Psychology_RR

Question 1

First-line pharmacotherapy for depression

Answer 1

SSRIs

Question 2

Antidepressants associated with hypertensive crisis.

Answer 2

MAOIs

Question 3

Medications associated with galactorrhea, impotence, menstrual dysfunction, and decreased libido

Answer 3

Dopamine antagonists

Question 4

A 17-year-old girl has left arm paralysis after her boyfriend dies in a car crash. No medical cause is found.

Answer 4

Conversion disorder

Question 5

Name the defense mechanism:
A) A mother who is angry at her husband yells at her child.
B) A pedophile enters a monastery.
C) A woman calmly describes a grisly murder.
D) A hospitalized 10-year-old begins to wet his bed.

Answer 5

A) Displacement
B) Reaction formation
C) Isolation
D) Regression

Question 6

Life-threatening muscle rigidity, high fever, and rhabdomyolysis

Answer 6

Neuroleptic malignant syndrome

Question 7

Amenorrhea, low body weight (<85%), bradycardia, and abnormal body image in a young woman.

Answer 7

Anorexia

Question 8

A 35-year-old man has recurrent episodes of palpitations, diaphoresis, and fear of going crazy

Answer 8

Panic disorder

Question 9

The most serious side effect of clozapine

Answer 9

Agranulocytosis

Question 10

A 21-year-old man has 3 months of social withdrawal, worsening grades, flattened affect, and concrete thinking

Answer 10

Schizophreniform disorder

A diagnosis of schizophrenia requires ≥ 6 months of symptoms

Question 11

Key side effects of atypical antipsychotics

Answer 11

Weight gain, type 2 diabetes mellitus, QT-segment prolongation

Question 12

A young weight lifter receives IV haloperidol and complains that his eyes are deviated sideways. Diagnosis? Treatment?

Answer 12

Acute dystonia (oculogyric crisis)
Treat with benztropine or diphenhydramine.

Question 13

Medication to avoid in patients with a history of alcohol withdrawal seizures.

Answer 13

Neuroleptics

Question 14

A 13-year-old boy has a history of theft, vandalism, and violence towards family pets

Answer 14

Conduct disorder.

Associated with antisocial personality disorder in adults

Question 15

A 5-month-old girl has decreased head growth, truncal discoordination, and decreased social interaction

Answer 15

Rett’s disorder.

Loss of milestones is commonly described.

Question 16

A patient hasn’t slept for days, lost $20,000 gambling, is agitated, and has pressured speech. Diagnosis? Treatment?

Answer 16

Acute mania.

Start a mood stabilizer (eg, lithium)

Question 17

After a minor “fender bender,” a man wears a neck brace and requests permanent disability.

Answer 17

Malingering

Question 18

A nurse presents with severe hypoglycemia; blood analysis reveals no elevation in C-peptide

Answer 18

Factitious disorder (Munchausen syndrome)

Question 19

A patient continues to use cocaine after being in jail, losing his job, and not paying child support.

Answer 19

Substance abuse

Question 20

Medication to avoid in patients with PTSD

Answer 20

Benzodiazepines (have high addiction potential).

Patients commonly have a history of substance abuse

Question 21

A violent patient has vertical and horizontal nystagmus

Answer 21

Phencyclidine hydrochloride (PCP) intoxication

Question 22

A woman who was abused as a child frequently feels outside of or detached from her body.

Answer 22

Depersonalization disorder

Question 23

A schizophrenic patient takes haloperidol for 1 year, and develops uncontrollable tongue movements. Diagnosis? Treatment?

Answer 23

Tardive dyskinesia.

Decrease or discontinue haloperidol and consider another antipsychotic (eg, risperidone, clozapine).

Question 24

A man with major depressive disorder is counseled to avoid tyramine-rich foods with this new mediation

Answer 24

MAOIs