Psychiatry

Question 1

First-line treatment for alcohol abuse disorder? MoA? Contraindictations

Answer 1

Naltrexone

1. mu option receptor antagonist

Contraindictations: Liver failure, hepatitis

Question 2

When is disulfran used?

Answer 2

Highly motivates patients who are abstinent from alcohol

Question 3

Strongest predictive factor for suicide?

Answer 3

Previously suicide attempt

Question 4

Alternative treatments for depression when the first drug does not resolve symptoms?

Answer 4

Switch to another SSRI/SNRI

Question 5

What labs should be monitored when taking lithium?

Answer 5

Creatinine and thyroid function

Question 6

What is catatonia? Treatment?

Answer 6

Immobility or excessive pruposeless activity, mutism, reistance to following directions

Tx: Benzos, ECT

Question 7

What increases the chance of PTSD in the delivery of a stillborn?

Answer 7

Holding the dead infant

Question 8

Signs of acute stress disorder?

Answer 8

Intrusive thoughts, nightmares, flashbacks

Question 9

Alcoholic hallucinosis?

Answer 9

Visual, auditory, or tactile, with stable vital signs and orientation

Question 10

MAOI hypertensive crisis reversal agent?

Answer 10

Phentolamine

Question 11

Schizoaffective disorder

Answer 11

Mood disorder with schizophrenia components

Question 12

MRI findings in schizophrenia?

Answer 12

Enlargement of the lateral ventricles

Question 13

Signs of amphetamine intoxication

Answer 13

Agitation, psychosis, tachycardia, intoxication

Question 14

First-line treatment for severe bipolar disorder?

Answer 14

Lithium or valproate combined with a second-gernation antipsychotic

Question 15

MDD treatment is somebody who is not eating?

Answer 15

Mirtazapine and psychotherapy

Question 16

First-line treatment for alcohol withdrawals?

Answer 16

Naltrexone

Question 17

Benefits of buproprion

Answer 17

Norephonephrine dopamine reuptake inhibitor that does not cause weight gain, sedation, sexual side effects.

Question 18

Medications for acute bipolar depression

Answer 18

Quetiapine and lurasidone, lamotrigine

Question 19

Reversal agent for opiods?

Answer 19

Naloxone

Question 20

Best treatment for a specific phobia?

Answer 20

Behavioral therapy