Definitions
Substance use d/o
Anxiety/Depression
Psychosis
Grab Bag
100

This personality disorder is characterized by provocative behavior, exaggerated emotions, and liking to be the center of attention.

What is histrionic (cluster B)?

100

This substance use is associated with agitation, psychosis, and rotary nystagmus.

What is PCP (phencyclidine)?

100

This disorder is characterized by performing rituals to eliminate intrusive thoughts.

What is obsessive compulsive disorder?

100

Erroneous beliefs that usually involve a misinterpretation of perceptions or experiences.

What is a delusion?

100

This is what differentiates bipolar I from bipolar II diagnosis.

What is at least one manic episode?

200

An 18 yo has few social relationships and prefers to work on his model aircrafts. He prefers to be left alone. He appears calm but withdrawn. He denies homicidality, suicidality or hallucinations. No delusions. This is his most likely diagnosis.

What is schizoid PD?
200

Ataxia, nystagmus, and ophthalmoplegia are suggestive of this syndrome.

What is Wernicke's?

200
This is how long a patient must have symptoms for before a diagnosis of major depressive disorder is made.

what is 2 weeks?

200

Your patient with bipolar affective d/o (on lithium) in the MICU has delirium and put out 2 L of urine overnight. This lab is likely to be abnormal this morning.

What is sodium? (this patient has nephrogenic DI)

200

This diagnosis carries the highest mortality risk of any other psychiatric diagnosis.

What is Anorexia Nervosa?

300

A psychological condition where a patient will often go to great lengths and personal danger to mimic or induce self-harm.

What is factitious disorder?

300

This nicotinic receptor partial agonist is commonly used for smoking cessation.

What is varenicline?

300

A patient presents with acute anxiousness and flexion contractures of her wrists. She has a RR of 28 bpm. Her flexion contracture of wrists is caused by this.

What is acute hypocalcemia 2/2 respiratory alkalosis?

300

This syndrome is characterized by mental status change, rigidity, hyperthermia, and dysautonomia. Their preceding MH diagnosis is schizophrenia.

What is neuroleptic malignant syndrome?

300

Disorders or symptoms are feigned or exaggerated for secondary gain.

What is malingering?

400
Lilliputians and pink elephants have been classically described in this type of delirium.

What is alcohol withdrawal delirium?

400

This central alpha 2 agonist is sometimes used as an adjunct in alcohol withdrawal.

What is dexmedetomidine?
400

This medication commonly used for depression has a very similar structural appearance to methamphetamine.

What is bupropion?

400

A patient with bullous pemphigoid is 65 yo and presents with insomnia and psychosis. After a thorough workup, it is determined that this medication in his home regimen is responsible for his presentation.

What is prednisone (corticosteroid)?

400

This broad spectrum antibiotic is notorious for causing delirium in the elderly.

What is cefepime?
500

This is the lint picking behavior which is often seen in delirium.

What is carphologia?

500

This has been in the news recently and described as "gas station heroin".

What is tianeptine?


500

St John's wort herbal medication has been used for centuries. It likely isn't any better than placebo for treating depression. However, it is great at interfering with metabolism of many drugs via this system.

What is cytochrome p450? (3A4 inducer)

500

This medication used as an antimalarial can mimic PTSD.

What is mefloquine?

500

A 15 yo patient has anorexia nervosa. She presents with chest pain, palpitations, and lightheadedness. This is her most likely complication, which is caused by losing muscle mass in her left ventricle.

What is mitral valve prolapse.

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