FA Psych

Question 1

Most common cause of inherited intellectual disability?

Answer 1

Fragile-X syndrome
X-linked dominant- hypermethylation of FMR1
Macro-orchidism, long face, prominent jaw and forehead, high arch palate, large ears, autism, mitral valve prolapse

Question 2

What is Rett syndrome?

Answer 2

X-linked disorder physical and psychomotor regression at 6 months of age
Females
Hang-wringing movements

Question 3

ODD vs conduct

Answer 3

ODD may progress to conduct
Conduct is persistent pattern of violating the basic rights of others or age-appropriate societal norms/rules

Question 4

Most common preventable cause of intellectual disability?

Answer 4

FAS

Question 5

Coprolalia

Answer 5

Repetition of obscene words

Question 6

Schizoaffective

Answer 6

Shiz+mood disorderS

Question 7

Schizotypal

Answer 7

Magical thinking

Question 8

Schizoid

Answer 8

Loner

Question 9

Delusion

Answer 9

Fixed false belief

Question 10

Hallucination

Answer 10

Perception without existing stimulus

Question 11

Illusion

Answer 11

Misperception of an actual external stimulus

Question 12

Haloperidol SE

Answer 12

Torsades de pointes and QT prolongation

Question 13

Clozapine main SE

Answer 13

Agranulocytosis - weekly CBC for first 6 months

Question 14

NMS treat

Answer 14

Dantrolene, bromocriptine

Question 15

SNRI side effect

Answer 15

Hypertension and stimulant effects

Question 16

Stopping BZD abruptly can result in

Answer 16

Seizures

Question 17

What can you NOT USE with MAOi

Answer 17

SSRIs
Buproprine

Question 18

Acute treatment of panic attack

Answer 18

BZD

Question 19

OCD vs OCPD main difference

Answer 19

OCD= ego dystonic (recognize them and want to get rid of them)
OCPD = ego syntonic (don’t think their behaviour is problematic)

Question 20

Best initial treatment of dementia

Answer 20

Cholinesterase inhibitors (donepezil, rivastigamine)

Question 21

Delirium in normal vs PD patient

Answer 21

IM haloperidol
Lorazepam, quetiapine

Question 22

TCA toxicity

Answer 22

Coma
Convulsions
Cardiotoxicity
Treat: sodium bicarb

Question 23

Adverse effects of ECT

Answer 23

Amnesia, postictal confusion, arrythmias, headache

Question 24

Adjustment disorder time frame

Answer 24

> 1month <6months

Question 25

Dysthymia

Answer 25

Mild-long lasting depression

Question 26

Therapeutic index Lithium

Answer 26

0.8-1.2

Question 27

Lithium toxicity presentation

Answer 27

Ataxia, dysarthria, delirium, renal failure

Question 28

Which drug causes Ebsteins in first semester

Answer 28

Lithium

Question 29

What causes congenital heart defects in first semester

Answer 29

SSRIs

Question 30

Sleep disorders must be going on for

Answer 30

3 months

Question 31

Hypnagogic hallucinations

Answer 31

As they are going to sleep

Question 32

Hypnopompic hallucinations

Answer 32

Waking up

Question 33

CSA is

Answer 33

Central sleep apnea, need BiPap and backup for severe cases, CSA is where resp effort is affected