OME Questions 1

Question 1

Catatonia is associated with what type of disorders?
4 symptoms to look out for?
Treat with?

Answer 1

Mood disorders, depression or bipolar
Mutism, general rigidity with waxy flexibility, echolalia, echopraxia, stereotypical movement
Lorazepam

Question 2

First line treatment for PTSD?

Answer 2

Psychotherapy

Question 3

3 identifiers of narcolepsy and how to treat?

Answer 3

Cataplexy, response to loud noises, and awakens refreshed after the sleep episode.

Scheduled naps and amphetamines

Question 4

What is cataplexy?

Answer 4

Loss of all tone upon an episode due to narcolepsy

Question 5

How do you treat night terrors?

Answer 5

Reassurance

Question 6

What is first line therapy for kids wetting their beds past 7?
What med is first line once first line therapy fails?

Answer 6

Alarms and lifestyle modifications like don’t drink at night and pee before bed
Desmopressin

Question 7

How do you treat post partum psychosis?

Answer 7

Separate mom from baby with supervised visits

Question 8

How do you treat severe anorexia, what is the BMI usually and what will the picture of the patient look like?

Answer 8

Forced hospitalization and fed

Electrolytes out of wack, amenorrhea

Question 9

Diarrhea causes what metabolic state?

Answer 9

Metabolic acidosis with hypokalemia

Question 10

What medicine to use to treat PTSD related nightmares and sleep disturbances?

Answer 10

Prazosin

Question 11

How do we treat catatonia?

Answer 11

Benzo

Question 12

What type of defense mechanism should we be prepared for when encountering a borderline personality patient?

Answer 12

Splitting

Question 13

Two things making up dissociative amnesia?
Three things making up dissociative fugue?
2 things to remember about depersonalization?

Answer 13

Stressor and loss of memory of the stressor
Stressor, don’t remember stressor, travel
Mild stressor in teenager and out of body experience

Question 14

Why would you give trazodone?
Why would you give bupropion?
Why would you give mirtazapine?
Why would you give phenelzine?
Why would you give TCA’s?

Answer 14

Sleep
Stop smoking
Sleep and increase appetite
HTN crisis
Neuropathic pain

Question 15

What can we give as an adjunct for opiate withdrawal to methadone or suboxone and why?

Answer 15

Clonidine
It is an a2 blocker and will help with the unwanted autonomic symptoms during withdrawal like sweating, nausea, diarrhea etc.

Question 16

Benzos effect on sleep?

Answer 16

Shorten REM sleep, so less restful sleep and eliminate dreams

Question 17

What is another name for Korsakoff Syndrome?

Answer 17

Amnesic confabulatory syndrome

Question 18

First line treatment for tics or Tourette’s?

Answer 18

Antipsychotics

Question 19

What are three tests to do before starting a patient on lithium?

Answer 19

Pregnancy, creatinine for kidney and TSH because it can cause hypothyroidism

Question 20

How to best treat post partum blues?
Depression?
Psychosis?

Answer 20

Reassurance
SSRIs
Hospitalization and antipsychotics

Question 21

What is the highest predictor for an attempt of committing suicide?

Answer 21

Previous suicide attempt

Question 22

Two drugs to give for prophylaxis of alcohol withdrawal?

Answer 22

Chlordiazepoxide

Diazepam

Question 23

What two substances can cause seizure upon withdrawal?

Answer 23

Benzos and alcohol

Question 24

What condition is Tourette’s associated with?

Answer 24

OCD