Psychiatry

Front 1

Treatment for acute dystonia 2/2 APM use

Back 1

Anticholinergics (benztropine)
Antihystamines (diphenhydramine)

Front 2

Tx for dysthymic d/o

Back 2

Antidepressants

Front 3

Difference b/w malingering and factitious d/o

Back 3

Malingering is always a/w a secondary gain whereas the motivating factor in factitious d/o is assuming the sick role

Front 4

Dark brown discoloration of the colon with lymph follicles shining through as pale patches

Back 4

Melanosis coli
be suspicious of factitious diarrhea caused by laxative abuse in correct clinical setting

Front 5

Managment of Anorexia

Back 5

Hospitalization when evidence of medical complications and/or when they weigh less than 75% of the avg body weight for their age, sex and height.

Front 6

Memory loss plus one of the following: apraxia, aphasia, agnosia or disturbed executive functioning

Back 6

Alzheimer's Dimentia

Front 7

Only intoxicant that causes vertical nystagmus

Back 7

Phencyclidine

Front 8

Intoxicant that causes psychotic and violent behavior, HTN and hyperthermia and its antidote

Back 8

Phencyclidine

Benzos for severe psychomotor agitation

Front 9

Absolute contraindication to using buproprion

Back 9

H/o seizure d/o

Front 10

Drug that can cause wight gain, amenorrhea and glactorrhea and MOA

Back 10

Risperidone because it is a dopamine and serotonin antagonist (which causes serum prl levels to rise)

Front 11

Treatment for specific or simple phobias

Back 11

short-acting benzo (alprazolam)

Front 12

2 most common comorbidities with Tourette's Syndrome

Back 12

MC: ADHD
Next: OCD

Front 13

Tx for catatonic shcizophrenia

Back 13

Benzodiazepines

Front 14

Tx for neuroleptic malignant syndrome and offending agents

Back 14

Dantrolene sodium
typical antipsychotics

Front 15

Antidepressant of choice in patients experiencing sexual side effects

Back 15

Buproprion

Front 16

Visual hallucinations and intensified perceptions (colors are richer, tastes are heightened, etc.)

Back 16

LSD intoxication

Front 17

Emotional or behavioral sx that develop within 3 mo of exposure to an identifiable stressor. The distress is in excess of what would be expected following the stressor

Management

Back 17

Adjustment d/o

psychodynamic psychotherapy

Front 18

Common side effects of methylphenidate

Back 18

nervousness
decreased appetite
weight loss
insomnia
abdominal pain

Front 19

Joint fluid characteristics of gout

Back 19

1. negatively birefringent crystals
2. WBC count 2,000-50,000

Front 20

Fever, rigidity, AMS and autonomic instability and on psychiatric medications

Back 20

Neuroleptic malignant syndrome

Front 21

Sx of mood d/o and schizophrenia, but at least 2 weeks of just schizophrenia sx

Back 21

schizoaffective d/o

Front 22

SX of cannabis abuse

Back 22

behavioral changes and 2 or more of the following:
dry mouth, tachycardia, increased appetite or conjunctival injection

Front 23

Guidelines for lithium tx in pt with bipolar d/o

Back 23

1) maintenance period of 1 yr after 1 manic episode
2) lifelong tx if 3 or more relapses
3) o/w, can TAPER off

Front 24

Difference b/w schizophrenia and schizoaffective d/o

Back 24

Duration: less than 6 mo = schizophreniform; greater than 6 mo = schizophrenia

Front 25

MC side effect of ECT

Back 25

Amnesia, retrograde and anterograde

Front 26

Treatment for Schizophrenia

Back 26

# Positive sx: typical APM
# Negative (and positive): atypical APM- (Riseridone, clozapine, olanzapine, quetiapine)

Front 27

Common findings in anorexic patients

Back 27

1. Osteoperosis
2. Elevated Chol and carotene levels
3. Cardiac arrhythmias (long QT)
4. Euthyroid sick syndrome
5. hypothalamic-pit axis dysfunction
6. hyponatremia 2/2 to water ingestion

Front 28

Hypokalemia, alkalosis and normotenstion with urine Chloride < 20

Back 28

Surreptitious vomiting

Front 29

Hypokalemia, alkalosis and normotenstion with high urine chloride concentrations

Back 29

Diuretic abuse or Bartter/Gitelman's syndrome (autosomal recessive renal tubular problem)

Front 30

Hypokalemia, alkalosis and normotenstion with urine Chloride < 20

Back 30

Surreptitious vomiting

Front 31

Hypokalemia, alkalosis and normotenstion with high urine chloride concentrations

Back 31

Diuretic abuse or Bartter/Gitelman's syndrome (autosomal recessive renal tubular problem)

Front 32

MC side effect of Olanzapine

Back 32

Weight gain

Front 33

A need for perfection, over-attention to detail, stubbornness and a need to strictly follow rules

Back 33

Obsessive-Compulsive personality d/o

Front 34

Indications for psychiatric hospitalization (6)

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1. suicidal ideation
2. homicidal ideation
3. grave disability
4. gross disorganization
5. agitated or threatening behavior
6. severe sx of substance intoxication or withdrawal

Front 35

Type of schizophrenia: rambling speech, masturbation in public and laughing at inappropriate times

Back 35

Disorganized
Inappropriate or flat affect, inappropriate behavior, disorganized speech, disorganized behavior

Front 36

Definition of residual schizophrenia

Back 36

Pts w/ previous dx of schizo who longer have prominent psychotic symptoms, but may have persistent eccentric behavior, emotional blunting, illogical thinking, social withdrawal

Front 37

Type of schizophrenia: predominance of physical sx such as excessive motor activity, the assumption of bizarre postures, unresponsiveness to the environment and extreme negativism

Back 37

Catatonic schizo

Front 38

Approach to a single episode of major depression

Back 38

Antidepressant for a period of 6 mo following the pt's response

Front 39

First line treatment of OCD

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SSRI

Front 40

Difference b/w night terrors and nightmares

Back 40

# Night terrors occur during non-REM sleep and are characterized by fear, crying or screeming, and amnesia of the event.
# Nightmares occur during REM sleep, does not include screaming and the child fully alert and can recall the event when awakened

Front 41

Overly detailed answers that deviate from the questions, but eventually return to the topic

Back 41

Circumstanciality

Front 42

An abrupt, permanent deviation from the current subject that never returns to the original subject

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Tangentiality

Front 43

Lack of logical connection b/w successive thoughts or ideas of an individual with no clear associations

Back 43

Loose associations

Front 44

Acute treatment for neuroleptic malignant syndrome

Back 44

Anti-pyretics, cooling, fluid and e'lytes repletion, alkalinization of urine
+
dantrolene, amantadine or bromocriptine

Front 45

Isolated, non-bizarre and circumscribed fixed false belief, that does not affect functioning

Back 45

Delusional d/o

Front 46

Similarities and differences b/w cocaine and amphetamine intoxication

Back 46

both p/w: dilated pupils, hypertention and tachycardia

amphetamine intoxication is more commonly a/w psychosis

Front 47

Important tests to monitor when initiating a female pt on Lithium

Back 47

Creatinine (Nephrogenic DI)
Thyroid function tests (hypothyroid)
Pregnancy (Teratogenicity)

Front 48

Diff b/w schizoid and schizotypal PD

Back 48

Shizoid has no desire for social interaction or pleasurable activities
Schizotypal eccentric behavire and a reduced capacity for close relationships ("magical thinking")