Psych EOR Exam 2(Latest 2024/25) |
Questions and 100% Complete Solutions
MC physical exam finding in someone who took MAOIs and ate tyramine rich food
hypertensive crisis
PTSD tx
Trauma-focused CBT first
and SSRIs/SNRIs (Paroxetine)
if refractory to psychotherapy or who want pharmacotherapeutic tx
how to distinguish bulimia nervosa from binge eating dx
presence of compensatory behaviors in bulimia
what broadband assessment tool to use to dx ADHD
child behavior checklist/teacher report form: assesses attention problems as well as anxiety,
depression, aggression, withdrawal, and somatic complaints.
measure behavioral sxs not only specific to ADHD dx but to other behavioral and
psychological disorders
what lab or test should be completed prior to started Ziprisadone
EKG
prolongs QT interval
also assess for hypertension, hyperlipidemia, and diabetes mellitus.
paraphilic disorders
tx for somatic sx disorder
regularly scheduled visits in the office
,dx of somatic sx disorder
1) one or more somatic symptoms that cause the patient distress or psychosocial impairment;
2) excessive thoughts, feelings, or behaviors associated with the somatic symptoms; and
3) although the symptom may change, the disorder must be present for 6 or more months.
MC presentation (age and sex) of GAD
21 y/o female
early adulthood and is slightly more common in women
factitious dx vs conversion dx
in factitious the sxs are intentionally produced and the symptoms are not always neurologic.
factitious dx vs maligering
in factitious, no clear external reward
how to confirm dx of cannabinoid hyperemesis synrdome
improvement in sxs with hot showers
Symptoms start in the morning and may be accompanied by bloating, diaphoresis, or weight
loss. a positive history of this helps to confirm the diagnosis.
preferred drug for Bipolar I in preganancy and its ADR
Lithium, decline in kidney function
first line tx for severe mania
lithium or valproate and an antipsychotic
which meds increase lithium levels
ACE inhibitors, NSAIDs thiazide diuretics, tetracycline, and metronidazole.
core features of borderline personality dx
unstable moods, behaviors, and interpersonal relationships; fear of abandonment; intense
attachment; impulsive behavior; poorly formed identity; and increased risk of suicide.
tx of borderline PD
DBT
patient education, psychotherapy, and symptom-focused pharmacologic therapy
,clinical presentation of schizotypal personality dx
tx
cognitive and perceptual disturbances, interpersonal difficulties, and oddities of behavior or
appearance along with disorganized thought or speech.
magical thinking, paranoia, suspiciousness, and ideas of reference.
quetiapine- gain cognitive organization while also decreasing anxiety.
sxs of lithium tox
acute: GI toxicity (N/V/D), late neuro sequelae
chronic: lethargy, confusion, agitation, ataxia, tremor, fasiculations, seizure
triad of serotonin syndrome
Mental status change (anxiety, restlessness, agitiated delirium)
autonomic dysregulation (diaphoresis, tachycardia/HTN, hyperthermia)
neuromuscular hyperactivity (tremor, muscle ridgidity, clonus, hyperreflexia)
Features of Neuroleptic malignant syndrome
AMS, fever, muscle rigidity, and autonomic instability
tx of obsessive compulsive dx
SSRIs (sertraline)
response prevention based CBT
clinical features of panic dx
recurrent and unexpected panic attacks with >/=4:
-CP/palp/SOB/choking
-trembling, sweating, N/chills
-dizzy/paresthesias
-derealization/ depersonalization
-fear of losing control or dying
OCD dx
, pervasive pattern of preoccupation with orderliness, rigid rules, perfectionism, and control
how to ddx between obsessive compulsive dx VS obsessive compulsive personality dx
OCPD vs OCD: OCPD lack of clear obsessions and compulsions
clinical presentation of paranoid personality dx
distrust, suspicsion of surgeon's motives, and lack of sustained relationships
no fixed delusions or psychotic sxs
DIGFAST
Distractibility
impulsivity
Grandiosity
Flight of ideas
Activity increased
Sleep (decreased need for)
Talkativeness
Clinical presentation of neuroepileptic malignant syndrome
precipitant: dopamine antagoist (antipsychotics)
Severe lead pipe ridgidity, hyperthermia, sympathetic hyperactivity, and mental status changes
key difference between NMS and serotonin syndrome
NMS: AMS, fever, severe rigidity, autonomic instability, rare hyperreflexia
Serotonin: neuromuscular irritability (hyperreflexia, myoclonus)
patients with panic disoder often develop _____. Clinical presentation?
agoraphobia: avoidance of multiple situations where they may feel trapped and helpless in
the event of a panic attack
can be dx w/o panic dx
key features of anorexia and tx
BMI <18.5, intense fear of weight gain, distorted views of body weight and shape
CBT, olanzapine if no response
key features of bulimia and tx
Questions and 100% Complete Solutions
MC physical exam finding in someone who took MAOIs and ate tyramine rich food
hypertensive crisis
PTSD tx
Trauma-focused CBT first
and SSRIs/SNRIs (Paroxetine)
if refractory to psychotherapy or who want pharmacotherapeutic tx
how to distinguish bulimia nervosa from binge eating dx
presence of compensatory behaviors in bulimia
what broadband assessment tool to use to dx ADHD
child behavior checklist/teacher report form: assesses attention problems as well as anxiety,
depression, aggression, withdrawal, and somatic complaints.
measure behavioral sxs not only specific to ADHD dx but to other behavioral and
psychological disorders
what lab or test should be completed prior to started Ziprisadone
EKG
prolongs QT interval
also assess for hypertension, hyperlipidemia, and diabetes mellitus.
paraphilic disorders
tx for somatic sx disorder
regularly scheduled visits in the office
,dx of somatic sx disorder
1) one or more somatic symptoms that cause the patient distress or psychosocial impairment;
2) excessive thoughts, feelings, or behaviors associated with the somatic symptoms; and
3) although the symptom may change, the disorder must be present for 6 or more months.
MC presentation (age and sex) of GAD
21 y/o female
early adulthood and is slightly more common in women
factitious dx vs conversion dx
in factitious the sxs are intentionally produced and the symptoms are not always neurologic.
factitious dx vs maligering
in factitious, no clear external reward
how to confirm dx of cannabinoid hyperemesis synrdome
improvement in sxs with hot showers
Symptoms start in the morning and may be accompanied by bloating, diaphoresis, or weight
loss. a positive history of this helps to confirm the diagnosis.
preferred drug for Bipolar I in preganancy and its ADR
Lithium, decline in kidney function
first line tx for severe mania
lithium or valproate and an antipsychotic
which meds increase lithium levels
ACE inhibitors, NSAIDs thiazide diuretics, tetracycline, and metronidazole.
core features of borderline personality dx
unstable moods, behaviors, and interpersonal relationships; fear of abandonment; intense
attachment; impulsive behavior; poorly formed identity; and increased risk of suicide.
tx of borderline PD
DBT
patient education, psychotherapy, and symptom-focused pharmacologic therapy
,clinical presentation of schizotypal personality dx
tx
cognitive and perceptual disturbances, interpersonal difficulties, and oddities of behavior or
appearance along with disorganized thought or speech.
magical thinking, paranoia, suspiciousness, and ideas of reference.
quetiapine- gain cognitive organization while also decreasing anxiety.
sxs of lithium tox
acute: GI toxicity (N/V/D), late neuro sequelae
chronic: lethargy, confusion, agitation, ataxia, tremor, fasiculations, seizure
triad of serotonin syndrome
Mental status change (anxiety, restlessness, agitiated delirium)
autonomic dysregulation (diaphoresis, tachycardia/HTN, hyperthermia)
neuromuscular hyperactivity (tremor, muscle ridgidity, clonus, hyperreflexia)
Features of Neuroleptic malignant syndrome
AMS, fever, muscle rigidity, and autonomic instability
tx of obsessive compulsive dx
SSRIs (sertraline)
response prevention based CBT
clinical features of panic dx
recurrent and unexpected panic attacks with >/=4:
-CP/palp/SOB/choking
-trembling, sweating, N/chills
-dizzy/paresthesias
-derealization/ depersonalization
-fear of losing control or dying
OCD dx
, pervasive pattern of preoccupation with orderliness, rigid rules, perfectionism, and control
how to ddx between obsessive compulsive dx VS obsessive compulsive personality dx
OCPD vs OCD: OCPD lack of clear obsessions and compulsions
clinical presentation of paranoid personality dx
distrust, suspicsion of surgeon's motives, and lack of sustained relationships
no fixed delusions or psychotic sxs
DIGFAST
Distractibility
impulsivity
Grandiosity
Flight of ideas
Activity increased
Sleep (decreased need for)
Talkativeness
Clinical presentation of neuroepileptic malignant syndrome
precipitant: dopamine antagoist (antipsychotics)
Severe lead pipe ridgidity, hyperthermia, sympathetic hyperactivity, and mental status changes
key difference between NMS and serotonin syndrome
NMS: AMS, fever, severe rigidity, autonomic instability, rare hyperreflexia
Serotonin: neuromuscular irritability (hyperreflexia, myoclonus)
patients with panic disoder often develop _____. Clinical presentation?
agoraphobia: avoidance of multiple situations where they may feel trapped and helpless in
the event of a panic attack
can be dx w/o panic dx
key features of anorexia and tx
BMI <18.5, intense fear of weight gain, distorted views of body weight and shape
CBT, olanzapine if no response
key features of bulimia and tx
