MOC Exam#10 Flashcards
Characteristics of PCP intoxication
-maladaptive behaviors
belligerence, agitation, impulsivity, assaultiveness
-physical symptoms
vertical or horizontal nystagmus, hypertension, tachycardia, ataxia, dysarthria, muscle rigidity
Characteristics suggestive for Factitious disorder
- female patient employed in a health profession
- pursuing multiple medical evaluations for the cause of her complaint
- obstructive behaviors towards obtaining collateral information
- externalized blame for loss of employment.
Failure rate of ECT for treatment of depression
20%-30%
SGA’s can precipitate DKA or HONK. True or False
True
What is the relationship between pre-existing psychiatric symptoms and the risk of hyperemesis gravidarum in subsequent pregnancies?
There is none
Priapism may occur with which psychiatric medications?
- Trazodone
- antipsychotic agents
FDA approved antidote for serotonin syndrome
- CYPROHEPTADINE
- non-specific 5HT1A & 5HT2A serotonin antagonist
What is functional neurological symptom disorder?
- new term for conversion disorder
- abnormal symptoms related to the CNS
Paternalism is considered a core ethical principle in medical decision making. True or False
-FALSE
Types of pregnancy denial
- pervasive: pt denies pregnancy initially but accepts it when formally diagnosed (dissociation due to trauma is a risk factor)
- affective: accepts the pregnancy but does not form emotional attachment to the fetus (most common type)
- psychotic: pt does not accept the diagnosis of pregnancy
Most prevalent male sexual dysfunction
- erectile dysfunction 50%
- decreased libido 30%
- premature ejeculation 15%
- gento-pelvic pain/penetration disorder 5%
- orgasmic disorder 2%
4 major categories of patients who habitually ingest foreign bodies
- malingering
- psychosis
- intellectual disabilities (pica)
- personality disorders
Risk of acidification of urine in presence of rhabdomyolysis
-precipitation of myoglobin in renal tubules leading to acute renal failure
Psych medications associated with pancreatitis
- atypical antipsychotics (Clozapine most common)
- Valproic acid
Hallmark anatomic findings in Alzheimer’s disease
-neurofibrillary changes in the hippocampus of hyperphosphorylated tau
