Psych

Question 1

when do panic attacks peak + resolve

Answer 1

peak - 10 minutes
resolve - 1 hour

Question 2

first line tx for panic attack

Answer 2

benzo (alprazolam, lorazepam, diazepam)

Question 3

diagnostic criteria for panic disorder

Answer 3

recurrent, unexpected panic attacks (at least 2 panic attacks) + at least one of the following for at least 1 month: panic attacks often followed by persistent concern for future attacks, persistent worry about implication of attacks (losing control), maladaptive behavior related to attacks

Question 4

how long must you have sx to be diagnosed with panic disorder

Answer 4

1 month

Question 5

tx panic disorder

Answer 5

SSRIs first line

Question 6

how long must you have sx to be diagnosed with agoraphobia

Answer 6

6 months

Question 7

how long must you have sx for GAD

Answer 7

6 months

Question 8

tx GAD

Answer 8

SSRIs and SNRIs

can use Buspirone as an adjunct

Question 9

ADHD is characterized by

Answer 9

inattention, impulsivity, hyperactivity

Question 10

ADHD is often comorbid with

Answer 10

Conduct and oppositional defiant disorders

Question 11

what neurotransmitters play a large role in ADHD

Answer 11

dopamine and norepinephrine

Question 12

dx ADHD

Answer 12

sx occurring for at least 6 months
at least 6 inattentive sx
or
at least 6 hyperactivity/impulsivity sx

Question 13

at what age should kids be medically treated for ADHD

Answer 13

at least age 6

Question 14

stimulants and MOA for ADHD

Answer 14

Methylphenidate
Dexmethylphenidate
Amphetamine
Dextroamphetamine

MOA - up regulate dopamine (blocks dopamine reuptake in pre- and post-synaptic)

Question 15

non stimulants and MOA for ADHD

when are these preferred?

Answer 15

atomoxetine and viloxazine

MOA - SNRI (selective norepinephrine reuptake inhibitor)

preferred in patients with hx of illicit substance use/household members w illicit substance use

Question 16

alpha2 adrenergic agonists for ADHD

Answer 16

guanfacine
clonidine

these are pretty much 3rd line

Question 17

autism spectrum disorder is characterized by

Answer 17

impairment in social interaction or communication

restricted, repetitive stereotyped behaviors and other signs leading to impaired social functioning

Question 18

when are sx for ASD usually recognized

Answer 18

12-24 mos

Question 19

what is the MC genetic cause of ASD

Answer 19

fragile X syndrome

Question 20

what is conduct disorder

Answer 20

persistent pattern of behaviors that deviate sharply form the age-appropriate norms and violates the rights of other humans and animals

Question 21

conduct disorder is usually comorbid with

Answer 21

ADHD and oppositional defiance disorder

Question 22

conduct disorder may progress to

Answer 22

antisocial personality disorder

Question 23

4 main groups of behaviors for conduct disorder

Answer 23

breaking rules
aggressive conduct
destructive conduct
deceitfulness

Question 24

how to diagnose conduct disorder

Answer 24

persistent pattern of recurrent violation of rights of others with at least THREE behaviors over the least year and at least ONE incidence within the last 6 months

MUST BE < 18 years old

Question 25

what is oppositional defiant disorder

Answer 25

type of childhood disruptive behavior characterized by a. persistent pattern of negative, angry or irritable mood, argumentative or defiant behavior and intentional vindictiveness or spitefulness NOT ASSOCIATED WITH PHYSICAL AGGRESSION, VIOLATION OF OTHERS' BASIC RIGHTS, OR BREAKING LAWS

Question 26

dx oppositional defiant disorder

Answer 26

characterized by at least 4 sx for at least 6 months with at least one individual that is not a sibling

Question 27

classic sx of oppositional defiant disorder

Answer 27

angry or irritable behavior argumentative or defiant vindictiveness behaviors distress others and negatively impact functioning

Question 28

BMI for anorexia nervosa

Answer 28

17.5 or body weight < 85% of ideal weight

Question 29

what type of "ego" for anorexia

Answer 29

ego-syntonic - their behaviors are acceptable to them and are in harmony with their self-image goals

Question 30

what has the highest mortality rate of all psychiatric conditions

Answer 30

anorexia nervosa

Question 31

bulimia nervosa is characterized by

Answer 31

frequent and recurrent binge eating combined w inappropriate compensatory behaviors to counteract weight gain (purging w vomiting, laxatives, diuretics, enemas)

Question 32

weight for bulimia

Answer 32

usually maintain a normal weight or may be overweight

Question 33

what type of "ego" for bulimia

Answer 33

ego-dystonic - behaviors are troublesome to patient

Question 34

what is the only FDA approved med for bulimia

Answer 34

fluoxetine

Question 35

binge eating disorder is characterized by

Answer 35

frequent and recurrent binge eating episodes without compensatory behaviors of bulimia nervosa

Question 36

what type of "ego" for binge eating

Answer 36

ego-dystonic - troublesome to patient

Question 37

how long must episodes occur to be diagnosed with binge-eating disorder AND bulimia nervosa

Answer 37

once a week for three months

Question 38

single strongest predictive factor for suicide

Answer 38

previous attempt

Question 39

gender and suicide

Answer 39

females attempt more men are more successful

Question 40

who has the highest risk of suicide in US

Answer 40

elderly white men

Question 41

diagnose MDD

Answer 41

at least 2 distinct episodes of at least 5 associated sx (must include either depressive mood or anhedonia) almost every day for most of the days for at least TWO WEEKS

Question 42

what is cyclothymic disorder

Answer 42

hypomanic sx that fall short of meeting criteria for full hypomanic episode and numerous periods of mild to moderate depressive sx that fall short of meeting criteria for MDD

Question 43

diagnose cyclothymic disorder

Answer 43

at least 2 consecutive years of prolonged, milder elevations and milder depressions in mood that do not meet criteria of full hypomanic episodes or major depressive episodes

Question 44

persistent depressive disorder is also known as

Answer 44

dysthymia

Question 45

dx dysthymia

Answer 45

depressed mood for at least 2 years in adults at least 2 conditions (insomnia, fatigue, low energy, etc) not sx free for > 2 months at a time