PSYCH

Question 1

catatonia management

Answer 1

• benzo (lorazepam)
• electroconvulsive therapy

Question 2

naltrexone is good for pts w/ alcohol use disorder and :

Answer 2

• no history of liver disease
• no history of opioid use disorder

otherwise : acamprosate

Question 3

bipolar : acute manic episode
not responding to lithium (or valpro)

Answer 3

• lithium + antipsychotic
  OR
• valproate + antipsychotic

Question 4

major dep disorder:
* pt on sertraline w/ 50% improvement of sympt

what to add ?

Answer 4

partial improvement :
* add 2nd gen antipsychotic ( ie aripiprazole)
* add diff mech anti-dep ( ie. bupropione)

Question 5

antidepressants: duration of treatment

Answer 5

• 6 months ( if mild)
• 1- 3 years ( moderate)
• lifetime (severe)

Question 6

delirium management

Answer 6

haloperidol low dose