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Uworld > Psychiatry > Flashcards

Psychiatry Flashcards

1
Q

Binge eating disorder is characterized by _____________

A

episodes of binge eating associated with distress and a sense of loss of control.

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2
Q

________ is a first kind pharmacotherapy for alcohol use disorder that decreases craving abs heavy drinking

A

Naltrexone

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3
Q

________ is an evidence-based treatment for major depression that carries a low risk for complications

A

Electroconvulsive therapy

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4
Q

______________ is indicated for the treatment of acute mania and for maintenance therapy in bipolar disorder.

A

Lithium

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5
Q

Long-term side effects include : (5)

A

Hyperparathyroidism with hypercalcemia
Nephrogenic diabetes insipidus
Chronic kidney disease
Thyroid dysfunction

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6
Q

The most reliable and predictive sign of _____________ is decreased respiratory rate

A

Opioid intoxication

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7
Q

______________ are the first-line medication treatment for obsessive-compulsive disorder.

A

Serotonergic antidepressants (eg, selective serotonin reuptake inhibitors)

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8
Q

Patients who experience sexual assault are at high risk for developing ______, ________ and __________

A

post-traumatic stress disorder, depression, and suicidality.

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9
Q

Treatment options for Akathisia

A

Decrease dosage
Change to antipsychotic meds with less extrapyrimidal side effects
Use propanolol / benztropine / benzodiazepine

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10
Q

Prefers to be alone and are socially detached. Diagnosis

A

Schizoid personality disorder

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11
Q

Major depression with delusions or hallucinations (have depressive themes). Diagnosis

A

Major depression with psychotic features

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12
Q

Major depression with delusions or hallucinations (have depressive themes). Treatment

A

Antipsychotic & ; Antidepressant or ECT

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13
Q

Attention seeking, dramatic emotions and actions, inappropriately provocative behavior. Diagnosis?

A

Histrionic personality disorder

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14
Q

Treatment of post stroke depression

A

Early treatment with SSRIs

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15
Q

Management of a teenager with suicidal plans

A

Inform parents and hospitalize for close monitoring and suicide precautions.

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16
Q

Neuropsychiatric side effects of glucocorticoids includes

A

Euphoria, depression, psychosis, hypomania or mania

17
Q

Evaluation of new onset mood symptoms include

A

Ruling out of medical or substance-induced causes

18
Q

The most frequently used standard urine drug screens (UDS) test for ______, _______, _________, ________ and _______

A

Amphetamine, cocaine, opioid, cannabis and phencyclidine

19
Q

Management of a patient with major depression who fails to respond to an initial SSRI trial?

A

Use another first line antidepressant

  • a different SSRI
  • bupropion
  • mirtazapine
  • serotonin modulators
20
Q

First-line medication treatment for OCD

A

SSRIs

21
Q

Delusions, hallucinations and disorganized thoughts or behavior often accompanied by mood symptoms in a post partum mother.

Diagnosis?

A

Postpartum psychosis

22
Q

Delusions, hallucinations and disorganized thoughts or behavior often accompanied by mood symptoms in a post partum mother.

Management?

A

Antipsychotics

If necessary involuntary hospitalization

23
Q

Indications for hospitalization of an anoxeric patient

A
  • Bradycardia (<40/min), dysrhythmia
  • Hypotension (<80/60mmHg), orthostasis
  • Hypothermia (<35C)
  • Electrolyte disturbance
  • Marked dehydration
  • Organ compromise (renal, hepatic, cardiac)
  • BMI < 15kg/m2
24
Q

Sudden onset of neurological symptoms with clinical findings that are incompatible with recognized neurological conditions.

Diagnosis?

A

Conversion disorder

25
Q

Severe agitation, delusion of enchanted strength, analgesia, psychosis, multidirectional nystagmus, hypertension, tachycardia and disorientation

Substance intoxication?

A

Phencyclidine

26
Q

How is Agitation and aggression seen in PCP intoxication managed?

A

Benzodiazepines

27
Q

________ is a preferred choice of medication in a depressed patient with marked insomnia and weight loss and why the choice

A

Mirtazapine because of its side effect of increased appetite, weight gain and somnolence

28
Q

First line Medication options for alcohol use disorder

A

Acamprosate and naltrexone

29
Q

Persistent and recurrent maladaptive gambling behavior that results in impairment or distress.

Diagnosis?

A

Gambling disorder

30
Q

What mood stabilizer can elevate aminotransferases and in rare cases cause hepatic failure mostly common in the 1st 6 months of treatment?

A

Valproate

31
Q

Treatment of choice for borderline personality disorder

A

Dialectical behavioral therapy

Uworld (5 decks)

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