Psych

Question 1

-osin

Answer 1

aplha1 blocker

Question 2

antisocial personality disorder can be preceeded by kid who have been diagnosed with

Answer 2

conduct disorder

Question 3

CI to bupropion

Answer 3

seizure disorder, anorexia nervosa, bulimia nervosa, use of an MAOI in the past 2 weeks

Question 4

typical antipsychotics block what and can lead to what

Answer 4

D2 receptors: galactorrhea, infertility, menstrual irregularities, EPS, NMS

Question 5

tests needed before starting Li therapy

Answer 5

BUN, Cr, UA, thyroid function tests

Question 6

mesolimbic ptwy

Answer 6

antipsychotic efficacy

Question 7

nigrostriatal ptwy

Answer 7

EPSs: acute dystonia, akathesia, parkinsonism

Question 8

tuboinfundibular ptwy

Answer 8

hyperprolactinemia

Question 9

high fever, autonomic instability, lead-pipe rigidity, AMS, possible elevated CK and WBC count

Answer 9

NMS - stop antipsych, supportive care, dantroline or bromocriptine

Question 10

first line drug for narcolepsy

Answer 10

modafinil

Question 11

duration of tx with single episode of MDD

Answer 11

4-9 months

Question 12

duration of tx with multiple episodes of MDD (recurrent MDD)

Answer 12

1-3 yr

Question 13

NMS tx

Answer 13

STOP antipsychotic, supportive care, dantroline or bromocriptine

Question 14

myalgias, arthralgias, N/V/D, abd pain, rhinorrhea, lacrimation, sweating, pupillary dilation, piloerection, yawning

Answer 14

opioid withdraw (heroin)

Question 15

first line tx for BP

Answer 15

Li or carbazeapine with a second gen anti-psych

Question 16

tx of acute dystonia (toricollis)

Answer 16

diphenhydramine, bezntropine

Question 17

tx of akathesia (restlessess)

Answer 17

BB, benzo

Question 18

tx of parkinsonism

Answer 18

bentropine, amatadine

Question 19

taking TCA and ingest tyramine food

Answer 19

HTN crisis

Question 20

needed for dx of BP I

Answer 20

manic episode

Question 21

needed for dx of BP II

Answer 21

hypomania, depressive episode

Question 22

s/s need to be present for how long to have MDD dx?

Answer 22

greater than or equal to 2 weeks

Question 23

GAD requires worries to continue for

Answer 23

greater than or equal to 6 weeks

Question 24

tx of panic attacks

Answer 24

immediate = benzo, LT = SSRI/SNRI with CBT

Question 25

tx of catatonia

Answer 25

benzos, ECT for refractory

Question 26

irritable, drowsy, fatigued, hungry, depressed

Answer 26

amphetamine, cocaine withdraw

Question 27

tx of acute mania

Answer 27

antipsych, Li, anticonvulsant mood stabilizer

Question 28

OCD tx

Answer 28

SSRI and CBT (exposure and response prevention)

Question 29

atrophy of the caudate nucleus on head CT

Answer 29

Huntington’s

Question 30

manic s/s with dilated pupils

Answer 30

cocaine abuse

Question 31

can cause SIADH and aplastic anemia

Answer 31

carbamezapine

Question 32

can cause rash and SJS

Answer 32

lamotrigine

Question 33

in adjustment disorder, emotional and behavioral symptoms occur within how long of the stressor?

Answer 33

3 months, s/s do NOT meet DSM-V criteria for MDD

Question 34

increase euprhoia, sexual desire, empathy, HTN, hyperthermia, tachy, 5HT syndrome, coma, hyponatremia, siezures, possibly death

Answer 34

MDMA (extacy) intox

Question 35

dx of specific phobia required s/s to last for at least

Answer 35

6 months

Question 36

euphoria, sedation, indifference to pain, pinpoint pupils

Answer 36

herion or opioid intox

Question 37

dx of mania requires s/s to last for at least

Answer 37

7 days

Question 38

mania s/s

Answer 38

DIG FAST - distractability, insomnia/impuslsive, grandiaosity, flight of ideas, activity/agitation, speech is pressured, thoughtlessness

Question 39

weight neutral antipsych drug

Answer 39

ziprasidone