Psychiatry

Question 1

D2 antag in NS pathway causes

Answer 1

Acute dystonia (typical antipsychotics)

Question 2

Adjustment disorder Dx

Answer 2

3m - 6m

Question 3

Acute stress Dx

Answer 3

3D - 1 m

Question 4

Sublimation vs Reaction formation

Answer 4

Sublimation: Socially acceptable reaction

Reaction formation: opposite reaction to unacceptable feelings/ impulses

Question 5

Parotid hypertrophy

Answer 5

Anorexia and bulimia d/t inc purging beh

Question 6

Schizoid vs Avoidant personality disorder

Answer 6

Schizoid: content being by themselves

Avoidant: Seeks But avoids d/t fear of rejection etc

Question 7

Nightmares vs Night terrors

Answer 7

Nightmares :

• REM
• remembers
• final third of night

Night terror:

• NREM, slow wave
• during 1/3 of night

Question 8

Pt w lifelong social withdrawal, isolated, does not engage. Dx?

Answer 8

Schizoid.

Does not desire relationships

VS

AVOIDANT : avoiding but seeks relationships

Question 9

MCC AMS inpt. ?

Answer 9

Delirium

AMS = altered mental status

Question 10

DI Delirium

Answer 10

1. AntiCholinergics
2. BDZ
3. Opioid

Question 11

Displacement vs Projection

Answer 11

Displacement : emotions redirected to a neutral object/ person

Projection : projecting own unacceptable impulses to a person

Question 12

Which DA pathway inhibition is responsible for inc Prolactin?

Answer 12

Tuberoinfundibular

Question 13

Which DA pathway inhibition is responsible for negative Sx ?

Answer 13

Mesocortical

• anergia, apathy etc

Question 14

Which DA pathway inhibition is responsible for positive Sx ?

Answer 14

Mesolimbic

• delusions, hallucinations

Question 15

Which DA pathway inhibition is responsible for EPS ?

Answer 15

Niagrostriatal

Question 16

Elderly pt agitated w sleep disturbance and beh changes. Tx?

Answer 16

Delirium: acute confusional state.
Usually 2° to UTI in elderly.

• Haloperidol