Misc.
if a patient presents with weakness and diaphoresis, which of the following findings is most likely to confirm a diagnosis of factitious dx
low c-peptide
2nd line tx for illness anxiety dx
difference between typing of manic episodes of bipolar 1 vs 2
bipolar 1= manic symptoms must last for at least 1 week
bipolar 2= hypomanic symptoms that must last for at least 4 consecutive days
appropriate diagnostic tests for persistent depressive dx
CBC to assess for anemia, CMP to evaluate hepatic/kidney dysfunction, TSH to r/o hypothyroidism and UA/urine tox screen to detect metabolic or susbtance-related contributors
time criteria for diagnosis of cyclothymic dx
symptoms are never gone for >2 consecutive months over a 2-year period
time that pt must be experiencing symptoms to be diagnosed with cyclothymic dx according to DSM-5
2 years
3rd line tx for illness anxiety dx
antidepressants
characterization of schizoaffective dx
what complication is closely associated with an overdose of cyclic antidepressants
torsades de pointes
tx for benzodiazepine withdrawal versus intoxication
diazepam is indicated for benzo withdrawal whereas flumazenil is indicated for acute benzo intoxication as an antidote
first line tx for maintenance of bipolar I dx
the drug that initially stabilized the patient (mood stabilizers or antipsychotics)
routine assessment for patients with factitious dx
suicide risk
example of informational transmission
patient developed a phobia of driving after hearing stories about her cousin being killed in a car accident
candidates for ECT that have BPD
patients who present with major depression and malignant catatonia due to life-threatening nature of the illness
tx of acute dystonia
benztropine or diphenhydramine which are anticholinergic agents
type of unexpected panic attacks that occur in 1/3 of pt's with panic dx
nocturnal panic attacks
4 themes that are the center of obsessions and compulsions in OCD
symmetry, cleaning, harm and forbidden thoughts
why can quetiapine cause dizziness
it is a potent alpha-1 adrenergic receptor antagonist which increases potential for orthostatic hypotension
dx of woman who presents with 6 month of lack of sexual aroual in response to any erotic cues, lack of sexual excitement and reduced genital sensations during almost all sexual encounters
female sexual interest/arousal dx
symptoms of opioid withdrawal
increased lacrimation, mydriasis, sweating, abdominal pain, diarrhea and vomiting (PE may reveal yawning and piloerection)
first line tx for illness anxiety dx
CBT
lab abnormality in patients with signifiant self-induced vomiting
what lab test should be included in patient for initial evaluation of potential eating disorder
serum 25-hydroxyvitamin D level
what is a symptoms that could aid in diagnosis of GAD if present for at least 6 months
being easily fatigued, sleep disturbances, irritability, muscle tension, restlessness, and difficulty concentrating
what is the best way to diagnose antisocial personality dx
through the patient's history