Case Files - Psychiatry

Question 1

What are common side effects of SSRIs and SNRIs?

Answer 1

• Sexual dysfunction (commonly decreased libido)
• Weight gain
• Insomnia or hypersomnolence
• Nausea
• Diarrhea
• Dizziness

Question 2

Up to _____% of those who have had a depressive episode will have another one at some point.

Answer 2

85

Question 3

The only side effect of SSRIs that persists months into the treatment is typically _____________.

Answer 3

sexual dysfunction

Question 4

Between 20% and 40% of people with schizophrenia _____________.

Answer 4

attempt suicide

10% of schizophrenics complete suicide.

Question 5

What are the five subtypes of schizophrenia?

Answer 5

• Paranoid
• Undifferentiated
• Catatonic
• Residual
• Disorganized

Question 6

A positive rapid plasma reagin test indicates a possible _______________ infection.

Answer 6

syphilis

Question 7

To qualify as panic disorder, you need to have a panic followed by at least one month of _______________.

Answer 7

• Worrying that you’re going to have another attack
• Worrying about the consequences of the attack
• Changing behaviors because of fears of another attack

Question 8

Both MDD with atypical features and Hashimoto’s present with depression and weight gain. What is a key difference in the weight gain symptomatology?

Answer 8

MDD with atypical features presents with weight gain from increased appetite, while Hashimoto’s presents with weight gain with no change in appetite (because it is a change in metabolism).

Question 9

What mood disorder does Wilson’s disease cause?

Answer 9

Mania

Question 10

Those with schizoid personality disorder are more likely to use what defense mechanism?

Answer 10

Intellectualization

Question 11

Hyperacusis (super-sensitive hearing) is a symptom of which recreational drug?

Answer 11

Phencyclidine

Question 12

_____________ have been shown to delay the excretion of PCP.

Answer 12

Benzodiazepines