Psychiatry

Question 1

Amongst the five symptoms required to diagnose Major Depressive disorder which two are required to have?

Answer 1

Depressed mood most of the day, nearly every day
Marked diminished interest or pleasure in almost all activities (anhedonia)

Question 2

What is the time period a person must have the symptoms in order to diagnose Major Depressive Disorder?

Answer 2

Two weeks

Question 3

Name at least three symptoms required for MDD diagnosis excluding the two required

Answer 3

Significant weight loss/gain
Insomnia/Hypersomnia
Psychomotor agitationion/retardation
Fatigue/loss of energy
Lack of concentration/indecisiveness
Excessive guilt or feelings of worthless
Recurrent thoughts of death/suicide ideation

Question 4

How long does it take for SSRI to work?

Answer 4

4 to 6 weeks

Question 5

Treatment that encourages of verbalization of feelings, fears, losses that occurred, and cognitive error in thinking

Answer 5

Therapeutic communication

Question 6

Name the stages of grief

Answer 6

Denial, anger, bargaining, depression, acceptance

Question 7

Name three cardinal signs of serotonin syndrome

Answer 7

Autonomic hyperactivity (Fever), Cognitive changes, neuromuscular changes

Question 8

Name the most commonly prescribed SSRI

Answer 8

Citalopram (Celexa), Escitalopram (Lexapro), Fluoxetine (Prozac), Fluvoxamine (Luvox), Paroxetine (Paxil), Sertraline (Zoloft), Vilazodone (Viibryd)

Question 9

Avoid these two type of food when patients are taking MAOI

Answer 9

Wine and Cheese

Question 10

Name common SNRI

Answer 10

Desvenlafaxine (Pristiq, Khedezla), Duloxetine (Cymbalta), Levomilnacipran (Fetzima), Venlafaxine (Effexor XR)

Question 11

Name common TCA

Answer 11

Amitriptyline (Elavil), Doxepin, Despirmine (Norpramine), Impramine (Tofranil), Nortriptyline

Question 12

Most common mentally illness in the United states

Answer 12

Anxiety

Question 13

Name Atypical antidepressant

Answer 13

Burpopion (Wellbutrin, Aplenzin, Fortivo XL), mirtazapine (Remeron), Vilazodone (Viibryd) [Combo SSRI/Atypical], Vortioxetine (Trintellix)

Question 14

Second leading cause of death?

Answer 14

Suicide

Question 15

Common Predictive variable for suicide

Answer 15

Hopelessness

Question 16

What score would indicate delirium or dementia according to MMSE

Answer 16

18-23

Question 17

CAGE pneumonic stands for

Answer 17

Cut down
Annoyed
Guilty
Eye opener

Question 18

SUICIDAL pneumonic stands for

Answer 18

Sex of the individual
Unsuccessful attempts
Identified family members with attempt history
Chronic illness history
Depression, drug abuse, drinking
Age of patient
Lethal method available

Question 19

True or false: Incidence increases with age; Median age >80 yrs

Answer 19

False, Median age 65 yrs

Question 20

Vitamin Deficiency is common for alcoholics, they normally have an impairment of which function; Name that disorder

Answer 20

Korsakoff syndrome: Chronic Memory Impairment

Question 21

Assessment techniques that measure Cerebellar functions

Answer 21

Finger to nose test, Romberg test, heal to shin test

Question 22

Cerebellum is responsible for this function

Answer 22

Balance and Coordination

Question 23

Risks for Dementia

Answer 23

1 Alzheimer, Atherosclerosis, neurotransmitter deficits, Cortical atrophy, Ventricular dilation, loss of brain cells, Viral cause possibly