Psych

Question 1

Mild-mod depression tx

Answer 1

CBT is best

Question 2

Serotonin syndrome

Answer 2

Too much of the drug

AMS, neuromuscular change

Potentially life threatening

Question 3

Cymbalta black box warning

Answer 3

Liver failure

Question 4

Elderly depression treatment

Answer 4

Remeron

Bc causes appetite increase and wt gain

Question 5

MAOIs

Answer 5

Tyramine restricted diet – can otherwise cause hypertensive crisis

Interacts with other antidepressants

Question 6

Avoid What meds in pregnant in pts?

Answer 6

St. John’s wort
Paroxetine
Tricyclics
MAOIs

(SSRIs are ok)

Question 7

First line treatment for depression

Answer 7

SSRIs

Question 8

Bipolar I

Answer 8

Depression w/ at least 1 week of mania - DIG FAST
Distractability 
Insomnia
Grandiose thght
Flight of ideas 
Activity increase
Speech rapid 
Thoughtlessness - no consequences

Question 9

Bipolar II

Answer 9

Hypomania with out psychosis

Question 10

Bipolar treatment

Answer 10

Lithium for mania and lamictal for depression together are good

Depakote for mania , DONT use with lamictal - bad , cause SJS

Question 11

Somatization

Answer 11

Multiple unexplained symptoms in multiple organ systems

Question 12

Malingering

Answer 12

Faking for secondary gain

Question 13

Anorexia

Answer 13

CBT
1/2 - 1 lb wt gain
Inpt treatment
No meds available

Question 14

Bulimia

Answer 14

Purging
Laxatives
Starvation
Exercise

Question 15

What BMI start to worry for anorexia?

Question 16

What BMI can qualify for gastric bypass?

Answer 16

> 40

Question 17

Morbid obesity WITH other risk factors can qualify for surgery with which BMI?

Answer 17

> 35

Question 18

Best way to achieve wt loss ?

Answer 18

Calories in

Question 19

Best way to Maintain wt ?

Answer 19

Exercise

Question 20

SIG E CAPS

Answer 20

Sleep change
interest loss 
Guilt
Energy loss
Concentration issues
Appetite change
Psychomotor slow 
Suicidal ideation

Question 21

Generalized anxiety disorder

Definition:
Tx:

Answer 21

Worry out of proportion to what would be expected based on fear

Buspirone ( treats the anxiety, but not the depression)

Question 22

Panic disorder

Answer 22

Recurrent panic attacks and fear of having another attack

Question 23

Social anxiety disorder

Answer 23

Fear of being perceived negatively by others

Question 24

Obsessive compulsive disorder

Answer 24

Persistent intrusive thoughts or stereotyped behaviors

Can be disabling

Tx: therapy , no medications

Question 25

Cluster A personality disorder

Answer 25

Paranoid Schizoid Schiztypal

Question 26

Cluster B personality disorder

Answer 26

Borderline Antisocial Histrionic Narcissistic

Question 27

Cluster C personality disorder

Answer 27

Anxious / fearful Dependent avoidant Obsessive compulsive

Question 28

Obsessive compulsive disorder Vs OCD personality disorder

Answer 28

First is upsetting to pt Second is not upsetting to pt as they don't believe they have a problem, the problem is someone else's.

Question 29

Schizoid

Answer 29

Loner

Question 30

Schizotypal

Answer 30

Magical thinking, loner

Question 31

Antisocial

Answer 31

No remorse | Multiple Arrests

Question 32

Histrionic

Answer 32

``` Center of attention Dramatic Unstable relationships Fear of abandonment Self mutilation with suicide attempts Also with anxiety and depression. ```

Question 33

Narcissistic

Answer 33

Self important Superior and special Believe others are envious of them

Question 34

Avoidant

Answer 34

``` Inadequacy Can't talk about self Hypersensitive to criticism May avoid situations where could be judged Low self esteem ```

Question 35

Dependent personality disorder

Answer 35

Common Desire to be taken care of Can't make decisions on their own

Question 36

OCD personality disorder

Answer 36

``` Morally inflexible Workaholics Stubborn and Will not delegate Preoccupied w/ orderliness/perfection Projects overwhelming ```

Question 37

Schizophrenia

Answer 37

Related to D2 dopamine receptors

Question 38

Antipsychotics side effects

Answer 38

``` Akathisia Parkinsonism Tremor Dystonia Tardive dyskinesia High prolactin ```