Pschyiatry/ Behavioral

Front 1

Persistent, unwanted, and intrusive ideas, thoughts, impulses, or images that lead to marked anxiety or distress.

Back 1

Obsession

Front 2

Repeated mental acts or behaviors

Back 2

Compulsion

Front 3

Patient does NOT recognize their behavior as problematic is this OCD or OCPD?

Back 3

OCPD

Front 4

First line treatment for OCD and generalized anxiety disorder

Back 4

SSRIs

Front 5

25 year old female presents c/o palpitations, diaphoresis, fear of dying, and hot flashes for several weeks. What would be her short and long term therapy? What is her condition?

Back 5

1. Initially Benzodaizapines then taper off when SSRI is intiated.
2. Panic Disorder

Front 6

What is the side effects of Fluoxetine (Prozac)?

Back 6

1. Nausea
2. GI upset
3. somnolence
4. sexual dysfunction
5. agitation

Front 7

What class of medication is not to be mixed with fluoxetine?

Back 7

MAOIs

Front 8

What is the most common cause of post traumatic stress disorder in men?

Back 8

Rape

Front 9

What is the most common cause of post traumatic stress in women?

Back 9

child abuse

Front 10

Besides memory impairment. What are the four "A"s of dementia?

Back 10

1. Aphasia
2. Apraxia
3. Agnosia
4. Amnesia

Front 11

What is the first line treatment of post traumatic stress disorder (PTSD) and generalizaed anxiety disorder (GAD)?

Back 11

buspirone (Buspar)

Front 12

What medications do you use to treat Dementia, what about aggresion from dementia?

Back 12

1. Cholinesterase inhibitors
2. antipsychotics

Front 13

Which antipsychotic causes QT prolongation on EKG as well as hypotension?

Back 13

Risperidone (Risperdal)

Front 14

What does SIG E CAPS in a depressive episode stand for?

Back 14

1. Sleep(hyper or hyposomnia)
2. Interest (loss of interest in pleasure or activity)
3. Guilt
4. Energy (decreased or fatigue)
5. Concentration
6. Appetite
7. Psycomotor agitation or retardation
8. Suicidal Ideation

Front 15

What are the three Cs of TCA toxicity?

Back 15

1. convulsions
2. coma
3. cardiac arrythmias

Front 16

A long term patient of yours with depression went on vacation and substituted her Fluoxetine with Nortriptyline given to her by a friend. She now presents with fever, myoclonus, and chest pain. What is the probable daignosis?

Back 16

Serotonin Syndrome

Front 17

If a patient is on selegiline and drinks red wine or eats cheese what might happen?

Back 17

Hypertensive crisis

Front 18

What axis of DSM-IV is personality disorders located?

Back 18

Axis 2

Front 19

Magical thinking; ideas of reference, odd behavior. Which disorder is this?

Back 19

Schizotypal

Front 20

Which disorder has characteristics of Isolation, detatched, "loners", restricted emotional expression?

Back 20

Schizoid

Front 21

Which disorder has characteristics of unstable mood, relationships, feelings of emptiness. Has a hx of self harm.

Back 21

Borderline

Front 22

Which disorder has characteristics excessively emotional, attention seeking, sexually provacative, and theatrical.

Back 22

Histrionic

Front 23

Which disorder has characteristics of a sense of entitlement, grandiose, needs admiration. Lacks empathy

Back 23

Narcissistic

Front 24

Which disorder has characteristics of a person that lacks remorse, violates rights of others, social norms, and laws.

Back 24

Antisocial

Front 25

Which disorder has characteristics of perfectionism, order, and control at the expense of efficiency. Has inflexable morals and values.

Back 25

Obsessive-compulsive

Front 26

Which disorder has characteristics of socially inhibited fear of rejection or disliked.

Back 26

Avoidant

Front 27

Which disorder has characteristics of submissive, clingy, difficulty in making decisions, feels helpless.

Back 27

Dependent

Front 28

What percentage of body weight must a person fall under to be diagnosed with Anorexia Nervosa?

Back 28

below 85% of normal

Front 29

What is the second leading cause of preventable death in the United States?

Back 29

Obesity

Front 30

What must a patients BMI be at for it to be Morbidly obese?

Back 30

>40

Front 31

Which DSM-IV Axis is physical and medical problems?

Back 31

Axis 3

Front 32

Which DSM-IV Axis is social and enviromental problems?

Back 32

Axis 4

Front 33

Which DSM-IV Axis is the global asessment of functioning?

Back 33

Axis 5

Front 34

Which DSM-IV Axis is psychiatric disorders?

Back 34

Axis 1

Front 35

A patient with symptoms of schizophrenia of < 6 months. Which disorder is this?

Back 35

Schizophreniform disorder

Front 36

A patient with schizophrenia and bipolar disorder. Which disorder is this?

Back 36

Schizoaffective disorder

Front 37

Which schizophrenia subtype has the worst prognosis?

Back 37

Disorganized schizophrenia

Front 38

What is the term used to describe the psychosis of a patient with a false perception of an actual external stimulus?

Back 38

Illusion

Front 39

What is the term used to describe the psychosis of a patient with a perception of an object or event without an existing external stimulus?

Back 39

Hallucination

Front 40

What is the term used to describe the psychosis of a patient with a fixed false idiosyncratic belief?

Back 40

Delusion

Front 41

What is a major side effect of clozapine?

Back 41

agranulocytosis

Front 42

A patient on Haloperidol has been admited in the ER for fever, muscle rigidity, autonomic instability, elevated CK, and clouded consciousness. What condition does he have? What is his treatment?

Back 42

1. Neuroleptic malignant syndrome
2. dantrolene or bromocriptine

Front 43

What is the drug of choice for OCD?

Back 43

Fluoxetine (Prozac)

Front 44

What is the first line pharmacotherapy of depression?

Back 44

SSRIs

Front 45

What class of antidepressants are associated with hypertensive crisis?

Back 45

MAOIs

Front 46

Symptoms of galactorrhea, impotence, menstrual dysfunction, and decrease libido.

Back 46

Dopamine antagonist

Front 47

A 17 year old girl has left arm paralysis after her boyfriend dies in a car crash. No medical cause is found.

Back 47

Conversion disorder

Front 48

Which defense mechanism describes a mother who is angry at her husband yells at her child?

Back 48

Displacement

Front 49

Which defense mechanism describes a pedophile who enters a monastery?

Back 49

Reaction formation

Front 50

Which defense mechanism describes a woman that calmly describes a grisly murder?

Back 50

Isolation

Front 51

Which defense mechanism describes a hospitalized 10 year old that begins wetting his bed?

Back 51

Regression

Front 52

Which pathology has symptoms of life threatening muscle rigidity, fever, and rhabdomyolysis?

Back 52

Neuroleptic malignant syndrome

Front 53

Amenorrhea, bradycardia, and abnormal body image in a young female.

Back 53

Anorexia Nervosa

Front 54

A 21 year old man has three months of social withdrawal, worsening grades, flat effect, and concrete thinking.

Back 54

Schizophreniform disorder

Front 55

What is the main side effect of atypical psychotics?

Back 55

weight gain, type 2 DM, QT prolongation

Front 56

A patient on haloperidol complains of eyes deviating sideways. Dx and Tx?

Back 56

1. Acute dystonia (oculogyric crisis)
2. benztropine or diphenhydramine

Front 57

What medication should be avoided in a patient with a hx of alcoholic seizures?

Back 57

Neuroleptics

Front 58

A five month old girl with decreased head growth, truncal dyscoordination, and decreased social interaction.

Back 58

Rett's disorder

Front 59

Patient hasn't slept for days, loss $20,000 gambling, is agitated, and has pressured speech. What's his dx and tx?

Back 59

1. Acute manic episode
2. lithium (mood stabilizer)

Front 60

After a minor fender bender a man wears a neck brace and requests permanent disability. Dx?

Back 60

Malingering

Front 61

A nurse presents with severe hypoglycemia; blood analysis reveals no elevation in C-peptide.

Back 61

Factitious disorder

Front 62

A patient continues to use cocaine after losing his job, being in jail, and not paying child support.

Back 62

substance abuse

Front 63

A violent patient has vertical and horizontal nystagmus.

Back 63

Phencyclidine hydrochloride (PCP) intoxication

Front 64

A woman who was abused as a child frequently feels outside of or detached from her body.

Back 64

Depersonalization disorder

Front 65

A man has frequent urges to rub his body up against unsuspecting passengers on a bus.

Back 65

Frotteurism (a paraphilia)

Front 66

A schizophrenic patient takes haloperidol for one year and develops uncontrollable tongue movements. Dx and tx?

Back 66

Tardive dyskinesia. decrease or discontinue haloperidol and consider risperidone or another antipsychotic

Front 67

A man unexpectedly flies across the country, takes a new name, and has no memory of his prior life.

Back 67

Dissociative fugue

Front 68

What is the treatment for Benzodiazepine intoxication?

Back 68

Flumazenil

Front 69

What is the treatment for DTs?

Back 69

Benzodiazepine

Front 70

What is the treatment for Opioid overdose?

Back 70

Naloxone

Front 71

What is the treatment for acetaminophen overdose?

Back 71

N-acetlycysteine

Front 72

What is the treatment for neuroleptic malignant syndrome?

Back 72

Dantrolene

Front 73

Macrocytic, megaloblastic anemia with neurological symptoms

Back 73

B12 deficiency

Front 74

Macrocytic, megaloblastic anemia without neurological symptoms

Back 74

Folate deficiency

Front 75

What is considered first and second line therapy for primary insomnia?

Back 75

1. Good sleep Hygiene
2. diphenhyrdamine, ambien, sonata. or Trazadone (desyrel).