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Uworld Step 2 > Psychiatry 17, 18 > Flashcards

Psychiatry 17, 18 Flashcards

1
Q

Can patients recall their dreams with REM sleep behavior disorder

A

yes

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2
Q

Treatment of choice for adjustment disorder

A

psychotherapy

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3
Q

Benzodiazepines perscribed to elderly have an increase risk of what adverse effects

A
  • confusion
  • falls
  • paradoxical agitation (confusion, aggression, disinhibition)
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4
Q

Short term treatment for panic disorder

A

benzodiazepine

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5
Q

long term treatment for panic disorder

A

antidepressants and CBT

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6
Q

which antipsychotic does not cause weight gain

A

Bupropion

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7
Q

criteria for schizoaffective

A
  1. mood episode with psychotic symptoms

2. psychosis and no mood symptoms for 2 weeks

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8
Q

Dopamines effect on Prolactin

A

dopamin inhibits prolactin

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9
Q

unexplained abdominal pain and new-onset neuropsychiatric symptoms

A

acute intermittent porphyria

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10
Q

what is elevated in acute intermittent porphyria

A

urinary prophobilinogen

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11
Q

can second generation antipsychotics also cause NMS

A

yes

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12
Q

what should you do if a mother is concerned about her daughters eating habits with a BMI of 18.6. The other is a vegatarian due to animal right reasons

A

reassure mother

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13
Q

Patient has remitted cancer and now has MDD, what do you do

A

prescribe her SSRI

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14
Q

what should be monitered before starting lithium

A
  • calcium
  • renal function
  • thyroid function
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15
Q

Alcoholic hallucinosos? timing

A

visual hallucinations with stable vital signs

- 12-24 hours onset

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16
Q

Daytime fatigue with increased hematocrit and increased bicarbonate

A

obstructive sleep apnea

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17
Q

Can you make a diagnosis over the phone

A

no

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18
Q

drug drug interaction with St. john warts and SSRi

A

increase serotonin levels

19
Q

HIV patient shows psychosis, what medication should be given

A

2nd generation antipsyhotic

20
Q

medication with stimulant withdrawal (cocaine and methylphenidate)

21
Q

First line therapy for intermittent explosive

A

CBT and SSRI

22
Q

Thematic test asses

A

emotions, motivations, and core personality

23
Q

Minnisotta personality test asses

A

abnormal behavior

24
Q

headaches and difficulty concentrating can indicate what disorder

25
Q

treatment for essential or idiopathic tremor

A

beta blocker

26
Q

doctor under stress, what do you do

A
  1. relieve him of duty to take care of patient

2. report

27
Q

what molecule is thought to control borderline personality

A

endorphins

28
Q

prolactinoma

A

mass in the pituitary

29
Q

part of brain for panic disorder

30
Q

part of brain for Huntington

A

caudate nucleus

31
Q

part of brain for parkinson

A

Substantia nigra

32
Q

part of brain for chloroform movement

A

subthalamic nucleus

33
Q

part of brain for down syndrome/ Alzheimer

A

nucleus basalis meynert

34
Q

Dissociative amnesia

A

Inability to recall important personal information

- from traumatic or stressful nature

35
Q

Dissociative identity disorder

A

multiple personalities

36
Q

treatment for Neuroleptic malignant syndrome

A

dopamine agonists and dantrolene

- bromocriptine

37
Q

Catatonia

A

immobility
mutism
posturing

38
Q

treatment for catatonia

A

Benzodiazepines and ECT

39
Q

ECT is first line treatment for what

A
  • major depression with psychotic features

- severely depressed geriatric patient not eating and drinking

40
Q

First line treatment for social anxiety phobia

A

SSR/SRNI

CBT

41
Q

If signs of bradycardia, hypotension, respiratory depression and hyporeflexia are seen in benzo overdose, what should you think

A

co-ingestion of another sedative-hypnotic

42
Q

Are narcissistic patients violent, aggressive, and impulsive

43
Q

Schizoaffective

A
  • 2 weeks of psychotic symptoms in absence of mood episode, episode present other time

Uworld Step 2 (30 decks)

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