Grand Rounds Flashcards

1
Q

10 Experiences that Affect ACE Scores

A
Physical abuse
Emotional abuse
Sexual abuse
Physical neglect
Emotional neglect
Depression
Drugs
Divorce/separation
Domestic violence
Delinquency
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2
Q
Which of the following is an SSRI?
Buproprion
Fluoxetine
Duloxetine
Citalopram
A

Citalopram

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3
Q

What medication would be best with a patient with Major Depression & wants to quit smoking

A

Buproprion

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4
Q

Define Malingering

A

Feigning medical illness motivated by secondary gain

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5
Q

First Line Medication for OCD

A

Paroxetine (Prozac)

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6
Q

Symptoms of Nicotine Withdrawal

A
Intense craving for nicotine
Tension
Irritability
Difficulty concentrating
Drowsiness
Decreased HR & BP
Increased appetite
Decreased motor performance
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7
Q

Pupils of an Opioid Intoxication

A

Constricted

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8
Q

Clinical Effects of Opioids

A
Euphoria
Analgesia
Respiratory depression
Constipation
Sedation
Psychomotor retardation
Decrease pulse
Decreased BP
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9
Q

Symptoms of Amphetamine Abuse

A
Paranoia
Agitation
Visual hallucinations
"Meth mouth"
Bruxism
Dental erosion from acidity of meth fumes
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10
Q

What medication lowers the threshold for seizure activity and should not be used in the treatment of bulimia?

A

Wellbutrin

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11
Q
Which of the following personality disorders fall into cluster A?
Schizoid
Antisocial
Borderline
Narcissistic
A

Schizoid

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12
Q

Psychopharmacology of ASD & PTSD

A

SSRIs
TCAs
MOAIs
Benzodiazipines

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13
Q

Psychotherapy for ASD & PTSD

A

CBT

EMDR

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14
Q

Treatment of OCD

A

SSRIs

CBT

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15
Q

Drugs not to provide for Anorexia Nervosa Patients

A

Buproprion
TCAs
MAOIs

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16
Q

Treatment of Bulimia

A

Fluoxetine

17
Q
Which medication is not used to treat bipolar disorder?
Lithium
Valproate
Quetiapine
Escitalopram
Carbamazapine
A

Escitalopram

18
Q

Signs/Symptoms of Mania

A
D: distractibility
I: indiscretion
G: grandiosity
F: flight of ideas
A: activity (increased)
S: sleep deficit
T: talkativeness
19
Q

Positive Symptoms of Schizophrenia

A

Delusions

Hallucinations

20
Q

Negative Symptoms of Schizophrenia

A
Affective flattening
Poverty of speech
Blocking
Poor grooming
Lack of motivation
Anhedonia
Social withdrawal
21
Q

True or False

The patient with schizoaffective disorder will only have psychotic symptoms during mood symptoms.

A

False

22
Q

True or False

By definition, a bipolar patient who has hallucinations must be given a co-diagnosis of schizophrenia.

A

False

23
Q
If schizophrenia is associated with elevated levels of dopamine, then what might be a common adverse effect of giving a medication that antagonizes the effects of dopamine?
Tremors
Agitation
Grandiosity
Hallucination
A

Tremors