Psychiatry

Question 1

Treatment of
1. Mild
2. Moderate to severe
Depression

Answer 1

1. Non pharm, then add psychotherapy
2. CBT + fluoxetine

Question 2

Differences between
1. Tourettes
2. Persistent motor or vocal tic disorder
3. Provisional tic disorder

Answer 2

1. Motor and vocal tics at some point in illness, >1 yr
2. Motor or vocal tics
3. Symptoms < 1 yr

Question 3

Treatment for tics

Answer 3

Habit reversal therapy and CBT
Severe impairment: alpha agonists, haloperidol, aripiprazole
SSRIs comorbidities for OCD, anxiety, or MDD

Question 4

Treatment for OCD

Answer 4

Psychotherapy and behavioural therapy
Fluoxetine (>7), sertraline (>6)

Question 5

How long do symptoms need to last to make dx of schizophrenia

Answer 5

6 months

Question 6

Social phobia vs GAD

Answer 6

Avoidance or escape from the situation usually dissipates anxiety in social phobia
GAD it persists

Question 7

Tx for social phobia

Answer 7

Social effectiveness therapy
+/- SSRI

Question 8

Conduct disorder vs ODD

Answer 8

Conduct: violates rights and properties of others, physical injury, damage to property
Conduct more deliberately aggressive and deceitful, serious rule violations
ODD: issues towards authority figures
Tx with psychotherapy, parent training, skills training

Question 9

Mania vs hypomania

Answer 9

Mania: 1 week or longer
Hypomania: 4 days or more, less severe sx, lack of psychotic features

Question 10

Bipolar 1 vs 2

Answer 10

1 = 1 manic episode
2 = 1 hypomanic episode, 1 MDD episode

Question 11

Tx for bipolar

Answer 11

Mania: second gen antipsychotics (risperidone, olanzapine), lithium
Depression: antipsychotics, can use SSRI carefully with them
DO NOT use SSRI alone

Question 12

Severity of anorexia based on BMI

Answer 12

Mild: BMI 17+
Moderate: BMI 16-16.9
Severe: BMI 15-15.9
Extreme: BMI < 15

Question 13

Bulimia vs binge purge anorexia

Answer 13

Bulimia patients are at normal weight or above

Question 14

Meds in the
1. Methylphenidate
2. Amphetamine
category

Answer 14

1. Biphentin, Concerta
2. Adderal, Vyvanse, Dexedrine

Question 15

Which ADHD meds
1. Need to be swallowed
2. Can be sprinkled
3. Can be chewed

Answer 15

1. Concerta, Strattera, Intuniv
2. Biphentin, Foquest, Vyvanse, Adderal
3. Vyvanse

Question 16

Treatment for PTSD

Answer 16

CBT most evidence

Question 16

Medications for PTSD
1. Sleep, arousal, exaggerated startle
2. Sleep only
3. Depression, anxiety

Answer 16

1. Clonidine, guanfacine
2. Prazosin
3. SSRIs