Miscellaneous 2

Question 1

When staff-assisted mental health care is available, screening for depression and bipolar disorders is recommended for patients ____ to ____ years of age

Answer 1

12-18

Question 2

When staff-assisted mental health care is available, screening for depression and bipolar disorders is recommended for patients 12 to 18 years of age–>

What is the name of the screening questionarre used to screen for BPD?

Answer 2

Mood disorder questionaire

(15 question, not considered diagnostic, if positive- interview further)

Question 3

What is the name of the screening questionarre used to screen for depression in patients over 13y/o?

Answer 3

Beck Depression Inventory for Primary Care

(measures severity of depression)

Question 4

Which 2 common medical conditions needs to be evaluated in a patient w/ a new dx of depression

Answer 4

diabetes and lipid disorders

Question 5

What type of med is Depakote?

Answer 5

mood stabilizer

Question 6

What 4 lab findings are often seen in patients with alcohol abuse

Answer 6

elevated mean corpuscular volume (MCV), triglycerides, serum uric acid and liver function tests

Question 7

Thoughts move from one topic to another with rapid speech

Answer 7

flight of ideas

Question 8

much detail, but information is not relevant

Answer 8

circumstantiality

Question 9

speech with loose associations and sentences that dont make sense

Answer 9

derailment

Question 10

Persistent repitition of words or concepts in the process of speaking

Answer 10

Perseveration

Question 11

Do patients with panic disorder require a higher, lower, or same dosage of SSRI as used in tx of depression

Answer 11

Start initially with small doses and titrate up slowly

Pts with panic disoder are particularly sensitive to the activating effects of SSRIs

Question 12

Do patients with OCD require a higher, lower, or same dosage of SSRI as used in tx of depression

Answer 12

Higher doses

Question 13

Refers to a patients belief that they have physically and mentally fused w/ the universe

Answer 13

cosmic identity

Question 14

belief that others can read the patients mind or that their thoughts are broadcast over the radio or similar media

Answer 14

thought broadcasting

Question 15

What over the counter cough suppressant can cause serotonin syndrome

Answer 15

Dextromethophan

Question 16

What neuromuscular abnormalities are seen in serotonin syndromes

Answer 16

clonus

hyperreflexia (lower>upper)

tremor

seizure

Question 17

What is hyperarousal

Answer 17

psychological or physiological increased tension w/ sxs of:

• decreased sleep
• decreased pain tolerance
• increased startle response

(characteristic of generalized anxiety disorder and PTSD… NOT found in panic disorder)

Question 18

4 components of substance abuse

Answer 18

1. failure to fulfill major obligations at work, school or home
2. Recurrent use in situations in which it is physically hazardous (ex: DUI)
3. Recurrent substance related legal problems
4. Continued use despite persistent social and interpersonal problems

Question 19

Which 3 illicit drugs are most commonly abused

Answer 19

marijuana

cocaine

hallucinogens

Question 20

Overdose of which antihypertensive mimics opiate intoxication

Answer 20

clonidine

Question 21

Diagnostic study for OCD

Answer 21

Yale-Brown Obsessive Compulsive Scale