OSCE Study Book Questions Flashcards Preview

KZ Psych > OSCE Study Book Questions > Flashcards

Flashcards in OSCE Study Book Questions Deck (21):
1

Which of the following is a RF for rapid cycling mania?
1. Hyperthyroidism 2. Bipolar II Disorder 3. Male gender 4. Depressive episode at onset 5. Shorter duration of illness

Bipolar II Disorder. Rapid cycling is a specifier of the longitudinal course of bipolar I or II Disorders.

2

What is defined as 4 mood episodes within 12 months that meet the criteria for a manic, Hypomania, or major depressive episode. Episodes are demarcated by partial or full remission for at least 2 month or by a switch to an episode of opposite polarity. RF include; female gender, bipolar II subtype, longer duration of illness, family Hx of mood disorders, clinical or sub clinical hypothyroidism, poor response to lithium, use of antidepressants

Rapid cycling mania specifier

3

Which of the following statements is true about buspirone?
1. It is a partial 5HT antagonist 2. It brings with high affinity to benzodiazepine receptors 3. It has anticonvulsant properties 3. It does not cause sedation in the elderly

Does not cause sedation in the elderly.

4

Buspirone hydrochloride is an anxiolytics. What receptors does it act on and what receptor does it not bind to?

Binds to 5HT and does not bind to GABA.

5

What are the major SE of Buspirone?

HA, nausea, dizziness, and tension.

6

What are the rare SE of buspirone?

Tachycardia, palpitations, CP, drowsiness, confusion, and seizures

7

Which of the following is not associated with ECT?

1. Arrhythmia 2. BP changes 3. ECG changes 4. Permanent neuro deficits 5. Prolonged seizures

8

Which of the following is true about mono amine oxidase inhibitors (MAOIs)? 1. The antidepressant activity of MAOIs is directed toward mono amine oxidase B inhibition 2. Mono amine oxidase A specifically binds to serotonin

Mono amine oxidase A specifically binds to serotonin.
MAOIs differ from each other in enzyme activity. There are 2 subtypes of MAO enzymes; A and B. MAOa binds to 5HT/NE and MAOb binds to phenylethylamine.

9

Which of the following statements is true about GABA receptors? 1. They are predominant excitatory receptors in the CNS 2. GABAb receptors are G protein - coupled receptors.

GABAb receptors are G protein coupled receptors

10

GABA is the major ______ (inhibitory/excitatory) NT in the CNS

Inhibitory

11

BZDs exert their action by potentiating the activity of _______ receptors

GABAa

12

BZD binding increases the frequency of opening of the ______ ______ complexed with the _____ receptor.

Chloride Channel. GABAa.
BZD increases the frequency of opening of the chloride channel complexed with the GABAa receptor.

13

GABAb receptors increase ______ levels via G protein coupling

potassium

GABAb receptors increase potassium levels via G protein coupling

14

GABAc receptors are direct coupled receptors with ligand gated ______ ____ channels

Chloride ion

GABAc receptors are direct coupled receptors with ligand gated chloride ion channels.

15

Methadone is a ______ (full/partial) opiate agonist

FULL

Methadone is a full opiate agonist

16

Buprenorphine is a _______ (full/partial) opiate agonist

Partial

Buprenorphine is a partial opiate agonist.

17

Does naloxone or naltrexone have a longer duration of action?

Naltrexone

18

Which of the following is not a temperamental variable as define by Alexander Thomas? 1. Activity level 2. Distract ability 3. Low adaptability 4. Intensity of reaction 5. Regularity

Low adaptability is not a temperamental variable

19

What are the nine temperamental variables?

Activity level, persistence, distractibility, initial reaction, adaptability, mood, intensity of reaction, sensitivity or sensory threshold, regularity or rhythmicity

20

Is absent tendon reflexes a feature of normal sleep?

Yes

21

What are the features of normal sleep (6)

Absent tendon reflexes, increased BP, gastric motility, cerebral BF, irregular resp, penile erection