Psychiatrics

Question 1

What are these abbreviations stand for?

MSE
ABS
MAP
Cl

Answer 1

• MSE: Mental Status
  Examination
• ABS: Appearance, Behavior, Speech
• MAP: Mood, Affect, Perception
• Cl: Cognition, Insight

Question 2

only … and … may have insight.

Answer 2

OCD

Avoidant personality disorders

Question 3

Insight means …..

Answer 3

to agree having problem

Question 4

What is functionality?

Answer 4

𝐈𝐧𝐭𝐚𝐜𝐭𝐧𝐞𝐬𝐬 𝐨𝐟 𝐚𝐧𝐲 𝐚𝐬𝐩𝐞𝐜𝐭 𝐢𝐧 𝐭𝐡𝐞 𝐬𝐨𝐜𝐢𝐚𝐥 𝐫𝐞𝐥𝐚𝐭𝐢𝐨𝐧𝐬𝐡𝐢𝐩 𝐥𝐢𝐤𝐞 𝐬𝐜𝐡𝐨𝐨𝐥, 𝐮𝐧𝐢𝐯𝐞𝐫𝐬𝐢𝐭𝐲 𝐨𝐫 𝐣𝐨𝐛.

Question 5

𝐖𝐡𝐚𝐭 𝐢𝐬 𝐬𝐜𝐡𝐢𝐳𝐨𝐚𝐟𝐟𝐞𝐜𝐭𝐢𝐯𝐞 𝐝𝐢𝐬𝐨𝐫𝐝𝐞𝐫?

Answer 5

𝐬𝐲𝐜𝐡𝐨𝐬𝐢𝐬+ 𝐬𝐚𝐝 𝐦𝐨𝐨𝐝

Question 6

𝐖𝐡𝐚𝐭 𝐢𝐬 𝐬𝐜𝐡𝐢𝐳𝐨𝐚𝐟𝐟𝐞𝐜𝐭𝐢𝐯𝐞 𝐝𝐢𝐬𝐨𝐫𝐝𝐞𝐫?

Answer 6

𝐬𝐲𝐜𝐡𝐨𝐬𝐢𝐬+ 𝐬𝐚𝐝 𝐦𝐨𝐨𝐝

Question 7

What is 𝐏𝐃𝐃?

Answer 7

𝑷𝒆𝒓𝒔𝒊𝒔𝒕𝒂𝒏𝒕 𝑫𝒆𝒑𝒓𝒆𝒔𝒔𝒊𝒗𝒆 𝑫𝒊𝒔𝒐𝒕𝒅𝒆𝒓

(𝒔𝒚𝒎𝒑𝒕𝒐𝒎𝒔 𝒇𝒐𝒓 > 2𝒚𝒓
vs 𝑴𝑫𝑫 >2𝒘)

Question 8

What is 𝐏𝐃𝐃?

Answer 8

𝑷𝒆𝒓𝒔𝒊𝒔𝒕𝒂𝒏𝒕 𝑫𝒆𝒑𝒓𝒆𝒔𝒔𝒊𝒗𝒆 𝑫𝒊𝒔𝒐𝒕𝒅𝒆𝒓

(𝒔𝒚𝒎𝒑𝒕𝒐𝒎𝒔 𝒇𝒐𝒓 > 2𝒚𝒓 𝒊𝒏 𝑴𝑫𝑫 >2𝒘)

Question 9

What are 𝐌𝐃𝐃 𝐤𝐞𝐲 𝐬𝐲𝐦𝐩𝐭𝐨𝐦𝐬?

Answer 9

1- 𝒍𝒐𝒘 𝒎𝒐𝒐𝒅

2- 𝒍𝒐𝒔𝒔 𝒐𝒇 𝒊𝒏𝒕𝒆𝒓𝒆𝒔𝒕

3- 𝒂𝒑𝒑𝒆𝒕𝒊𝒕𝒆 𝒄𝒉𝒂𝒏𝒈𝒆𝒔

4- 𝒔𝒍𝒆𝒆𝒑 𝒅𝒊𝒔𝒕𝒖𝒓𝒃𝒂𝒏𝒄𝒆𝒔

5- 𝒔𝒖𝒊𝒄𝒊𝒅𝒂𝒍 𝒕𝒉𝒐𝒖𝒈𝒉𝒕𝒔

6- 𝒆𝒏𝒆𝒓𝒈𝒚 𝒄𝒉𝒂𝒏𝒈𝒆𝒔

Question 10

In 𝑴𝑫𝑫 & 𝑷𝑫𝑫 treatment typically starts with … for … weeks, with potential … or… if insufficient,

Answer 10

𝑺𝑺𝑹𝑰𝒔

8

augmentation- switching

Question 11

Risk factors for 𝑴𝑫𝑫 include … , …. and ….

Answer 11

female sex

family history

recent stressors

Question 12

𝐖𝐡𝐞𝐧 𝐝𝐨 𝐲𝐨𝐮 𝐫𝐞𝐟𝐞𝐫 𝐚 𝐌𝐃𝐃 𝐩𝐚𝐭𝐢𝐞𝐧𝐭 𝐭𝐨 𝐩𝐬𝐲𝐜𝐡𝐢𝐚𝐭𝐫𝐢𝐬𝐭?

Answer 12

If no improvement after two medication trials of 8
weeks each.

Question 13

The diagnosis of major depressive disorder (MDD)
requires at least … major depressive episode (MDE)
lasting … weeks.

Answer 13

𝒐𝒏𝒆

𝒕𝒘𝒐

Question 14

The diagnosis of MDD requires a minimum of … symptoms out of six key symptoms including …, …., …, …., …, …..

Answer 14

5

low mood, loss of interest, appetite changes, sleep disturbances, suicidal thoughts, and energy changes.

Question 15

Atypical depression is characterized by … and symptoms like …, … and ….

Answer 15

social detachment

increased appetite
weight gain
excessive sleep

Question 16

Atypical depression is more common in … who are… and .. more.

Answer 16

𝒕𝒆𝒆𝒏𝒂𝒈𝒆𝒓𝒔

𝒊𝒓𝒓𝒊𝒕𝒂𝒃𝒍𝒆
𝒔𝒍𝒆𝒆𝒑

Question 17

Treatment for atypical depression often involves a combination of symptoms, including ….

Answer 17

𝒂𝒏𝒙𝒊𝒆𝒕𝒚

Question 18

What is recurrent MDD?

Answer 18

Recurrent MDD is defined by 𝑻𝑾𝑶 or more MDEs with a gap of more than 𝑻𝑾𝑶 months between them.

Question 19

Secondary causes of mood disorders include …, …, …., and …

Answer 19

heart conditions

endocrine disorders

infections

cancers

Question 20

…. is typically the first choice for treatment of MDD but … may be used if other symptoms are more pronounced.

Answer 20

Fluoxetine

monoamine oxidase inhibitors

Question 21

…. is typically the first choice for treatment of MDD but … may be used if other symptoms are more pronounced.

Answer 21

Fluoxetine

monoamine oxidase inhibitors

Question 22

… are described as seeing or hearing things that others do not, while … involve false beliefs about others’ intentions.

Answer 22

𝒉𝒂𝒍𝒍𝒖𝒄𝒊𝒏𝒂𝒕𝒊𝒐𝒔

𝒅𝒆𝒍𝒖𝒔𝒊𝒐𝒏𝒔

Question 23

𝐓𝐡𝐞 𝐟𝐢𝐫𝐬𝐭 𝐝𝐢𝐟𝐟𝐞𝐫𝐞𝐧𝐭𝐢𝐚𝐥 𝐝𝐢𝐚𝐠𝐧𝐨𝐬𝐢𝐬 𝐨𝐟 𝐯𝐢𝐬𝐮𝐚𝐥 𝐡𝐚𝐥𝐥𝐮𝐜𝐢𝐧𝐚𝐭𝐢𝐨𝐧 𝐢𝐬 … 𝐚𝐧𝐝 𝐭𝐡𝐞 𝐬𝐞𝐜𝐨𝐧𝐝 𝐢𝐬 …

Answer 23

𝒃𝒓𝒂𝒊𝒏 𝒕𝒖𝒎𝒐𝒓

𝒔𝒖𝒃𝒔𝒕𝒂𝒏𝒄𝒆 𝒂𝒃𝒖𝒔𝒆

Question 24

𝐖𝐡𝐚𝐭 𝐢𝐬 𝐭𝐡𝐞 𝐟𝐢𝐫𝐬𝐭 𝐝𝐢𝐟𝐟𝐞𝐫𝐞𝐧𝐭𝐢𝐚𝐥 𝐝𝐢𝐚𝐠𝐧𝐨𝐬𝐢𝐬 𝐨𝐟 𝐚𝐮𝐝𝐢𝐭𝐨𝐫𝐲 𝐡𝐚𝐥𝐥𝐮𝐜𝐢𝐧𝐚𝐭𝐢𝐨𝐧𝐬?

Answer 24

𝒔𝒄𝒉𝒊𝒛𝒐𝒑𝒉𝒓𝒆𝒏𝒊𝒂

Question 25

In tactile hallucinations (توهمات لمسی), the first differential diagnosis is …

Answer 25

substance use

Question 26

In tactile hallucinations (توهمات لمسی), the first differential diagnosis is …

Answer 26

substance use

Question 27

𝐓𝐡𝐞 𝐟𝐢𝐫𝐬𝐭 𝐝𝐢𝐟𝐟𝐞𝐫𝐞𝐧𝐭𝐢𝐚𝐥 𝐝𝐢𝐚𝐠𝐧𝐨𝐬𝐢𝐬 𝐢𝐧 𝐬𝐦𝐞𝐥𝐥 𝐡𝐚𝐥𝐥𝐮𝐜𝐢𝐧𝐚𝐭𝐢𝐨𝐧𝐬 𝐢𝐬 ...

Answer 27

𝒆𝒑𝒊𝒍𝒆𝒑𝒔𝒚

Question 28

After ... days, no one will have withdrawal symptoms.

Answer 28

30

Question 29

𝐈𝐟 𝐡𝐚𝐥𝐥𝐮𝐜𝐢𝐧𝐚𝐭𝐢𝐨𝐧𝐬 𝐥𝐚𝐬𝐭 𝐦𝐨𝐫𝐞 𝐭𝐡𝐚𝐧 𝟔 𝐦𝐨𝐧𝐭𝐡 𝐭𝐡𝐞 𝐝𝐢𝐚𝐠𝐧𝐨𝐬𝐢𝐬 𝐢𝐬 ... 𝐚𝐧𝐝 𝐢𝐟 𝐥𝐞𝐬𝐬 𝐭𝐡𝐚𝐧 𝟔 𝐦𝐨𝐧𝐭𝐡, 𝐢𝐭 𝐰𝐢𝐥𝐥 𝐛𝐞 ....

Answer 29

𝐬𝐜𝐡𝐢𝐳𝐨𝐩𝐡𝐫𝐞𝐧𝐢𝐚 𝐬𝐜𝐡𝐢𝐳𝐨𝐩𝐡𝐫𝐞𝐧𝐢𝐚𝐥 𝐝𝐢𝐬𝐨𝐫𝐝𝐞𝐫

Question 30

If behavior and mood match, it is called ... and if not it is called... which happens in schizophrenia

Answer 30

𝒄𝒐𝒏𝒈𝒓𝒖𝒆𝒏𝒕 𝒊𝒏𝒄𝒐𝒏𝒈𝒓𝒖𝒆𝒏𝒕

Question 31

𝐖𝐡𝐚𝐭 𝐚𝐫𝐞 𝟓 𝐚𝐱𝐢𝐬𝐞𝐬 𝐨𝐟 𝐃𝐒𝐌-𝐈𝐕?

Answer 31

Axis I: Mental health and substance use disorders Axis II: Personality disorders and mental retardation Axis III: General medical conditions Axis IV: Psychosocial and environmental problems (stress) Axis V: Assessment of overall functioning

Question 32

... represent a combination of symptoms composing predominant mood state that is abnormal in ... and ...

Answer 32

Mood episodes quality duration

Question 33

What are types of mood episodes?

Answer 33

- depressive - major depressive - manic - mixed - hypomanic

Question 34

The most important drug grouop that cause deprebssion is ...

Answer 34

beta blockers

Question 35

In MDD, the only disease that should be excluded by test is …

Answer 35

𝒉𝒚𝒑𝒐 𝒕𝒉𝒚𝒓𝒐𝒊𝒅𝒊𝒔𝒎

Question 36

Medical workup for mood disorder, include ..., ..., ..., ..., and ...

Answer 36

CBC urine analysis electrolytes thyroid function tests drug screening

Question 37

بیماران هایپوتیروئیدیِ افسرده، برخلاف سایر این‌ دسته از بیماران، … هستند که علت آن بی‌اشتهایی است.

Answer 37

لاغر

Question 38

چند دسته دارو نام ببرید که سبب افسردگی می‌شوند.

Answer 38

- بتابلوکرها - کورتیکواستروئیدها - آنتی سایکوتیک‌ها - آمفتامین - الکل

Question 39

In which condition the patient need to be admitted without their consent?

Answer 39

Suicidal plan

Question 40

Personality disorders like …, …, … and … may develop MDD

Answer 40

insecure dependent obsessional borderline

Question 41

Borderline can develop any time … disorder or …

Answer 41

major depressive bipolar

Question 42

Which images we may ask for a depressive patient to exclude medical conditions?

Answer 42

X-ray CT MRI

Question 43

All depressive patients should be started on…., except contraindication.

Answer 43

SSRIs

Question 44

If a SSRI does not work we should switch to …

Answer 44

another SSRI

Question 45

What are depression risk factors?

Answer 45

1- female 2- age : 25 to 50 years 3- family history of depression 4- alcohol abuse 5- sociopathy (problems with the social relationship) 6- living in crime area 7-childhood experiences: loss of parent before age 11-. 8- personality: insecure, dependent, obsessional 9-recent stressors 10- illness 11- financial, legal issues 12-postpartum: less than six months, and usually develop within four weeks of delivery 13- lack of intimate confiding, social isolation.