USMLE easy 3

Question 0

Patient with prior drug abuse presents with insomnia – treatment?

Answer 0

Ramelteon (melatonin agonist)

Question 1

Patient started on lithium – test the need to be drawn every six months? Test of the needs to be drawn every year?

Answer 1

TSH

BUN and T3

Question 2

Anxiety patient will not see an improvement with the use of Buspirone if she has recently tried?

Answer 2

Benzodiazepines

Question 3

Antidepressant that would not cause sexual dysfunction? (instead, may cause?)

Answer 3

Fluoxetine; retrograde ejaculation

Question 4

Biological findings in schizophrenia?

Answer 4

#Enlarged Ventricles
#Alpha waves on EEG
#Increase dopamine receptors on PET scan
#

Question 5

Patient on clothes. Experiences generalized seizures. Next step?

Answer 5

Temporarily discontinue clozapine and
begin phenobarbital

Phenobarbitone is considered the safest anticonvulsant for people taking clozapine

Question 6

Labs that need to be drawn every three months in a patient started on carbamazepine?

Answer 6

#LFTs
#LDH

Question 7

Antidepressant that does not cause sexual dysfunction?

Answer 7

Nefazodone

Question 8

Antidepressant that in high doses, will increase blood pressure?

Answer 8

Venlafaxine

Question 9

SSRIs with most serotonin specific effects?

Answer 9

Citalopram and escitalopram

Question 10

SSRIS with longest half life?

Answer 10

Fluoxetine

Question 11

Atypical antidepressant that does not cause weight gain?

Answer 11

Ziprasidone

Question 12

Hallucinosis?

Answer 12

Hallucination in a patient who is completely alert and oriented

Question 13

Gauser syndrome?

Answer 13

Approximate answers and talking past the point

Question 14

Choreiform versus Athenoid movements?

Answer 14

Involuntary, irregular, and jerky movements versus slow, snakelike movements

Question 15

Palinopsia?

Answer 15

Persistence of the visual image after the stimulus has been removed

Question 16

Primary treatment for alzheimer’s disease?

Answer 16

Galantamine (anti-cholinesterase inhibitor) > memantine

Question 17

Sleep aid for patients with a history of substance-abuse?

Answer 17

Trazodone

Question 18

Personality disorder associated with childhood sexual abuse?

Answer 18

Borderline

Question 19

Atypical depression characterized by?

Answer 19

#Hypersomnia, hyperphagia
#Rejection hypersensitivity
#Lead pipe psychomotor retardation

Question 20

Your transmitter associated with delirium?

Answer 20

Decreased Acetylcholine

Question 21

Eric Erickson?

Answer 21

Stage appropriate developmental conflicts

Trust versus mistrust; initiative versus guilt; intimacy versus isolation

Question 22

Carl Jung?

Answer 22

Collective unconsciousness, introversion, extroversion

Question 23

Karen Horney?

Answer 23

Personality traits are a result of the interaction between the person and the environment

Question 24

Jean Paiget?

Answer 24

Cognitive states of development from birth

Question 25

Neurotransmitters associated with cognitive functioning?

Answer 25

Acetylcholine

Question 26

Drugs that can continue during ECT?

Answer 26

First generation antipsychotics

Question 27

Butyrophenones vs Phenothiazines?

Answer 27

First generation versus second generation antipsychotics