Psych

Question 1

Length of time before SSRI is expected to have an effect?

Answer 1

4-6 weeks

Question 2

Tx for PTSD in adolescents?

Answer 2

Trauma-focused CBT

Question 3

Adverse effects of SSRI (5)

Answer 3

1. Sleep disturbance
2. GI upset
3. HA
4. Agitation
5. Suicidal ideation

Question 4

1st line tx for OCD? 2nd line?

Answer 4

1. CBT
2. SSRI

Question 5

Scale used by parents and teachers to assess ADHD in patients

Answer 5

The Vanderbilt

Question 6

Scale used by patients to self assess for ADHD

Answer 6

The Connors Adult rating scale or the Adult ADHD Self Reporting Scale

Question 7

First line pharmacotherapy for depression in adolescents?

Question 8

Reasons for prescribing fluoxetine over paroxetine in adolescents for depression? (3)

Answer 8

1) Less well tolerated
2) Higher incidence of withdrawal symptoms
3) Teratogenic (Class D)

Question 9

3 clusters of sx that must be present for PTSD?

Answer 9

1. Re-experiencing the event
2. Persistent avoidance
3. Hyperarousal

Question 10

Screening lab tests for atypical antipsychotics? (3)

Answer 10

1. Fasting glucose
2. Lipid panel
3. LFTs (if significant wt gain)

Question 11

Screening lab test for pts on lithium? (1)

Answer 11

TFTs