UWorld psych

Question 0

When do DTs usually occur in alcohol withdrawal?

Answer 0

-usually in 2-4 days

Question 1

When do seizures typically occur in alcohol withdrawal?

Answer 1

-in 12-48 hrs after last drink

Question 2

Tx for alcohol withdrawal?

Answer 2

• benzodiazepines, esp lorazepam bc it is not metabolized by the liver!
• thiamine, for wernickes encephalopathy
• multivitamins
• folic acid, for beriberi
• haldol, for psychosis if necessary

Question 3

What to do if pregnant mom refuses a tx or procedure that would prevent irreversible harm to her fetus?

Answer 3

-mom has a right to refuse as long as she has capacity

Question 4

Tx of choice for OCD?

Answer 4

• SSRIs

- clomipramine (TCA) can be used if not responding to an SSRI

Question 5

What is the remission phase?

Answer 5

• absence of all or minimal sx
• return to pt’s premorbid functioning or wellness
• pt no longer meets dx criteria for dz

Question 6

What is the response phase of tx?

Answer 6

• pt has significant improvement

- 50% reduction in baseline severity of Ssx

Question 7

What is the relapse phase of an illness?

Answer 7

-a return of the sx from the acute phase

Question 8

What is the recurrence phase of an illness?

Answer 8

-when after the recovery a subsequent episode occurs

Question 9

Tx of kleptomania?

Answer 9

-CBT is the tx of choice

Question 10

Kleptomania v typical shoplifting?

Answer 10

• NOT premeditated
• anxiety before stealing that is relieved by stealing
• feel guilty or remorseful after stealing

Question 11

What are the 5 parts of the Hospice model?

Answer 11

1. Focus on quality of life, not cure or prolongation
2. Symptom control (pain, nausea, anxiety, etc)
3. Interdisciplinary team
4. Services provided at home or living facility
5. Requires survival prognosis of < or = 6 mnths