Psychiatry

Question 1

Treatments for schizotypal PD

Answer 1

Supportive, supportive-expressive or exploratory/insight orientated psychotherapy

Question 2

Schizotypal PD is associated with what on neurimaging studies, according to CanadaQBank?

Answer 2

Left temporal lobe volume reduction

Question 3

First line pharmacological therapies for PTSD

Answer 3

SSRIs

Question 4

DSM V criteria for schizophrenia

Answer 4

Two or more of the following for at least a one-month (or longer), and at least one of them must be 1, 2, or 3:

• Delusions
• Hallucinations
• Disorganized speech
• Grossly disorganized or catatonic behavior
• Negative symptoms, such as diminished emotional expression

Impairment in one of the major areas of functioning for a significant period of time since the onset of the disturbance: Work, interpersonal relations, or self-care.

Some signs of the disorder must last for a continuous period of at least 6 months. This six-month period must include at least one month of symptoms (or less if treated) that meet criterion A (active phase symptoms) and may include periods of residual symptoms. During residual periods, only negative symptoms may be present. Schizoaffective disorder and bipolar or depressive disorder with psychotic features have been ruled out: No major depressive or manic episodes occurred concurrently with active phase symptoms If mood episodes (depressive or manic) have occurred during active phase symptoms, they have been present for a minority of the total duration of the active and residual phases of the illness.

The disturbance is not caused by the effects of a substance or another medical condition

If there is a history of autism spectrum disorder or a communication disorder (childhood onset), the diagnosis of schizophrenia is only made if prominent delusions or hallucinations, along with other symptoms, are present for at least one month

Question 5

DSM V depression

Answer 5

Five or more symptoms during the same 2-week period and at least one of the symptoms should be either

(1) depressed mood or
(2) loss of interest or pleasure.

Depressed mood most of the day, nearly every day.

Markedly diminished interest or pleasure in all, or almost all, activities most of the day, nearly every day.

Significant weight loss when not dieting or weight gain, or decrease or increase in appetite nearly every day.

A slowing down of thought and a reduction of physical movement (observable by others, not merely subjective feelings of restlessness or being slowed down).

Fatigue or loss of energy nearly every day.

Feelings of worthlessness or excessive or inappropriate guilt nearly every day.

Diminished ability to think or concentrate, or indecisiveness, nearly every day.

Recurrent thoughts of death, recurrent suicidal ideation without a specific plan, or a suicide attempt or a specific plan for committing suicide.

To receive a diagnosis of depression, these symptoms must cause the individual clinically significant distress or impairment in social, occupational, or other important areas of functioning. The symptoms must also not be a result of substance abuse or another medical condition.

Question 6

Eating disorders have 30% comorbidity with what?

Answer 6

Substance misuse disorders

Question 7

First line treatment for lithium induced tremor

Answer 7

Propanolol

Question 8

Name the defence mechanism- mother angry with her husband yells at her child

Answer 8

Displacement (From step 2 secrets)

Question 9

Name the defence mechanism- girl who is upset with her best friend acts overly kind

Answer 9

Reaction formation (From Step 2 secrets)

Question 10

Name the defence mechanism- hospitalized ten year old starts wetting the bed

Answer 10

Regression

Question 11

An aggressive patient with vertical and horizontal nystagmus

Answer 11

PCP intoxication

Question 12

First line treatment for panic disorder

Answer 12

SSRIs (or SNRIs)

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