Psych

Question 1

first line tx for OCD

Answer 1

exposure and response prevention (a type of CBT)

then SSRI

Question 2

therapy for borderline PD

Answer 2

dialectical behavior therapy

Question 3

patients with Tourettes have incr chance of

Answer 3

ADHD

OCD

Question 4

side effect of benzos in elderly

Answer 4

confusion
agitation
falls

Question 5

eye movement desensitization and reprocessing treatment is to treat

Answer 5

PTSD

Question 6

tx of choice for specific phobia

Answer 6

behavioral therapy using exposure

Question 7

tx of akathisia

Answer 7

beta blocker

benzo

Question 8

bupropion MOA

Answer 8

DA and NE reuptake inhibitor

Question 9

TCA OD and QRS greater than 100, give

Answer 9

sodium bicarb

Question 10

patient with cyclic vomiting syndrome also have family history of

Answer 10

migraines

Question 11

indications for hemodialysis for lithium toxicity

Answer 11

lithium level greater than 4
lithium level greater than 2.5 plus seizures or depressed mental status
can’t excrete lithium (renal dz, decompensated HF)

Question 12

somatic symptom vs illness anxiety d/o

Answer 12

somatic symptom: anxiety about at least one symptom (for at least 6 months)
illness anxiety: fear of having illness WITHOUT symptoms or with minimal symptoms (aka hypochondriasis)

Question 13

PCP vs LSD

Answer 13

PCP: muscle rigidity, has nystagmus
LSD: tremors, no nystagmus

Question 14

maintenance for bipolar

maintenance for severe bipolar

Answer 14

lithium, valproate, quetiapine, or lamotrigine

lithium or valproate with second ten antipsychotic (like quetiapine)

Question 15

carbamazepine ADRs

Answer 15

aplastic anemia

SIADH

Question 16

management of panic disorder, immediate vs long term

Answer 16

immediate: benzo

long term: SSRI and CBT

Question 17

management of akathisia

Answer 17

reduce dose

tx with beta blocker or benzo (ativan)