missed

Question 1

delusion of reference

Answer 1

when the patient believes a random event in life is specifically directed to them, such as the news broadcaster is speaking directly to them

Question 2

grandiose delusions

Answer 2

when the patient has unrealistic beliefs of their abilities or powers, such as believing they are the best athlete in the world or a billionaire.

Question 3

jealousy delusions

Answer 3

when the patient suspects someone to be unfaithful when they have no reason to.

Question 4

erotomanic delusions

Answer 4

which are when the patient believes another person is in love with them

Question 5

duloxetine

Answer 5

SSRI
neuropathic pain (diabetic neuropathy)

Question 6

circumstantial speech

Answer 6

discusses unrelated topics before eventually arriving at an answer

Question 7

loose association

Answer 7

rapidly shift between topics that have no connection

Question 8

tangential speech

Answer 8

discusses unrelated topics and never arrives at an answer

Question 9

verbigeration, or word salad

Answer 9

Speech may become even more disorganized, consisting of repetitive words
Words are strung together that do not make logical sense.

Question 10

sertraline (zoloft)

Answer 10

ok for breastfeeding

Question 11

bipolar I vs bipolar II

Answer 11

bipolar 1: manic episodes
bipolar 2: depressive episodes, absence of social or occupational impairment

Question 12

hypomanic episodes

Answer 12

associated with bipolar 1 and 2 but MUST occur in 2
- poor judgement, reckless behavior (infidelity, spending sprees, sex)

Question 13

lithium

Answer 13

bipolar maintenance

monitor thyroid and lithium levels

Question 14

severe mania tx

Answer 14

lithium and antipsychotic or valproate and antipsychotic if lithium contraindicated

Question 15

illness anxiety disorder

Answer 15

preoccupation with having or acquiring a serious medical illness despite no evidence of this illness on medical evaluation. Somatic symptoms are either minimal or absent.

Acknowledge patient distress
Evaluate and treat diagnosable conditions
Minimize Dx tests and referrals to specialists
Schedule regular visits unrelated to Sx occurrence

Question 16

manifestations of opioid withdrawal

Answer 16

dysphoria, restlessness, anxiety, irritability, insomnia, lacrimation, rhinorrhea, myalgias, arthralgias, abdominal cramping, nausea, vomiting, diarrhea, yawning, piloerection, and pupil dilation

Question 17

opioid replacement therapy

Answer 17

methadone - long acting opioid agonist
buprenorphine - partial agonist

Question 18

what medications used in the symptomatic treatment of opioid withdrawal

Answer 18

alpha 2 adrenergic - clonidine

Question 19

somatic symptoms disorder

Answer 19

presence of somatic symptoms, such as pain, fatigue, and nausea, that cause excessive anxiety, thoughts, or time devotion and impair social or occupational function

Genuine symptoms with no identifiable cause
Precipitating emotional event often precedes somatic symptoms

also called somatform d/o

Question 20

Which condition presents with neurologic symptoms that cause clinically significant distress but do not have a known medical or neurologic cause after workup?

Answer 20

functional neurologic symptom disorder (previously conversion disorder).

Question 21

Which condition presents with neurologic symptoms that cause clinically significant distress but do not have a known medical or neurologic cause after workup?

Answer 21

functional neurologic symptom disorder (previously conversion disorder).

Question 22

anorexia nervosa

Answer 22

Restriction of energy intake relative to requirements leads to significantly low body weight
Intense fear of gaining weight or persistent behavior interfering with weight gain
Disturbance in body image

Question 23

meds for bulimia nervosa

Answer 23

fluoxetine

Question 24

meds for anorexia nervosa

Answer 24

olanzapine

Question 25

bulimia nervosa

Answer 25

recurrent episodes of binge eating followed by inappropriate compensatory behavior via self-induced vomiting, laxative misuse, excessive exercise, or caloric restriction (occurring at least once per week for 3 months)

Question 26

what shows up POORLY on drug test

Answer 26

fentanyl and methadone bc synthetic
oxycodone - semisynthetic

Question 27

pedophillic disorder treatment

Answer 27

leuprolide acetate - antiandrogen

Question 28

binge eating

Answer 28

eating disorder in which individuals have episodes of binge eating without compensatory behaviors.

having a sense of loss of control, eating rapidly, eating until feeling uncomfortably full, eating when not physically hungry, eating alone due to embarrassment regarding the amount of food consumed, and feeling distress about overeating.

Question 29

flumazenil

Answer 29

GABA antagonist
used for benzo overdose, reversal of conscious sedation and general anesthesia

Question 30

naloxone

Answer 30

opiate receptor antagonist

Question 31

alcohol withdrawal timeline

Answer 31

Mild symptoms include tachycardia, diaphoresis, tremors, nausea, vomiting, anxiety, mild agitation, insomnia, alcohol craving, and headache.

Moderate to severe symptoms include hallucinations, delirium tremens, and seizures, which may be fatal. Delirium tremens manifests as severe agitation, hypertension, tachycardia, fever, drenching sweats, and hallucinations.

Delirium tremens occurs 72 to 96 hours after a patient’s last drink and is more common with increasing age, comorbid disease, and misuse of other central nervous system depressants

Question 32

cocaine MOA

Answer 32

blocking the reuptake of biogenic amines, sodium channel blockade, and excitatory amino acid stimulation.

iogenic amines include catecholamines (dopamine, norepinephrine, and epinephrine), serotonin, and histamine

Question 33

Nihilistic delusions

Answer 33

May be focused on the belief that the world, body, or a body part have ceased to exist or that there is an impending catastrophic event.