Psychiatric

Question 1

General management of abuse

Answer 1

Get patient to a safe environment

Question 2

Panic attack

Answer 2

Not a diagnosis - think panic disorder
Brief episode with diaphoresis, etc.

Question 3

Separation anxiety disorder length

Answer 3

4 weeks for kids
6 months for adults

Question 4

Management for phobias

Answer 4

Exposure therapy

Question 5

Bipolar I

Answer 5

Presence of manic episode with delusions - psychosis means it is BP I

Question 6

Bipolar II

Answer 6

Depression with hypomanic episode - no psychosis - 4 days

Question 7

Time period for depression

Answer 7

2 weeks of symptoms

Question 8

Time period of dysthimia

Answer 8

2 years with mild chronic symptoms of depression

Question 9

Length of prolonged grief disorder

Answer 9

6 months in kids
1 year in adults

Question 10

Management of DMDD

Answer 10

Psychotherapy
Can’t exist with ODD

Question 11

Time period of ODD

Answer 11

At least 6 months

Question 12

Meds for bulimia

Answer 12

SSRI - Fluoxetine
No effect for anorexia

Question 13

Management of OCD

Answer 13

SSRI - higher doses can also use TCAs

Question 14

Management of trichotillomania

Answer 14

CBT
SSRI
Atypical Antipsychotic

Question 15

Paranoid personality disorder

Answer 15

Cold, distant and untrusting

Question 16

Schizoid personality disorder

Answer 16

Loner, aloof, social drifters

Question 17

Schizotypal personality disorder

Answer 17

Magical thinking
May progress to schizophrenia

Question 18

Antisocial personality disorder

Answer 18

Abuse and law breakers
Charming and engaging
18+

Question 19

Borderline personality disorder

Answer 19

Unstable relationships with black and white thinking
Self harm

Question 20

Histrionic personality disorder

Answer 20

Vain, Provocative, Center of attention

Question 21

Narcicisstic personality disorder

Answer 21

Self obsessed, Politicians

Question 22

Dependant personality disorder

Answer 22

Want to be wanted, volunteer for unpleasant tasks

Question 23

Avoidant PD

Answer 23

“Nobody wants to be with me”

Question 24

Psychodynamic therapy

Answer 24

Helps patients realize that they are responsible for the turmoil in their lives

Question 25

CBT

Answer 25

Retrains the patient in the way they think about their problems

Question 26

DBT

Answer 26

Focus on coping skills Helps with borderline PD

Question 27

Medication for impulsivity

Answer 27

Antipsychotics are an option

Question 28

Length of delusional disorder and diagnostic requirement

Answer 28

1+ months Have to affect functioning

Question 29

4 positive schizophreinia symptoms

Answer 29

Delusions Hallucinations Disorganized Speech Disorganization/Catatonia

Question 30

2 1st gen antipsychotics

Answer 30

Chlorpromazine Haldol

Question 31

5 2nd generation antipsychotics with side effects

Answer 31

Clozapine - agranulocytosis Risperidone - Increased PRL levels Olanzapine - Marked weight gain Aripiprazole Quetiapine

Question 32

Neuroleptic malignant syndrome

Answer 32

Rare dangerous condition due to 1st gen antipsychotic Hyperthermia, Rigidity, Confusion Looks like sepsis

Question 33

Pain disorder

Answer 33

"If you could just control the pain, all my problems would be solved" Can use an SSRI - no pain meds

Question 34

Substance abuse

Answer 34

Substance use leading to impairment

Question 35

Substance dependancy

Answer 35

Have to take more and more of it

Question 36

Management of PTSD

Answer 36

Must be over 1 month SSRI, TCA, CBT

Question 37

Management of acute stress disorder

Answer 37

Counseling only - not enough time for SSRIs to work