psych uworld

Question 1

benztropine

Answer 1

anticholinergic used to treat EPS

Question 2

dantrolene

Answer 2

muscle relaant used in neuroleptic malignant syndrome

Question 3

propranolol

Answer 3

can be used to treat akithesia seen in patients who are on anti-psychotics; it is not used to treat EPS

Question 4

repression vs suppression

Answer 4

repression is immature response (blocking feelings from entering consciousness); suppression is mature (choosing to not think about the bad things)

Question 5

LSD

Answer 5

affects the seratonin system in the brain

Question 6

PCP

Answer 6

NMDA antagonist; sx like LSD but also has sx of agitation, confusion, and aggressive behavior

Question 7

brief psychotic disorder

Answer 7

sx present at least one dya but less than 1 mo

Question 8

lamotrigine

Answer 8

for maintenance treatment of depression in patients with bipolar disorder; not used for acute mania

Question 9

for patient with acute manic episode that is on lithium

Answer 9

hospitalize and treat with anti-psychotic

Question 10

which antipsychotic is least likely to caues EPS

Answer 10

clozapine

Question 11

antipsychotic assoc with jaundice

Answer 11

chlorpromazine

Question 12

pigmentary retinopathy assoc with what antipsychotic

Answer 12

thioridazine; thEYEoRIDazine

Question 13

cataracts assoc with which antipsychotic

Answer 13

quetiapine

Question 14

adjustment disorder

Answer 14

develops within 3 mos of the stressor and rarely lasts more than 6 mos after the stressor ends

Question 15

treatment for adjustmen disorder

Answer 15

psychotherapy, but an ssri or anxiolytic can be added

Question 16

maintenance in bipolar disorder

Answer 16

if the patient has had one manic episode, lithium for a year; two episodes, lithium for years if not lifetime; three episodes, lithium lifetime

Question 17

Acute stress disorder

Answer 17

like PTSD but less than 1 mo

Question 18

persistent complex bereavement disorder

Answer 18

sx for at least 12 mos after death of loved one;

Question 19

antisocial personality disorder age

Answer 19

must be greater than 18 yo, but have had conduct disorder when less than 15

Question 20

neuroimaging finding in autism

Answer 20

increased brain volume

Question 21

neuroimaging finding in OCD

Answer 21

abnormalities in orbitofrontal cortex and striatum

Question 22

neuroimaging in panic disorder

Answer 22

decreased amygdala size

Question 23

neuroimaging in PTSD

Answer 23

decreased hippocampal size

Question 24

first line treatment for specific phobia

Answer 24

behavioral therapy

Question 25

criteria for specific phobia

Answer 25

at least 6 mos; examples are flying, heights, animals, blood

Question 26

eye sensitization and reprocessing therapy

Answer 26

PTSD

Question 27

dantrolene

Answer 27

skeletal muscle relaxant that may be used to relieve sx in NMS

Question 28

derpersonalization disorder

Answer 28

sense that you are observing your body from afar; but otherwise in touch with reality

Question 29

derealization disorder

Answer 29

sense of experiencing familiar people and places as if they were strange or unreal

Question 30

first line- then second and third for mild to moderate bipolar disorder

Answer 30

first is atypical antipsychotics, then lithium, then valproic acid; for very severe bipolar, can do lithium or valproic PLUS antipsychotic

Question 31

lithium contraindicated in what patients?

Answer 31

those with kidney disfunction (elevated creatinine would be a measure of this)

Question 32

pramipexol

Answer 32

dopamine agonist used to treat Parkinsons and restless leg syndrome

Question 33

erythemia of turbinates and nasal septum

Answer 33

cocaine abuse

Question 34

horizontal or vertical nystagmus is characteristic of what drug?

Answer 34

PCP

Question 35

cocaine complications

Answer 35

chest pain or seizures