ?

Answer 28

benadryl, propranolol

Question 29

tardive dyskinesia is tx with?

Answer 29

stop medication. IV Benadryl

Question 30

Risk assessment of suicide is?

Answer 30

SADPERSONS, no spouse, male, depression, old or young

Question 31

When do you inpatient a suicide pt?

Answer 31

SADPERSON > 10

Question 32

Suicide tx?

Answer 32

lithium, clonazapine, ECT

Question 33

insomnia, tremor, GI, palp, death are signs of ....

Answer 33

alcohol withdrawal

Question 34

Prophy for alcohol withdrawal

Answer 34

Chlordiazepoxide

Question 35

Hallucination, disorientation, tachy, HTN, are signs of?

Answer 35

Delirium tremes - IV Benzo

Question 36

Restless, lacrimation, mydriasis, piloerection, tachy, HTN increased respiratory rate?

Answer 36

opioid withdrawal

Question 37

a mu-agonist is?

Answer 37

methadone, bupernorphine

Question 38

opioid antagonist?

Answer 38

naltrexone

Question 39

what meds blunt sxs?

Answer 39

clonidine

Question 40

withdrawal if a patient has mydriasis, yawning, vomiting/diarrhea, piloerection with associated tachycardia and hypertension

Answer 40

opioid withdrawal

Question 41

shaken baby syndrome leads to what 2 hemorrages

Answer 41

subdural hematoma & retinal hemorrage

Question 42

Etoh hallucinoses lasts how long?

Answer 42

12-24 hrs

Question 43

distrust and suspucious is what personality disorder

Answer 43

paranoid

Question 44

wants social relationships but is anxious with interpersonal is what personality disorder

Answer 44

schizotypel

Question 45

no sex is what personality disorder

Answer 45

schizoid

Question 46

fear of abandonment, fights alot, explosive, feel empty, impulsive

Answer 46

borderline PD

Question 47

borderline PD tx?

Answer 47

dialectical, aripriprazole

Question 48

best doctor theyve ever had, what PD?

Answer 48

borderline PD

Question 49

emotional PD?

Answer 49

historionic

Question 50

call you by first name?

Answer 50

narcissistic

Question 51

hypersensative to negative eval PD?

Answer 51

avoidant

Question 52

PD tx?

Answer 52

CBT and sxs control

Question 53

exagerated sxs, not wilfuly, what is the diag?

Answer 53

conversion

Question 54

wants to be the victim, like sick role is?

Answer 54

fictitious disorder

Question 55

hospital shop and provider shop?

Answer 55

fictitious disorder

Question 56

hyperactive and inattetion, diag'd in kids?

Answer 56

ADHD; before 12 years of age

Question 57

excess figet, cant sit still, talkative, interruptions?

Answer 57

ADHD - impuslive

Question 58

hard to focus, loses things, easily distracted?

Answer 58

ADHD - inattention

Question 59

ADHD tx?

Answer 59

stims( dextro/methylphe), atomoxatine

Question 60

cant communicate and interact well, restricted interest is?

Answer 60

Autism

Question 61

Autism diag?

Answer 61

1) social emotion 2) nonverbal comm (eye contact is poor) 3) restrictive repetative patterns

Question 62

Autism tx?

Answer 62

early intensive multi team therapy.