Psych (25) and Peds (9)

Question 1

Hr 24-48 = ____ admin against conjunctivitis caused by gonococcal and nongonococcal, nonchlamydial bacteria?

Conjunctivitis during htis time is called?

Answer 1

silver nitrate

chemical conjunctivitis

Question 2

Infant develops copious purulent ophthalmic discharge within TWO-SEVEN DAYS after delivery. MCC:

Answer 2

N. gonorrhoeae

Question 3

Infant develops copious purulent ophthalmic discharge within 7-15 DAYS after delivery. MCC:

Answer 3

chlamydia trachomatis

Question 4

First line class of drugs for premature ejaculation

Answer 4

serotonin reuptake inhibitors (SSRIs)

Question 5

what type of HA:

recurrent, pressure or band-like frontal pain often occurring during periods of stress.

Answer 5

tension HA

Question 6

tx for HA characterized by recurrent, pressure or band-like frontal pain often occurring during periods of stress.

Answer 6

tension HA tx is non-narcotic analgesic (ibuprofen, acetaminophen, aspirin, naproxen)

Question 7

in migraine therapy:
____ is a dopaminergic antagonist used in pts with N/V as dominant sx.

SE - acute dystonic reaction

Answer 7

metoclopramide

Question 8

in migraine therapy: ___ is a serotonin receptor agonist that has vasoconstrictive properties.
cI in uncontrolled HTN, CAD, Peripheral vascular dz

Answer 8

triptan

Question 9

Tx of choice for GAD

Answer 9

CBT

SSRI’s: paroxetine, fluoxetine, escitalopram, sertraline, SNRI’s: duloxetine, venlafaxine (good for GI dz)

Question 10

anticholinergic (dry, red, hot, mad, blind) - dt ___ overdose

Answer 10

TCA overdose presentation

Question 11

incrased muscle tone, extrapyramidal sx, AMS, hyperthermia, lead-pipe rigidity

Answer 11

neuroleptic malignant syndrome –> antipsychotic use

Question 12

resp depression, apnea, hypothermia, hypotension, bradycardia, aspiration, pulmonary hypertension - overdose of what and what is antidote?

Answer 12

benzo OD tx with flumazenil

Question 13

CNS depression, respiratory depression, miosis = ___ Overdose?

Answer 13

opioid

Question 14

pain and redness in one eye with excessive tearing and feels like something is stuck. wears contacts. green color appears on cobalt blue light.

dx?

tx with?

Answer 14

CORNEAL ABRASION + CONTACT wearer = ciprofloxacin (fluoroquinolone or aminoglycoside) for anti-pseudomonal antibiotics

CORNEAL ABRASION alone = polymyxin B/trimethroprim drops

Question 15

babies should sleep in supine position until what age?

Answer 15

one year

Question 16

when should solid baby good begin?

when should whole cow’s milk be incorporated?

when should forward facing car seat?

Answer 16

4-6mo

1year

2years or outgrow rear-facing car seat (min 40lbs)

Question 17

OCPD v. OCD

Answer 17

OCPD = preoccupied with orderliness and perfectionism, but inefficient at completing tasks. Stubborn, inflexible, find nothing wrong in their behavior

OCD - significant impairment due to obsessions (monk). Aware of their condition and recognize behavior as abnormal.

Question 18

Fair skin pts between 10-24 should be counseled for?

Answer 18

skin cancer

Question 19

routine screening for HSV, syphilis, scoliosis, or ilicit drug use?

Answer 19

no!

Question 20

6mo of fear or anxiety about 2 or more of: using public transportaiotn, being in open spaces or closed spaces, stanign in lines or crowds, being outside the home ALONE

Answer 20

agorophobia

Question 21

describe panic attack frequnency and sx # requirement.

Answer 21

> 1mo persistent worry about have another panic attack. >4sx

Question 22

GAD definition

Answer 22

excessive worry about multiple things on most days for at least 6mo

Question 23

what antidepressant is safe to use during preganncy?

Answer 23

SSRIs - fluoxetine, sertraline, citalopram, etc. EXCEPT paroxetine

Question 24

Suspect ___ in a child who does not babble or point by 12mo, use single works by 16mo, or use 2 words by 24mo

Answer 24

autism

Question 25

what are paroxetine, fluoxetine, citalopram, escitalopram, sertraline?

Answer 25

SSRIs - first line tx of major depressive disorder and anxiety disorders

Question 26

What is this:
will experience episode of psych illness with sx of both schizophrenia and either depression or mania (bipolar), as well as 2 weeks of psychosis or (+)sx consitent with dx of schizo at a time when they are euthymic

Answer 26

schizoaffective disorder (i.e. bipolar pt with >2 wks of psychosis b/w episodes of depression or mania)

Question 27

____ is defined by: >6mo of >2 of the following: delusions, hallucinations, disorganized speech

Answer 27

schizophrenia

Question 28

____ is defined by: 1-6mo of >2 of the following: delusions, hallucinations, disorganized speech

Answer 28

schizophreniform

Question 29

conduct disorder as a child can lead to ___ as an adult

Answer 29

antisocial personality disorder

Question 30

think ___: newborn with cyanosis during feeding and blockage that prevents passage of nasogastric tube past nasal passage.

Answer 30

CHARGE --> (CHD7 gene)
Coloboma (hole in iris or other eye structure)
Heart defect
choanal Atresia
Restricted growth
Genital hypoplasia
Ear anomalies and deafness

Question 31

At what age range should all children be screened for depression without a parent in the room, esp if a firearm is in the house?

Answer 31

12-18

Question 32

At what age range sould children be screened for obesity?

Answer 32

6-17

Question 33

what three things are the only screening recommendations for adolescent non-smokers who are not sexually active?

Answer 33

obesity, depression, skin cancer in fair skinned individuals

Question 34

splitting = ?

Answer 34

borderline PD (key: impulsivity in >2 of: sex, substance abuse, driving)

Question 35

how is tay-sachs different from other sphingolipidoses (i.e. Niemann Pick)?

Answer 35

no HSM

Question 36

crumple tissue paper apperance of cells. beta glucosidase deficiency. erlenmeyer flask deformity

Answer 36

gaucher disease

Question 37

mammography age guidelines

Answer 37

50-74=every two years

Question 38

do not screen pts >___Ag for breast or colorectal cancer

Answer 38

75