psych final

Question 1

who can get conduct disorder

Answer 1

kids under 18 who show personality disorder sxs

Question 2

very introverted voluntary withdrawal from social interactions, little pleasure in activity

Answer 2

schizoid

Question 3

schizoid sxs (withdrawal) plus magical thinking and odd behavior, ideas of reference

Answer 3

schizotypal (willy wonka)

Question 4

begins as withdrawal from close friends and social activities, then delusions, catatonia, flat or inappropriate affect, apathy, anhedonia (marijuana increases your risk of this disease 6x)

Answer 4

schizophrenia

Question 5

schizo criteria are met for at least 2 wks plus either depressive or manic episode

Answer 5

schizoaffective disorder

Question 6

what is the difference between OCD and OCPD

Answer 6

OCD knows they have a problem

Question 7

what is best treatment for bulimia nervosa

Answer 7

CBT, fluoxetine (and maybe naltrexone which decreases endorphins with purging)

Question 8

medical conditions that can present as psych sxs

Answer 8

lupus, DM, hyponatremia, thyroid dysfunction, IBD, MS, asthma, COPD, pheochromocytoma, B12 deficiency

Question 9

medications for dementia

Answer 9

donepezil (AChE inh), memantine(NMDA inh)

Question 10

timeframe for diagnosing schizophrenia

Answer 10

6 mo

Question 11

fast speech and lots of jumping topic to topic

Answer 11

flight of ideas

Question 12

which mental illnesses have high rates of suicide

Answer 12

schizophrenia!, bulemia, anorexia, borderline, depression in rural elderly white males

Question 13

how can you tell the difference in geriatrics: demetia versus depression

Answer 13

depressed people have insight, dementia people don’t know that anything is wrong

Question 14

off label use for this med which is indicated for depression in elderly: mirtazepine

Answer 14

increase apetite

Question 15

off label use for this med which is indicated for depression in elderly: SNRI’s

Answer 15

pain

Question 16

off label use for this med which is indicated for depression in elderly: trazodone

Answer 16

promotes sleep

Question 17

this is a feature of schizophrenia where pt is talking and suddenly doc can’t follow patients train of thought

Answer 17

loose associations

Question 18

this is a feature of schizophrenia where pt is talking and suddenly stops because they can’t talk as fast as they think

Answer 18

poverty of speech

Question 19

schizophrenic sxs must be present for how long before dx

Answer 19

6 mo

Question 20

sxs that meet schizophrenia criteria that last from 1-6 mos

Answer 20

schizophreniform

Question 21

nonbizzare ideas that a person fixates on (like being followed poisoned infected)

Answer 21

delusional disorder

Question 22

how long do you need nonbizzare sxs to dx delusional disorder

Answer 22

1 mo

Question 23

how long do you need nonbizzare sxs to dx delusional disorder

Answer 23

1 mo

Question 24

sympathetics fire in response to stressful stimuli and what is released

Answer 24

catecholamines, serotonin, glucocorticoids, dopamine, immune system is inhibited

Question 25

how is CAD related to psychiatric illness

Answer 25

depression is a risk factors for CAD and MI

Question 26

pt presents with acute abdominal pain and psychosis

Answer 26

acute intermittent porphyria

Question 27

cluster b disorder with no regard for law or rights of others

Answer 27

antisocial

Question 28

cluster b disorder with black and white thinking

Answer 28

borderline

Question 29

cluster b disorder with attention seeking behavior

Answer 29

histrionic

Question 30

cluster b disorder with grandiosity and need for admiration

Answer 30

narcisitic

Question 31

cluster b disorder with no regard for law or rights of others, lack remorse

Answer 31

antisocial (men, the joker from dark night)

Question 32

cluster b disorder with black and white thinking, fear abandonment

Answer 32

borderline (tweety bird shirt sign)

Question 33

cluster b disorder with attention seeking behavior

Answer 33

histrionic (lady gaga)

Question 34

cluster b disorder with grandiosity and need for admiration

Answer 34

narcisitic (trump)

Question 35

cluster c disorder with sensitivity to negative evaluation, still desire relationships

Answer 35

avoidant (michael jackson)

Question 36

cluster c disorder where pt doesn't want to make decisions on their own, lack confidence

Answer 36

dependent

Question 37

cluster c disorder with rigid rule conformity, orderliness

Answer 37

obsesive compulsive

Question 38

cluster b disorders are especially scary because they increase risk of what

Answer 38

suicide, substance abuse, impulsivity

Question 39

what separates the timeline of cluster c from a and b

Answer 39

c tends to get worse later in life

Question 40

what separates the timeline of cluster c from a and b

Answer 40

c tends to get worse later in life

Question 41

criteria for major depressive episode

Answer 41

5 criteria for 2 wk

Question 42

timeline to call it a manic episode

Answer 42

1 wk

Question 43

timeline to call it a hypomanic episode

Answer 43

4 days

Question 44

timeline to call it a dysthymia/persistent depressive disorder

Answer 44

1 year kids, 2 yr adult (no gaps that last 2 mo)

Question 45

bipolar I versus II

Answer 45

I- at least one manic episode | II- one major depressive episode and one hypomanic

Question 46

timeline to call it generalized anxiety disorder

Answer 46

majority of days for 6 months