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Psych EOR Mod 4 Spring questions and answers rated A+ 2024/2025
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Psych EOR Mod 4 Spring questions and answers rated A+ 2024/2025
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Psych EOR Mod 4 Spring 2023Which Bipolar Disorder has at the least one manic episode (typically PSYCHOSIS in the course
of mania) ? - ANSBipolar I
Vignette mentions a person with forced speech, walking from topic to topic, recent steroid use
triggered occasions, needing much less sleep but feeling well rested, impulsive, reckless
conduct, suppose what? - ANSBipolar I
2 sturdy risk factors with Bipolar I - ANSFamily records of Bipolar and higher socioeconomic
fame
First line treatment of Bipolar I? - ANSLithium
What is a contraindication to being on Lithium? What would you sue alternatively? - ANSCKD,
use lamotrigine instead
What would imply Lithium tox in a affected person? - ANStremor also diarrhea/vomit/ataxia
SE of lithium? - ANSweight benefit, HYPOthyroid, weight advantage, exacerbation of psoriasis
Which Bipolar am I? Greater depression and hypomania with profound depression, NO
PSYCHOSIS for the duration of manic episodes, much less unfavourable mania like maxing out
credit card - ANSBipolar II
First line treatment of Bipolar II? Which is the drug of desire? - ANS2ng gen/ordinary
antipsychotics, drug of choice Quetiapine
Vignette says at the least one hypomanic episode and one depressive episode suppose? -
ANSBipolar II
Pt reports each excessive and low symptoms SIMULTANEOUSLY WITHONE ONE SINGLE
EPISODE, crimson flags is agitation/tension/irritability think what Bipolar? - ANSBipolar with
combined functions
significantly depressed moods with low self confidence, withdrawal, anhedonia for TWO
WEEKS OR MORE for most of the day and maximum days of the week - ANSMajor depressive
disease
#1 thing to assess in essential depressive sickness - ANSsuicide threat
5+ of SIGECAPS for two+ weeks= MDD what is SIGECAPS - ANSSleep
,Interest (lack of)
Guilt
Energy (loss)
Concentration (loss)
Appetite (loss/gain)
Psychomotor interest (slowed)
Suicidal
largest danger element of suicide - ANSprior suicide attempt
highest hazard group for suicide - ANS75+ white guys
first line remedy of MDD? How lengthy do they take to paintings? Can growth every three-4
weeks till signs and symptoms resolve - ANSSSRIs, takes four-6 weeks to paintings
SSRIs block the resorption of serotonin to boom available serotonin, examples? -
ANSCitalopram
Escitalopram
Fluoxetine
Sertraline
Paroxetine
Drug of desire for neuropathic pain with MDD - ANSDUOLEXTINE
that is a SNRI
SNRIs block resorption of serotonin AND Norepi, examples? - ANSduloxetine, venlafaxine,
desvenlafaxine, and atomoxetine
With MAOIs avoid? And why? - ANSsmoked sausage (tyramine ingredients bc HTN crisis)
Examples of MAOIs - ANSphenelzine (Nardil)
Isocarboxazid (Marplan)
Tranylcypromine (Parnate)
Selegiline (Emsam)-transdermal MAOI
MAOis inhibit what ? - ANSMAO-A and MAO-B
TCAs affect alpha1, muscarinic, and histaminic receptors and block reuptake of serotonin and
norepi, examples? VERY BAD BECAUSE CAN OD ON< NEVER USE - ANSAmitriptyline,
Amoxapine, Doxepin, imipramine
If changing from SSRI/SNRI to MAOI wait how long for washout period? If fluoxetine wait how
long? - ANS2 weeks, fluoxetine, 5 weeks
, most efficacious treatment of severe unipolar depression - ANSECT (electroconvulsive therapy)
only absolute contraindication to ECT? - ANSpt has a brain tumor with ICP
Persistent Depressive Disorder AKA - ANSDysthymia
mood disorder involving persistently depressed mood WITH NO MANIA OR HYPOMANIA for at
least 2 YEARS with no absence of symptoms for more than 2 months at a time=? -
ANSPersistent depressive disorder
Treatment of Persistent depressive disorder - ANSSSRIs, psychotherapy, and physical exercise
at least 2 years with no major red flags but still highs and lows apparent. Depressed periods not
longer than 2 weeks, NO hypomanic or manic episodes that last more than 4 days. Not as
severe still functioning - ANSCyclothymic disorder
Treatment of cyclothymic disorder - ANSCBT with low dose mood stabilizer with goal of
maintaining mood stability for 6months
excessive worry occurring more days than not for at least 6 months, causes clinically significant
distress - ANSgeneralized anxiety disorder
most common psych illness seen by PCPs - ANSGeneralized anxiety disorder
What class of drugs are best for GAD? What 2 drugs in that class are best for GAD? Combine
with CBT - ANSSSRIs- specifically escitalopram and paroxetine
You start SSRI for GAD (escitalopram/paroxetine are best) and patient is only getting partial
relief, add on what drug? If still not enough add on? - ANSBuspar if still not enough benzo
Don't give benzos to what population of people? - ANSPMH of substance abuse
What am I? Panicking about having another panic attack? Occurrence of unexpected panic
attack that peaks at 10 minutes than being worried about having another one - ANSPanic
Disorder
Common finding seen in panic disorder - ANSagoraphobia
Big risk factors for panic disorder - ANSNeuroticism personality trait
abuse history, family history, females
2 big drugs that elicit panic attacks - ANScocaine and amphetamines
Panic disorder has high association with what other disorder - ANSMDD
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