Psych reversed

Question 1

Dementia

Answer 1

Memory impairment, deterioration of cognitive function

Question 2

Delirium

Answer 2

Rapid onset of cognitive symptoms, mental status fluctuations, agitation, sleep disturbance

Question 3

Physical signs of anxiety

Answer 3

Palpitations, tremors, hyperventilation or respiratory alkalosis, numb or tingling mouth or extremities

Question 4

Depression (SSRI or SNRI = drugs of choice)

Answer 4

Anhedonia, hopelessness, sleep disturbance, appetite/weight change, guilt, thoughts of suicide

Question 5

Bulimia nervosa

Answer 5

Binge eating, laxative use, starvation, Russell’s sign

Question 6

Tardive dyskinesia

Answer 6

Antipsychotic meds (phenothiazines), facial tics, lip smacking, blinking, ataxia

Question 7

Parkinson’s

Answer 7

Infrequent blinking, tremor, rigidity, bradykinesia, shuffling gait, masked facies

Question 8

Borderline personality disorder

Answer 8

Short-lived, intense, unstable relationships. Impulsive, difficulty controlling anger esp. when feeling abandoned. Hx sexual promiscuity and substance abuse

Question 9

Antisocial personality disorder

Answer 9

Disregard for others, “con men”

Question 10

Manic phase of bipolar disorder

Answer 10

Periods of excessive spending, pressured speech, decreased need for sleep

Question 11

Generalized anxiety disorder

Answer 11

“worry wart”, irritability, muscle tension