Psychiatry

Question 1

Schizoaffective disorder?

Answer 1

Mood disorder + Schizophrenia; but not all components of either must be met

Question 2

Disease associated with smaller frontal lobe, but not decreased IQ

Answer 2

ADHD

Question 3

Schizophrenia treatment that lacks the side effects associated with increased prolactin; however, it does result in drooling and a droopy face

Answer 3

Clozapine

Question 4

Trx of intractable hiccups

Answer 4

Chlorpromazine

Question 5

Most common comorbidity of schizophrenia

Answer 5

Nicotine addiction

Question 6

Wernicke encephalopathy vs Korsakoff psychosis

Answer 6

Wernicke’s: ataxia, encephalopathy, opthalmoglegia

Korsakoff’s: Late stage Wernicke’s marked amnesia and nystagmus as well as PSYCHOSIS

Question 7

Delirium vs Psychosis

Answer 7

Delirium- old and inattentive

Psychosis- loss of touch with reality

Question 8

Cluster A personality Disorders

Answer 8

odd and eccentric

Question 9

Cluster C personality Disorders

Answer 9

Fear of rejection and social shyness

Question 10

Best therapy for night terrors

Answer 10

Behavioral Psychotherapy

Question 11

Impulse control disorders

Answer 11

Pyromania, kleptomania, intermittent explosive disorder

Question 12

Hallucination brain area in schizophrenia

Answer 12

mesolimbic

Question 13

Encoptesis

Answer 13

rare elimination disorder characterized by the involuntary or voluntary loss of normal bowel control in children who have usually already been toilet trained.

Question 14

Borderline personality disorder symptoms

Answer 14

unstable and have intense interpersonal relationships, frantic efforts to avoid abandonment, unstable self-image, impulsivity that leads to self-damaging behavior, such as sexual promiscuity or substance abuse, suicidal behavior, rapidly shifting affect, intense anger, or psychotic features.

Question 15

Bipolar 1 vs 2

Answer 15

Bipolar 1 has manic episode while Bipolar 2 has hypomanic episodes

Question 16

Delusional disorder

Answer 16

Delusions in the absence of diagnostic criteria for Schizophrenia

Question 17

Schizophreniform disorder

Answer 17

Schizophrenia that is shorter duration with symptoms lasting 1-5 months

Question 18

Old Antipsychotic med with horrible side effects that includes extreme photosensitivity and can even turn skin blue

Answer 18

Chlorpromazine aka Thorazine

Question 19

EtOH abstinence drugs that are not metabolized by the liver

Answer 19

Chlordiazepoxide. Lorazepam

Question 20

ECT most common side effect and drug to treat it

Answer 20

Headache. Ketorolac is a non-steroidal anti-inflammatory drug indicated for short-term management of moderate to severe pain.

Question 21

Cyclothymic disorder

Answer 21

mild form of bipolar disorder in which a person has mood swings over a period of at least 2 years that go from mild depression to emotional highs.

Question 22

Creutzfeldt–Jakob disease diagnosis

Answer 22

14- 3- 3 protein in CSF

Question 23

Creutzfeldt–Jakob disease symptoms

Answer 23

rapidly progressing dementia, myoclonus, visual or cerebellar dysfunction, pyramidal or extrapyramidal signs, and akinetic mutism.

Question 24

Athetosis and common assoc.

Answer 24

hyperkinetic movement with involuntary slow writhing movements: Cerebral palsy and Huntington’s

Question 25

Anti-cholinergic overdose vs cocaine/amphetamine overdose

Answer 25

Hyperthermia, dilated pupils, tachycardia, delirium are common to both, but anti-cholinergic overdose is dry and cocaine/amphetamine sweat

Question 26

Neuroleptic malignant syndrome symptoms

Answer 26

extrapyramidal symptoms, hyperprolactinemia, seizures, and tardive dyskinesia usually within a few months of starting an antipsychotic

Question 27

Cholinergic toxicity symptoms

Answer 27

DUMBBELLS - Diarrhea, Urination, Miosis, Bradycardia, Bronchospasm, Emesis, Lacrimation, Lethargy and Salivation and seizures.

Question 28

Cholinergic toxicity trx in peds

Answer 28

glycopyrrolate per IV

Question 29

Pt who fail two SSRI's should try what meds?

Answer 29

atypical antidepressants like mirtazipine

Question 30

TRX for night terrors

Answer 30

Diazapam

Question 31

Pseudobulbar affect

Answer 31

Uncontrollable crying or laughing. Is usually caused by neurological disorder or TBI

Question 32

transference vs counter transference

Answer 32

paTient transfers physiCian counter transfers

Question 33

Defense mech. displacement

Answer 33

displacing unacceptable emotions to a less threatening person.

Question 34

reaction formation

Answer 34

doing the opposite thought or feeling toward someone

Question 35

features of atypical depression

Answer 35

mproved mood in reaction to positive events, hyperphagia, sleeping at least two hours more when depressed

Question 36

Antidepressent contraindicated in Pregnancy

Answer 36

paroxetine

Question 37

Treatment for OCD?

Answer 37

Sertraline or Fluoxetine

Question 38

NSAIDs and Lithium?

Answer 38

NSAIDs like ibuprofen increase effective dose. Asprin avoids this

Question 39

ETOH withdrawal prophylaxis (no symptoms)

Answer 39

Valium or Chlordiazepoxide

Question 40

How long to try each SSRI?

Answer 40

6 weeks

Question 41

Why do you get galactorrhea and amenorrhea with antipsychotics?

Answer 41

Decreased dopamine in Tuberoinfundibular tract

Question 42

Benzo or ETOH withdraw can cause what?

Answer 42

Seizures

Question 43

What labs are checked before Starting Lithium

Answer 43

TSH and Creatine

Question 44

Post partum depression

Answer 44

Depressive symptoms onset within 4 weeks that do not get better on their own.

Question 45

1st and 2nd line trx for enusesis after 7 that does not improve with positive reinforcement and pee alarms?

Answer 45

1st line: Desmopressin | 2nd line: TCA's

Question 46

OSA dx?

Answer 46

polysomnography

Question 47

First Line therapy for GAD

Answer 47

CBT

Question 48

First Line treatment for catatonia

Answer 48

Benzos

Question 49

Insomnia medication that may lead to dangerous priapism

Answer 49

Trazodone

Question 50

Tourettes is associated with what other disorders

Answer 50

OCD disorders

Question 51

How many settings must hyperactive and inattentive behaviors take place in for ADHD diagnosis?

Answer 51

2 settings for at least 6 months

Question 52

Trx for anorexia with BMI over 15

Answer 52

Psychotherapy. Under 15 hospitalization

Question 53

Other name for Korsakoff's amnesia?

Answer 53

amnesic-confabulatory syndrome

Question 54

amnesic-confabulatory syndrome

Answer 54

amnesia, anterograde amnesia, and confabulation (False memories).

Question 55

Wernicke's encephalopathy pathophys

Answer 55

reversible cerebellar lesion caused by thiamine deficiency. Produces clinical picture similar to acute intoxication

Question 56

Sleep Stages

Answer 56

Stage 1: Theta waves Stage 2: K complexes and Spindles Stage 3: Delta waves, Night terrors REM: restful sleep, dreams nightmares, eye movement

Question 57

Tourrettes pharm trx?

Answer 57

dopamine antagonists like atypical antipsychotics

Question 58

Opioid withdrawal medical therapy

Answer 58

Buprenorphine + methadone and clonidine as adjunct for lacrimation symptoms

Question 59

Tyramine Reaction and agents and TRX

Answer 59

MAOI's + tyramine rich foods trx with nitroprusside and phentolamine

Question 60

SSRI with longest half life

Answer 60

Fluoxetine

Question 61

atypical antipsychotic for refractory schizo associated with agranulocytosis

Answer 61

clozapine

Question 62

Schizophrenia vs schizophreniform vs brief psychotic disorder

Answer 62

> 6 months, 1-6 months, < 1 month

Question 63

mixed features mood disorder?

Answer 63

manic or hypomanic episode with at least 3 symptoms of sigecaps also met during the episode

Question 64

MDD timeframe

Answer 64

at least 2 weeks

Question 65

treatment for muscle tension from high dose antipsychotics

Answer 65

diphenhydramine.. if not malignant hyperthermia.