psychiatry

Question 1

SIGECAPS stands for?

Answer 1

Sleep disorder (increased or decreased)
Interest deficit (anhedonia)
Guilt (worthlessness, hopelessness, regret)
Energy deficit
Concentration deficit
Appetite disorder (increased or decreased) 
Psychomotor retardation or agitation 
Suicidality

Question 2

sigecaps is used to screen for

Answer 2

major depression and persistent depressive disorder

Question 3

Dysthymic disorder -how long is depression present for?

Answer 3

daily for 2 years

Question 4

When do symptoms of Adjustment disorder occur and resolve?

Answer 4

within 3 months of the stressor and lasts <6 months after the stressor disappears

Question 5

acute phase of suicide treatment last how many weeks

Answer 5

6-12 weeks

Question 6

full remission of suicide treatment is considered how long?

Answer 6

2 month period free of depression symptoms

Question 7

Serotonin syndrome symptoms

Answer 7

ABD pain, diarrhea, flushing, sweating, hyperthermia, lethargy, mental status change, tremor, rhabdomyolysis, renal failure, CV shock and potentially death

Question 8

sexual dysfunction usually occurs with which drug class?

Answer 8

SSRIS

Question 9

TCAS should be used cautiously in which type of patients?

Answer 9

heart problems

Question 10

Atypical Antipsychotics put people at risk for which problems?

Answer 10

diabetes, obesity, metabolic syndrome, hyperlipidemia and hypothyroidism

Question 11

Atypical Antipsychotics include?

Answer 11

quetiapine( Seroquel), aripiprazole(abilify) and combination of olanzapine (Zyprexa) in combo with prozac

Question 12

what med class can pregnant people take?

Answer 12

SSRIs

Question 13

what med class should you start an elderly patient on with severe depression?

Answer 13

TCA, nortriptyline

Question 14

drugs for postpartum depression

Answer 14

zoloft (SSRI), Paxil (SSRI), or nortriptyline (TCA)

Question 15

what screen should we use for pregnant patients?

Answer 15

Edinburgh Postnatal Depression Scale (EPDS)

Question 16

1st episode (major depression, single episode) treatment duration

Answer 16

Continue medication treatment for 4-9 months once remission is reached.
Total = approximately 6-12 months

Question 17

2nd episode (major depression, recurrent)
treatment duration

Answer 17

Continue medication treatment for 2-3 years once remission is reached. Withdraw gradually.

Question 18

if patient doesnt have a response to an antidepressant after 3 weeks what should you do

Answer 18

change to different med

Question 19

hallmark differences between Generalized anxiety disorder and Panic disorder?

Answer 19

GAD is excessive, out-of-control worry

PD is recurrent and unexpected panic attacks.

Question 20

Bipolar I (How many manic/hypomanic episodes and how long does it last)

Answer 20

manic episodes that last at least 7 days, or by manic symptoms that are so severe that the person needs immediate hospital care. Usually, depressive episodes occur as well, typically lasting at least 2 weeks.

Question 21

Bipolar II (How many manic/hypomanic episodes and how long does it last)

Answer 21

pattern of depressive episodes and hypomanic episodes, but not the full-blown manic episodes

Question 22

Cyclothymic Disorder (How many manic/hypomanic episodes and how long does it last)

Answer 22

numerous periods of hypomanic symptoms as well numerous periods of depressive symptoms lasting for at least 2 years

Question 23

examples of SSRIs

Answer 23

Celexa, Lexapro, Paxil, Prozac, Zoloft

Question 24

examples of SNRIs

Answer 24

Effexor, Cymbaltal, Pristiq

Question 25

Pristiq is good for which problem and what drug class is it?

Answer 25

bipolar, SNRI

Question 26

Bipolar mood stabiling meds

Answer 26

depakote, lamictal, lithiu, tegretol

Question 27

antipsychotics used for bipolar

Answer 27

abilify, latuda, zylprexa, seroquel, geodon

Question 28

aide effects of SSRI

Answer 28

headache, nervousness, insomnia, sexual dysfunction

Question 29

how long do anti-depressants take to work

Answer 29

3-4 weeks

Question 30

what meds do SSRIs interact with?

Answer 30

triptans

Question 31

risk factors for GAD and panic disorder

Answer 31

female, unmarried, poor physical health, low education level

Question 32

common age for GAD and panic disorder

Answer 32

30

Question 33

diagnostic criteria for GAD are associated with 3 or more of the 6 symptoms (but not more for the last 6 months

Answer 33

1.)restlessness or feeling up or on edge 2.) Being early fatigued 3,) Difficulty concentrating 4.) Irritability 5.) Muscle tension 6.) Sleep disturbances

Question 34

GAD-7 screening tool

Answer 34

21

Question 35

What is the PHQ-9 goal?

Answer 35

<5

Question 36

PHQ-9 is out of

Answer 36

27

Question 37

PHQ-2 is out of

Answer 37

6

Question 38

How often should Psychotherapy be preformed

Answer 38

weekly for at least 8 weeks

Question 39

what is psychotherapy used for

Answer 39

GAD and PD

Question 40

Do rebound symptoms occur less with psychotherapy than with use of meds?

Answer 40

yes

Question 41

What types of psychotherapy are beneficial for bipolar

Answer 41

cognitive behavior therapy, family focused therapy, interpersonal and social therapy, psychoeducation