Psych

Question 1

DSM Major Depression

Answer 1

5/9 for 2 weeks
SADAFACES
Anhydonia, Depressed Mood, Suicidality,
Sleep, Appetite, Fatigue, Psychomotor agitation/retardation, Concentration, Excessive Guilt

Question 2

Dysthymia DSM

Answer 2

2/6 for 2 years
ACHEWS
Appetite, Concentration, Hopelessness, energy deficit, worthless, sleep

Question 3

What to always rule out for depression?

Answer 3

ORGANIC! Other psych disorder, drug induced, precipitating event (adjustment disorder)

Question 4

DDx Major depressive episode

Answer 4

Dysthymia, Bi-polar, adjustment

Question 5

Generalized anxiety disorder DSM

Answer 5

Macbeth Frets Constantly Regarding Illicit Sins

Muscle tension, fatigue, concentration problems, restlessness, irritability, sleep problems

Question 6

Manic Episode DSM

Answer 6

DIGFAST (3/7 if mood predom elevated)

Distractibility, indiscretion, grandiose, flight of ideas, activity increase, sleep, talkative

Question 7

Schizophrenia DSM

Answer 7

delusions herald schizo bad news (2/5 for 1 month + 5 months prodromal)
Delusions, hallucination, speech disorganisation, behaviour disorgnization, negative symptoms (flat affect)

Question 8

Schizoaffective disorder DSM

Answer 8

symptoms of mood and schizophrenic disorder at separate times

Question 9

CAGE questions

Answer 9

2/4
Cut back
Annoyed with comments
Guilty
Eye opener

Question 10

Substance abuse DSM

Answer 10

3/7- tempted with cognac
Tolerance
Withdrawl
Control
- large amounts, unsuccesful attempts to decrease, time spent obtaining/consuming/recover, decrease other activities, use continues despite knowledge of danger

Question 11

Dementia DSM

Answer 11

Memory + BREW (1/4 of BREW)

Behaviour disorg, recognition, executive func, word problems

Question 12

PTSD DSM

Answer 12

Remember atrocious nuclear attacks (4/4)
Re-experiencing
Avoidance
Numbing
Arousal increase when thinking about it

Question 13

Borderline personality DSM

Answer 13

IDESPAIRR (5/9)
Identitiy
Disordered Affect
Empty
Suicide
Paranoia
Abandonment issues
Impulsivity
Rage

Question 14

Side effects of SSRIs

Answer 14

Insomnia, agitation, sedation, GI distress, sexual dysfunction

Question 15

SSRI dangerous in pregnancy?

Answer 15

YES!

Question 16

Venlafaxine SE

Answer 16

same as SSRI really + hypertension possibility

Question 17

Serotonin syndrome

Answer 17

Diaphoresis, pupil dilation, increased BP, myoclonus, hyperthermia

Question 18

Rx serotonin syndorme

Answer 18

Cryoheptadine

Question 19

Neuroleptic malginant syndorme caused by…

Answer 19

antipsychotics

Question 20

NMS features

Answer 20

autonomic instability, fever, muscle rigidity

Question 21

NMS Treatment

Answer 21

give benzo to control agitation

Question 22

Benzo reversal drug

Answer 22

flumazenil

Question 23

Opioid reversal drug

Answer 23

naloxone/naltrexone

Question 24

TCA side effects

Answer 24

drowsiness, weight gain, hypotension

Question 25

Lithium side effects

Answer 25

metallic taste, GI distress, benign T-wave on ECG

Question 26

Lithium toxicity=

Answer 26

ataxia, vomiting, disoreintation

Question 27

Valproate SEs

Answer 27

alopecia, weight gain, GI distress, blurred vision

Question 28

Alcohol intox reversal

Answer 28

Benzo

Question 29

Reversal of EPSE in anti-psychotic SEs

Answer 29

benztropine

Question 30

Drug that doesn't give as much EPSE

Answer 30

Clozapine

Question 31

Dangerous side effect of clozapine

Answer 31

agranulocytosis

Question 32

atypical vs typical anti-psychotics

Answer 32

same for EPSE, atypical has more metabolic effect but NO tardive dyskinesia

Question 33

EPSE are..

Answer 33

akinesia, akathisia, acute dystonic reaction

Question 34

Alzheimers treatment...

Answer 34

cholinesterase inhibitors (donazepil, rivastigmine), NMSA antagonist (memantine)

Question 35

CBT involves

Answer 35

organised goal oriented sessions that change thought processes of patient. reconceptualization.