PSYCH AMC

Question 1

Premature ejaciulation

Answer 1

SSRI
- clomipramine
- fluoxetine
- sertraline
- paroxetine

on an as daily or in demand dosing schedule

Question 2

disinhibited and flirtatious, dramatic and theatrical, excessive emotionality

Answer 2

Histrionic personality disorder

Question 3

breastfeeding + delusional ideation + isomnia (hypomania)

Answer 3

Olanzapine

Question 4

Lewy body dementia 3 core features

Answer 4

1. fluctuating cognition with pronounced variation in attention and alertness
2. recurrent visual hallucinations (typically well formed and detailed)
3. ## spontaneous features of parkinsonismdifficulties in visulospatiatl ability (abrnormal clock drawing)

Question 5

Lewy body dementia diagnosis

Answer 5

Histopathological findings: eosinophilic round inclusion found in the cytoplasm of the substantia nigra cells and in the nucleus basalis of Meynert. locus, ceruleus and dorsal raphe as well as the dorsal motor nucleus

Question 6

Parkinsons

Answer 6

movement disorders and motor features 12 months before dementia
tremor, badykenesia, rigidity

Question 7

Shy drager syndrome

Answer 7

parkinsonisms + cerebellar ataxia, erectile dysfunction, urinary incontinence or retention and orthostatic hypotension
unresponsive to levodopa
cognitive impairment before parkinson features

Question 8

Alzheimers diseasse

Answer 8

difficulty in short term recall and visuospatial tasks
CT scan: diffuse atrophy

Question 9

Normal pressure hydrocephalus

Answer 9

Hakim’s triad: dementia, urinary incontinence, gait distrubance

Question 10

Vascular dementia

Answer 10

risk factors ro symptoms of stroke

Question 11

Frontotemporal dementia

Answer 11

behavioral changes disinhibition, language problems such as varios types of aphasia

Question 12

opioid withdrawal

Answer 12

clonidine

Question 13

opiod intoxication

Answer 13

naloxone

Question 14

rejection sensitivity but yearn for close relationship

Answer 14

avoidant personality disorder

Question 15

isolative unsociable emotionally reserved and introverted

Answer 15

Schizoid personality disorder

Question 16

odd and eccentric with less likelihod of occupational success; magical thinking

Answer 16

Schizotypal

Question 17

Qualor and decline in personal hygiene, hoarding of useless items. Disorder?

Answer 17

Diogenes syndrome

Question 18

visual hallucinatiuons in blind or partially sighted elderly people who are not delirious, dementing, or psychotic

Answer 18

Charles bonnet

Question 19

delusional infestation of worms and parasities; restless leg syndrome

Answer 19

Ekbom syndrome

Question 20

Delusional disorder who believes they lost their body part

Answer 20

Cotard

Question 21

If the prevalence is low…….

Answer 21

Positive predictive power will be lower

Question 22

pervasive pattern of slef importance, gradiosity, craving for attention and admiration

Answer 22

Narcissistic peronality disorder

Question 23

Abdominal pain is a well regconized adverse side effect of which SSRI

Answer 23

Sertraline

Question 24

pressure of speech is indicative of a possible

Answer 24

psychotic disorder

Question 25

forgetfulness and difficulty remembering is indicative of a possible

Answer 25

cognitive dysfunction or problem in attention

Question 26

intermittent explosive disorders

Answer 26

• attack or spells
• proceeded by an aura of unease and rising tension then a sudden uncontrollable eruption of anger, abuse and aggression with subsides spontaneously within a few minutes

Question 27

intermittent explosive disorders treatment

Answer 27

high dose propanolol, lithium cabonate or anticonvulsants
avoid alcohol and benzodiazepines

Question 28

Meds use to supress lactation

Answer 28

Cabergolin

Question 29

Medication beneficial for the treatment of depression in adolescents with moderate or severe symptoms of MDD

Answer 29

Fluoxetine

Question 30

normal development at least in the first 2 years with age appropriate communication; social relatedness, play and adaptive behavior + loss of previously acquired skills

Answer 30

Childhood disintegrative disorder

Question 31

Difference between autism and aspergers

Answer 31

In autism there is a language delay

Question 32

Atypical antipsychotic side effects (olanzapine and clozapine)

Answer 32

increases in weight, development of T2DM, abnormal lipid profile

Question 33

most appropriate choice for overnight managemnet of insomnia prior to ECT

Answer 33

Zopiclone

Question 34

Contraindicated prior to ECT

Answer 34

Benzodiazepene

Question 35

IBS treatment

Answer 35

Fluoxetine + cognitive behavior therapy

Question 36

Restless legs syndrome

Answer 36

• irresistible urge to move the lges while sitting or at rest
• relieved by temporary movement stretching or walking
• worse in the evening or at night
• begin in childhood
• F>M 2:1

Question 37

3 most postent antipsychtotics that cause excessive poduction of polactine

Answer 37

• risperidone
• risperdal consta
• amisulpride

Question 38

treatment of last resort for refractory psychosis and hyperprolactinemia

Answer 38

clozapine

Question 39

Neuroleptic malignant syndrome

Answer 39

gradual in onset
elevated muscle CK
Due to haloperidol or trifluoperazine
muscular rigidity followed by fever autonomic NS instability, agitation, delirium, confusion and progression to coma