Psych

Question 1

acute/brief psychotic disorder –> duration?

Answer 1

<1mo

Question 2

schizophreniform disorder –> duration

Answer 2

1-6mo

Question 3

schizophrenia –> duration?

Answer 3

> 6mo

Question 4

what is phenelzine

Answer 4

MAOI

Question 5

patient want to switch antidep from MAOI to SSRI. When can start SSRI? why?

Answer 5

14day after d/c MAOI

prevent serotonin syndrome

Question 6

differentiate: acute anxiety disorder vs acute stress disorder

Answer 6

acute anxiety disorder: worry/fear that about something that might happen in the future

acute stress disorder: traumatic event –> nightmares, flashbacks, easily startled, etc

Question 7

differentiate: acute stress disorder vs PTSD

Answer 7

acute stress disorder: lasts 4wk max

PTSD: can last years

Question 8

differentiate: depressive disorder w psychotic features vs schizoaffective disorder

Answer 8

depressive disorder w psych features: psychotic ssx occur concurrently w mood ssx

schizoaffective disorder: psychotic features occur without mood ssx

Question 9

major depressive disorder –> duration for dx

Answer 9

> 2wk

Question 10

bipolar I –> duration for dx

Answer 10

> 1wk

Question 11

bipolar I –> ER –> agitated

tx

Answer 11

benzo

Question 12

bipolar I –> mood stabilizer –> #1 choice

Answer 12

lithium

Question 13

bipolar I –> mood stabilizer –> can’t take lithium –> 2nd choice?

Answer 13

valproate

Question 14

differentiate: bipolar I vs bipolar II

Answer 14

bipolar I:

• full mania
• no depressive episodes

bipolar II:

• hypomania (less severe than bipolar I)
• major depressive episode

Question 15

dysthmia –> duration for dx

Answer 15

<2mo at a time for >2yr

Question 16

bipolar I –> tx –> 3rd choice?

Answer 16

• carbamazepine

- lamotrigine

Question 17

bipolar I –> tx –> 4th choice?

Answer 17

quetiapine

Question 18

electroconvulsive therapy is safe in pregnancy

T/F

Answer 18

T

Question 19

differentiate: adjustment disorder vs generalized anxiety disorder

Answer 19

adjustment disorder: within 3mo of identifiable stressor

GAD:

• no identifiable stressor
• ssx for >6mo

Question 20

neuroleptic malignant synd –> tx

Answer 20

• supportive care
• dantrolene –> control hyperthermia
• bromocriptine –> reverse loss of dopaminergic tone

Question 21

increased sleep, increased appetite, psychomotor slowing, severe depression, suicidal ideation, pain, tremor, chills, involuntary motor mvmt –> withdrawal of what substance?

Answer 21

cocaine withdrawal

Question 22

tremor, anxiety, perceptual disturbance, psychosis, sz –> withdrawal of what substance?

Answer 22

benzo withdrawal

Question 23

PCP intoxication –> tx?

Answer 23

• haldol to subdue

- acidify urine to increase excretion

Question 24

49F –> h/o alcohol abuse –> agitated combative, T 102, HR 129, BP 178/101

what condition?

Answer 24

delirium tremens