Psychiatry Shelf Exam Flashcards Questions and Correct Answers/ Latest Update / Already Graded

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Psychiatry Shelf Exam Flashcards
Questions and Correct Answers/ Latest
Update / Already Graded
Bipolar symptoms in an older patient occurring for first time?


Ans: Right frontal hemisphere stroke




What drugs may cause lithium toxicity?


Ans: NSAIDs




Coarse tremor, ataxia, confusion, slurred speech, t-wave

flattening/inversion + U waves


Ans: Lithium toxicity




Mxn of lithium


Ans: Suppresses inositol triphosphate




Malformed tricuspid valve atrializes RV

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Ans: Ebstein's anomaly (Lithium toxicity)




Preferred treatment of bipolar in pregnant pt?


Ans: Clonazepam




Bipolar disorder with elevated LFTs and hepatitis


Ans: Valproate use




Bipolar disorder with SJS?


Ans: Lamotrigine




Bipolar disorder with agranulocytosis?


Ans: Carbamazepine




Shortened REM latency, more frequent REM

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Ans: Depression




Medications w/ side effect of with depression


Ans: IFN, BB, alpha-methyldopa, L-dopa, OCPs, EtOH, cocaine/amp

withdrawal, opiates




Medical diseases that may present w/ depression


Ans: HIV, Lyme disease, MS, hypothyroidism, acute intermittent porphyria,

uremia, Cushing's, Huntington's, MCA stroke




Leaden paralysis


Ans: Atypical depression




SSRI with most drug-drug interactions


Ans: Paroxetine




SSRIs most likely to have discontinuation syndrome

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Ans: Sertraline and fluvoxamine




Widened QRS complexes and prolonged QT interval


Ans: TCA overdose




Treatment for TCA overdose


Ans: Activated charcoal and IV sodium bicarb




Low potency anti-psychotics


Ans: Chlorpromazine and thioridazine




High potency anti-psychotics


Ans: Haloperidol and fluphenazine




Purple, grey metallic rash over sun-exposed areas and jaundice