Psych

Question 1

MC sx staring SSRI

Answer 1

SHAG
Sleep (inc or dec)
HA
Anxiety
GI

In pts w anxiety, start at 1/2 dose

Question 2

SI in a minor

Answer 2

Do not need parental consent to hospitalize

Question 3

MCI

Answer 3

MoCA<26

Question 4

Clozapine

Answer 4

agranulocytosis=neutropenia

Question 5

Antisocial personality disorder

Answer 5

conduct disorder >18y

Question 6

Opioid use disorder reduction

Answer 6

F/u q3mo, random UDS, check PDMP

Question 7

Antipsychotics

Answer 7

2nd gen (aripiprazole, risperidone) –> injectable decanoate hald\fluphenazine if pt is unreliable

Question 8

Factitious disorder

Answer 8

No secondary gain

Question 9

Acute agitation or delirium

Answer 9

haloperidol IM

Question 10

MDD w/ psychotic fts

Answer 10

SSRI + AP

Question 11

Stimulants side effects

Answer 11

Decreased appetite

Question 12

Suicide RFs

Answer 12

Past attempt, firearms

Question 13

Eneuresis

Answer 13

> 4 UA, >5 alarm, desmopressin

Question 14

Antipsychotic side effects

Answer 14

acute dystonia (benztropine, diphen)
akathisia (propanolol)

Question 15

Bulimia tx

Answer 15

SSRI

Question 16

MAOi toxicity

Answer 16

Hypertensive crisis, charcuterie/wine

Question 17

EtOH withdrawal

Answer 17

6-24 mild
12-48 hallucinations, sz
48-96 tremens hemodynamic instability

Tx LOT for liver probs, DC diazepam, chlordiazepoxide PO only

Question 18

Catatonia tx

Answer 18

Lorazepam

Question 19

Death

Answer 19

<6yo

Question 20

Meth intoxication

Answer 20

bugs crawling on them, excoriations

Question 21

Depakote SEs

Answer 21

Hepatotoxicity, tremor, thrombocytopenia, alopecia

Question 22

Brain imaging findings schizophrenia

Answer 22

Increased cerebral ventricles