Psychiatry

Question 1

List the 5 qualities of social anxiety disorder

Answer 1

Marked anxiety about social situations, fear of scrutiny and embarassment, avoiding social situations or feeling very distressed, marked impairment

Question 2

How long does one have to be anxious about >1 social situation to be dxed with social anxiety disorder

Answer 2

> 6 months

Question 3

Treatment for Social anxiety disorder

Answer 3

SSRI, beta blockers or benzodiazepine for performance-only subtype

Question 4

Duration for ADHD diagnosis

Answer 4

> 6 months

Question 5

Inattentive symptoms of ADHD

Answer 5

difficulty focusing, does not listen or follow directions, distracted, disorganized, forgetful

Question 6

Hyperactive/impulsive symptoms of ADHD

Answer 6

unable to sit still, fidgety, hyper-talkative, interrupts, blurts out answers

Question 7

Age for ADHD

Answer 7

before age 12

Question 8

Behavior significant of conduct disorder

Answer 8

Child that consistently violets major social norms or rights of others (aggression, theft, lies, rule violations, property destruction)

Question 9

List 5 DSM-5 criteria for Generalized Anxiety Disorderr

Answer 9

Insomnia (sleep disturbance), excessive worry, muscle tension, irritability, fatigue

Question 10

First -line tx for GAD

Answer 10

CBT, SSRIs or SNRIs

Question 11

Second-line treatment for GAD

Answer 11

Buspirone or Benzodiazepines

Question 12

Left-sided brain lesions are associated with which behaviorsa

Answer 12

apathy and depression

Question 13

Right-sided brain lesions are associated with which behaviors

Answer 13

disinhibited behavior

Question 14

List 3 key features of paranoid personality disorder

Answer 14

suspicious, distrustful, hypervigilant

Question 15

List 3 features of Schizoid personality disorder

Answer 15

Prefers to be a loner, detached, unemotional

Question 16

List 3 features of Schizotypal personality disorder

Answer 16

Eccentric, odd thoughts, perceptions and behavior

Question 17

List the major features of Antisocial Disorder

Answer 17

Adult with disregard and violation of rights of others

Question 18

List key features of Borderline Perosnality Disorder

Answer 18

Chaotic relationships, sensitivity to abandonment, labile mood, impulsivity, inner emptiness, self-harm**

Question 19

List three features of Histrionic personality disorder

Answer 19

Dramatic, superficial, attention-seeking

Question 20

List 2 major features of Narcissistic personality disorder

Answer 20

Grandiosity, lack of empathy

Question 21

List major feature of Avoidant Personality disorder

Answer 21

Avoidance due to fears of criticism and rejection

Question 22

Submissive, clingy, needs to be taken care of

Answer 22

Dependent personality disorder

Question 23

Rigid, controlling, perfectionistic

Answer 23

Obsessive-compulsive

Question 24

A pregnant woman eating ice and losing weight should be suspicious for

Answer 24

Pica

Question 25

Key feature of somatic symptom disorder

Answer 25

Excessive anxiety and preoccupation with >1 unexplained symptoms

Question 26

Fear of having serious illness despite few or no symptoms and consistently negative evaluations

Answer 26

Illness anxiety disorder

Question 27

Neurologic symptoms incompatible with any neurologic disease, often acute onset associated with stress

Answer 27

Conversion disorder

Question 28

Intentional falsification or inducement of symptoms with goal to assume sick role

Answer 28

Factitious disorder

Question 29

Maliingering

Answer 29

Falsification of symptoms to obtain external incentives

Question 30

Why should all patients with major depression be screened for a past history of manic episodes

Answer 30

Differentiate between MDD and bipolar disorder

Question 31

Lifetime history of delusions or hallucinations for >2 weeks in absence of major depressive or manic episodes is suggestive of

Answer 31

Schizoaffective disorder

Question 32

In bipolar disorder and major depression with psychotic disorder, when doe psychotic symptoms occur

Answer 32

During manic or depressive episodes

Question 33

Normal development until 5-18 months, followed by loss of motor and language skills and development of hand-wringing movements in a little girl suggest

Answer 33

Rett syndrome (X-linked mutation of MECP2)

Question 34

Which immune cells are increased in COPD?

Answer 34

Macrophages, neutrophils and CD8+ T lymphocytes

Question 35

Which cells lead to mucus hypersecretion in COPD

Answer 35

Neutrophils

Question 36

Which immune cells lead to alveoli destruction in COPD

Answer 36

CD8 T cells

Question 37

Tardive dyskinesia is associated with

Answer 37

long-term treatment with dopamine antagonist mechanisms (schizophrenia medicine)

Question 38

Minimum duration for dx of major depressive disorder

Answer 38

2 weeks

Question 39

Best treatment to reduce alcohol craving

Answer 39

mu-opioid receptor antagonist (Naltrexone)