PSYCH

Question 1

When would autism present?

Answer 1

18-24 months

Question 2

What eating disorder would typically present with a normal weight?

Answer 2

Bulimia

Question 3

What should be asked at every visit?

Answer 3

Any thoughts of hurting yourself or others

*If they say yes, ASK ABOUT A PLAN

Question 4

If a patient is having anxiety following a traumatic event, what are the diagnostic criteria for PTSD?

Answer 4

Must impair ability to function

Must be present for 1 month or more!!

Question 5

If a patient is having anxiety following a traumatic event for less than 1 month – dx?

Answer 5

Acute stress disorder

Question 6

Hyperactivity, inattention, and/or impulsivity are all characteristics of what?

Answer 6

ADHD/ADD

Question 7

How do we treat ADHD?

Answer 7

Adderall, methylphenidate

Question 8

For how many months must sxs be present in order to diagnose schizophrenia?

Answer 8

6+ months

Question 9

What if schizophrenia sxs are present for 1-6 months?

Answer 9

Schizophreniform

Question 10

What if schizophrenia sxs are present for less than 1 month?

Answer 10

Brief psychotic disorder

Question 11

What is the difference between somatization and hypochondriasis?

Answer 11

Somatization = seen multiple people for their same problem

Hypochondriasis = ALWAYS have something wrong (checkerboard abd)

Question 12

What is the difference between factitious disorder & malingering?

Answer 12

Factitious = Like to assume the sick role, have some medical knowledge for primary gain

Malingering = Patient IS faking it for secondary gain (money, drugs)

Question 13

If a person has complete absence of emotional dependence and are very blunt – dx?

Answer 13

Schizoid

Question 14

if a person is a “feeler” or a “seer” they are?

Answer 14

Schizotypal

Question 15

What is the most lethal form of domestic violence?

Answer 15

Strangulation

Question 16

What are some common S/E of SSRI’s?

Answer 16

LONG half-life, sexual problems, and insomnia

Question 17

What SSRI has the longest half-life?

Answer 17

Fluoxetine

Question 18

What SSRI has the fewest drug interactions?

Answer 18

Sertraline

Question 19

What SSRI is the most sedating?

Answer 19

Paroxetine

Question 20

If a patient is struggling with the S/E’s of SSRI’s what can we change to? Examples?

Answer 20

SNRI’s

Venlafaxine & Duloxetine

Question 21

What is a common tricyclic antidepressant? What should we remember about it?

Answer 21

Amitriptyline

OD can be lethal!!

Question 22

If a patient is having alcohol withdrawals how do we treat?

Answer 22

Thiamine!! May need Mg

Benzo’s or phenobarb for DT’s