PSYCH

Question 1

If patient is presenting with SOB, tremors, sweating, CP, and nausea – you do a full work up and everything comes back negative. What should you also test them for?

Answer 1

Bath salts

Question 2

How do you acutely treat a panic disorder?

Answer 2

Benzo’s

Question 3

What are the requirements to diagnose schizophrenia?

Answer 3

Positive Symptoms: delusions, hallucinations, disorganized speech

Negative Symptoms: Diminished emotional expression, no social interests

PLUS postmorbid decline (it has to affect daily activities)

**PRESENT 6+ months & 2+ of the above

Question 4

SIGECAPS is for?

Answer 4

Depression

Suicidality, interests, guilt, energy, concentration, appetite, psychomotor, sleep/sex

Question 5

Screening for depression?

Answer 5

PHQ-9

Question 6

DIGFAST is for?

Answer 6

Bipolar

Distractibility, insomnia, grandiosity, flight of ideas, agitation/activities, sexual, talkative

Question 7

What is Bipolar I?

Answer 7

ONE manic episode

Question 8

How do you treat bipolar?

Answer 8

Lithium

Question 9

What are some meds to prevent cravings for alcohol?

Answer 9

Naltrexone & Baclofen

Question 10

What are some examples of non-accidental burns?

Answer 10

Immersion (buttocks), sharp demarcation (hands, back, feet)

Question 11

What are some examples of non-accidental fractures?

Answer 11

Non-ambulatory child, humerus, femur, or ribs

Question 12

What does RADAR stand for?

Answer 12

Routinely ask questions

Ask questions in private

Document findings

Assess for safety

Resources & review options

*For elder abuse

Question 13

If someone has been sexually assaulted or abused – what does the Tx involve?

Answer 13

Pregnancy – Plan B or Ella (if over 165lbs) – can be taken up to 5 days after

STD prophylaxis – Azith 2g + Ceftriaxone 250mg IM (gon & chla) + Flagyl (trich & vaginosis)

*No flagyl if drank in the psat 24 hours

Risk for HIV – PEP within 72 hours (Truvada & Kaletra)