Psych

Question 1

Treatment for Kleptomania

Answer 1

CBT (Does NOT respond to meds)

Question 2

Anorexia sequelae

Answer 2

Osteoporosis, amenorrhea. If preggers -> small for gestational age

Question 3

Persistent complex bereavement d/o

Answer 3

significant life impairment, > 12 mo after loss

Question 4

Starvation/malnutrition effects on thyroid

Answer 4

Will decrease TBG, euthyroid hypothyroidism

Question 5

Tx for tourette’s

Answer 5

2nd gen antipsychotics (risperdal).

Also haldol and Pimozide, tetrabenazine

Question 6

AE for 2nd gen antipsychotics

Answer 6

metabolic disturbances (wt gain, LDL, glucose)

Question 7

Schizophrenia on CT

Answer 7

enlarged ventricles

Question 8

Delusional d/o (vs schizo)

Answer 8

Normal functioning, no psychoses

Question 9

Inappropriate laughter

Answer 9

sign of manic episode

Question 10

Medical condition assoc w panic d/o

Answer 10

MV prolapse

Question 11

Atypical antipsychotics are better at treating (-/+) sx?

Answer 11

negative

Question 12

Ebstein’s anomaly

Answer 12

Maternal lithium use. Atrialization of RV. Malformed TC valve

Question 13

Social Anxiety d/o dx and tx

Answer 13

anxiety in 2+ social situations. Tx w ssri. Fear that you;ll be seen as ‘stupid’ and or evaluated poorly

Question 14

Adjustment d/o v MDD

Answer 14

within 3 months of stressor onset. leaves after 6 months after stressor leaves. Does NOT meet criteria for MDD

Question 15

Pseudocyesis

Answer 15

false belief that you are preggers. Actually get enlarged belly and stuff.

Question 16

Isolation of affect

Answer 16

separating thoughts from emotions. Being able to describe rape in gruesome detail

Question 17

Intellectualization

Answer 17

transformation of emotionally difficult event into purely intellectual to avoid emotional unpleasantness

Question 18

Depot antipsychs

Answer 18

“Decanoate” - Haldol/fluphenazine

Also risperdal and paliperidone

Question 19

TCA O/D tx

Answer 19

Sodium bicarb. It narrows QRS and helps prevent arrhytmias

Question 20

Factitious d/o gain?

Answer 20

Primary. (Factitious = First. F)

Question 21

cocaine can cause psychoses.

Answer 21

will come with agitation and cocaine signs like htn and tachy

Question 22

Panic d/o is associated most strongly with what other psych condition?

Answer 22

Depression. Agoraphobia is also up there, just not as high

Question 23

PArents are refusing treatment for child for non-emergent but life threatening condition. What should doctor do?

Answer 23

Court order. Don’t fire patients