Psychiatric clinical perles leik

Question 1

what is the difference between major depression and minor depression

Answer 1

fewer symptoms -at least two but less than 5

Question 2

Sign - E - Caps Mnemonic:

Answer 2

sleep
interest
guild
energy
concentration
appetite
psychomotor
suicide

Question 3

labs: needed for depression

Answer 3

CBC, TSH, folate ,vitamin b12, UA

Question 4

Bipolar is characterized by

Answer 4

mood instability, cycles of mania, depression

Question 5

peak incidence of bipolar is

Answer 5

14 - 30

Question 6

bipolar one

Answer 6

expeirences episodes of mania

Question 7

bipolar two exxperience

Answer 7

hypomanic episode - less severse than manic episode

Question 8

anorexic patinets have a higher risk of

Answer 8

osteopenia/osteoprosis

Question 9

Wellbutrin (bupropion) is contraindicated in what patients

Answer 9

anorexic, bulimics and pts who have seizures

Question 10

which SSRI has the shortest half life

Answer 10

paxil

Question 11

with paxil pts need to be

Answer 11

weaned off slowly

Question 12

a common side effect of paxil is

Answer 12

ED

Question 13

TCAs are also used for

Answer 13

migraine headached and herpetic neuralgia

Question 14

what are some TCAs

Answer 14

elavil
pamelor
sinequn

Question 15

do not combine SSRIS and

Answer 15

MAO’s should be 14 days in between doses

Question 16

what are some atypical antidepressants

Answer 16

bupropion (Wellbutrin)
buprioprion (zyban)

Question 17

SSRI’s are indicated for

Answer 17

chronic anxiety disorders (social and panic)

Question 18

Physical abuse cases another provider should

Answer 18

be in the room

Question 19

bupropion is used to treat

Answer 19

major depression, seasonal affective disorder, smoking cessation

Question 20

Female athlete triad is

Answer 20

amenorrhea, low bone mass, low BMI

Question 21

lone CGT elevation can be a sign of

Answer 21

occult alcohol abuse

Question 22

AST/ALT ration of 2:0 or higher is more likely in

Answer 22

alcoholism

Question 23

Korskoff syndrome is caused by

Answer 23

chronic thiamine deficiency

Question 24

what is the black box warning for SSRI’s

Answer 24

may increase the risk of suicide in <24yrs old

Question 25

with paxil do not

Answer 25

stop abruptly wean off

Question 26

black box warning for atypical antidepressants

Answer 26

contraindicated in seizure disorders, anorexia, bulimia

Question 27

Bupropion (zyban) used for

Answer 27

for smoking cessation

Question 28

SNRI black box warning do not use in pts with

Answer 28

acute angle glaucoma

Question 29

anticholinergic use in caution with

Answer 29

Urinary retention (BPH), narrow - angle gaoucma

Question 30

kava and valerian root are both used for

Answer 30

anxiety and insomnia