Psychology

Question 1

Paranoid personality disorder

Answer 1

Lack of trust, hypersensitive, overly suspicious

Men

Question 2

Schizotypal personality disorder

Answer 2

Discomfort with relationships, eccentric, odd beliefs, odd speech
Absence of psychosis

Question 3

Antisocial Personality Disorder

Answer 3

Disregard for others since age 15
Lying, aggressive, fights
Lack of remorse
At least 18 years old

Question 4

Borderline personality disorder

Answer 4

Instability of mood, self image, relationships 
Unstable, intense relationships
Efforts to avoid abandonment 
Women
Self harm is common

Question 5

Histrionic personality disorder

Answer 5

Attention seeking behavior

Dresses seductively

Question 6

Signs and sx of anorexia-nervosa

Answer 6

Dry skin (xerosis), cardiac murmur (mvp), lanugo hair, cold intolerance, blue hands/feet, constipation, orthostatic hypotension, amenorrhea, osteopenia, bradycardia
will look like ADDISONS

Question 7

Russell’s Sign

Answer 7

Bite marks on dorsum of hand due to gagging in bulimia

Bulimia has hypokalemia

Question 8

Female athlete triad

Answer 8

Eating disorder
Stress fracture/osteoporosis
Amenorrhea

Do not treat with NSAIDs

Question 9

Serotonin syndrome treatment and drug to avoid

Answer 9

AVOID acetaminophen
DC serotonergic agent: SSRI, SNRI, regale, Zovirax, at johns wort, Wellbutrin, lithium, cocaine, tryptans
Tx with benzo lorazepam

Question 10

Bipolar I

Answer 10

At least 1 manic episode with or without major depression. Depression is usually present more than mania (manic episode lasts at least 1 week, grandiose, no sleep, flight of ideas, etc)

Question 11

Bipolar II

Answer 11

At least one episode of depression
at least one hypomanic episode (lack of social/cognitive impairment)
NO HISTORY of mania

Question 12

Cyclothymia

Answer 12

numerous periods of hypomania and depression for at least 2 years that switch off

Question 13

Bipolar treatment

Answer 13

Lithium
Valproate (Depakote)
Carbamezapine (Tegretol)…Leukocytopenia
Atypicals (Risperidone, Seroquel, Zyprexa, Geodon)

Question 14

Atypical Antipsycotic that causes agranuloctyosis (need constant WBC count)

Answer 14

Clozapine (Clozaril)

Question 15

Cogentin

Answer 15

Used to trat EPS side effects
anticholinergic
helps re-establish relationship between dopamine and acetylcholine

Question 16

Atypical antipsycotics

Answer 16

Seroquel
Olanzapine (Zyprexa): WEIGHT GAIN, diabetes
Risperdal (good in elderly, least to cause weight gain
Clozapine (Clozaril)- agranulocytosis
Geodon
Abilify

Question 17

SSRIs safe in children

Answer 17

Fluoxetine (Prozac) 8 yo- long half life (also used to tx. panic attacks)
Escitalopram (Lexapro) 12 yo

Question 18

Schizophrenia

Answer 18

need to have sx for at least 1 month of delusions, hallucinations (positive sx) , disorganized speech, catatonic behavior, negative sx (flat affect, alogia, poor grooming, anhedonia)
Tx with 1-2 mg Lorazepam (Ativan)

Question 19

Schizoaffective Disorder

Answer 19

Mood disorder with psychotic features. Psychosis can occur without mood disturbances. Delusions or hallucinations occur in the absence of depression for more than 2 weeks

Question 20

Brief Psychotic disorder

Answer 20

psychotic symptoms with sudden onset and full remission within one month ( more than 1 day less than 1 month)

Question 21

Delusional disorder

Answer 21

one or more delusions over a month. Lack of impairment in functioning. Lack of manic episodes or depression.

Question 22

Schizophreniform disorder

Answer 22

Schizophrenia at least one month but no more than 6 months. Impaired social and occupational functioning but not required like with schizophrenia.

Question 23

Meds for trouble getting to sleep

Answer 23

Ambien

Sonata

Question 24

Meds for trouble maintaining sleep

Answer 24

Lunesta

Question 25

Restless leg syndrome treatment

Answer 25

Iron Supplementation Requip- dopamine agonist Gabapentin

Question 26

Wernicke Encephalopathy

Answer 26

caused by thiamine deficiency. gait ataxia, confusion, ocular abnormalities Tx with 500mg IV thiamine 2 days and 250 mg IV thiamine 5 days

Question 27

Korsakoff syndrome

Answer 27

chronic condidtion tx with PO thiamine impaired memory and anterograde amnesia

Question 28

Cocaine intoxication

Answer 28

tachycardia, pupil dilation (mydriasis), diaphoresis, nausea

Question 29

Opioid Toxicity

Answer 29

``` Depressed mental status Decreased RR Decreased Tidal Volume Decreased HR hypotension hypothermia Constricted (Miotic) pupils ```

Question 30

Opioid Toxicity Antecdote

Answer 30

Naloxone (Narcan) to increase respirations

Question 31

Dysthimic disorder

Answer 31

chronic depression where sx are milder and last more than 2 years (major depression is loss of interest in activities, vegetative state etc for more than 2 weeks)

Question 32

Antidote for Benzodiazapine OD

Answer 32

Flumazenil (Romazicon) | Vomiting should be induced with gastric lavage and activated charcoal in pt who is not comatose

Question 33

Axis Dx.

Answer 33

I: acute sx that need tx (mood disorders, schizophrenia, depression, panic attack, etc) II: Personality disorders and intellectual disability (retardation, learning disability, OCPD) III: Medical disorder relevant to problems (kidney failure, diabetes) IV: Psychosocial disorder (Divorce, homeless) V: Global assessment functioning (0-100)