Psychiatry

Question 1

duration of symptoms distinguishing schizophrenia, schizophreniform, and brief psychotic disorder

Answer 1

• schizophrenia: >/= 6 months
• schizophreniform: > 1 to <6 months
• brief psychotic disorder: </= 1 month

Question 2

secondary gain in factitious disorder imposed on oneself

Answer 2

assumption of role of patient

Question 3

secondary gain in malingering

Answer 3

external incentive such as money

Question 4

duration for PTSD vs acute stress rxn

Answer 4

• acute stress rxn: < 1 month
• PTSD: >/= 1 month

Question 5

pathologic stealing

Answer 5

kleptomania

Question 6

pathologic impulse to set fires

Answer 6

pyromania

Question 7

cluster A

Answer 7

• paranoid = paranoid, distrustful
• schizoid = loner, unsocial
• schizotypal = weird, odd, eccentric

Question 8

cluster b

Answer 8

narcissistic = conceited, grandiose
- antisocial = cruel, reckless, unremorseful
- borderline = unstable relationships, self-injurious, splitting
histrionic = dramatic, emotional, attn seeking

Question 9

cluster C

Answer 9

avoidant = hypersensitivity to criticism, feeling of inadequacy
- dependent = clingy and submissive
- obsessive - compulsive = perfectionist, too organized but not necessarily productive, rigid

Question 10

tricyclic antidepressants (3 C’s)

Answer 10

convulsions
coma
cardiac arrhythmias

Question 11

antidepressants a/w hyponatremia

Answer 11

SSRI

Question 12

antipsychotic a/w agranulocytosis

Answer 12

clozapine

Question 13

Haloperidol and other TYPICAL antipsychotics MOA

Answer 13

Antagonist at D2 (dopamine) receptors

Question 14

Risperidone & ATYPICAL antipsychotics MOA

Answer 14

Antagonist at 5-HT2A receptors + D2 receptors

Question 15

lithium carbonate

Answer 15

mood stabilizer
adr = thyroid dysfxn, tremor, nephrogenic DI w/ HYPERNATREAMIA

Question 16

benzodiazepine antagonist

Answer 16

flumazenil