Psychiatry

Question 1

Best initial test in a patient with psychosis

Answer 1

Drug screen

Question 2

Low potency antipsychotics

Answer 2

Thioridazine(check EGD)
Chlorpromazine

Greater anticholinergic effects

Question 3

Atypical antipsychotics

best for negative symptoms

Answer 3

Risperidone(less sedative)
olanzapine(wieght gain)
clozapine(Agranulositosis)
quetiapine

Question 4

High potency antipsychotics

greatest association with EPS

Answer 4

Fluphenazine

Haloperidol

Question 5

Most effective antipsychotic for schizophrenia

Answer 5

CLOZAPINE

Check CBC for agranulocytosis

Question 6

Social anxiety disorder treatment

Answer 6

Exposure

Question 7

Panic disorder treatment

Answer 7

Cognitive-behavioral therapy

Question 8

GAD treatment

Answer 8

Supportive psychotherapy

Question 9

OCD treatment

Answer 9

Behavioral psychotherapy

Question 10

treatment for dysthymia

Answer 10

Psychotherapy

Question 11

Seasonal affective disorder

Answer 11

Phototherapy or sleep deprivation

Question 12

the best treatment for Rapid cycling bipolar(>4 episodes of mania per year)

Answer 12

Divalproex

Question 13

Bipolar treatment during the first trimester of pregnancy

Answer 13

ECT

Question 14

Bipolar treatment during the 2nd and 3rd trimester of pregnancy

Answer 14

Lamotrigine

Question 15

Treatment for cyclothymia

Answer 15

Psychotherapy

Question 16

Indications for ECT

Answer 16

Major depressive episodes unresponsive to meds
High risk for immediate suicide
contraindications to using antidepressant medications
Good response to ECT in the past

Question 17

length of antidepressant therapy

Answer 17

-6 months, change medication if no response after 8 weeks

Question 18

Treatment for depression with poor appetite

Answer 18

Mirtazapine

Question 19

Treatment for depression with patient concerned about weight gain or sexual side effect

Answer 19

Bupropion(watch for seizures)

Question 20

Best treatment for illness anxiety disorder

Answer 20

Cognitive therapy

Question 21

Treatment for Conversion disorder

Answer 21

Supportive physician-Patient relationship

Question 22

TCA antidepressant( check for Colnvulcions,Coma,Cardiotox)

Answer 22

amitryptiline(Most anticholinergic)
nortriptyline
imipramine
desipramine(seziures)
clomipramine
doxepine
amoxpaine

Question 23

MAOIs

more helpful for atypical depression

Answer 23

tranylcypromine
Phenelzine
Isocarboxazid
Selegiline

Question 24

Serotonin syndrome treatment

Answer 24

Cyproheptadine

Question 25

Most effective case for Management of alcohol abuse

Answer 25

AA

Question 26

Acute inpatient management of alcohol dependense

Answer 26

IV thiamine and MG
B9 and B12
Chlordiazepoxide or diazepam

Question 27

Cronic management of alcohol dependense

Answer 27

• AA
• Naloxone
• Psychotherapy

Question 28

schizoaffective

Answer 28

depression or Mania + symptoms of schizophrenia

Schizophrenic symptoms should last >2 weeks in the absence of major depressive or manic episode