Psych 1

Question 1

how many weeks to wait to change to new SSRI if not working

Answer 1

8-12 weeks on max dose

Question 2

ADHD - symptoms must be present before what age

Answer 2

by age 12 for at least 6 months before diagnosis can be made

Question 3

CV findings in anorexia
4

Answer 3

1. mitral valve prolapse
2. bradycardia
3. hypotension
4. QT prolongation

Question 4

recurrent episodes of binge eating

Answer 4

bulimia

Question 5

most common side effect of lithium

Answer 5

nephrogenic diabetes insipidus

Question 6

usual age of onset of bipolar disorder

Answer 6

15-30

Question 7

common side effects of SSRIs

Answer 7

1. nausea
2. headache
3. diarrhea

Question 8

valproate has been associated with
2

Answer 8

1. liver toxicity and failure
2. thombocytopenia

Question 9

valproate target level

Answer 9

50-125

Question 10

valproate labs
3

Answer 10

liver function studies
platelet counts
valproate levels

Question 11

TCAs are unsafe in patients with what conditions
5

Answer 11

1. conduction abnormalities
2. arrhythmias
3. glaucoma
4. urinary retention
5. orthostatic hypotension

Question 12

AST and ALT ratio for alcohol abuse

Answer 12

AST 2 x greater than ALT

Question 13

older adults depression med - ___ have pronounced anticholinergic activity

Answer 13

TCAs

Question 14

depression time criteria

Answer 14

depressed mood for at least two weeks

Question 15

highest risk for successful suicide
2

Answer 15

white males 85 and older

Question 16

clinical manifestations of serotonin syndrome
3

Answer 16

1. mental status changes - anxiety, agitated, disoriented
2. autonomic - tachycardia, diaphoresis, HTN, vomiting
3. neuromuscular hyperactivity - tremors, rigidity, hyperreflexia

Question 17

commonly used in patients who exhibit depression and chronic pain syndromes
2

Answer 17

amitriptyline
nortriptyline

both TCAs