Mood
Anxiety
Psychosis
Addictions
OAT
100
There are a number of symptoms in the DSM-V criteria for diagnosing a major depressive mood episode.
In order to diagnose this, you need to see at least THIS many of these symptoms
What is five symptoms
100
Diagnosis of Panic Disorder involves a fear of THIS, in between the Panic Attacks
What are:
further panic attacks
100
You are going to see a patient with 'psychotic behaviour' in the ED. You know there are five criteria for diagnosing schizophrenia. You also know the diagnosis requires at least one of these three criteria to be true
What is:
1) delusion
2) hallucination
3) disorganized speech
100
Virtually all drugs of abuse affect THIS neurotransmitter
What is:
Dopamine
100
You plan on starting your patient on the medication seen here.
You will determine the starting dose based on THIS from their history
The medication seen is Methadone.
What is:
The patient's opioid naievete or exposure.
- opioid naieve: 5-10mg/d
- unknown exposure: 10-20mg/d
- experienced: 20-30 mg/d
200
Depression can be present in up to 50% of THIS often overlooked population
Who are:
The Elderly in Nursing Homes
up to 15% in community >65 yo
up to 50% in Nursing Homes > 65 yo200
You see a patient with their wife who says that last week she noticed four days where her husband was:
- extremely talkative
- did not sleep as he kept working on projects
- became very sexual, multiple occasion per night, which is not his normal
However this did not negatively impact his work or normal social life.
You are most likely to apply THIS diagnosis
What is:
Hypomanic Episode
A manic episode would require:
a) impairment in social or work function
b) lasting 7 days or more
200
Your patient with known schizophrenia was initially doing well after trying a couple of different antipsychotics, however she has come back with a strong command voice telling her to kill herself.
This medication is reserved as last line pharmacology for cases such as thisWhat is:
Clozapine
200
Treatment of alcohol withdrawal in a patient with significant Liver disease should be treated with THIS medication
What is:
Lorazepam, PO/SL/IM 1-4mg, q1-2h based on CIWA-A scoreIf not elderly and without liver disease, Diazepam is preferred
200
THIS is the preferred first line treatment for an Opioid-Use-Disorder
What is:
Buprenorphine-Naloxone
300
A Cochrane review in 2008 compared THIS common 'natural' product to standard antidepressants and found that it was not only more effective than placebo, but similarly effective as the standard antidepressants
What is:
St John's Wort (hypericum extract)
300
A history of a manic episode, with features of psychosis allows us to immediately make THIS diagnosis
What is:
Bipolar I
300
You decide you need to admit your psychotic patient under the Mental Health Act, Form 4.
In order to do so, you realize you need to justify it with one of these three reasons
What is:
1) for the protection of the patient themselves
2) for the protection of others
3) to prevent the patient's substantial physical or mental deterioration
300
You patient reports recurrent severe nausea with cyclical emesis, which he says can be relieved by a hot shower or bath.
This presentation is most likely due to THIS substance of abuse
What is:
Cannabis
Cannabis hyperemesis syndrome300
Your patient with Opioid-Use-Disorder has significant contraindications for both Methadone and Suboxone.
In this case you might consider THIS less-used third option
What is:
Kadian/SROM
400
While ECT has a bad rap despite proving its effectiveness for a number of psychiatric disorders. Patients who are consenting to this therapy should be informed of THIS common side effect
What is:
Memory lossas well as myalgias, headaches
400
THESE are repetitive behaviours or mental acts, that an individual feels driven to perform in response to recurrent or persistent thoughts
What are:
Compusions
as in Obsessive-Compulsive Disorders
400
While there are a variety of antipsychotic medications available to choose from, all share THIS common mechanism
What is:
the blockade of dopamine, though by varying degrees and in a variety of different pathways
400
THIS organ system is at significantly increased risk from intoxication with a drug produced from plant alkaloid leaf extract.
What is:
the Cardiovascular system.
the noted drug is Cocaine, refined from the extract of the Coca leaf
400
Your patient on Methadone reports they have missed two days of their 80mg/day doses.
As a result, you decide to do THIS with their methadone dosage.What is:
continue on the same dose.
1-2 days missed requires no changes
3-4 days missed requires reduction based on what dose they were on
5+ days missed requires restarting from the beginning
500
A patient has a 2 year Hx of numerous periods of hypomania and depressive symptoms which never meet criteria for hypomanic episodes or MDE.
This pattern is suggestive of THIS mood disorder
What is:
Cyclothymia
500
THIS is a marked fear or anxiety about two of:
- using public transportation
- being in open spaces
- being in enclosed spaces
- standing in line or being in a crowd
- being outside of the home
What is:
Agoraphobia
500
You suspect your patient with features of psychosis is actually suffering from a Schizoaffective Disorder.
You know this diagnosis requires THIS specific feature
What are:
Concurrent schizophrenia (criteria A) and Major mood episode symptoms are present for the majority of both active and residual periods of illness
and
delusions or hallucinations present for 2 or more weeks, in the absence of major mood episode.
500
Your patient with Alcohol Abuse Disorder is hoping for some medication to help them stay sober.
You can offer them THIS first line medication option
What is:
Naltrexone
[Acamprosate would also count]an opioid antaonist, which reduced the 'high' from alcohol.
500
Induction of a patient onto Buprenorphine-Naloxone requires their COWS score be at least, THIS
What is:
greater than 12