Psychiatry

Question 1

what is the most effective form of psychotherapy for OCD?

Answer 1

exposure and response prevention therapy

Question 2

treatment for OCD is typically recommended to last at least how long?

Answer 2

12 months

Question 3

comorbid conditions such as anxiety, PTSD, substance use disorder occur in what percentage of patients with OCD?

Answer 3

90%

Question 4

how is OCPD different than OCD

Answer 4

OCPD - pattern of behaviors that focuses on perfectionism and sense of control
OCD - obsessions that cause anxiety which are reduced by compulsions

Question 5

what should be used in the primary care setting to determine if a patient would benefit from further diagnostic testing for OCD?

Answer 5

validated diagnostic tool

Question 6

a patient being treated with pharmacotherapy for OCD experiences anxiety, diarrhea, dizziness, dry mouth, tremor, diaphoresis, and insomnia. what is the most likely diagnosis?

Answer 6

serotonin syndrome

Question 7

what is the only TCA to be approved for treatment of OCD?

Answer 7

clomipramine

Question 8

citalopram and escitalopram have what potential cardiac side effect at higher doses?

Answer 8

prolonged Qt

Question 9

dry mouth, constipation, urinary retention, blurred vision, orthostatic hypotension, weight gain and sedation are side effects of what psych drug class?

Answer 9

TCA

Question 10

t/f combination psychotherapy and pharmacotherapy for OCD is superior to pharmacotherapy alone but not to psychotherapy alone

Answer 10

true

Question 11

what emerging non pharmacologic therapy has evidence to treat OCD?

Answer 11

mindfulness based intervention

Question 12

what is the preferred treatment for OCD during pregnancy and the postpartum period?

Answer 12

CBT

Question 13

what is the preferred treatment for OCD in children?

Answer 13

exposure and response prevention therapy

Question 14

what is the definition of treatment resistant depression?

Answer 14

depression with absence of remission despite trials of two or more antidepressant medications with adherence

Question 15

Augmentation of treatment with what medication class is effective for treatment resistant depression?

Answer 15

second generation antipsychotic

Question 16

t/f currently, there are no FDA approved therapies for cocaine dependence

Answer 16

true

Question 17

a patient tapers off SSRI for treatment of OCD and relapse occurs. what is the new recommendation for treatment duration with SSRI?

Answer 17

lifelong/indefinite

Question 18

t/f mindfulness based parenting techniques improve parenting skills and reduce parental depression/anxiety and stress for treatment of children with hyperactivity and aggression

Answer 18

true

Question 19

which medication is safer than methadone for the treatment of moderate to severe opioid use disorder?

Answer 19

buprenorphine

Question 20

t/f you should withhold buprenorphine if a patient tests positive for stimulant or benzo use

Answer 20

false

Question 21

buprenorphine should be continued for at least how long?

Answer 21

1 year

Question 22

what is the MOA of buprenorphine?

Answer 22

opioid mixed antagonist-agonist

Question 23

buprenorphine and buprenorphine - naloxone are approved for treatment of opioid use disorder starting at what age?

Answer 23

16 yo

Question 24

for how long should a patient stop their opioid before using buprenorphine for treatment?

Answer 24

12-24 hours

Question 25

t/f buprenorphine treatment for OUD should continue indefinitely as long as it is beneficial

Answer 25

true

Question 26

buprenorphine is approved for opioid use disorder as young as what age?

Answer 26

16 yo

Question 27

which metabolite would you test for in a patient being treated with buprenorphine during a urine drug test?

Answer 27

norbuprenorphine