Random Ass Qs (Psych)

Question 1

Describe:
Durham rule
M’Naghten rule
Tarasoff I
Tarasoff II

Answer 1

• D: not criminally responsible if illegal act was product of mental disease
• M: not guilty if, due to mental disease, one was unaware of the nature of act or that it was wrong
• TI: duty to warn others
• TII: duty to protect others

Question 2

What is treatment for agitation due to delirium in an elderly person?

Answer 2

Low dose atypical antipsychotic

ie risperidone

Question 3

Which antidepressants have little to no sexual side effects?

Answer 3

Mirtazapine and Bupropion

Question 4

Which antipsychotic is used to treat psychosis/agitation in Parkinson’s?

Answer 4

Quetiapine (essentially no EPS)

Question 5

What disorders have high comorbidity with Tourette’s?

Answer 5

ADHD and OCD

Question 6

What is first line treatment for Tourette’s?

Answer 6

Dopamine antagonist 
    (ie haloperidol)

Question 7

What drug can treat symptoms of TCA overdose?

Answer 7

Physostigmine

***TCAs have anticholinergic effect

Question 8

Patient with dementia complains of “little people teasing me”, not sleeping and difficulty walking … dx?

Answer 8

Lewy body dementia

***note: very sensitive to EPS

Question 9

What deficiency may be present in a child who eats dirt? clay?

Answer 9

• dirt: iron

- clay: zinc

Question 10

Which 2 atypical antipsychotics have the least risk of metabolic syndrome?

Answer 10

Aripiprazole

Ziprazidone

Question 11

What psych diagnosis is frequently comorbid with cocaine dependence?

Answer 11

Antisocial PD

Question 12

What treatment is used in cocaine withdrawal?

Answer 12

Nothing

Question 13

What drug has been shown to blunt alcohol cravings?

Answer 13

Naltrexone