Exam (elaborations)
Psych- Rosh Review exam questions and answers.
- Course
- Institution
Psych- Rosh Review exam questions and answers.
[Show more]
Content preview
Psych- Rosh Review examquestions and answers
OCD
higher doses of SSRIs are usually common in what psychiatric condition
TCAs
what class of antidepressants is associated with anticholinergic side
effects, including cardiac dysrhythmias, dry mouth, sedation, and
orthostatic hypotension?
Previous
Play
Next
Rewind 10 seconds
Move forward 10 seconds
Unmute
0:01
/
0:15
Full screen
Brainpower
Read More
conversion disorder
what condition is this:
-Patients have abrupt loss of motor or sensory function caused by
psychological factors that often precede the physical symptoms
benzodiazepines
Though no pharmacologic therapies have substantial supportive data in
treating alcoholism not associated with a mood or anxiety disorder short
term use of _____ has the greatest benefit especially with acute cessation
of alcohol.
,schizoid = solitary
schizotypal = odd
schizoid vs schizotypal
which is known to be odd and eccentric and which is known to choose
solitary activities
TCAs
what class of antidepressants is associated with anticholinergic side
effects, including cardiac dysrhythmias, dry mouth, sedation, and
orthostatic hypotension?
Formications are the sensation of insects crawling on the skin and is
commonly associated with delirium tremens from alcohol withdrawal and
cocaine addiction.
what are formications and what psych condition are they most commonly
associated with
manic = lithium, valproate and olanzapine
depressive = quetiapine and lurasidone
what 3 meds can be used for the tx of a manic phase of bipolar disorder
and what 2 meds are used as monotherapy to treat the depressive stage
of bipolard disorder
lithium, valproate and olanzapine
what 3 meds can be used for the tx of a manic phase of bipolar disorder
quetiapine and lurasidone
next step= SSRI combination like olanzapine (zyprexa) + fluoxetine
what 2 meds are used as monotherapy to treat the depressive stage of
bipolard disorder, and what would be the next step if those dont work?
anxiety, tremulousness, agitation, increasing irritabilty and hyperactivtiy
common early cues to impending delirieum tremens
fluoxetine (zoloft) or escitalopram (lexapro)
this pt has body dysmorphic disorder
A 26-year-old woman presents to a plastic surgery clinic concerned about
the appearance of her nose. She reports that her nose is long and causes
her to have an ugly face. She frequently asks her close friends if her nose
looks too long and spends several hours each day looking at her nose in
the mirror, which temporarily makes her feel better. Physical exam reveals
a relatively normal-appearing nose. You review her chart and notice she
has previously had two plastic surgeries on her nose. What 2 meds are an
acceptable first-line treatment for the suspected diagnosis?
,body dysmorphic disorder
a psychiatric condition in which an individual has a preoccupation with one
or more perceived defects in physical appearance.
-The preoccupations frequently lead to compulsions, which are repetitive
behaviors or mental acts aimed to alleviate the preoccupations
compulsions
The preoccupations frequently lead to , which are repetitive
behaviors or mental acts aimed to alleviate the preoccupations
compulsions
Common examples of ______ include comparing one's disliked features with
those of other people, excessive grooming, seeking frequent reassurance
from others, and skin picking.
they should be educated to avoid cosmetic surgeries to correct the
perceived defect because this rarely produces clinical improvement.
pt education with body dysmorphic disorder
Selective serotonin reuptake inhibitors (SSRIs), such as escitalopram
or fluoxetine
-Clomipramine can also be used if the patient does not have a good
response to SSRIs,
what are the first line meds used to treat body dysmorphic disorder
consider adding second agent to SSRI like atypical antipsychotic or
buspirone
-or consider switching to clomipramine
what should you do for patient with body dysmorphic disorder that SSRIs
didnt work
body dysmorphic disorder
Concerned with perceived flaws or defects in physical appearance
Commonly presents for cosmetic procedures rather than for mental health
concerns
Cosmetic procedures contraindicated, as likely to result in dissatisfaction
and litigation or threats toward clinician
Interventions include psychoeducation, modified CBT, SSRI
B Checking a serum glucose level
Checking a serum glucose level is the most urgent step due to the
possibility of hyperglycemia and DKA.
, This is associated with the use of atypical antipsychotics and may have a
rapid onset of polyuria, polydipsia, N/V, weight loss, dehydration, rapid
respiration, weakness, clouding of sensorium, and even coma.
If the patient were medically stable and only experiencing
sedation, decreasing quetiapine to 75 mg tid (C) or changing total
quetiapine dose to bedtime (A) would be reasonable considerations.
Bedtime dosing would be preferable in that it would preserve the current
effective daily dose, probably minimize daytime sedation, and improve
compliance through once per day dosing. Obtaining a serum sodium level
(D) is also an important step, especially given his reported polydipsia and
apparent dehydration. Quetiapine is not specifically associated with
hyponatremia
-teenage male presenting to urgent care by parents for concerning
sedation for past 48 hours
-pmh: bipolar depression
-on seroquel 100mg TID for 3 months and dose was upped 50mg approx 10
days ago
-depression has improved
-PE: pt appears somewhat dehydrated and has a mild increase in
respiratory rate
what is the next best step:
A Changing total quetiapine dose to bedtime
B Checking a serum glucose level
C Decreasing quetiapine to 75 mg tid
D Obtaining a serum sodium level
DKA
side effect associated with the use of atypical antipsychotics and may
have a rapid onset of polyuria, polydipsia, nausea, vomiting, weight loss,
dehydration, rapid respiration, weakness, clouding of sensorium, and even
coma. This requires immediate treatment, as it may be life-threatening.
Topiramate, due to the potential for hyperchloremic, non-anion gap
metabolic acidosis.
What medication should be monitored to identify low serum bicarbonate
levels?
DKA
Defined by (all of the following):
- blood glucose > 200 mg/dL
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller GUARANTEEDSUCCESS. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $13.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
83637 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now