Texas High Yield Psych

Question 1

Sleeping little
Sex with 15 women
Talking in pressured manner
Maxing out credit cards for a business that can’t fail

Answer 1

Manic Episode: if no depressive episode

If this + depressive episode = Bipolar I

Question 2

What meds can trigger manic episode?

Answer 2

SSRI

TCA

Question 3

Meds to treat acute manic episode?

Answer 3

Haloperidol

Clonazepam

Question 4

Maintenance meds for manic episode?

Answer 4

Lithium
Valproic acid
Carbamazepine

Question 5

5 Treatments SSRI’s are 1st Line:

Answer 5

1. MDD MOPAB
2. OCD
3. PTSD
4. Anxiety
5. Bulemia

Question 6

What drug give to old, skinny, sad ladies? Why?

Answer 6

Mirtazepine

• increases appetite
• increases sleep

Question 7

Kid overdosed on grandma’s meds. Presents with:

• dry mouth
• tachycardia
• vomiting
• urinary _______
• seizures

Answer 7

Tricyclic Antidepressant Overdose

- urinary retention (can’t pee)

Question 8

20yo college kid, grades declining over 2 semesters, keeps to himself, flattened affect, no motivation, locks himself in his room, not showering, says President Obama “put a hit on him.” Dx?

Answer 8

Schizophrenia, paranoid type

- greater than 6 months

Question 9

20yo college kid, grades declining over past 3 weeks, keeps to himself, flattened affect, no motivation, locks himself in his room, not showering, says President Obama “put a hit on him.” Dx?

Answer 9

Brief psychotic disorder

• greater than 1 week
• less than 1 month

Question 10

20yo college kid, grades declining over past 6 weeks, keeps to himself, flattened affect, no motivation, locks himself in his room, not showering, says President Obama “put a hit on him.” Dx?

Answer 10

Schizophreniform Disorder

• greater than 1 month
• less than 6 months

Question 11

18yo college, declining grades, says can’t make it to class on time b/c 2-3 hours scrubbing in the shower. He knows this is excessive but if he takes shorter ones he says he can feel the bacteria and worries about illness. Dx? Comorbid condition?

Answer 11

Obsessive Compulsive Disorder

Cormorbid: vocal-motor tics
5-7% have full-blown tourettes

Question 12

1st line meds for OCD?

- specific one is gold standard?

Answer 12

SSRI

- Clomipramine

Question 13

Two sexual assault survivors come w/ recurrent nightmares of when raped at knifepoint. She now avoids situations where unknown men will be present; has to quit her job at a bank. Reports being jumpy when she hears footsteps behind her.

• one was 3 weeks ago
• one was 6 weeks ago

Answer 13

Acute Stress Reaction - < 1 month

PTSD > 1 month