psych

Question 1

what opioids are not detected on standard drug testing

Answer 1

semi-synthetic (hydro codone and morphone, oxy) and synthetic (fetnanyl, methadone, tramadol)

Question 2

immobility, mutism, negativism, echolalia

Answer 2

catatonia

Question 3

atypical features of MDD

Answer 3

hypersomnia, hyperphagia, heavy feelings in limbs, hypersensitivity to rejection, mood reactivity (able to respond rto positive events)

Question 4

persistent depressive disorder

Answer 4

chronically depressed mood > 2 years

Question 5

best firstlin rx for bulimia

Answer 5

fluoxetine

Question 6

This anti-depressant can cause dose-dependent HTN

Answer 6

Venlafaxine

Question 7

first line tx for MDD with psychotic features

Answer 7

ECT

Question 8

first line tx for panic disorder

Answer 8

SSRI or SNRI

Question 9

acute stress disorder

Answer 9

re-experiencing events, avoidance, negative mood, dissociation, hyperarousal following a life-threatening traumatic event

Question 10

why psychosis in PD

Answer 10

progression of disease or secondary to carbidopa-levidopa or pramipexole medication

Question 11

how may mania present in adolescense

Answer 11

moodiness, defiance, overconfidence, risk taking

Question 12

what types of anti-depressants are effective in tx of neuropathy

Answer 12

SNRIs (duloxetine) and TCAs (amitriptaline)

Question 13

rapidly progressive dementia, myoclonus, mood symptoms, hypersomnia, high levens of 14-3-3 protein in CSF

Answer 13

CJD

Question 14

sympathetic signs of cocaine intoxication

Answer 14

diaphoresis, mydriasis, tachycardia, HTN