Other Helpful Information (not Case Files)

Question 1

Wilson’s is most classically associated with ___ in terms of mood symptoms

Answer 1

Wilson’s is most classically associated with mania or manic-depression in terms of mood symptoms

Question 2

Treating psychiatric symptoms due to another medical diagnosis

Answer 2

Addressing the medical diagnosis first is always the best option

However, in patients with recurrent, chronic, or untreatable primary medical conditions, treating the secondary psychiatric symptoms with the appropriate medications is safe and effective.

Typically we start thinking about treating after ~1 month of unresolved mood symptoms.

Question 3

What’s that substance?

Fatigue, increased appetite, vivid dreams

Answer 3

Cocaine intoxication

Question 4

What’s that substance?

Miosis, slurred speech, drowsiness

Answer 4

Opioids

Question 5

What’s that substance?

Nystagmus, hypertension, muscle rigidity

Answer 5

Phenylcyclidine (PCP)

Also often aggression!

Question 6

What’s that substance?

Conjunctival injection, increased appetite, dry mouth

Answer 6

Cannabinoids

Question 7

What’s that substance?

Miosis, gooseflesh/goosebumps, rhinorrhea, muscle aches

Answer 7

Opioid withdrawal

Question 8

Personality disorder clusters

Answer 8

Question 9

What is the functional definition of coma?

Answer 9

Decreased arousal with unresponsiveness to verbal stimulus

They may respond to sternal rub or other stimulus with movement or a groan.