U-World

Question 1

Displacement

Answer 1

When unacceptable feelings about an object or person are displaced onto another “safer” object or person

Question 2

4 major comorbities with panic disoder

Answer 2

MDD, biopolar disorder, agoraphobia, and substance abuse

Question 3

Mood stabilizer for a bipolar patient with renal disease

Answer 3

Valproic acid

don’t give lithium to these folks

Question 4

MAO w/ cheese can result in

Answer 4

Hypertensive crisis

Question 5

How long do you need to have schizo features without depression for schizoaffective

Answer 5

> 2 weeks

Question 6

Flight of ideas refers to

Answer 6

Loosely associated thoughts that rapidly moved from topic to topic

Question 7

Mildly ill bipolar tx option

Answer 7

Mono therapy with an atypical

Question 8

First step if an SSRI doesn’t seem to be working

Answer 8

Switch to a different SSRI

Question 9

Atypical that increases prolactin the most

Answer 9

Risperidone (whiskeridone drinks milk)

Question 10

Antipsychotic that can cause SIADH? MOA?

Answer 10

Ariprazole

Partial D2 agonist rather than antagonist

Question 11

Kleptomania tx

Answer 11

CBT

Question 12

3 main things survivors of sexual assault at risk for

Answer 12

PTSD, depression, and suicidality

Question 13

Interpersonal psychotherapy focuses on

Answer 13

Current relationships and conflicts

“the here and now”

Question 14

What does psychodynamic psychotherapy focus on

Answer 14

Past relationships and conflicts, breaking down defense mechanisms, utilizes transference

Question 15

Type of therapy for borderline PD

Answer 15

Dialectal behavioral therapy

Question 16

Somatic symptom disorder criteria

Answer 16

Excessive anxiety and preoccupation with > 1 unexplained symptoms

Question 17

Illness anxiety disorder criteria

Answer 17

Fear of having a serious illness despite few or no symptoms and consistently negative evaluations

Question 18

How long for hypomania vs mania

Answer 18

Hypomania > 4 days (w/out psychotic features)

Mania > 1 week

Question 19

Bipolar II criteria

Answer 19

Hypomanic episode(s)

Question 20

Cyclothymia criteria

Answer 20

At least 2 years of fluctuating mild hypomanic and depressive symptoms that do night meet c

Question 21

2 highest risk atypical antipsychotics for metabolic syndrome

Answer 21

Clozapine and Olanzapine

Question 22

What is alcoholic hallucinosis

Answer 22

Develops in 12-24 hours of last drink and usually resolves by 48
unlike DT, sensorium is intact and vitals signs usually normal

Question 23

Tests before starting lithium

Answer 23

UA, BUN, creatinine, and thyroid function tests

Question 24

BMI to dx anorexia

Question 25

Bipolar with more than one manic episode medicine timeline

Answer 25

Long term - lifetime

Question 26

NMS tx drugs

Answer 26

Dantroline or bromocriptine

Question 27

Adjustment disorder needs to start when

Answer 27

Within 3 months of stressor and needs to have significant function impairment

Question 28

What is folly a deux

Answer 28

Shared psychotic disorder by two close individuals

Question 29

Antipsychotic that causes jaundice

Answer 29

Chlorpromazine

Question 30

Pigmentary retinopathy with what antipsychotic

Answer 30

Thioridazine

Question 31

Cataracts with what antipsychotic

Answer 31

Quetiapine

Question 32

Drug for social anxiety disorder

Answer 32

SSRI

Question 33

Drugs for depression episode in bipolar

Answer 33

Second gen antipsychotics (quetapine, lurasidone)

Question 34

What distinguishes Asperger's from autism

Answer 34

Lack of language delay

Question 35

Absolute contra to bupropion

Answer 35

Hx of epilepsy

Question 36

Suspect heroin withdrawal in what patients

Answer 36

Pupillary dilation, rhinorrhea, muscle and joint aches, abdominal cramping, nausea, and diarrhea *often out of proportion to PE findings*

Question 37

First line drugs for acute manic episodes

Answer 37

Antipsychotics, lithium, valproate, and carbamazepine

Question 38

How do old people tend to sleep

Answer 38

Less at night and nap during the day

Question 39

When do you consider clozapine

Answer 39

When a patient has already failed 2 antipsychotic meds

Question 40

Schizophrenia MRI

Answer 40

Enlargement of cerebral ventricles

Question 41

PTSD MRI

Answer 41

Decreased hippocampal volume

Question 42

Panic disorder MRI

Answer 42

Decreased volume of amygdala

Question 43

Autism MRI

Answer 43

Increased total brain volume

Question 44

Akathisia tx

Answer 44

Propranolol or Lorazepam

Question 45

Treatment for geriatric depressed patients who are unable to eat or drink

Answer 45

ECT

Question 46

Passive agressive def

Answer 46

Defense mech in which an individual expresses his aggression toward another person with repeated, passive failures to meet the other person's needs

Question 47

Manic episode + long history of voices

Answer 47

Schizoaffective disorder

Question 48

Purging in bulimia for

Answer 48

Regaining the control they think they lost in binging

Question 49

Antidepressant good for smoking cessation

Answer 49

Bupropion

Question 50

First degree relative risk of bipolar disorder if family member has it

Answer 50

10%

Question 51

Weight gain with what two second gen antipsychotics

Answer 51

Olanzapine and Clozapine

Question 52

Worry about serotonin syndrome with what drug of abuse

Answer 52

Molly

Question 53

Molly intox features

Answer 53

Hypertension, tachycardia, hyperthermia, hyponatremia, SS

Question 54

serotonin syndrome features

Answer 54

Autonomic dysregulation, high fever, altered mental status, neuromuscular irritability, and seizures

Question 55

How long for antidepressants to work

Answer 55

4-6 weeks