Psych

Question 1

side effects of lithium?

Answer 1

CNS effects, thyroid changes, GI side effects, nephrogenic DI

Question 2

Which antipsych causes leukocytopenia?

Answer 2

clozapine

Question 3

PD of controlling, perfectionistic, orderly, stubborn, possible hoarding

Answer 3

OCPD

Question 4

PD of excessive need to be taken care of, submissive and clinging behavior, low self-confidence, fears of separation and losing support

Answer 4

dependent PD

Question 5

PD of criminality, unable to conform to social normas, disregard for other’s rights, reckless disregard for safety?

Answer 5

antisocial PD

Question 6

PD of grandiosity, sense of entitlement, lack of empathy

Answer 6

narcissistic PD

Question 7

PD of excessively dramatic, emotional, and extroverted, attention seeking, sexually provocative behavior, unable to maintain intimate relationships

Answer 7

histrionic PD

Question 8

First line tx for unipolar major depression

Answer 8

SSRI

Question 9

good choice for depressed patient with insomnia

Answer 9

trazodone, mirtazapine

Question 10

Good choice for patient who discontinued SSRI due to sexual dysfunction

Answer 10

buproprion

Question 11

Good choice for depressed patient with appetite suppression and weight loss

Answer 11

mirtazapine

Question 12

may help with smoking cessation

Answer 12

buproprion

Question 13

overdose caues sedation and life=threatening arrhythmias

Answer 13

TCAs

Question 14

27 year old man with history of schizo brought to ED with a severe neck spasm that forces heade to be maintained in unusual position. Tx?

Answer 14

benztropine, diphenhydramine

Question 15

Patient with normal anatomy convinced part of his/her anatomy is abnormal

Answer 15

body dysmorphic disorder

Question 16

unexplained loss of sensory of motor function without any basis in a medical or neuro condition

Answer 16

conversion disorder

Question 17

patient preoccupied with possibility of contracting serious illness and is constantly checking his/her body for signs of illness

Answer 17

illness anxiety disorder

Question 18

patient produces false signs/symptoms of illness to receive sympathy or medical attention

Answer 18

factitious disorder

Question 19

Medications for generalized anxiety disorder

Answer 19

SSRI, SNRI

TCA, benzo, buspirone

Question 20

MAOI use is limited by concerns for what major side effect?

Answer 20

HTN crisis from tyramine in foods

Question 21

tx of NMS?

Answer 21

supportive care, stop meds, dantrolene

Question 22

PD with lifelong voluntary social withdrawal, lacks close friends, limited emtion, indifferent to praise/criticism of others

Answer 22

schizoid PD

Question 23

PD with socially inhibited, shy feelings of inadequacy, hypersensitive to rejection or criticism

Answer 23

avoidant PD

Question 24

PD with social awkwardness and difficulty with personal relationships, plus eccentri appearance, behavior or thinking

Answer 24

schizotypal

Question 25

PD distrustful, suspicious, litigious

Answer 25

paranoid PD

Question 26

PD with unstable personal relationships, unstable mood and behavior, unstable self-image, impulsiveness, suicidal threats or gestures, sense of emptiness and loneliness

Answer 26

borderline PD