Psychiatry VIII

Question 1

What neurotransmitter is increased in anxiety?

Answer 1

norepinephrine

Question 2

What neurotransmitter is increased in Huntington disease?

Answer 2

dopamine

Question 3

What neurotransmitter is increased in Parkinson disease?

Answer 3

acetylcholine

Question 4

What neurotransmitter is increased in schizophrenia?

Answer 4

dopamine

Question 5

What neurotransmitters are decreased in anxiety?

[…] and GABA

Answer 5

serotonin and GABA

Question 6

What neurotransmitters are decreased in anxiety?

serotonin and […]

Answer 6

serotonin and GABA

Question 7

What neurotransmitters are decreased in depression?

[…], norepinephrine, and dopamine

Answer 7

serotonin, norepinephrine, and dopamine

Question 8

What neurotransmitters are decreased in depression?

serotonin, […], and dopamine

Answer 8

serotonin, norepinephrine, and dopamine

Question 9

What neurotransmitters are decreased in depression?

serotonin, norepinephrine, and […]

Answer 9

serotonin, norepinephrine, and dopamine

Question 10

What neurotransmitters are decreased in Huntington disease?

[…] and GABA

Answer 10

acetylcholine and GABA

Question 11

What neurotransmitters are decreased in Huntington disease?

acetylcholine and […]

Answer 11

acetylcholine and GABA

Question 12

What neurotransmitters are decreased in Parkinson disease?

[…] and serotonin

Answer 12

dopamine and serotonin

Question 13

What neurotransmitters are decreased in Parkinson disease?

dopamine and […]

Answer 13

dopamine and serotonin

Question 14

What other psychiatric disorders (2) are associated with Tourette syndrome?

Answer 14

OCD and ADHD

Question 15

What pharmacologic treatments (2) may be used to treat patients with suicidal intentions/ideations?

Answer 15

clozapine or lithium

Question 16

What pharmacotherapeutic medications may be used to treat neuroleptic malignant syndrome?

Answer 16

dantrolene or dopamine agonists (e.g. bromocriptine)

however, discontinuation of the causative agent is the most critical intervention, as well as intensive supportive care

Question 17

What psychiatric disorder is characterized by a preoccupation with a minor or imagined defect in appearance, causing significant emotional distress or impaired functioning?

Answer 17

Body dysmorphic disorder

Question 18

What psychiatric disorder is characterized by an inability to resist the impulse to steal objects, often of low monetary value or not needed for personal use?

Answer 18

Kleptomania

Question 19

What psychiatric disorder is characterized by the persistent and intense desire to be the opposite sex, which causes significant distress?

Answer 19

Gender dysphoria

Question 20

What psychiatric disorder is more common in patients with oppositional defiant disorder?

Answer 20

ADHD

thus all patients with ODD should be assessed for comorbid ADHD and treated if present

Question 21

What symptoms of alcohol withdrawal may occur during the 48 - 96 hour time period?

Answer 21

Delirium tremens (5% of cases)

Question 22

What type of cognitive-behavioral therapy is best for treatment of obsessive-compulsive disorder (OCD)?

Answer 22

Exposure with response prevention

involves repeated exposure to thoughts, images, and situations that provoke obsessional fears followed by prevention of the accompanying compulsion

Question 23

What type of therapy is most useful for a patient that presents with borderline personality disorder?

Answer 23

Dialectical behavioral therapy

Question 24

What type of therapy is most useful for a patient that presents with maladaptive thought patterns and behaviors (e.g. negatively interpreting events)?

Answer 24

Cognitive behavioral therapy

Question 25

Which "SAD PERSONS" risk factor carries the highest risk for suicide?

Answer 25

Previous attempt

Question 26

Which antidepressant is likely to be useful for patients with primary complaints of low energy, impaired concentration, hypersomnia, and weight gain?

Answer 26

Buproprion helpful due to its mild stimulant effects (increased energy/concentration, may aid weight loss)

Question 27

Which classes of antihypertensive medication increase risk for lithium toxicity?

Answer 27

thiazide diuretics and ACE inhibitors other drugs that increase risk include NSAIDs, tetracyclines, and metronidazole

Question 28

Which cluster B personality disorder has a high rate of self-mutilation and suicide?

Answer 28

Borderline

Question 29

Which cluster of personality disorders is characterized by an inability to develop meaningful relationships?

Answer 29

Cluster A

Question 30

Which drug withdrawal is associated with piloerection ("cold turkey")?

Answer 30

Opioid withdrawal

Question 31

Which drug withdrawal is associated with yawning?

Answer 31

Opioid withdrawal

Question 32

Which eating disorder, bulimia or anorexia nervosa, may be effectively treated with fluoxetine?

Answer 32

Bulimia nervosa however, CBT remains the first-line treatment for both eating disorders

Question 33

Which ego defense is defined as alleviating negative feelings via unsolicited generosity?

Answer 33

Altruism (mature defense) e.g. mafia boss makes large donation to charity

Question 34

Which ego defense is defined as appreciating the amusing nature of an anxiety-provoking or adverse situation?

Answer 34

Humor (mature defense) e.g. nervous medical student jokes about the boards

Question 35

Which ego defense is defined as attributing an unacceptable internal impulse to an external source?

Answer 35

Projection (immature defense) e.g. a man who wants to cheat on his wife accuses his wife of being unfaithful

Question 36

Which ego defense is defined as avoiding the awareness of some painful reality?

Answer 36

Denial (immature defense) awareness without acceptance; e.g. a patient with cancer plans a full-time work schedule despite being warned of fatigue during chemotherapy

Question 37

Which ego defense is defined as believing that people are either all good or all bad at different times due to intolerance of ambiguity?

Answer 37

Splitting (immature defense) e.g. a patient says that all the nurses are cold and insensitive but that the doctors are warm and friendly

Question 38

Which ego defense is defined as demonstrating hostile feelings in a non-confrontational manner?

Answer 38

Passive aggression (immature defense) disgruntled employee is repeatedly late to work, but won't admit it is a way to get back at the manager

Question 39

Which ego defense is defined as expressing extremely positive thoughts of self/others while ignoring negative thoughts?

Answer 39

Idealization (immature defense) e.g. a patient boasts about his physician and his accomplishments while ignoring any flaws

Question 40

Which ego defense is defined as expressing unacceptable feelings and thoughts through actions?

Answer 40

Acting out (immature defense) e.g. tantrums

Question 41

Which ego defense is defined as intentionally withholding an idea or feeling from conscious awareness (temporary)?

Answer 41

Suppression (mature defense) e.g. choosing to not worry about the big game until it is time to play

Question 42

Which ego defense is defined as involuntarily turning back the maturational clock and going back to earlier modes of dealing with the world?

Answer 42

Regression (immature defense) seen in children under stress such as illness, punishment, or birth of new sibling (e.g. bedwetting in a previously toilet-trained child while hospitalized)