Weekly Quizzes

Question 1

What drug is specifically used in PTSD with nightmares?

Answer 1

Prazosin (minipress)

Question 2

E-MEDS and I-MEDS difference

Answer 2

When there is danger, E-Meds are given

I-meds generally are court ordered for long term use over the patient’s will

Question 3

A 24-year-old single female develops severe depression in the context of her parents’ insistence that she stop seeing her boyfriend and agrees to marry a male from the same cultural background. You admit her to the psychiatric hospital and start her on venlafaxine. Despite your best efforts, she continues to clinically decline. She develops psychomotor retardation, nihilistic delusions, believes she deserves to be dead, and consequently stops consuming food and drink. Her serum urea and urine specific gravity start to rise. Which of the following treatment options is the best choice at this time?

Answer 3

ECT because there are signs of rapid deterioration (urea, spec gravity). The only thing that works fast is ECT for severe refractory deppression

Question 4

Order these:

a) Initiative vs. guilt
b) Identity vs. role confusion
c) Generativity vs. stagnation
d) Ego integrity vs. despair
e) Industry vs. inferiority***

Answer 4

1. Initiative vs guilt (child exploring)
2. Industry vs inferiority (self creation)
3. Identity vs role confusion (adolescence)
4. Generativity vs stagnation (job)
5. Ego integrity vs despair (end of life regret?)

Question 5

Signs of lithium toxicity

Answer 5

GI (n/v, diarrhea), coarse tremor, confusion, ataxia

Question 6

Psychotherapy for borderline PD?

Answer 6

Dialectical behavioral therapy (DBT) has strong empirical support and is the first-line psychotherapeutic modality in the treatment of borderline personality disorder. DBT incorporate aspects of cognitive behavioral therapy (CBT), Zen philosophy, sociology, and psychology and focuses on the patient and therapist accepting the patient in the present as a foundation for developing important behavioral and emotional skills.

Question 7

Dissociative amnesia

Dissociative fugue

Dissociative identity d/o

Depersonalization d/o

Answer 7

• dissociative amnesia is an inability to recall important personal information, usually of a traumatic or stressful nature, that is too extensive to be explained by normal forgetfulness. This disorder involves a reversible memory impairment in which memories of personal experience cannot be retrieved in a verbal form.
• Dissociative fugue is amnesia for one’s identity coupled with sudden unexplained travel away from home.
• Dissociative identify disorder is the presence of two or more separate personalities that recurrently take control of a person’s behavior.
• Depersonalization disorder is a pervasive sense of being detached from or being outside one’s body.