Psy

Question 1

RN presents w severe hypoglycemia, lab reveals no elevation in C-peptide. Dx?

Answer 1

Factitious disorder

Question 2

Med to avoid in pts w PTSD

Answer 2

BZDs. high addiction potential

Question 3

Survior of child abuse and frequently feels outside of or detached from body. Dx?

Answer 3

Depersonalization disorder

Question 4

Schizophrenic pt who takes haldol x 1 yr and now has uncontrollable tongue movements. Dx? Tx?

Answer 4

Tardive dyskinesia. Decrase or d/c haldol. consider 2nd gen (risperdol or clozap.)

Question 5

Antidepressant assc’d w hypertensive crisis?

Answer 5

MAOIs

Question 6

Galactorrhea, impotence, menstrual dysfxn, decreased libido. Psy Med?

Answer 6

Antipsy/Dopamine antagonists

Question 7

17 yo girl has paralysis after boyfriend dies in car accident. Dx?

Answer 7

Conversion disorder?

Question 8

Mother who is angry at her partner yells at kid instead. Defense mech?

Answer 8

Displacement

Question 9

Girl upset w bestfriend acts overly kind. Defense mech?

Answer 9

Reaction Formation

Question 10

A man calmly describes a brutal murder. Defense mech?

Answer 10

Isolation

Question 11

Key SE of atypicals?

Answer 11

metabolic syndrome. agranulo (cloza). QT segment prolongation

Question 12

Young weight lifter recieves IV haldol and now his eyes are deviated sideways. Dx? Tx?

Answer 12

Acute dystonia/occulogyric crisis. Tx=benztropine or diphenhydramine

Question 13

Medication to avoid in pts w hx of EToH withdrawal seizures?

Answer 13

Anti-psychotics

Question 14

13 yo w theft and violence

Answer 14

COnduct disorder. (Antisocial personality disorder in adults)

Question 15

5 mo girl w decreased head growth, truncal discorrdination and decreased social interaction

Answer 15

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