Other Psychiatry Topics

Question 1

90% of people who die by suicide are suffering from one or more
psychiatric disorders such as:

Answer 1

Major depressive disorder
Bipolar disorder (depressive phase)
Alcohol or substance abuse
Schizophrenia
Personality disorders (such as borderline personality disorder)

Question 2

The highest suicide rate is among who?

Answer 2

older white widowers

Question 3

There are how many attempts for every suicide?

Answer 3

12-25

Question 4

Suicide watch – mandatory hold lasts how long?

Answer 4

14 days

Question 5

What are the most common methods of suicide for men and women?

Answer 5

56% of men use firearms

40% of women use poison

Question 6

What are the categories of risk factors for suicide?

Answer 6

Bio-psychosocial
Environmental
Socio-Cultural
Youth-Specific

Question 7

What are the five steps to suicide assessment?

Answer 7

1) Identify Risk Factors
2) Identify Protective Factors
3) Conduct Suicide Inquiry
4) Determine Risk Level/Intervention
5) Document

Question 8

List the 3 steps of Suicide Intervention

Answer 8

1) show you care - Be genuine!
2) Ask about suicide
3) Get help

Question 9

SSRIs thought to be relatively safe after 1st trimester except for which one?

Answer 9

Paroxetine – increases birth defect rates

Question 10

What are some certain characteristics should heighten
suspicion of domestic violence?

Answer 10

Inconsistent explanation of injuries
Inappropriate affect
Missed appoints
Late prenatal care
Many victims are treated exclusively in the ED
Perpetrators may insist on staying with the victims

Question 11

Make sure to screen for domestic violence in these patients:

Answer 11

Women who are pregnant
Women who have STDs
Women who are trauma victims
Women with multiple somatic complaints

Question 12

What are the legal requirements for PAs in suspected child abuse?

Answer 12

Report any suspicious cases

As a professional we are obligated by law to call CPS

Question 13

What is the most common type of child abuse?

Answer 13

Neglect

Question 14

List the types of child abuse

Answer 14

Physical

Sexual

Emotional

Neglect – most common

Question 15

A complete skeletal survey indicated for all children less than how old if physical abuse is suspected?

Answer 15

2 years

Question 16

List some signs/symptoms to watch for child abuse

Answer 16

Difficulty walking or sitting
Failure to thrive
Depression/suicide
Incidental findings on routine exam
Recurrent UTIs
Precocious sexual behavior
Bruises on uncommonly injured body surfaces
Blunt instrument marks or burns
Human hand marks or bite marks
Cigarette burns
Multiple injuries at different stages of healing
Evidence of poor care
Circumferential immersion burns
Unexplained retinal hemorrhages (shaken baby)

Question 17

What is the hallmark of physical abuse?

Answer 17

A history that is inconsistent with the patient’s injuries

Question 18

List some suspicious fractures that would suggest child abuse

Answer 18

Not consistent with history
Rib fractures
Toddlers fracture
Multiple healed/healing fractures
Fracture in a non-ambulatory infant