treatment

Question 1

tx Wernicke-Korsakoff

Answer 1

IV thiamine prior to IV glucose (glucose in thiamine deficient state will exacerbate cell death)

Question 2

tx OCD

Answer 2

SSRI, clomipramine (TCA)

Question 3

tx benzo overdose

Answer 3

flumazenil

Question 4

tx benzo withdrawal

Answer 4

taper

Question 5

tx schizophreniform disorder

Answer 5

self-limited

Question 6

tx delusional disorder (not schizophrenia)

Answer 6

psychotherapy

Question 7

tx lithium renal toxicity

Answer 7

mild (3): dialysis

Question 8

tx acute dystonia

Answer 8

IM benztropine (anticholinergic) or diphenhydramine

Question 9

tx neuroleptic malignant syndrome

Answer 9

D/C antipsychotic, hydrate and cool, IV dantrolene or PO bromocriptine, monitor creatine phosphokinase

Question 10

tx bipolar

Answer 10

• mood stabilizers: lithium, valproic acid
• can add antipsychotics with benzos
• 2nd line: carbamazepine, lamotrigine, gabapentin

Question 11

tx specific phobia

Answer 11

systematic desensitization (flooding)
- little role for meds

Question 12

tx akathisia (antipsychotic side effect)

Answer 12

• reduce antipsychotic as much as possible
• first line: B-blocker
• second line: benzo, anticholinergic

Question 13

tx very severe depression (ie: suicide attempts, refusing to eat, etc.)

Answer 13

ETC

Question 14

tx Tourette syndrome

Answer 14

alpha adrenergic (clonidine, guanfacine), atypical antipsychotics, haloperidol for severe cases

Question 15

tx narcolepsy

Answer 15

modafinil or methylphenidate

Question 16

tx bed wetting

Answer 16

imipramine

behavioral interventions

Question 17

tx delirium

Answer 17

• fix underlying problem

- haloperidol

Question 18

tx PTSD

Answer 18

psychotherapy, SSRI, prazosin (nightmare med)

Question 19

tx OCD

Answer 19

SSRI, clomipramine

Question 20

tx serotonin syndrome

Answer 20

cyproheptadine

Question 21

tx TCA cardiovascular toxicity

Answer 21

NaHCO3

Question 22

tx GAD

Answer 22

SSRI/SNRI, buspirone, benzos

• use 6 mo to life
• CBT

Question 23

tx MDD with psychotic symptoms (timeline for meds)

Answer 23

antidepressant + antipsychotic

• after psychotic symptoms abate, continue med for 3 mo then taper off
• continue antidepressant 6 mo to life

Question 24

tx acute stress disorder

Answer 24

facilitate/strengthen family and community support

Question 25

tx postpartum blues

Answer 25

support

Question 26

tx borderline personality disorder

Answer 26

dialectical behavioral therapy

Question 27

tx opioid withdrawal symptoms

Answer 27

clonidine, buprenorphine, methadone - loperamide for diarrhea - promethazine for N/V - IBU for mm. aches

Question 28

tx pain disorder

Answer 28

biofeedback, validation of pain, relaxation techniques

Question 29

tx sleep terror disorder

Answer 29

self-limiting, reassure parents, support safe sleeping environment