Quick Learn UWorld

Question 1

Define displacement

Answer 1

Transfer of another’s attack on you onto a more acceptable object

Question 2

Define conversion disorder:

Answer 2

Altered neuro function precipitated by psychological stressor

Question 3

Treatment for conversion disorder?

Answer 3

Education + self-help techniques = 1st line

Cognitive behavioral therapy = 2nd line

Question 4

What makes somatic symptom disorder different from conversion disorder?

Answer 4

Somatic: 1+ persistent physical symptoms
- with disproportionate and excessive anxiety

Underlying symptoms are physiologic, but minor

Question 5

Symptoms of postpartum psychosis?

Answer 5

Delusions
Hallucinations
Disorganized thought
Bizarre behavior

Question 6

Believe a famous actor loves them in absence of other psychotic symptoms?

Answer 6

Delusional disorder
- firmly held beliefs despite conflicting evidence

Thoughts in other areas are normal (able to hold down a job)

Question 7

Brain changes in schizophrenia?

Answer 7

Lateral ventricular enlargement

Question 8

Predictors of future suicide?

Answer 8

1 - prior suicide attempt

Elderly white men high risk

Question 9

Suicide protective factors:

Answer 9

Social support/family connectedness
Pregnancy
Parenthood
Religion & religious participation

Question 10

When think schizoaffective disorder?

Answer 10

When 2+ weeks absence of MDD or manic episode when did have psychotic symptoms

Lifetime history delusions or hallucinations > 2 weeks

Question 11

Clozapine vs. Clonidine?

Answer 11

Clonidine - alpha2 agonist - treat HTN, ADHD, anxiety

Clozapine - 2nd gen atypical antipsychotic; agranulocytosis

Question 12

If maybe diagnosis but no impairment of social and occupational functioning…

Answer 12

…not a psychiatric disorder

Question 13

Marijuana intoxication?

Answer 13

Bloodshot eyes (conjunctival injection)
Dry mouth
Tachycardia
Slow reaction time
Euphoria/relaxation
Anxiety/paranoia

Question 14

Heroin/Opioid intoxication?

Answer 14

Depressed mental status
Miosis - pinpoint pupils (normal is 2-4mm)
Respiratory depression
Euphoria

Question 15

Opioid/Heroin withdrawal?

Answer 15

Lacrimation
Pupillary dilation
Yawning
Diaphoresis
N/V/Diarrhea

Question 16

Major depressive episode

• length?
• symptoms?

Answer 16

2+ weeks of

• depressed mood
• anhedonia
• sleep disturbance
• guilt
• impaired energy, motivation, concentration

Question 17

Treatment for major depressive episode?

Answer 17

Bupropion - NE & D reuptake inhibitor

• mild stimulant effects
• NO sexual SE’s

Question 18

Tardive dyskinesia

- describe

Answer 18

Hyperkinetic / Dyskinesia
Orofacial: tongue protrusion, lip smacking
Limb: foot tapping, chorea
Trunk: rocking, thrusting, shoulder shrug

Question 19

Tardive dyskinesia

- treatment?

Answer 19

Prolonged exposure to dopamine receptor blocking drugs

• reduce dose
• switch to clozapine

Question 20

Which antipsychotic is least likely to cause EPS?

Answer 20

Clozapine

Question 21

Can you treat TD with:

• anti-cholinergics
• dopaminergic meds
• beta blockers

Answer 21

No, no, no

Those can be used to treat EPS

Question 22

Acute dystonia

- timing

Answer 22

An EPS

- occurs shortly after starting antipsychotic med

Question 23

Acute dystonia

- describe

Answer 23

Muscle spasm or stiffness
Torticollis: wry neck
Opisthotonus: body arching
Oculogyric crisis: upward deviation of eyes

Question 24

How treat EPS (but not TD)?

Answer 24

• anti-cholinergics (benztropine - acute dystonia, parkinsons)
• dopaminergic meds (amantadine - parkinsons)
• beta blockers
• antihistamine (diphenhydramine - has strong anti-cholinergic - acute dystonia)