Psych-2

Question 1

MDD

Answer 1

5+ Depressed SIG-E-CAPS for 2 weeks. 1st Step: check for suicide.

Question 2

Schizophrenia

Answer 2

6mo disturbance +2 active phase symptoms for 1 month.

Question 3

Mania

Answer 3

3 DIG-FAST / Elevated for 1week –> Hospitalization

Question 4

Rapid Cycling Bipolar

Answer 4

4+ Mood episodes in 1 year.

Question 5

Bipolar treatment.

Answer 5

Hosp + Mood Stabilizer + Antipsychotic (Atypical)

Question 6

OCD Treatment

Answer 6

SSRI or TCA

Question 7

Panic Disorder

Answer 7

SSRI / TCA

Question 8

IBS

Answer 8

SSRI / TCA

Question 9

Restless, flushing, tremor, confusion, myoclonic jerks.

Answer 9

1. Discontinue med. 2. Chlorpromazine or phenatolamine.

Question 10

MDD, with hypersomnia, fear of rejection, hyperphagia

Answer 10

MAOI

Question 11

TCA tox

Answer 11

Anti - HAM and CCC, Cardiotoxic, Convulsions, Coma

Question 12

What benzos are not metabolized by the liver ?

Answer 12

If they drink a LOT, Lorazepam (Ativan), Oxazepam (Serax), Temazepam (restoril)

Question 13

What are the short acting benzos (t-1/2:

Answer 13

Triasolam (Halicon) Midasolam (Versed)

Question 14

What are the intermediate acting (6-20 t1/2)

Answer 14

They can be used A-LOT Alprazolam (Xanax)Lorazepam (Ativan)Oxazepam (Serax)Temasepam (Restoril)

Question 15

What are the long acting benzos?

Answer 15

Diazepam (Valium)Clonazepam (Klonopin)

Question 16

Benzo side affects as a class / Overdose treatment

Answer 16

Inc GABA frequency. Letherfy drowsiness, confusion, hypotension, ataxia, nystagmus. Treat with FLUMAZENIL

Question 17

Benzo vs Opiod intox

Answer 17

Both will have the lethargy and respiratory depression. Opiods will have pupil constriction

Question 18

General rule of withdrawal severity

Answer 18

Stimulants are non life threatening, Depressants are.

Question 19

Seizures in EtOH withdrawal

Answer 19

between 6 and 48 hours. Treat with Benzo

Question 20

DT’s in EtOH withdrawal

Answer 20

48 - 72 hours Hours 5% of abusers get them. They carry a 15-25% mortality rate. Treat with Dilantin and a Benzo

Question 21

Dysthymic Disorder

Answer 21

(2^3) 2 years of 2 SIG-E-CAPS not symptom free for over 2 months. Must rule out MANIA, HYPOMANIA, NO MDD.

Question 22

Cyclothymic

Answer 22

Hypomainia (No impact on life) and Dysthymia for >2 years without >2 months of relief. (2^3)

Question 23

Treatment of dysthymic

Answer 23

Cognitive and Psychtherapy

Question 24

Treatment of cyclothymic

Answer 24

Same as bipolar 2.

Question 25

PTSD

Answer 25

1 month of R-A-P-EEvent: Experienced a traumatic event (Anytime vs ASD 1mo rule)Reexperience: Dreams Flashbacks recollectionsAvoidance: Mentally block the experience and avoid the situation associated with the event. Persistant +/- arousal.

Question 26

Hypochondriasis

Answer 26

Preoccupation with fear of serious illness secondary to misinterpretation of bodily symptoms for over 6 months. Treat with Regular visits, SSRI, CBT.

Question 27

Bulimia

Answer 27

Buproprion and Fluoxetine.

Question 28

Bulimia

Answer 28

NORMAL BMI: Binge eating + Compensation (Purge vs Non-Purg) to prevent increase in weight. 2x per week for 3 months.

Question 29

Bulimia Labs

Answer 29

Inc HCO3 Inc Na Inc Amylase

Question 30

Acute Stress Disorder

Answer 30

Event occurred

Question 31

Autism

Answer 31

6 symptoms in (Language, Social Interaction, Repetitive behavior) beginning before 3 years. 70% retarded. Get Hearing Test

Question 32

Asperbergers

Answer 32

Abnormal Social interaction and repetitive behavior with preserved language Get Hearing Test

Question 33

Lifetime risk of suicide in mood disorders

Answer 33

10%

Question 34

Patient with well managed bipolar disorder has a mild manic episode after final exam season.

Answer 34

Sleep Deprivation can trigger an exacerbation of depressive symptoms and can trigger mild mania.