Psych FA

Question 1

First line for depression

Answer 1

SSRIs

Question 2

Antidepressants associated with hypertensive crisis

Answer 2

MAOIs

Question 3

galactorrhea, impotence, menstrual dysfunction, and dec libido

Answer 3

Dopamine antagonists

Question 4

Girl with left arm paralysis after her BF dies in car crash

Answer 4

conversion disorder

Question 5

Mother who is angry at her husband yells at her daughter

Answer 5

Displacement

Question 6

A pedophile enters a monastery

Answer 6

Reaction formation

Question 7

A woman calmly describes a gruesome murder

Answer 7

Isolation

Question 8

A hospitalized child begins to wet the bed

Answer 8

Regression

Question 9

Life threatening rhabdo, muscle rigidity, and high fever

Answer 9

Neuroleptic Malignant Syndrome

Question 10

Amenorrhea, low body weight, bradycardia, abnormal body image

Answer 10

Anorexia

Question 11

35 year old man with recurrent palpitations, diaphoresis, and fear of going crazy

Answer 11

panic disorder

Question 12

The most serious side effect of clozapine

Answer 12

agranulocytosis

Question 13

21 year old with 3 months of social withdrawal, worsening grades, flattened affect, concrete thinking

Answer 13

Schizophreniform disorder (schizophrenia > 6 mo)

Question 14

Side effects of atypical antipsychotics

Answer 14

weight gain, T2DM, QT prolongation

Question 15

Eye deviation after initiation of IV haloperiodol

Answer 15

Acute dystonia. Treat with benztropine and diphenhydramine

Question 16

Med to avoid in patients with history of alcohol withdrawal

Answer 16

Neuroleptics

Question 17

13 year old boy with history of theft, vandalism, and violence towards pets

Answer 17

Conduct disorder (Antisocial personality disorder association in adults)

Question 18

A 5 mo girl with dec head growth, truncal discordination, and dec social interaction

Answer 18

Rett’s disorder (loss of milestones)

Question 19

A patient who hasn’t slept for days, lost money, agitated, and pressured speech

Answer 19

Acute mania. Start mood stabilizer (Li)

Question 20

A pt requests permanent disability after a minor fender bender

Answer 20

Malingering

Question 21

A nurse with severe hypoglycemia, no elevated C peptide

Answer 21

Factitious disorder (Munchausen syndrome)

Question 22

A pt continues to use cocaine despite jail, losing his job, and owing child support

Answer 22

Substance abuse

Question 23

Medication to avoid in PTSD pts

Answer 23

benzos due to high addiction potential

Question 24

A violent pt with vertical and horizontal nystagmus

Answer 24

PCP intoxication

Question 25

A woman who was abused feels outside or detached from her body

Answer 25

depersonalization disorder

Question 26

A Schizophrenic pt takes haloperidol for 1 year and develops uncontrollable tongue movements.

Answer 26

Tardive dyskinesia. Dec or d/c haloperidol and consider another med.

Question 27

Which med is contraindicated with tyramine-rich foods

Answer 27

MAOIs