Psychiatry

Question 1

Dx and tx gen anx disorder

Answer 1

6mo, 3+ somatic sx;
Short term tx: benzo
Long term: SSRI, venlafaxine, buspirone

Question 2

Panic disorder: acute and long term therapy

Answer 2

short term: benzo

long term: SSRI, TCAs

Question 3

PTSD: length, short and long term tx

Answer 3

> 1mo (reexperiencing, avoidance, numbed response)
short term: b-block or a2 agonist
long term: SSRI, buspirone, TCA, MAOI, psychotherapy

Question 4

Dementia: how dx, how tx?

Answer 4

memory impariment +1 of following (amnesia, apraxia, aphasia, agnosia)
Tx: cholinesterase inh, antipsychotic; no benzo

Question 5

Adjustment disorder vs normal bereavmenet: timeline, sx

Answer 5

Adjustment disorder: resembles mde but does not meet criteria; typically occurs within 3 mo of event
Normal bereavement: no severe impairment/ suicidality; usually

Question 6

Fever, myoclonus, mental status change, cardivascular collapse

Answer 6

serotonin syndrome

Question 7

antidepressant that decr seizure threshold

Answer 7

bupropion

Question 8

Antidepressant causes diastolic hypertension

Answer 8

venlafaxine

Question 9

TCAs side effects

Answer 9

cardiac arrythmia with OD
anticholinergic effects (dry mouth, constipation, urinary retention, sedation)

Question 10

presents as ataxia, dysarthria, delirium, acute renal failure

Answer 10

lithium toxicity

Question 11

schizotypical vs schizoid personality disorder

Answer 11

schizotypical: odd behavior, magical thinking
schizoid: loner, isolated, restricted emotional

Question 12

schizophreniform vs schizophrenia

Answer 12

schizophreniform: >1mo and 6mo

Question 13

Components and tx of ADHD

Answer 13

inattention, hyperactivity in 2 settings
tx: methylphenidate, dextroamphetamine, amphetamine,
a2 agonist (clonidine), antidepr

Question 14

Neurodegenerative disorder of females with progressive impairment after 5 mo of normal developemtn

Answer 14

Rett syndrome

Question 15

Severe developmental regression after >2 years normal development

Answer 15

childhood disnitegrative disorder

Question 16

Autistic vs asperger

Answer 16

Autistic: impaired social interactions, communications + langulage and cognitive delays, characteristic behaviors
Asperger: no language or cognitive delays

Question 17

defn of mental retardation

Answer 17

IQ

Question 18

Dx and Tx of tourettes

Answer 18

multiple motor and vocal tics
Dopamine rec antagonist, clonidine
Stimulants can worsen

Question 19

drug intox causing pupillary constiction vs dilation

Answer 19

constriction: opioids
dilation: amphetamines, cocaine

Question 20

intoxication causes vertical/horizontal nystagumus, aussaultiveness

Answer 20

PCP