psych

Question 1

dx needed for GAD

Answer 1

restlessness or hypervigilence, easy fatigability, irritability, sleep distrubance, muscle tension, difficulty concentrating

Question 2

tx of GAD

Answer 2

SSRIs or buspirone. can use benzos as adjunct short term. Cognitive behavioral therapy

Question 3

tx of panic disorder

Answer 3

acute: short course of alprazolam or lorazepam
maintenance: SSRIs (paroxetine, fluoxetine, venlafaxine, sertraline for 8-12 months)

Question 4

contraindication to bupropion

Answer 4

seizure disorder or eating disorder

Question 5

SSRI adverse effects

Answer 5

GI upset, HA, sexual dysfunction

Question 6

risks for suicide

Answer 6

elderly white males. highest after initiating tx for MDD, previous attempt, detailed plan, self-destructive pattern, recent loss, poor support and health, substance abuse

Question 7

DX PTSD

Answer 7

inability to recall aspects of event, avoidance, feelings of detachment or estrangement from others, anhedonia, increased state of arousal – insomnia, irritability/anger, poor concentration, hypervigilance, belief that future has been foreshortened

Question 8

TX PTSD

Answer 8

sertraline, paroxetine, therapy

Question 9

electrolyte abnormalities in anorexia

Answer 9

hypochloremia, hypokalemia, increased BUN, metabolic alkalosis

Question 10

electrolyte abnormalities in bulimia

Answer 10

hypochloremic hypokalemic alkalosis, hypomagnesemia