psych

Question 1

45 y/o F presents w/ complaint of mood disturbances and difficult sleep, poor appeitr, fatigue, lost 4 Ibs tx?

Answer 1

escitalopram

Question 2

medication most likely to cause sedation?

Answer 2

trazadone

Question 3

what do you need to monitor w/ lithium?

Answer 3

tsh

Question 4

35 y/o w/ hx of schizophrenia uncontrolled tx?

Answer 4

oral benztropine

Question 5

baseline weekly lab to monitor annually for clozapine?

Answer 5

wbc count

Question 6

what do you monitor annually for olanzapine?

Answer 6

lipid panel

Question 7

17 y/o sent to ER by police for acute psychotic episode tx?

Answer 7

benztropine

Question 8

7 y/o w/ adhd tx?

Answer 8

dextrampheton

Question 9

10 y/o w/ adhd medication should be taken when?

Answer 9

after eating breakfast

Question 10

What medication inhibits alcohol dehydrogenase?

Answer 10

disulfiram

Question 11

How does benzo affect GABA?

Answer 11

stimulates relase

Question 12

34 y/o ER w/ excerbation of bipolar illness immediate tx for manic phase is?

Answer 12

voluntary hospitalization to achieve better pharmcotherapy

Question 13

A pt who presents w/ general anziety and sweating what test is used to r/o organiz causes of anxiety?

Answer 13

urinary metaphine and catecholamines

Question 14

45 y/o excessive daytime sleepiness and falls asleep at inappropriate times is?

Answer 14

narcolepsy

Question 15

32 y/o feeling on top of the world has?

Answer 15

BP 1

Question 16

70 y/o F brought in by son after husband death is?

Answer 16

experiencing depressive episodes since death and psychotherapy may help

Question 17

55 y/o cant sleep and going through a divorce and stress of the world has?

Answer 17

insomnia

Question 18

33 y/o w/ 10 month hx of fear has?

Answer 18

generalized anxiety disorder

Question 19

andrew has?

Answer 19

adjustment disordr

Question 20

medication w/ least sexual effects?

Answer 20

bupropion

Question 21

34yoF hx depression, recent URI presents to ED w/ agitation + fever. given citalopram yesterday as well as cough syrup. VS: 102F, pulse 130/min, 28 RR, 165/100 BP. Patient is diaphoretic + oriented x1. has dilated pupils, lower extremity hyperreflexia, myoclonus. which medication was started for cough?

Answer 21

dextromethophan

Question 22

70yoM w/ fatigue, adohia. 1yr after wife died. decreasing appetite, not getting sleep or staying asleep. cachetic, dishoveled, flat affect. what is the primary medication to tx?

Answer 22

mirtazepine

Question 23

which medication is ok in pregnancy?

Answer 23

fluoxetine

Question 24

patient w/ PMS not interested in taking hormonal contraception. tx?

Answer 24

serotonin reuptake inhibitors

Question 25

patient taking atomoxetine. what should you monitor?

Answer 25

livertransaminases

Question 26

40yoF w/ 4M history of constipation. Denies abdominal pain or cramping. initial tx?

Answer 26

methylcellulose

Question 27

common condition seen w/ ADHD?

Answer 27

oppositional defiant disorder

Question 28

49yoM. Hx of alcoholic liver disease. has tremor, sweat x 2days after recently quitting alchol. V/S: 99.6F, 102/min pulse, 22RR, 165/100 BP, altered mental status, and bilateral hand tremor. next pharm tx?

Answer 28

lorazepam

Question 29

schizophrenia paranoid type is associated with which of the following statements?

Answer 29

has preoccupation w/ 1 or more delusions or frequency auditory hallucinations

Question 30

which of the following is a psych disturbance associated with hyperthyroidism?

Answer 30

major depressive disorder (MDD)

Question 31

which of the following is considered a first line therapy for PTSD?

Answer 31

sertraline (SSRI)

Question 32

boss will can him, people are tryig to go against him dx?

Answer 32

paranoid personality disorder

Question 33

having weird sys, HA, stiffness?

Answer 33

somatic disoder

Question 34

signs to him about global warning?

Answer 34

ideas of reference

Question 35

what medication is first line for adhd?

Answer 35

stimulants

Question 36

student getting up during the night to check answers/ test self?

Answer 36

OCD

Question 37

70 y/o w/ recent loss of husband and depressive sym?

Answer 37

MDD

Question 38

Pt has sexual desire towards provider?

Answer 38

histronic

Question 39

Overly jealous of wife, thinking she is cheating?

Answer 39

delusion

Question 40

Thinks he is better than everyone

Answer 40

narrcisstic personality disorder

Question 41

Does not like to speak in crowds

Answer 41

social phobia

Question 42

mania pt w/ BP, already on lithium?

Answer 42

add either VA and carb

Question 43

Weirdo that talks about a bunch of random stuff?

Answer 43

schiztoypal

Question 44

Weirdo that talks about a bunch of random stuff?

Answer 44

schizotypal

Question 45

preoccupied w/ delusions or auditory hallucinations?

Answer 45

schizophrenia w/ paranoid

Question 46

Test for MDD

Answer 46

dexamethasone suppression test

Question 47

pts scared to get covid?

Answer 47

illness anxiety disorder

Question 48

34 y/o w/ bulimia check what?

Answer 48

get urine electrolytes

Question 49

34 y/o F w/ excerbation of bipolar ilness. Tx for manis phase?

Answer 49

voluntary hospitalizations to achieve better pharm control

Question 50

24 y/o F clinical for pre-pa physical pt well dressed and malnorished. next step?

Answer 50

bulimia
order urine elctrolytes

Question 51

A pt who present w/ general anxiety. what is the test to r/o organic cause of anxiety?

Answer 51

urinary catelcholamines and metaph

Question 52

70 y/o F brought in by son after husband death?

Answer 52

experiencing depressive episode since husbands death and psychotherapy may help

Question 53

55 y/o cant sleep and going through divorce + stressed @ the world?

Answer 53

insomnia