Comquest Q 2

Question 1

What are two conditions associated with synthetic cannabinoids?

Answer 1

Mania and psychosis

Question 2

What is the outlook of brief psychotic disorder?

Answer 2

Most patients will experience full resolution of the illness

Question 3

First line treatment for bulimia?

Answer 3

Fluoxetine and CBT

Question 4

What lobe of the brain is associated with seizures and psychosis?

Answer 4

Temporal lobe

Question 5

Cocaine withdrawal causes what to happen to sleep?

Answer 5

Increased or hyper, meaning too much

Question 6

What anti epileptic or anti convulsant drug can cause depression, anxiety and psychosis?

Answer 6

Levetiracetam

Question 7

What is the Capgras delusion and what condition is it part of?

Answer 7

Patient believes hat an imposter has replaced a family member
Schizo

Question 8

Best anti psychotic for TICS and why?

Answer 8

Aripiprazole because it is a partial D2 agonist, so less likely to cause EPS for the kid

Question 9

What is the lab test to distinguish between epileptic and psychogenic seizures?

Answer 9

Prolactin

A prolactin level will be elevated immediately after an epileptic seizure and normal after a psychogenic seizure

Question 10

MOA of buspirone?

Answer 10

Partial agonist of serotonin

Question 11

What med do we not give to patients with dementia and why?

Answer 11

Benadryl because its anticholinergic effects make the cognitive symptoms worse

Question 12

What substance when abused caused memory loss or what they call black outs?

Answer 12

Alcohol

Question 13

What do we use for acute pain relief for patients who have opioid dependence and are in withdrawal?

Answer 13

NSAIDS, ketorolac and dicofenac

Question 14

Good definition of cyclothymic disorder?

Answer 14

At least 2 years of depressive symptoms and manic symptoms but neither one qualify for major depression or full mania

Question 15

What is a risk for using anticholinergics like benzotropine for parkinson symptoms of antipsychotics?

Answer 15

Toxicity causing delirium

Question 16

What is synesthesia and give an example?

Answer 16

Sensory modalities are confused for one another, like hearing colors or seeing tastes

Question 17

In depression, what is the concentration of 5 HIAA in CSF?

Answer 17

Low

Question 18

What effect does tobacco have on antipsychotics?

Answer 18

Increases the metabolism and effectiveness of antipsychotic medication

Question 19

Depression causes what axis dysfunction?

Answer 19

Hypothalamic

Question 20

MOA of tetrabenazine?

Answer 20

Decreases release of dopamine into synaptic cleft

Question 21

Two things to always think about with separation anxiety?

Answer 21

Kid is sick so he doesn’t have to go to school

Doesn’t want to sleep alone

Question 22

What is the only condition that Busprione is indicated for?

Answer 22

GAD

Question 23

What is an alternative treatment for depression in patients who do not want prescriptions?

Answer 23

St. John’s wort

Question 24

First line treatment for OCD?

Second line treatment?

Answer 24

SSRI

Clomipramine