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Uworld Step 2 > Psychiatry 2 > Flashcards

Psychiatry 2 Flashcards

1
Q

MOA for Bupropion

A

norepinephrine and dopmaine reuptake inhibitor

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2
Q

goal of CBT

A
  • challenges maladaptive thoughts

- targets avoidance with behavioral techniques

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3
Q

goal of interpersonal psychotherapy

A

links current relationship conflicts to depressive symptoms

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4
Q

goal of supportive psychotherapy

A

reinforce coping skills

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5
Q

goal of psychodynamic psychotherapy

A
  • builds insight into how unconscious conflicts and past relationships cause symptoms
  • uses transference
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6
Q

goal of motivational interviewing

A

addresses ambivalence and enhances motivation

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7
Q

goal of DBT ( dialectal behavioral therapy)

A
  • improves emotion regulation, distress tolerance

- managaes self-harm

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8
Q

goal of biofeedack

A

improves control over physiological reactions

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9
Q

DBT (Dialectical behavioral therapy) was designed for what disorder

A

borderline personality disorder

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10
Q

what is motivational interviewing used to treat

A

substance abuse

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11
Q

History of cutting oneself and history of overdose. which one is a suicide attempt?

A

overdose

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12
Q

First line treatment for narcolepsy

A

Modafinil

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13
Q

Body dysmorphic disoder

A

excessive preoccupation with a slight or imagined bodily defect

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14
Q

how do you treat a patient with suicidal ideation but no specific plan to intent?

A

intensive outpatient treatment

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15
Q

If a bulimic patient tried Varenicline and failed for smoking cessation. which is better to give and why? Nicotine patch or Bupropion

A

nicotine patch

- Bupropion is contraindicated in bulimic patients

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16
Q

What’s the difference between dementia and normal age-related changes?

A

dementia patient have functional impairments that necessitate assistance

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17
Q

Preferred pharmacological treatment for social anxiety disorder

A

SSRI

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18
Q

therapy used for social anxiety disorder

A

CBT

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19
Q

is full criteria for major depressive episode met in adjustment disorder with depressed mood?

A

no

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20
Q

what drugs are used to treat acute dystonia

A
  • anticholinergic ( benztropine)

- antihistamines ( diphenhydramine)

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21
Q

what are first line treatments for bipolar, which one do you use for renal failure

A

Lithium and valproate

- use valproate, lithium has renal toxicity

22
Q

what is used to treat neuroleptic malignant syndrome?

A

dopamine agonists and dantrolene

23
Q

MOA benztropine

A

anticholinergic

24
Q

MOA of Cyproheptadine

A

serotonin antagonists

25
Q

MOA of Succinylcholine

A

short acting depolarizing muscle relaxant, induce brief paralysis during anesthesia

26
Q

Kleptomania

A
  • inability to resist the impulse to steal objects that are low value or not needed
27
Q

what should happen when you switch a patient on fluoxetine to MAO inhibitor

A

5-week washout period due to fluoxetine’s long half-life to reduce the risk of serotonin syndrome

28
Q

what is used to treat acute dystonia

A

Benztropine and diphenhydramine

29
Q

What is used to treat akathesia

A

Propranolol

30
Q

Preferred treatment for specific phobia

A

Behavioral therapy

31
Q

Eye movement desensitization and reprocessing is used for what

A

PTSD

32
Q

Alprazolam is what type of Benzodiazepine

A

short-acting

33
Q

Characterize catatonia in psychiatric patient

A

Immobility, mutism and posturing.

34
Q

Treatment of choice for catatonia

A

Benzodeazepines and electroconvulsive

35
Q

MOA for cyproheptadine

A

serotonin antagonist

36
Q

define malingering

A

intentional production of symptoms is motivated by secondary gain or external gain

37
Q

define factitious disorder

A

false signs and symptoms for primary gain

38
Q

are conditions intentionally produced in conversion disorder

A

no

39
Q

what is conversion disorder

A
  • motor or sensory neurologic symptoms or deficits that are incompatible with recognized neurological conditions and neurophysiology
40
Q

what is somatic disroder

A

patient is excessively anxious about unexplained symptoms

41
Q

What is used to treat acute bipolar depression

A
  • second-generation antipyschotics: quetiapine and lurasidone
  • Lamotrigine
42
Q

How do you treat TCA overdose

A

sodium bicarbonate

43
Q

Ziprasidone side effect

A

QT prolongation

44
Q

folie a duex

A

delusional disorder in which the same delusions is present in individuals who share a close relationship

45
Q

When do sleep terrors occur

A

non-REM sleep

46
Q

When do nightmares occur

A

REM sleep

47
Q

what is the first line of treatment for major depression with psychotic features and appropriate for severely depressed geriatric patients who are not eating or drinking and require rapid intervention

A

Electroconvulsive therapy

48
Q

best treatment for hoarding disorder

A

CBT

49
Q

Dissociative amnesia

A

isolated impairment in autobiographical memory

50
Q

dissociative fugue is a subtype of what

A

dissociative amnesia

51
Q

Dissociative identity disorder

A

2 or more distinct identities

Uworld Step 2 (30 decks)

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