qbank question review

Question 1

schizophrenic pt imaging findings

Answer 1

EEG studies may also show increased theta and delta activity, in addition to decreased alpha activity. On PET scan, there is found an increase in D 2 receptors in the caudate nucleus of drug-free schizophrenics. Eye movement dysfunction may be a trait marker for schizophrenia. CT scans have consistently shown enlarged lateral and third ventricles, as well as reductions in cortical volume.

Question 2

contraindications to hypnosis

Answer 2

Paranoid delusions and hx of brain trauma

Question 3

Flumazenil

Answer 3

Flumazenil decreases seizure threshold.

Question 4

Caffeine induced sleep disorder

Answer 4

The sleep disorder caused by caffeine can produce a delay in falling asleep, an inability to remain asleep, and/or early morning awakening.

Question 5

Time frame for risk of depression disorder after CVA

Answer 5

2 years

Question 6

Benzo’s independent of liver function/metabolism

Answer 6

Lorazepam
Oxazepam
Tamazepam

Question 7

Opiate withdrawal

Answer 7

Craving, anxiety, dysphoria, yawning, lacrimation, pupil dilatation, rhinorrhea, and restlessness followed by piloerection (cold turkey), twitching muscles and kicking movements of the lower extremities (kicking the habit), nausea, vomiting, diarrhea, low-grade fever, and increased blood pressure, pulse, and respiratory rate.

Question 8

Normal beravament

Answer 8

Guilt about things other than actions taken or not taken by the survivor at the time of the loved one’s death,
Thoughts of death other than the survivor feeling he/she would be better off dead without the loved one,
A morbid preoccupation with worthlessness.
Marked psychomotor retardation
Marked and prolonged functional impairment
Hallucinations other than the survivor believing he/she can hear the voice or see the loved one.

Question 9

Mature defense mechanism

Answer 9

Sublimation, humor, altruism, asceticism (abstinence from pleassure), anticipation, and suppression

Question 10

Hereditary Alzheimer’s disease age of presentation and gene involved

Answer 10

Presents between ages 40-50.
Majority due to mutation in Presinilin 1 on chromosome 14
Minority due to mutation in Presinilin 2 on chromosome 1

Question 11

Preferred treatment for psychosis in Parkinson’s disease

Answer 11

Clozapine.
Because of its relative sparing of the nigrostriatal dopaminergic system and its anti-cholinergic effects, clozapine does not worsen and may in fact ameliorate parkinsonian symptoms.

Question 12

Amphetamine intoxication

Answer 12

Can result in psychosis resembling acute paranoid schizophrenia. Symptoms include paranoid delusions and visual hallucinations.

Question 13

Histrionic personality disorder

Answer 13

Characterized by a chronic pattern of excessive emotionality and attention seeking. Pts need attention and act inappropriately seductive. Pts may use physical appearance to draw attention to themselves. Speech is dramatic an superficial, lacking in detail.

Question 14

Dependent personality disorder

Answer 14

Chronic and excessive need to be taken care of. Leads to submissive, clinging behavior. Tend to have unrealistic fears/preoccupation with being alone.

Question 15

SADPERSONS

Answer 15

Risk factors for suicide.
Sex
Age
Depression or hopelessness (2)
Previous attempt/psych care
Excessive etoh/drugs
Rational thinking loss (2)
Organized/serious attempt (2)
No social support
Stated future attempt (2)

Question 16

Common complaints of long term lithium use

Answer 16

Weight gain, metallic taste, acne, hypothyroidism, and polyuria

Question 17

Treatment for cataplexy

Answer 17

SSRI
TCA
MAOI

Question 18

Main defense mechanism in OCD

Answer 18

Undoing, a compulsive act perform in attempt to negate/avoid consequences of fantasized action from obsessional impulse.
Isolation:
Reaction formation:

Question 19

Psychosis in pt with hypotension?

Answer 19

High potency neuroleptics such as Haloperidol and Fluphenazine are preferred. These have less anticholinergic effects, thus decreased chance of orthostatic hypotension

Question 20

Capgras syndrome

Answer 20

Delusion in which pt believes that familiar people have been replaced by impostors.

Question 21

Cocaine intoxication

Answer 21

High blood pressure, mydriasis (dilated pupils), cardiac arrhythmias, coronary artery spasms, and myocardial infarcts.

Question 22

List of MAOI

Answer 22

Tranylcypromine
Phenelzine
Isocarboxazid

Question 23

Tyramine reaction

Answer 23

MAOI + tyramine, leads to sympathomimetic reaction. Presents as headache, hypertension, diaphoresis, mydriasis, neck stiffness, pallor, neuromuscular excitation, palpitations, and chest pain.

Question 24

Abrupt d/c SSRI

Answer 24

common physical symptoms are dizziness, nausea, vomiting, lethargy, flu-like symptoms (chills and aches), and sensory and sleep disturbances.
Commonly reported psychological symptoms are irritability, anxiety, and crying spells. Symptoms usually emerge 1 to 3 days after the last dose.

Question 25

Drugs to avoid in EtOH withdrawal

Answer 25

Antipsychotics, they can further lower the seizure threshold.