Primary Care EOR: Psych/Behavioral
Medicine (5%)
___ and ___ can occur when SSRIs and MAOI are used together - ANSWER-serotonin syndrome:
lethargy
restlessness
confusion
flushing
diaphoresis
tremor
myoclonic jerks
may progress to death
note: wait at least 2 weeks before switching from SSRI to MAOI
____ is an disorder characterized by the persistent re-experience of a trauma/stressor (intrusive
recollection), efforts to avoid recollecting the trauma, and hyperarousal for > 1 mo - ANSWER-post-
traumatic stress disorder
____ is the 8th leading cause of death in US; 2nd leading cause of death after accidents in people btw
15-24 yo - ANSWER-suicide
note:
W > M attempt
M > W complete
W by drug ingestion
M by firearm use
____ is used to screen for alcohol/drug problems - ANSWER-CAGE:
have you felt you out to quit or CUT down?
have you been ANNOYED when others criticize your drinking or drug use?
have you felt GUILTY over your use or things you have done when high/drunk?
do you ever drink or use in the morning to settle your nerves (EYE-OPENER)?
,Primary Care EOR: Psych/Behavioral
Medicine (5%)
note:
1+ warrants further investigation
2+ highly suggestive of alcohol dependence
____ is when pts have an intense fear of being scrutinized in social or public situations (speech class) -
ANSWER-social phobia aka social anxiety disorder
_____ a minimum of 2 years of chronically depressed mood most of the time - ANSWER-dysthymic
disorder
_____ characterized by intensive pervasive worry over virtually every aspect of life associated with
physical manifestations; also difficulty controlling the worry - ANSWER-generalized anxiety disorder
_____ is used to track withdrawal symptoms - ANSWER-CIWA = clinical institute withdrawal assessment
______ is characterized by at least 2 years of numerous periods of hypomanic sx that do not meet
criteria for a manic episode and numerous periods of depressive symptoms that do not meet criteria for
major depressive episode - ANSWER-cyclothymic disorder
adjustment disorder Sx definition - ANSWER-symptoms (changes in emotional state or behaviors) that
arise in response to an identified psychosocial stressor that is out of proportion to what is expected in
usual human experience
alcohol testing methods - ANSWER-enzymatic assays utilizing alcohol dehydrogenase rxn may detect ALL
alcohols
gas liquid chromatography can distinguish methanol from ethanol
blood is most accurate
breath is inexpensive
urine is positive for 3 days after alcohol use
fingerstick test to exclude hypoglycemia
alcohol withdrawal
Sx - ANSWER-tremor (esp hands)
tachycardia
hypertension
sweating
, Primary Care EOR: Psych/Behavioral
Medicine (5%)
insomnia
nausea, vomiting
photophobia
hallucinations
hyperreflexia
irritability
anxiety
fever
disorientation
diaphoresis
alcohol craving
seziures
delirium
alcohol withdrawal
Tx - ANSWER-benzodiazepines
thiamine (parental) before glucose
folate
magnesium sulfate
(post-withdrawal seizures)
amphetamines are ____ - ANSWER-stimulants
anatidaephobia - ANSWER-feat of being watch by a duck
anorexia and common traits - ANSWER-high fear of losing control
difficulty with self-esteem
commonly display "all-or-none" thinking
Medicine (5%)
___ and ___ can occur when SSRIs and MAOI are used together - ANSWER-serotonin syndrome:
lethargy
restlessness
confusion
flushing
diaphoresis
tremor
myoclonic jerks
may progress to death
note: wait at least 2 weeks before switching from SSRI to MAOI
____ is an disorder characterized by the persistent re-experience of a trauma/stressor (intrusive
recollection), efforts to avoid recollecting the trauma, and hyperarousal for > 1 mo - ANSWER-post-
traumatic stress disorder
____ is the 8th leading cause of death in US; 2nd leading cause of death after accidents in people btw
15-24 yo - ANSWER-suicide
note:
W > M attempt
M > W complete
W by drug ingestion
M by firearm use
____ is used to screen for alcohol/drug problems - ANSWER-CAGE:
have you felt you out to quit or CUT down?
have you been ANNOYED when others criticize your drinking or drug use?
have you felt GUILTY over your use or things you have done when high/drunk?
do you ever drink or use in the morning to settle your nerves (EYE-OPENER)?
,Primary Care EOR: Psych/Behavioral
Medicine (5%)
note:
1+ warrants further investigation
2+ highly suggestive of alcohol dependence
____ is when pts have an intense fear of being scrutinized in social or public situations (speech class) -
ANSWER-social phobia aka social anxiety disorder
_____ a minimum of 2 years of chronically depressed mood most of the time - ANSWER-dysthymic
disorder
_____ characterized by intensive pervasive worry over virtually every aspect of life associated with
physical manifestations; also difficulty controlling the worry - ANSWER-generalized anxiety disorder
_____ is used to track withdrawal symptoms - ANSWER-CIWA = clinical institute withdrawal assessment
______ is characterized by at least 2 years of numerous periods of hypomanic sx that do not meet
criteria for a manic episode and numerous periods of depressive symptoms that do not meet criteria for
major depressive episode - ANSWER-cyclothymic disorder
adjustment disorder Sx definition - ANSWER-symptoms (changes in emotional state or behaviors) that
arise in response to an identified psychosocial stressor that is out of proportion to what is expected in
usual human experience
alcohol testing methods - ANSWER-enzymatic assays utilizing alcohol dehydrogenase rxn may detect ALL
alcohols
gas liquid chromatography can distinguish methanol from ethanol
blood is most accurate
breath is inexpensive
urine is positive for 3 days after alcohol use
fingerstick test to exclude hypoglycemia
alcohol withdrawal
Sx - ANSWER-tremor (esp hands)
tachycardia
hypertension
sweating
, Primary Care EOR: Psych/Behavioral
Medicine (5%)
insomnia
nausea, vomiting
photophobia
hallucinations
hyperreflexia
irritability
anxiety
fever
disorientation
diaphoresis
alcohol craving
seziures
delirium
alcohol withdrawal
Tx - ANSWER-benzodiazepines
thiamine (parental) before glucose
folate
magnesium sulfate
(post-withdrawal seizures)
amphetamines are ____ - ANSWER-stimulants
anatidaephobia - ANSWER-feat of being watch by a duck
anorexia and common traits - ANSWER-high fear of losing control
difficulty with self-esteem
commonly display "all-or-none" thinking
