Psych

Question 1

When is the time to administer Clozapine

Answer 1

Resistant mood disorder, when 2 others have failed

Question 2

What do you monitor for WEEKLY when initiating clozapine

Answer 2

CBC (high risk of agranulocytosis)

also check EKG and sugars monthly

Question 3

what is the best class of medications for postpartum depression?

Answer 3

SSRIs

Question 4

Are TCAs safe for breastfeeding?

Answer 4

NO, gets excreted in breast milk

Question 5

A 36-year-old man presents to the ED after having a seizure. He has a folder full of medical records dating back 15 years. Several of the records are from other cities and states. It is now 11:00 pm on a Friday night. His primary care physician, neurologist, and psychiatrist are “out of town” and he believes that he needs to be admitted for the duration of the weekend. He has another episode of shaking in the ED and immediately following this he returns to his baseline. He is now awake and alert. You immediately draw a serum lactate and it is normal. Which of the following diagnoses should be strongly considered in this patient?

Answer 5

factitious disorder

Question 6

how is schizoaffective disorder different from schizophrenia?

Answer 6

They both have hallucinations, delusions, disorganized speech, but schizoaffective disorder has a MOOD component; episodes of mania or depression

Question 7

how do schizophrenia and schizophreniform disorder differ?

Answer 7

schizophreniform is the same characteristics as schizophrenia BUT symptoms last < 6 months

Question 8

criteria for schizophrenia

Answer 8

≥ 2 symptoms:
Delusions, hallucinations, disorganized speech, grossly disorganized or catatonic behavior, negative symptoms
Brief psychotic disorder: < 1 month
Schizophrenia: > 6 months
Schizophreniform disorder: 1–6 months
Schizoaffective disorder: psychosis + mania or depression