Psychiatry

Question 1

Lacks peer relationships, poor eye contact and social smile, stacks cans, repeats behaviors, bangs head. Dx? Rx?

Answer 1

Austic disorder. Behavior Therapy.

Question 2

Greater incidence in girls. Progressive encepholopathy, microcephaly, hand wringing, loss of speech, ataxia, psychomotor retardation. Dx? Rx?

Answer 2

Rett disorder. Behavior therapy for self-injurious behavior. Physiotherapy for muscular dysfunction.

Question 3

Problems with social interaction and behavior but no language issues. Dx? Rx?

Answer 3

Aspergers Dz. Behavior Therapy.

Question 4

Inattention, short attention span, can’t sit still in class, normal intelligence but can complete task. Problems home AND School. Dx? Rx for pre-school children? Rx for school age?

Answer 4

Attention Deficit Hyperactivity Disorder. Symptoms are present at home and school. 1. Parent child behavior therapy 2. Amphetamines, methylphenidate, atomoxetine, clonidine (alpha 2 agonist.)

Question 5

Anhedonia, weight loss, sleep changes, poor concentration, worthlessness, thoughts of death, fatigue. Dx? Rx?

Answer 5

Major depressive disorder (at least 5 SIGE CAPS.) SSRI is first line. (fluoxetine, paroxetine, citalopram, escitalopram, setraline)

Question 6

First line treatment for neuropathic pain and depression?

Answer 6

Duloxetine (SNRI)

Question 7

First line of treatment for depression when person has fear of weight gain and sexual dysfunction?

Answer 7

Bupropion ( No sexual side effects)

Question 8

Mania and depression? Hypomania and depression? Rx?

Answer 8

Bipolar type I(mania > 1 week and affects functioning.) and Bipolar type II (Hypomania < 1 week and does not affect functioning). Acute mania give lithium or valproic acid.

Question 9

Depressed mood and mild sadness that last for more than 2 years. Dx? Rx?

Answer 9

Dysthymia. Psychotherapy.

Question 10

Hypomania and mild depression for more than 2 years. Dx? Rx?

Answer 10

Cylothymia. Lithium or Valproate.

Question 11

Increased sleep, weight gain and increase appetite. (Couch potato) Dx? Ex?

Answer 11

Atypical depression SSRIs or MAOIs.

Question 12

Weight gain, increase sleep, depressed mood during the winter months. Dx? Rx?

Answer 12

SAD Seasonal Affective Disorder. Light therapy (Phototherapy)

Question 13

Name the drug: Hypotension, dry mouth, constipation, confusion, arrhythmias.

Answer 13

TCA (amitryptyline, nortriptyline, imipramine)

Question 14

Name the drug: Monitor diet, given food rich in tyramine will produce HTN. Safe foods include white wine and processed cheese.

Answer 14

MOA-I (Phenelzine, Isocaroxazid, Tranylcypromine)

Question 15

Name the drug: HA, weight gain, sexual side effects and GI upset.

Answer 15

SSRI (Fluoxetine, Paroxetine, Citalopram, Escitalopram, Setraline)

Question 16

Name the drug: 1. Increase risk of seizure activity. 2. Priaprism. 3. Sedation and weight gain, increased appetite.

Answer 16

1. Bupropion 2. Trazodone 3. Mirtazapine

Question 17

Name the drug: Alopecia, teratogenic, hepatotoxic.

Answer 17

Valproic Acid

Question 18

Name the drug: Stevens-Johnson Syndrome

Answer 18

Lamotrigine

Question 19

Name the drug: Transient memory loss

Answer 19

Electric convulsive therapy.

Question 20

Name the drug: Agranulocytosis.

Answer 20

Clozapine and Carbamezapine.

Question 21

Name the disorder: Delusions and hallucinations for <1month?

Answer 21

Brief psychotic disorder.

Question 22

Name the disorder: Delusions and hallucinations for 1 to 6 months?

Answer 22

Schizophreniform disorder.

Question 23

Name the disorder: Delusions and hallucinations for > 6 months.

Answer 23

Schizophrenia.

Question 24

Name the type of schizo: Psychomotor disturbances ranging from retardation to excitation. Stupor, posturing, mutism, rigidity. Dx?

Answer 24

Catatonic

Question 25

Pt has correct interpretation of reality but thinks stuff is still going on in the background (extreme conspiracy theorist) Still obeys, goes to work and pays bills. Dx?

Answer 25

Delusional Disorder.

Question 26

Pt presents with sweating, CP, trembling, chills, fear of dying and doom. Symptoms come on quickly and go away quickly. Dx? Rx?

Answer 26

Panic Disorder. Acute: Benzo Chronic: SSRI

Question 27

Thoughts that are intrusive, senselessness, distressing to the patient. Dx? Rx?

Answer 27

Obsessions. SSRI.

Question 28

Rituals, such as counting and check that are done to neutralize thoughts. Dx? Rx?

Answer 28

Compulsions. SSRI.

Question 29

Anxiety about everything, money, cars, food, people, school. Dx? Rx?

Answer 29

Generalized Anxiety Disorder. SSRIs: Venlafaxine and buspirone.

Question 30

Pts have at least 4 pain, 2 GI, 1 sexual and 1 pseudoneurological problem.

Answer 30

Somatization disorder

Question 31

Affects voluntary motor and sensory functions that are indicative of medical condition but caused by psychological factors. Pt is unconcerned about his or her impairment (label indiffernce)

Answer 31

Conversion

Question 32

First line rx for tourette syndrome?

Answer 32

2nd generation antipsychotic: risperidal, abilify

Question 33

Delirium, agitation, diaphoresis, tachycardia myoclonus and hypperreflexia w/ SSRI and MAO-I?

Answer 33

Serotonin Syndrome

Question 34

Rx for Catatonia related scihozphrenia?

Answer 34

Benzo.

Question 35

First line rx for bipolar mania?

Answer 35

Lithium. May need lamotrigene in addition atypical antipsychotic.