Psychiatry

Question 1

What is the difference between schizoid and schizotypal personality disorder?

Answer 1

Schizoid: social detachment and restricted emotional expression and PREFER to be isolated
Schizotypal: eccentric behavior and “magical thinking” like bizarre fantasies and telepathy

Question 2

Hypersensitivity to criticism, social inhibition, and feelings of inadequacy who desire friendship but fear the ridicule is associated with what disorder?

Answer 2

Avoidant

*disclaimer: Schizoid are okay with not having friendships and prefer to be alone

Question 3

Symptoms of schizo but for at least one month and less than 6 months are called what?

Answer 3

Schizophreniform

Question 4

This disorder describes a state of experiencing familiar persons and surroundings as if they were strange or unreal

Answer 4

derealization disorder

Question 5

This the evolution of extrapyramidal system side effects

Answer 5

4 hr acoute dystonia, 4 day akathisia or restlessness, 4 week bradykinesia, 4 mo tardive dyskinesia

Question 6

Fever, encephalopathy, vitals unstable, elevated enzymes like myoglobin, and rigidity (FEVER) are signs of this.

Answer 6

Neuroleptic Malignant Syndrome

Question 7

This is needed as management if a patient comes into the ER with acute psychosis with history of schizophrenia and no response to at least 2 different antipsychotics

Answer 7

clozapine

Question 8

What are side effects of this drug used for treatment-resistant schizo and schizo associated with suicidality

Answer 8

agranulocytosis, seizures, myocarditis, metabolic syndrome

Question 9

This can be done for elderly patients who need a rapid response and experiencing severe depression, unable to drink or eat, and auditory hallucinations (MDD with psychotic features)

Answer 9

ECT

Question 10

This type of defense is occurring when a patient who is angry about immigrants taking people’s jobs starts to offer job search advice to immigrants

Answer 10

reaction formation

Question 11

This type of defense is occurring when a patient who is angry at their parent starts to perform well in sports

Answer 11

sublimation

Question 12

This type of defense intentionally withholds an idea or feeling from conscious awareness. It is also the opposite of a patient who involuntary holds it.

Answer 12

suppression (mature) compared to repression (immature)

Question 13

This is how you assess suicidality.

Answer 13

SAD PERSONS (sex, age, depression , previous attempt, EtOH, rational thought loss, social support, organized plan, no spouse, sickness

Question 14

18 year old who started to live by herself for past month and has alot of fear has this type of anxiety.

Answer 14

Adjustment disorder with anxiety (less than 3 months)