Psych (CRAM)

Question 1

Post-partum Blues

1) Prevalence
2) Natural progression
3) SSx

Answer 1

1) 50-80% of mothers
2) Begins Day 3-4, peaks Day 5-7, & remits Day 10.
3) Irritable, anxious, tearful, oversensitive, change in sleep and appetite

Question 2

PTSD

1) Dx

Answer 2

1)

• Re-experience event
• Avoid stimuli & decreased interest
• Increased arousal

Cf, Suicidality is a comorbidity, not a component of PTSD.

Question 3

Atypical depression: Dx

Answer 3

Mood reactivity (improved mood with positive event, which is not typical of depression) + At least 2 of:

• hypersomnia
• wt gain
• leaden paralysis
• rejection hypersensitivity

Question 4

Panic d/o: Tx

Answer 4

• SSRI
• Long-acting benzo
• Exposure therapy
• Progressive relaxation
• CBT

Question 5

Most important Tx of delirium?

Answer 5

Find underlying cause (the only definitive Tx)

Question 6

La belle indifference

1) Def
2) Association with conversion d/o

Answer 6

1) Indifferent to symptom (not interested)

2) it is Uncommon to find in conversion d/o (Cf. malingering)

Question 7

Somatic Sx d/o: DSM5 criteria

Answer 7

aka. Hypochondriac
- 1+ Sx that are distressing
- Persistent through about Sx
- Excessive time and E devoted to health concerns.
- Sx present for more than 6 month