Psychiatry 2

Question 1

MOA for Bupropion

Answer 1

norepinephrine and dopmaine reuptake inhibitor

Question 2

goal of CBT

Answer 2

• challenges maladaptive thoughts

- targets avoidance with behavioral techniques

Question 3

goal of interpersonal psychotherapy

Answer 3

links current relationship conflicts to depressive symptoms

Question 4

goal of supportive psychotherapy

Answer 4

reinforce coping skills

Question 5

goal of psychodynamic psychotherapy

Answer 5

• builds insight into how unconscious conflicts and past relationships cause symptoms
• uses transference

Question 6

goal of motivational interviewing

Answer 6

addresses ambivalence and enhances motivation

Question 7

goal of DBT ( dialectal behavioral therapy)

Answer 7

• improves emotion regulation, distress tolerance

- managaes self-harm

Question 8

goal of biofeedack

Answer 8

improves control over physiological reactions

Question 9

DBT (Dialectical behavioral therapy) was designed for what disorder

Answer 9

borderline personality disorder

Question 10

what is motivational interviewing used to treat

Answer 10

substance abuse

Question 11

History of cutting oneself and history of overdose. which one is a suicide attempt?

Answer 11

overdose

Question 12

First line treatment for narcolepsy

Answer 12

Modafinil

Question 13

Body dysmorphic disoder

Answer 13

excessive preoccupation with a slight or imagined bodily defect

Question 14

how do you treat a patient with suicidal ideation but no specific plan to intent?

Answer 14

intensive outpatient treatment

Question 15

If a bulimic patient tried Varenicline and failed for smoking cessation. which is better to give and why? Nicotine patch or Bupropion

Answer 15

nicotine patch

- Bupropion is contraindicated in bulimic patients

Question 16

What’s the difference between dementia and normal age-related changes?

Answer 16

dementia patient have functional impairments that necessitate assistance

Question 17

Preferred pharmacological treatment for social anxiety disorder

Answer 17

SSRI

Question 18

therapy used for social anxiety disorder

Answer 18

CBT

Question 19

is full criteria for major depressive episode met in adjustment disorder with depressed mood?

Answer 19

no

Question 20

what drugs are used to treat acute dystonia

Answer 20

• anticholinergic ( benztropine)

- antihistamines ( diphenhydramine)

Question 21

what are first line treatments for bipolar, which one do you use for renal failure

Answer 21

Lithium and valproate

- use valproate, lithium has renal toxicity

Question 22

what is used to treat neuroleptic malignant syndrome?

Answer 22

dopamine agonists and dantrolene

Question 23

MOA benztropine

Answer 23

anticholinergic

Question 24

MOA of Cyproheptadine

Answer 24

serotonin antagonists

Question 25

MOA of Succinylcholine

Answer 25

short acting depolarizing muscle relaxant, induce brief paralysis during anesthesia

Question 26

Kleptomania

Answer 26

- inability to resist the impulse to steal objects that are low value or not needed

Question 27

what should happen when you switch a patient on fluoxetine to MAO inhibitor

Answer 27

5-week washout period due to fluoxetine's long half-life to reduce the risk of serotonin syndrome

Question 28

what is used to treat acute dystonia

Answer 28

Benztropine and diphenhydramine

Question 29

What is used to treat akathesia

Answer 29

Propranolol

Question 30

Preferred treatment for specific phobia

Answer 30

Behavioral therapy

Question 31

Eye movement desensitization and reprocessing is used for what

Answer 31

PTSD

Question 32

Alprazolam is what type of Benzodiazepine

Answer 32

short-acting

Question 33

Characterize catatonia in psychiatric patient

Answer 33

Immobility, mutism and posturing.

Question 34

Treatment of choice for catatonia

Answer 34

Benzodeazepines and electroconvulsive

Question 35

MOA for cyproheptadine

Answer 35

serotonin antagonist

Question 36

define malingering

Answer 36

intentional production of symptoms is motivated by secondary gain or external gain

Question 37

define factitious disorder

Answer 37

false signs and symptoms for primary gain

Question 38

are conditions intentionally produced in conversion disorder

Answer 38

no

Question 39

what is conversion disorder

Answer 39

- motor or sensory neurologic symptoms or deficits that are incompatible with recognized neurological conditions and neurophysiology

Question 40

what is somatic disroder

Answer 40

patient is excessively anxious about unexplained symptoms

Question 41

What is used to treat acute bipolar depression

Answer 41

- second-generation antipyschotics: quetiapine and lurasidone - Lamotrigine

Question 42

How do you treat TCA overdose

Answer 42

sodium bicarbonate

Question 43

Ziprasidone side effect

Answer 43

QT prolongation

Question 44

folie a duex

Answer 44

delusional disorder in which the same delusions is present in individuals who share a close relationship

Question 45

When do sleep terrors occur

Answer 45

non-REM sleep

Question 46

When do nightmares occur

Answer 46

REM sleep

Question 47

what is the first line of treatment for major depression with psychotic features and appropriate for severely depressed geriatric patients who are not eating or drinking and require rapid intervention

Answer 47

Electroconvulsive therapy

Question 48

best treatment for hoarding disorder

Answer 48

CBT

Question 49

Dissociative amnesia

Answer 49

isolated impairment in autobiographical memory

Question 50

dissociative fugue is a subtype of what

Answer 50

dissociative amnesia

Question 51

Dissociative identity disorder

Answer 51

2 or more distinct identities