psychuworld2

Question 1

treatment for general social anxiety disorder versus performance only social anxiety disorder

Answer 1

for general, use SSRI and CBT; for performance only, use benzo prior to performance and CBT

Question 2

delusional disorder timeframe

Answer 2

at least one month

Question 3

citalopram

Answer 3

celexa (SSRI)

Question 4

SNRIs

Answer 4

venlafaxine, desvenlafaxine, duloxetine

Question 5

TCAs

Answer 5

amitryptiline, nortryptiline, clomipramine, doxepin

Question 6

MAOis

Answer 6

phenelzine, tranylcypromine

Question 7

potential side effect of trazadone

Answer 7

priapism

Question 8

panic disorder is highly assoc with what other mental illness?

Answer 8

depression, but also bipolar disorder, agoraphobia, and substance abuse

Question 9

chlorpromazine

Answer 9

typical (first gen) antipsychotic

Question 10

treatment for alcohol withdrawal

Answer 10

long-acting benzos like diazepam

Question 11

a battered woman who believes her husband is right when he says she is worthless

Answer 11

introjection defense mechanism

Question 12

second gen antipsychotics with greatest risk of weight gain

Answer 12

olanzipine and clozapine

Question 13

second gen antipsychotics with the lowest risk of weight gain

Answer 13

aripiprazole and zaprasidone

Question 14

ziprasidone

Answer 14

geodon

Question 15

following acute stabilization, patients with bipolar disorder should get what therapy?

Answer 15

first line is atypical antipsychotic; second line is mood stabilizer; for severe patients, combo of mood stabilizer plus atypical can be used

Question 16

mirtazapine

Answer 16

antidepressant that incr appetite and makes you sleepy

Question 17

treatment of acute dystonic reaction

Answer 17

anti-cholinergic (benztropine) or antihistamine (diphenhydramine)

Question 18

treatment of akathisia

Answer 18

beta blocker

Question 19

treatment of drug-induced parkinsonism

Answer 19

anti-cholinergic or Amantadine (dopamine ag)

Question 20

dantrolene

Answer 20

can be used in NMS

Question 21

treatment for OCD

Answer 21

SSRI or clomipramine

Question 22

propranolol

Answer 22

can be used for the treatment of performance-assoc social anxiety disorder (as an alternative to benzos when you do not want to be sedated)

Question 23

laboratory evaluation of NMS

Answer 23

CPK

Question 24

how does buproprion work?

Answer 24

NDSI (aka norepi, dopamine and seratonin reuptake inhib)

Question 25

why avoid buproprion in people on benzos or alcohol addicts?

Answer 25

because benzos and alcohol use already predisposes to seizures and buproprion lowers the seizure threshold even more

Question 26

stranger anxiety is normal until what age?

Answer 26

age 3

Question 27

antidepressants approved to treat OCD

Answer 27

clomipramine, fluvoxamine, fluoxetine, paroxetine, sertraline

Question 28

ingestion of a MAOI with certain foods- monitor what?

Answer 28

blood pressure; can cause hypertensive crisis

Question 29

amitryptiline use for things besides depression

Answer 29

diabetic neuropathy and prevention of migraines

Question 30

reaction formation defense mechanism

Answer 30

like when a woman is mad at immigrants competing with her for her job so she offers job search advice for the immigrants

Question 31

sublimation

Answer 31

a man with explosive anger channels his energy into athletic pursuits

Question 32

treatment for mild to moderate dementia versus severe dementia

Answer 32

mild to moderate is cholinesterase inhib; severe is NMDA antag like memantine

Question 33

memantine versus Amantidine

Answer 33

memantine is an NMDA receptor antag used for severe dementia; amantadine is a dopamine agonist used to treat parkinsons; it can minimize the severity of dementia in parkinsons patients but does not affect alzheimers

Question 34

atypical antipsychotics assoc with weight gain

Answer 34

olanzipine and clozapine