FOEM Psych & Behavioral

Question 1

Axis 1-5

Answer 1

a: psych disorders
2: personality disorders and intellectual disability
3: medical conditions (Alzheimers)
4: enviro and psychosocial
5: global

Question 2

addiction vs dependency

Answer 2

addiction: compulsion to use substances despite adverse consequences
dependency: difficulty functioning without substance

Question 3

frequent purging side effects

Answer 3

russell’s sign: lesions on knuckles
oral lacerations
mallory weiss tears
poor dentition

Question 4

electrolyte abnorms with eating disorders

Answer 4

starvation ketosis, metab alkalosis, decreased na/cl/mg/phos

Question 5

tx anorexia vs bulimia

Answer 5

anorexia: IVF, electrolytes; avoid tpn
bulimia: CBT + SSRI

Question 6

contraindicated in bulimia

Answer 6

buproprion
decreases seizure threshold

Question 7

Tx bipolar

Answer 7

lithium, valproic acid (mood stabilizers and antipsychotics

Question 8

mania vs hypomania

Answer 8

mania: at least 1 week
hypomania: 4 consecutive days

Question 9

depression criteria

Answer 9

2 weeks of 4 SAD CAGES

Question 10

risk factors for completed suicide

Answer 10

SAD PERSONS
sex: Male
age: <19 or >45
depression
previous attempt most concerning
excessive etoh and drugs
rational thinking loss
separated
organized attempt
no social support
stated future attempt

Question 11

protective factors for suicide

Answer 11

marriage and preggo

Question 12

GAD time criteria for dx

Answer 12

> 6 months

Question 13

PTSD time criteria for dx

Answer 13

> 1 month

Question 14

panic attack with hyperventilation labs

Answer 14

hypocarbia -> resp alkalosis -> cerebral vasoconstriction
alkalosis causes increased serum calcium binding -> decreased serum calcium -> tetany

Question 15

delirium tremens

Answer 15

ssx: severe etoh wihtdrawal, autonomic instability, hallucinations, sz; peaks 2-5 days
tx: benzos and phenobarbital

Question 16

clinical features of psychosis

Answer 16

1. delusions
2. disorganized thinking
3. hallucinations
4. neg sx
5. disorganized or abnormal motor behavior

Question 17

Cluster A

Answer 17

paranoid, schizoid, schizotypal

Question 18

paranoid

Answer 18

sus of others

Question 19

schizoid

Answer 19

social detachment with restricted emotions

Question 20

schizotypal

Answer 20

social detachment with magical thinking

Question 21

Cluster B

Answer 21

histrionic, narcissistic, borderline, antisocial

Question 22

borderline

Answer 22

splitting of personality

Question 23

antisocial

Answer 23

disregard for rights of others

Question 24

Cluster C

Answer 24

avoidant, dependent, ocd, passive

Question 25

avoidant

Answer 25

wants social interaction but is socially withdrawn

Question 26

MC personality disorder

Answer 26

borderline; cluster B

Question 27

what to avoid in PCP oversose

Answer 27

haldol

Question 28

what to monitor for with PCP

Answer 28

rhabdo and sz

Question 29

schizophrenia diagnosis

Answer 29

> 6 months and 2+ s/sx

Question 30

schizophreniform

Answer 30

s/sx for 1-6 months

Question 31

brief psychotic disorder

Answer 31

<1 month

Question 32

schizoaffective

Answer 32

psych features + mania or depression

Question 33

etoh withdrawal timeline

Answer 33

6-12h: tremors 12-48h: hallucinations & seizures >48h: delirium tremens

Question 34

pathological grief

Answer 34

>6 months + severe functional impairment

Question 35

stages of grieving

Answer 35

denial -> anger -> bargaining -> depression -> acceptance

Question 36

frontotemporal neurocognitive disorder

Answer 36

disruptive behavior changes: hyperorality, disinhibited rapid decline

Question 37

lewy body dementia

Answer 37

executive functions and attention affected visual hallucinations REM sleep disorders parkinsonian motor s/sx

Question 38

prion disease

Answer 38

neuro decline + motor dysfunction (ataxia, myoclonus, dystonia, chorea)