Psychiatry / Addiction Flashcards
A 58 year-old man is brought into the emergency department in restraints. His eyes are beating back and forth vertically. He is yelling incoherently and there are bruises on his face and cuts on his trunk. Which of the following is correct? A. LSD intoxication B. Cocaine Withdrawal C. Heroin Overdose D. PCP intoxication
- D
A man comes into the clinic looking disheveled. He slurs his words and his breath smells of alcohol. Which of the following questions could you ask to assess for alcoholism?
A. How often do you drink?
B. Has anyone told you to cut down your drinking?
C. How many days of the week do you drink?
D. Do you drink?
- B
A patient is in the Emergency Department. His pupils are dilated, he seems agitated or anxious. His heart rate is 1 00 beats per minute and his blood pressure is 185/100. Which of the following is correct? A. Cocaine Intoxication B. Opiate Intoxication C. Opiate Withdrawal D. Cocaine Withdrawal
- A
A patient is in the Emergency Department. Her pupils are dilated and she seems agitated or anxious. Her skin is sweaty and clammy. Her blood pressure is 140/87. Which of the following is correct? A. Cocaine Intoxication B. Opiate Intoxication C. Opiate Withdrawal D. Cocaine Withdrawal
- C
Which of the following foods is contraindicated if you are taking an MAOI medication? A. Water B. Wheat crackers C. Grapes D. Cheese
- D
Elizabeth comes to the office with her 63-year old husband Ron. She reports that he has poor memory and that he sits around not wishing to get out of bed.
Sometimes he cannot remember her name. When he watches a comedy on TV he gets into a laughing fit and when watching something sad he cries for 10 minutes. Elizabeth says that once he could not talk for a couple of hours. He was once paralyzed on one side of his face but cleared up the next day. Lately, Ron has been walking with a limp. His BP is 170/100 and is not on any BP medication. The neurological exam reveals slight weakness of the cranial nerve VII and a foot drop on the left. The mental status exam shows that he cannot remember three objects after 30 seconds and cannot remember any of the US presidents. He is oriented in terms of person, place, and time. What is not your presumptive diagnosis?
A. Dementia
B. Multi-infarcts
C. Manic-depression
D. Alzheimer’s disease
6.A
A 30 year old female complains of weight loss during the past two months. She has lost 25 pounds without dieting. She reports having night sweats palpitations, and feverish sensations. She complains of low energy and poor concentration. During stressful events she frequently cries, feels sad and helpless. She denies thoughts of suicide or hearing voices. In describing her
symptoms her face has no expression and her voice is monotone. PHYSICAL EXAM: BP 114/67, HR 82 bpm and regular; respiratory rate is 18 breath/min; temperature 98.8 degrees F. Neck is supple without thyromegaly and no lymphadenopathy. Reflexes 2+ and symmetric throughout. Folstein Mini-Mental Status score is 28/30. Based on the preceding history and limited physical examination prior to lab tests what 1s the most likely disease state?
A. Hodgkin’s lymphoma
B. Hyperthyroidism
C. Depression
D. Hypothyroidism
- C
An 82 year old female is brought to the clinic by her 60 year old son. The mother has memory loss. She forgets to attend scheduled appointments and has not been answering the phone. She does not believe she has a problem with her memory. Her home is messy and has stacks of newspapers. She has not bought groceries for a week. Her husband died 5 years ago and she has been sad and lonely since. She does not have any medical conditions. PHYSICAL EXAM: BP 160/100 mm Hg; HR 75 bpm and regular, temperature is 97.5 degrees F. Her hair is groomed, no make-up, and clothes are clean; there is no increased psycho motor activity during the interview; she has difficulty completing sentences. When asked today's date she got the date and year wrong. When asked to repeat three object words after 1 minute, she only remembered one word; she was unable to spell the word "world" backward; she was unable to subtract 7 from 100. Based on the preceding history and limited physical examination prior to lab tests what is the most likely disease state? A. Depressive disorder B. Transient ischemic attack C. Hypothyroidism D. Dementia
- D
The generic names for benzodiazepine anti-anxiety drugs all end with A. -profen, -cort B .-floxacin, -triptan C .-zepam, -zolam D. -caine, -glitazone
- C
A 32 year-old female has short-term insomnia. The doctor prescribed a barbiturate. What is the drug prescription? A. Erlotinib B. Secobarbital C. Pheniramine D. Fondaparinux
- B
A 32 year-old male is chronically depressed. The doctor prescribes a tricyclic antidepressant (TCA). Which is the drug prescription? A. Saxagliptin B. Protriptyline C. Oseltamivir D. Pindolol
- B
A 29 year-old male has an anxiety disorder. The doctor prescribes a benzodiazepine antianxiety drug. Which is the drug prescription? A. Sirolimus B. Vardenafil C. Lorazepam D. Doxycycline
- C
A 55 year-old male is taking Abilify (ariprazole). What is the problem? A. Bipolar disorder B. Prostate cancer C. Bronchitis D. Insomnia
- A
A 31 year-old female is taking Zyprexa (olanzapine). What is the problem? A. Hypothyroidism B. Schizophrenia C. Type 2 diabetes D. Alzheimer's disease
- B
A 45 year-old female is taking Topamax (topiramate). What is the problem? A. Myocardial infarction B. Stroke C. Meniere's disease D. Seizures
- D
