Psikiatri

Question 1

3A

Demensia

Answer 1

💡 2D: Dementia, Donepezil

• Donepezil (Asetilkolinesterase inhibitor) 1x15 mg
• Atasi penyakit dasar

Question 2

3B

Delirium bukan akibat alkohol dan zat psikoaktif lainnya

Answer 2

💡 Halu = Halo
Haloperidol HCl 5 mg IM

Question 3

2

Intoksikasi Stimulan

Answer 3

BZD

Question 4

2

Withdrawal Stimulan

Answer 4

Bromokriptin, amitriptilin

Question 5

2

Intoksikasi Depresan Opioid

Answer 5

Nalokson

Question 6

2

Withdrawal Depresan Opioid

Answer 6

Metadon

Question 7

2

Intoksikasi Depresan Sedatif Alkohol

Answer 7

Tiamin, etanol

Question 8

2

Withdrawal Depresan Sedatif Alkohol

Answer 8

BZD, fomepizol

Question 9

2

Intoksikasi Depresan Sedatif BZD

Answer 9

Flumazenil

Question 10

2

Withdrawal Depresan Sedatif BZD

Answer 10

BZD tap off, fenobarbital

Question 11

2

Intoksikasi Halusinogen

Answer 11

BZD, rehidrasi

Question 12

2

Withdrawal Halusinogen

Answer 12

Tidak ada gejala withdrawal

Question 13

4

Gangguan Psikotik Akut
Skizofrenia

Answer 13

Gejala positif
- Contoh: Haloperidol (0,5 - 2 mg / 8 jam), chlorpromazin 150-600 mg/hari

Gejala negatif
- Contoh: Risperidone 2-8 mg/hari, olanzapine, aripiprazole, clozapin

Question 14

4

Skizofrenia dengan penyulit (EPS)

Answer 14

• Turunkan dosis obat/hentikan obat
• THP (Triheksifenidil) 2-4 x 2 mg

Question 15

3B

Sindrom Neuroleptik Maligna

Answer 15

• Hentikan obat
• ICU +
  dantrolene 1-2,5 mg/kgBB IV setiap 6 jam ATAU
  bromokriptin 20-30 mg/hari via NGT (maks. 40 mg/hari)

Question 16

3A

Gangguan afektif bipolar

Answer 16

Mood stabilizer (lithium carbonat 3x600 mg)

Antidepresan (fluoxetin 10 - 20 mg; sertralin 50 mg)

💡 5 ertralin 50mg

Question 17

4

Gangguan depresi ringan-sedang

Answer 17

Antidepresan (fluoxetin 10 - 20 mg; sertralin 50 mg)

💡 5 ertralin 50mg

Question 18

2

Gangguan anxietas fobik

Answer 18

SSRI
Psikoterapi → Exposure therapy/desensitisasi, CBT, flooding therapy, family support group, relaxation

Question 19

3A

Gangguan panik

Answer 19

Serangan/Tidak stabil = Benzodiazepin

Stabil = SSRI + Psikoterapi

Question 20

3A

Gangguan anxietas menyeluruh

Answer 20

SSRI
Psikoterapi

Question 21

2

Gangguan obsesif-kompulsif

Answer 21

SSRI
Psikoterapi

Question 22

3B

Gangguan stres pasca trauma

Answer 22

SSRI (stabil), benzodiazepin (tidak stabil)

Psikoterapi

Question 23

4

Gangguan penyesuaian

Answer 23

SSRI (stabil), benzodiazepin (tidak stabil)

Psikoterapi

Question 24

2

Gangguan Somatoform

Answer 24

SSRI
Psikoterapi

Question 25

2

Gangguan tidur non organik

Answer 25

Early Onset Insomnia: BZP short acting (alprazolam, lorazepam, triazolam, diazepam)

Middle Onset Insomnia: BZP long acting (estazolam, flunazepam)

Late Onset Insomnia: Antidepresan: amitriptilin
BZP long acting

Hipersomnia
Kafein caps 2x50-100 mg (pagi-siang)

Narkolepsi
Modafinil
Antidepresan trisiklik
SSRI (fluoksetin)

Question 26

3A

Gangguan jiwa dan perilaku yang berhubungan dengan masa nifas YTK

Answer 26

Baby blues syndrome &Depresi post partum
Rawat bersama ibu & anak
SSRI (antidepresan)
Psikoterapi

Psikotik post partum
Rawat pisah ibu & anak
Antipsikotik
Psikoterapi

Question 27

2

Gangguan Hiperkinetik = ADHD/GPPH

Answer 27

Gol. stimulan (metilfenidat)
Gol. nonstimulan (atamoxetin)