Block 2 April

Question 1

Diagnostic criteria for intellectual disability:

Answer 1

IQ at or below 70

Question 2

brief episode of intense fear accompanied by physical symptoms:

Answer 2

panic attack

Question 3

anxiety or distress over leaving home:

Answer 3

Agoraphobia

Question 4

increased activity where in OCD?

Answer 4

frontal cortex

Question 5

aggression to people and animals

destruction of property

deceitfulness or theft

serious violations of rules

childhood or adolescent onset

Answer 5

conduct disorder

Question 6

loses temper

argues with adults

deliberately annoys people

blames others

touchy or easily annoyed

anger and resent

spiteful or vindictive

Answer 6

oppositional defiant disorder

Question 7

Treatment of anxious alcoholics:

Answer 7

buspirone

Question 8

Mania lasting 7 days

Answer 8

Bipolar 1

Question 9

Hypomania lasting 4 days

Answer 9

Bipolar 2

Question 10

Tx for adolescent depression

Answer 10

SSRIs for at least 1 year

**Tricyclics are contraindicated

Question 11

Cluster A personality disorders:

Answer 11

weird

Question 12

Cluster B personality disorders:

Answer 12

wild

Question 13

Cluster C personality disorders:

Answer 13

worried

Question 14

pervasive distrust and suspiciousness of others

Answer 14

Paranoid

cluster A

Question 15

detatchment or disinterest in social relationships

Answer 15

schizoid

cluster A

Question 16

acute discomfort with and reduced capacity for close relationships

magical thinking

Answer 16

schizotypal

cluster A

Question 17

instability of interpersonal relationships

impulsivity

intense episodic dysphoria

Answer 17

borderline PD

cluster B

Question 18

grandiosity

need for admiration

lack of empathy

Answer 18

narcissistic

cluster B

Question 19

disregard and violation of the rights of others

Answer 19

antisocial PD

cluster B

**kind of like conduct disorder after adolescence

Question 20

excessive emotionality and attention seeking

Answer 20

Histrionic PD

cluster B

Question 21

pervasive pattern of social inhibition

Answer 21

Avoidant PD

cluster C

Question 22

pervasive need to be taken care of

Answer 22

dependent PD

cluster C

Question 23

preoccupation with orderliness

Answer 23

Obsessive compulsive PD

cluster C

Question 24

only agents to have anti-suicide effects in bipolar disorder

Answer 24

clozapine

lithium (first line)

Question 25

mood stabilizers

Answer 25

Lithium Divalproex Carbamazepine

Question 26

Pathophysiology of schizophrenia:

Answer 26

increased dopamine

Question 27

First atypical (2nd gen) antipsychotic:

Answer 27

clozapine

Question 28

benefit of 2nd gen antipsychotics

Answer 28

treat positive AND negative sx

Question 29

lots of outpatient visits frequent hospitalizations repetitive subspecialty referrals lots of diagnoses multiple meds

Answer 29

Somatic Symptom disorder

Question 30

Physical symptoms following stress event ie. paralysis after witnessing death

Answer 30

Conversion disorder

Question 31

intentionally exaggerates or induces signs and symptoms of illness motivation is to assume the sick role no other incentive for illness

Answer 31

Factitious disorder

Question 32

severe factitious disorder

Answer 32

Munchausen syndrome

Question 33

use of approximate answers in factitious disorder

Answer 33

Ganser's syndrome

Question 34

lying about illness motivated by external incentives

Answer 34

Malingering

Question 35

most common side effect of SSRIs:

Answer 35

sexual dysfunction

Question 36

5HT2/3 blocker with less sexual side effects and less anxiety:

Answer 36

Mirtazepine

Question 37

antidepressant no weight gain less sexual side fx not good for anxiety unless smoker

Answer 37

busproprion

Question 38

Genetic polymorphism linked to Major Depressive Disorder

Answer 38

5HTTLPR

Question 39

Long + Long promoter on 5HTTLPR gene = ?

Answer 39

low depression

Question 40

1st line for MDD?

Answer 40

SSRIs

Question 41

Dopamine-norepinephrine reuptake inhibitor? What is it NOT used for?

Answer 41

Bupropion Anxiety (CONTRAindicated)

Question 42

Also blocks post synaptic serotonin receptor:

Answer 42

mirtazapine

Question 43

More effective than SSRIs/SNRIs but lethal in OD:

Answer 43

tricyclics

Question 44

monoamine oxidase inhibitor

Answer 44

phenelzine

Question 45

blocks NMDA receptors

Answer 45

ketamine