Psych

Question 1

unexplained abd pain and new-onset neuropsych symptoms - consider?

Answer 1

acute intermittent porphyria

Question 2

neuroleptic malignant syndrome - rx?

Answer 2

bromoctiptine (or other DA agonists eg amantadine) and dantrolene

Question 3

dystonias and parkinsonsim for neuropletics - rx?

Answer 3

benzotropine, diphenhydramine

Question 4

akasthisias - rx?

Answer 4

propranolol

Question 5

serotonin syndrome - rx?

Answer 5

cyproheptadine

Question 6

comorbid depression in the medically ill - rx?

Answer 6

SSRI!

Question 7

how old for anti-social personailty disorder?

before that it is?

Answer 7

18

conduct disorder

Question 8

length of antidepressant trial?

Answer 8

4-6 weeks at therapeutic dose

Question 9

panic attacks:
rapid relief?
long term tx?

Answer 9

benzos for rapid relief

anti-depressants and CBT

Question 10

GAD:
first line pharm with CBT?
second lien pharm (2)?

Answer 10

SSRI first

Benzos or buspirone second

Question 11

Resp depression in a boozer, mimicking opiates - think of what co-ingestion?

Answer 11

benzos

Question 12

buproprion contraindiations?

Answer 12

seizures, bulimia, anorexia

Question 13

lithium therapuetic range?

Answer 13

0.8-1.2

Question 14

what happens to dopamine receptors causing tardive dyskinisia?

Answer 14

become supersensitive after long term blockade

Question 15

Pharm and therapy for OCD?

Answer 15

SSRi with CBT (exposure and response prevention)

Question 16

EtOH labs?

Answer 16

2:1 AST:LAT and macrocytosis

Question 17

How long to stay on anti-depressants when feeling better - single MDE, then multiple of chronic severe?

Answer 17

another 4-9 months after response

1-3 years or indefinitely

Question 18

What labs do you check prior to and during lithium tx?

Answer 18

Calcium, renal fxn, thyroid

Question 19

Catatonia - treatment?

Answer 19

Benzos and ECT

Question 20

Resistance to positioning of limbs - a symptom of?

Answer 20

Catatonia

Question 21

Which do you need parental consent for - hopsitalization or psych meds?

Answer 21

The meds. You can hospitalize involuntarily if necessary

Question 22

Waking in night fully alert and able to recall the dream - disroder?
What sleep aroused from?

Answer 22

Nightmare disorder

Roused from REM (if non-REM arousal then partially awake and unaware of content of dream)

Question 23

Can you get paresthesias and dissociative symptoms in panic attacks?

Answer 23

YES!

Question 24

how long do you need psychotic symptoms with mood symptoms for schizoaffective?

Answer 24

2 weeks

Question 25

Disorders associated with sudden onset psychosis (MEL ETC.?)

Answer 25

Metabolic/electrolyte disorders
Lupus
Epilepsy
Thyroiditis
CNS infection