Eating Disorders
OCD & Related
Trauma-Related
Substance-Related
Pharmacology
100
This is the key difference between anorexia nervosa and bulimia nervosa.
What is Current body weight?
100
For a diagnosis of OCD, this is the minimum duration per day of the time taken up by obsessions or compulsions.
What is at least one hour? (OR causing significant functional interference)
100
A 7 yo M patient is brought to psychiatrist by foster parents. He was removed from biological parents due to neglect, and has been in several foster homes. He is sullen much of the time and almost never smiles. He often becomes irritable and they are unable to console him. He appears to interact normally with his peers. This is the most likely diagnosis.
What is Reactive Attachment Disorder?
100
A 46-year-old woman is brought to the emergency department in respiratory depression 30 minutes after overdosing on an unknown substance. On arrival, she is intubated and mechanically ventilated. She is unconscious but responds to sternal rub by moaning. Examination shows pinpoint pupils. This is the most likely type of drug ingested.
What is Opioids?
100
This is the primary reason that clozapine is a second-line choice for treating psychosis.
What is risk of agranulocytosis, requiring frequent, ongoing monitoring of absolute neutrophil count?
200
Which of the following physical exam findings is NOT typical of anorexia nervosa? 1. Tachycardia 2. Hypokalemia 3. Amenorrhea 4. Hair loss 5. Constipation
What is Tachycardia?
200
Name three examples of types of obsessions.
1. Aggression 2. Contamination 3. Symmetry 4. Sexual 5. Hoarding 6. Religious 7. Somatic
200
A 6 yo F patient is brought in by her foster parents. She was removed from her biological parents at an early age due to neglect and has been in multiple foster homes. She has had a tendency to initiate conversations with strangers at the grocery store and once attempted to go home with another family. At the interview, she jumps onto the psychiatrist’s lap and begins to stroke her back. This is the most likely diagnosis.
What is Disinhibited Social Engagement Disorder?
200
This monoamine neurotransmitter plays a key role in the development of all substance use disorders.
What is dopamine?
200
You are seeing a 35 yo F patient with schizoaffective disorder in the outpatient clinic. Her psychotic symptoms have been well-controlled on haloperidol for the past several years. During the interview, she displays abnormal involuntary movements of her mouth and tongue of which she is not aware. This is most likely the condition you are observing.
What is Tardive Dyskinesia?
300
This region in the brain plays an important role in regulating feeding behavior.
What is Hypothalamus (optional: VLH = feeding; VMH = satiety)?
300
A 20 yo M patient presents with concern that his face causes him to appear “devious.” He feels that his brows droop over his eyes and that his jawline appear “weak.” For many years he has tried to “camouflage” these features by keeping his jaw jutted forward and his eyebrows raised. He has consulted a surgeon about obtaining jaw augmentation. This is the most likely diagnosis.
Body Dysmorphic Disorder
300
This is the most common precipitating event for women diagnosed with PTSD.
What is Sexual Assault?
300
This many positive responses on a CAGE test are needed to indicate that a person may have an alcohol use disorder.
What is one?
300
A 19 yo M was recently started on aripiprazole for schizophrenia and presents to the clinic requesting to be seen urgently as a walk-in. He paces in the waiting room and during the interview he has trouble remaining seated in his chair, standing up frequently. He did not have these symptoms in the past. This is the term for the patient's symptoms.
What is Akathisia?
400
This antidepressant is contraindicated in patients with eating disorders.
What is Bupropion (Wellbutrin)?
400
In addition to difficulty discarding or parting with possessions, feeling a need to save items, and clinically significant distress or impairment, this key feature is required for diagnosis of Hoarding Disorder.
What is "Accumulation of possessions that congest and clutter active living areas and substantially compromises their use"? If the living areas are uncluttered, it is only because of interventions of outside parties.
400
Which of the following is the best medication choice for overall treatment of PTSD symptoms? 1. Diazepam 2. Alprazolam 3. Sertraline 4. Prazosin 5. Lithium
What is Sertraline?
400
Which of the following are the last symptoms to develop during the course of severe alcohol withdrawal? 1. Delirium, fever, autonomic hyperarousal 2. Auditory, visual, tactile hallucinations in presence of clear sensorium 3. Seizures 4. Anxiety, tremor, nausea 5. Increase heart rate and blood pressure
What are delirium, fever, and autonomic hyperarousal (2-3 days)?
400
This SSRI has the longest half-life.
What is Fluoxetine (half-life of 2-3 days, with active metabolite half-life of 4-16 days)?
500
This medication is FDA-approved for the treatment of bulimia nervosa.
What is Fluoxetine (Prozac)?
500
This TCA is approved for and commonly used for OCD.
What is Clomipramine?
500
Which of the following is the best treatment option for an adjustment disorder? 1. Sedative-hypnotics 2. SSRIs 3. Antipsychotics 4. Supportive Therapy 5. Electroconvulsive Therapy
What is Supportive Therapy?
500
Which of the following is not associated with cannabis use? 1. Increased risk of developing schizophrenia. 2. Increased risk of smoking cigarettes and abusing other drugs. 3. Tachycardia, dry mouth, and conjunctivitis. 4. Flashbacks between periods of use. 5. Feeling that time has slowed and increased appetite.
What are Flashbacks?
500
This mood-stabilizing anticonvulsant can cause serum level of lamotrigine to double, putting the patient at risk of developing Stevens-Johnson syndrome.
What is Valproic Acid (Depakote)?
M
e
n
u