Shit - Psych UWorld

Question 1

Treatment of mania

Answer 1

Mood stabilizer: lithium, valproate, carbamazepine

Atypical antipsychotics: quetiapine, olanazapine, Risperidone, aripiprazole, Clozapine, ziprasidone

Question 2

PDD (dysthimia)

Answer 2

ANY depression >2 years (can by pure dysthymic, with MDEs, or Chronic MD

Question 3

Requirement for hospice care

Answer 3

Prognosis

Question 4

hypocretin-1 =

Answer 4

Orexin-A

Missing in the CSF of people with narcolepsy

Question 5

Paranoid personality disorder vs. delusional disorder

Answer 5

Paranoid personality = pervasive across many situations

Delusional disorder = a specific delusion, subtypes as grandiose, erotomanic, persecutory, jealous, somatic

Question 6

OSA vs OHS

Answer 6

OSA = at night only via fat neck, erythropoiesis, normal day blood gases

OHS = all the time (chest can’t expand because so fat), erythropoiesis, altered blood gases

Question 7

Physician Health Program

Answer 7

PHP

Committee at the hospital to report physician behaviour to i.e impaired

Question 8

Who makes decisions if there is a non-family member proxy?

Answer 8

THE PROXY!

They trump all other possible surrogates

Question 9

Nucleus ceruleus

Answer 9

NE

Question 10

Raphe Nucleus

Answer 10

5HT

Question 11

Nucleus baseless of Meynert

Answer 11

Ach

Question 12

Striatum

Answer 12

= caudate + putamen

NT = Ach and GABA

Question 13

MCC overdose-related deaths

Answer 13

Opioid analgesics

Question 14

3 elements of a DNR

Answer 14

• no artificial ventilation
• no chest compressions
• no IV drugs with defibrillation

Question 15

Dating patients

Answer 15

only unethical if its a current patient (or past if you are a psychiatrist)

Question 16

Who should get the informed consent for a procedure?

Answer 16

The person doing the procedure

Question 17

minors and pregnancy

Answer 17

Most states don’t need parental consent for prenatal care
(also STD Rx, contraception, drug/alcohol Rx)

2/3 need permission for abortion, 1/3 need notification