Psychiatry (U.W.)

Question 1

what AA is serotonin made from?

Answer 1

Tryptophan

Question 2

t(x) for serotonin syndrome?

Answer 2

Cyproheptadine ( 1st gen antihistamine with anti serotonin activity)

Question 3

what causes death in TCA overdose

Answer 3

blockage of fast Na channels can lead to fatal arrhythmia

Question 4

A pattern of unstable relationships and marked impulsivity suggests which personality disorder?

Answer 4

Borderline

Question 5

Left sided frontal lobe lesion s(x)

Answer 5

apathy

Question 6

Right sided frontal lobe lesion

Answer 6

disinhibition

Question 7

what is first line t(x) for ADHD

Answer 7

psychostimulants like Methylphenidate and Amphetamines

Question 8

what are side-effects of psychostimulants like methylphenidate and amphetamines

Answer 8

insomnia, decrease appetite, weight loss

Question 9

what medication for treatment resistant schizophrenia?

Answer 9

Clozapine (although pharmacological reason for superiority is unknown)

Question 10

what differentiates atypical depression from depression

Answer 10

Mood Reactivity- feeling better in response to positive events
(other qualities- increased appetite/sleep, leaden paralysis, rejection sensitivity)
(if resistant and atypical can use MAOi)

Question 11

what is akathesia?

Answer 11

restlessness, inability to stay seated

Question 12

what is acute dystonia

Answer 12

muscle contraction- usually of neck

Question 13

what are the short acting benzodiazepines?

Answer 13

oxazepam, triazolam, midazolam

Question 14

what are intermediate acting benzodiazepines?

Answer 14

lorazepam, temazepam, alprazolam

Question 15

what are long acting benzodiazepines?

Answer 15

diazepam, flurazepam, chlordiazepoxide

Question 16

obsessive compulsive disorder vs obsessive compulsive personality disorder

Answer 16

OCD- intrusive thoughts followed by compulsions to do something
OCPD- a lifelong pattern of control, orderliness and perfection… NOT intrusive compulsions

Question 17

how does stimulus control therapy help insomnia?

Answer 17

it makes the bedroom only associated with sleep- NOT tv or trying to fall asleep without success

Question 18

PCP mode of action? (phenylciclidine)

Answer 18

NMDA antagonist

Question 19

which antibiotic can precipitate Serotonin Syndrome?

Answer 19

Linezolid- b/c of MAOi activity

Question 20

which drug helps block alcohol craving and rewarding alcohol symptoms?

Answer 20

Naltrexone

Question 21

t(x) for delirium?

Answer 21

low dose HIGH potency 1st gen antipsychotics (haloperidol)

Question 22

mania vs hypomania

Answer 22

mania- severe hyperfunctioning that impairs daily life and often leads to hospitalizations
hypomania- hyperfunctioning that increases/does not impair daily productivity

Question 23

bipolar I vs bipolar II

Answer 23

bipolar I: mania episode (with or without depression)

bipolar II: HYPOmania with depressive episode

Question 24

how can you tell apart methamphetamine intox vs PCP intox

Answer 24

• both are violent behavior

- but PCP has NYSTAGMUS

Question 25

tourette syndrome vs chronic tic disorder?

Answer 25

while both have tics for greater/equal to 1 yr
tourette syndrome have BOTH motor and vocal tics
chronic tic disorder EITHER motor OR vocal tics (but not both types)
**remember vocal tics include coughing/throat clearning