Psych

Question 1

Antidepressants in adolescents?

Answer 1

CI bc it increases risk of suicidality

Question 2

What is the link btw obesity and mental health?

Answer 2

Increased adipokines–> inflammation which has effects on the brain.

Question 3

What substance use should you ask about in anxiety?

Answer 3

Caffeine

Question 4

What conditions cause poor impulse control?

Answer 4

Adult persistent ADHD
Borderline personalities
Frontal lobe dementias
Anti-parkinsonian drugs

Question 5

How many children have persistent ADHD in to adulthood?

Answer 5

50%

Question 6

Pathophysiology behind ADHD?

Answer 6

Right hemispheric dominance

Question 7

Issue with psychostimulants like dexamphetamine?

Answer 7

Zombie effect

Don’t get dependence but do get withdrawal

Question 8

Ddx for psychosis

Answer 8

Schizophrenia
Schizoaffective disorder
Delusional Disorder
Schizo-phreniform psychosis (1-6 months) 
Brief psychotic disorders

Question 9

Mitgehen

Answer 9

In catatonia - exaggerated movements in response to light finger pressure despite instructions to the contrary.

Question 10

Mitmachen

Answer 10

In catatonia - despite instructions, pt allow an extremity to be placed in any position without resistance to light pressure

Question 11

Posturing

Answer 11

The person maintains odd or bizarre postures in catatonia

Question 12

Pt does not respond to SSRI - why?

Answer 12

Check adherence
SNRI may be more effective
? Dx