MTB Notes

Question 1

Brain findings in OCD pts?

Answer 1

Increased frontal lobe metabolism

Increased size of caudate

Question 2

What med to treat binge eating disorder?

Answer 2

Topiramate

Question 3

Ziprasidone major SE?

Answer 3

Prolongation of QTc

Question 4

SEs of buspirone?

Answer 4

HA, N, dizziness

Question 5

What meds to use in bipolar patient that has acute mania with SEVERE symptoms?

Why?

Answer 5

Atypical antipsychotics - olanzapine

Shorter onset of action

Question 7

What CT findings in schizophrenia?

Answer 7

Lateral and 3rd ventricle enlargement

Decreased cortical volume

Question 8

Best TCA to treat OCD if no SSRI listed?

Answer 8

Clomipramine

Question 9

Adjustment disorder symptoms must occur in what timeline?

Must remit when?

Answer 9

Within 3 months

Within 6 months of removal of the stressor

Question 10

What describes chronic, severe, persistent irritability w/temper outbursts and angry, irritable or sad moods between the outbursts, occur almost every day, MC in boys 6-10?

Answer 10

Disruptive mood dysregulation disorder

Question 11

What 3 drugs used to treat alcohol use disorder?

Answer 11

Disulfiram
Naltrexone
Acamprosate

Question 12

What is rubbing oneself against a non consensual person for sexual gratification called?

Answer 12

Frotteurism

Question 13

ADHD is associated with what neurotransmitter?

What is chosen as the preferred treatment?

What symptom goes away 1st?

Answer 13

Low levels of dopamine

Atomoxetine

Hyperactivity

Question 13

What med is used to reverse serotonin syndrome?

Answer 13

Cyproheptadine

Question 14

What med is used to maintain alertness in narcolepsy?

Answer 14

Modafinil

Question 16

What meds can be used to treat aggressive ASD kids?

Answer 16

Risperidone or Aripiprzole

Only ones FDA approved

Question 16

What is the MC test used by PCPs to screen for personality disorders?

Answer 16

Minnesota multiphase personality inventory

Question 16

Key features of schizotypal peeps?

Answer 16

Magical thinking, brief psychotic episodes

Question 18

What PET scan finings in schizophrenia?

Answer 18

Hypo Active frontal lobes, hyperactivity in basal ganglion

Question 19

SE of Risperidone?

Answer 19

High incidence of EPS - movement disorders

Question 21

How do you treat MDD w/atypical features?

Answer 21

MAOIs —> MC for this type of disorder

Or

SSRI

Question 22

What is involuntary constriction of the outer third of the vagina preventing penile insertion called?

Treatment?

Answer 22

Penetration disorder (vaginismus)

Psychotherapy, dilator

Question 23

What is the key feature of Binge Eating Disorder?

Answer 23

Recurrent episodes of binge eating that occur at least 3 times/wk for more than 3 months

Question 24

What neurotransmitter is messed up in insomnia?

Answer 24

30% decrease in GABA

Question 25

What is cyclothymic disorder?

Treat how?

Answer 25

Hypomanic episodes and mild depression for more than 2 years

Li, Valproic acid, antipsychotic

Question 26

Suicide is associated with what neurotransmitter? What ethnic group at highest risk?

Answer 26

Decreases levels of serotonin Native Americans

Question 27

MC cause of intellectual disability? MC genetic cause?

Answer 27

Fetal alcohol syndrome Down, Fragile X

Question 32

Key features of schizoid people?

Answer 32

CHOOSE solitary activities, emotional coldness