MOC Exam#4

Question 1

Most effective behavioral therapy for trichotillomania

Answer 1

Habit reversal training

Question 2

BMI less than ____ is considered underweight

Answer 2

18.5

Question 3

Which antidepressants are approved by the FDA for adolescents?

Answer 3

Fluoxetine and Lexapro

Question 4

Are TCA’s effective for pediatric depression?

Answer 4

NO

Question 5

Regarding antidepressant use in children, which are required: HIGHER or LOWER medication doses per pound?

Answer 5

HIGHER due to more rapid metabolism rates

Question 6

What do these prevalence rates for schizophrenia mean?
1%
8%
12%
40%
47%

Answer 6

1%- rate in general population
8%- rate in non-twin sibling
12%- in children with 1 parent with schizophr
40%- in children with 2 parens with schizophr
12%- in dizygotic twins
47%- in monozygotic twins

Question 7

What is AMOXAPINE?

Answer 7

Tetracyclic antipressant

7-hydroxyamoxapine metabolite has same activity as atypical antipsychotic

Question 8

Risks of taking AMOXAPINE

Answer 8

• Neuroleptic Malignant Syndrome

- Tardive Dyskinesia

Question 9

LSD intoxication can be mimicked by enough ingestion of:

Answer 9

• catnip

- morning glory seeds

Question 10

Effects of EPHEDRA

Answer 10

• Sympathomimetic
• Stimulant
• Anorexogenic

Question 11

Excessive intake of nutmeg can cause:

Answer 11

• derealization
• depersonalization
• sensation of heavy limbs

Question 12

Ingestion of Betel nuts causes:

Answer 12

• Euphoria

- floating in space sensation

Question 13

Diagnosis of Tourette’s Disorder

Answer 13

• symptom onset before age 18 y

- multiple motor AND one or more vocal tics at sometime since symptom onset lasting MORE THAN ONE YEAR

Question 14

Diagnosis of Persistent (Chronic) motor or vocal tic disorder

Answer 14

-single OR multiple motor OR vocal tics with same age and time parameters as Tourettes

Question 15

Difference between Tourette’s Disorder and Persistent (Chronic) motor or vocal tic disorder

Answer 15

motor AND vocal tics must be present

Question 16

Three psychotropic medications that can cause agranulocytosis and associated rates.

Answer 16

• Clozapine 0.8%
• Chlorpromazine 0.13%
• Carbamazepine 0.5%

Question 17

In 2016, age ranges with highest and second highest rates of suicide

Answer 17

• 45y -54y (19.72%)

- 85y or older (18.98%)

Question 18

Personality disorder with highest prevalence rate among psychiatric populations and rate among the general population

Answer 18

Borderline Personality Disorder

• 20% in hospitalized psychiatric patients
• 1%-2% of the general population

Question 19

%-age of white population that are poor 2D6 metabolizers

Answer 19

7%-10%

Question 20

The occurrence of ultra-rapid 2D6 metabolizers is highest in which populations?

Answer 20

• Middle Eastern

- Northern African

Question 21

Medication that increases slow wave (or delta sleep) and FDA approved to treat which 2 conditions.

Answer 21

• Sodium oxybate (salt of GHB)

- Narcolepsy & Cataplexy

Question 22

TRUE or FALSE: Women are less likely than men to experience the common adverse effects of antipsychotics.

Answer 22

FALSE

Question 23

Best psychotherapy for OCD

Answer 23

CBT- exposure with response prevention (inhibition)

Question 24

Defense mechanisms used commly in pts with OCPD

Answer 24

• isolation of affect
• rationalization
• intellectualization
• reaction formation
• undoing

Question 25

Acamprosate is associated with _______.

Answer 25

acute kidney failure

Question 26

Differential diagnosis of excessive daytime sleepiness

Answer 26

• Obstructive sleep apnea
• Periodic limb movement disorder
• Narcolepsy
• Hypersomnias

Question 27

Office screening tool for excessive daytime sleepiness

Answer 27

• Epsworth Sleepiness Scale

- score >10 refer for sleep study to include polysomnograpy and multiple sleep latency test

Question 28

Medications to treat KLEPTOMANIA

Answer 28

SSRI’s