Psych – EOR questions and answers latest 2023

Psych – EOR questions and answers latest 2023 What is recommended to reduce risk of posttraumatic stress disorder? brief psychotherapy What is the drug of choice for acute exacerbations of shizophrenia? haloperidol What is the drug of choice for the treatment of general social phobia? SSRIs Which antipsychotic medication is periodic eye exam recommended? quetiapine What laboratory study would best support a diagnosis of alcohol abuse in the patient? GGTP There is a 40% chance that patient with panic disorder may experience a __________. severe depression What situation is considered a high-risk period for abuse for females? pregnancy What is commonly seen in posttraumatic stress disorder patients? increase startle response (+ hyperarousal) What is a key part of the treatment used to prevent delirium tremens in a patient withdrawing from alcohol? a benzodiazepine every 4 to 6 hours What is underlying pathology in agoraphobia? fear of being in places where escape is difficult What medication is commonly used in the treatment of major depression? fluoxetine A patient being seen in the ED displays suicidal ideation. What additional information will most strongly lead to a decision to hospitalize the pt rather than treat on an outpatient basis? history of impulsive behavior What differentiates shizophreniform disorders from schizophrenia? duration of symptoms What substance wil cause a reduction in absorption of lorazepam? antacids What CT finding is expected/common in chronic shizophrenia patients? ventricular enlargement What personality disorder is characterized by a pervasive pattern of disregard for and violation of lawful behavior, aggressiveness, consistent irresponsibility, and lack of remorse? antisocial Sertaline can be used for treatment of anxiety (fear of eating in public and using public restrooms). What should be included about sertaline medication side effects? it may cause sexual dysfunction What antipsychotic medication is most strongly associated with weight gain? clozapine (+olanzapine -- increases the risk of DM) What medication should be initiated to address the emotional symptoms of premenstural dysmorphic disorder (PMDD)? serotonin reuptake inhibitors (fluoxetine) What disorder characterized by inattentive behavior in school and home? attention-deficit disorder What type of therapy is a broad term used to treat a number of psychiatric illnesses but it is particularly effective with phobias such as the social phobia? cognitive behavioral therapy Patient presents with numbness and weakness of her arm and leg, tingling of left side of her face. She admits to being anxious. What will be found on PE of this pt? sensory loss that does not conform to the dermatomes Patient describes 2 incidents where he had no recollection of how he arrived somewhere far from home. What is the most likely cause? emotional crisis PT wondering around in a park and shouting treats at others. He is disheveled and restless, rambling about enemies who want to kill him and his family. He states he has the codes to set off a nuclear war and will do so if not released. What is the most likely diagnosis? schizophrenia Generalized anxiety disorder is more likely to be diagnosed in what demographic group? females, 20 to 35 years old Pt with multiple medical complains but negative workup seen 5 different PCPs in the last 6 months. What is her diagnosis? somatization disorder What type of physical sign or symptom will patient have who does self-induced vomiting? petechial hemorrhages of the soft palate (+cornea, conjunctivae, face) What is the drug of choice in the urgent treatment of a panic attack? lorazepam (Ativan) What medication should be discontinued when patient has hypothyroidism? (this medication can cause weight grain) lithium (lithobid) The patient is exhibiting sadness and grief over the loss of her sister but is not functionally impaired. What is the diagnosis? uncomplicated bereavement What is the initial treatment for IBS? reassurance and dietary/life style changes Pt with 10 year history of schizophrenia currently on risperidone (Risperdal), presents with "feeling sad". What medication should be added? carbamazepine (Tegretol) (mood stabilizer -- schizoaffective dz/ depressive type) What personality disorder characterized by traits seen in a pattern of preoccupation with orderliness, perfectionism, and interpersonal control? obsessive-complusive 72 hrs after surgery, patient develops tachycardia, tremor, and nausea. He becomes very anxious, tells "millions of ants are crawling over his skin", than pt has tonic-clinic seizure. What is the most likely cause of this pt's condition? alcohol withdrawal Patient with bipolar disorder feels hopeless. Does have ups and down. What medications appropriate for this patient? olanzapine and fluoxetine combination - Symbyax (olanzapine = mood stabilizer; fluoxetine = antidepressant -- tx for bipolar depression) Typical presentation of a panic attack include: sensation of breathlessness What is the first-line pharmacologic treatment for ADHD? a methylphenidate preparation (Ritalin) Pt with severe Alzheimer disease was begun on Haldol couple weeks ago. What motor activity would this patient have? repetitive, rhythmic tongue protrusion and opening and closing of the mouth (Tardive dyskinesia) Pt diagnosed with schizophrenia that resistant to conventional medication. He is started on clozapine. What lab values must be monitored weekly? white blood cells ( can cause agranulocytosis -risk higher in Ashkenazi Jew) What descriptors suggests a diagnosis of paranoid personality disorder? defensive, oversensitive, secretive, and has limited emotional responses Pt with schizophrenia developed polyuria, vomiting, stupor, diarrhea, and restlessness. Pt currently taking Risperdal. What is the likely diagnosis? water intoxication What type of schizophrenia is characterized by disorganized speech, disorganized behavior, and an inappropriate affect? disorganized schiqophrenia (pt rambling speech and inappropriate giggling) What type of disorder is a pervasive pattern of instability in interpersonal relationships that begin in early adulthood; efforts to avoid abandonment, a pattern of unstable relationships alternating between idealization and devaluation, unstable self-image, impulsivity, recurrent suicidal behavior, chronic feeling of emptiness? borderline personality disorder What medication is given to reverse the psychophysiologic effects of benzodiazepine medication, (such as alprazolam, diazepam, lorazepam)? Flumazenil (Romazicon) What are the milestones that are appropriate for a 4 year old child? hopping, galloping, alternating feet while walking downstairs fine motor -- copying a cross and a square and drawing a man with 2 to 4 parts besides the head should also know colors, tell stories, speak in full, understandable sentences group play, brush teeth In schizophreniform disorder or schizophrenia, several features are associated with better* long-term prognosis; What are they? onset of psychotic symptoms within a month of the first change in behavior (confusion or perplexity at the height of the psychotic episode, good premorbid social and occupational functioning, absence of blunted or flat affect) What type of testing should be performed on sisters of males who are diagnosed with fragile X (heterozygous females often develop ADHD)? cytogenetic testing What disorder characterized by a pt fearing situations in which he/she is the object of attention. Those pts unable to advance professionally because of professional demands including public interaction? social phobia When a patient associates words similar in sound but not in meaning, this is known as a ________. clanging What you need to know when you are switching patient from phenelzine (Nardil) to an SSRI? a 10 day washout period after discontinuing phenelzine (Nardil) is needed before an SSRI can be started Pt stated hallucinating because she ran out of her Seroquel. She lives in personal care home. What is appropriate next step in management? contact her case manager to ensure support and follow-up Pt last 25 punds over 6 months, she is 20% below her expected body weight. She stopped having menstrual period. What is the most appropriate next step in management? admit her to the hospital to reestablish weight and correct metabolic abnormalities Pt with hx of Alzheimer's disease during exam been asked what he would do if he found someone else's SS check mixed in with his own mail at home. What mental status testing is being assessed? Judgment