10,000 maniacs
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
Diagnosis of Panic Disorder involves a fear of THIS, in between the Panic Attacks
What are:
further panic attacks
You are going to see a patient with 'psychotic behavior' 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
Virtually all drugs of abuse affect THIS neurotransmitter
What is:
Dopamine
THIS mental status exam term is used to describe the patient's real life problem solving skills
What is Judgement
You see a patient with his 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
A professional musician develops anxiety when performing and has physical symptoms of sweating and shaking. THIS medication is indicated for the treatment of performance anxiety.
What is propranolol
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 used for treatment resistant schizophrenia and may reduce risk of suicide
What is:
Clozapine
Treatment of alcohol withdrawal in a patient with significant Liver disease should be treated with THIS medication
What is:
Lorazepam
A medical student is aware that he is comfortable with-and even somewhat enjoys aggressive feelings. He works hard and becomes an accomplished surgeon. This is an example of which ego defense mechanism
What is sublimation?
A history of a manic episode, with features of psychosis allows us to immediately make THIS diagnosis
What is:
Bipolar I
Benzodiazepine monotherapy may be a appropriate treatment in select patients with this anxiety disorder.
What is panic disorder?
This disorder often presents with visual hallucinations of small people, children or animals.
What is Lew Body Dementia
(or Parkinson's Related Psychosis)
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 syndrome
A 23 year old man with h history of schizophrenia is noted to be pacing the falls throughout the day. He is unable to sit still during the interview. His dosage of haloperidol was recently increased. He is most likely experiencing this medication side effect.
What is akathisia?
Patients who are consenting to ECT therapy should be informed of THIS common side effect
What is:
Memory loss
as well as myalgias, headaches
THESE are repetitive behaviors or mental acts, that an individual feels driven to perform in response to recurrent or persistent thoughts
What are:
Compulsions
as in Obsessive-Compulsive Disorders
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
THIS is the preferred first line treatment for an Opioid-Use-Disorder
What is:
Buprenorphine-Naloxone
THIS is a key brain structure in the neurobiology of addiction
What is the nucleus accumbens?
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
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
You suspect your patient with features of psychosis is suffering from a Schizoaffective Disorder.
You know this diagnosis requires THIS specific feature of the psychotic symptoms
What is:
delusions or hallucinations present for 2 or more weeks, in the absence of major mood episode.
Your patient with Alcohol Abuse Disorder is hoping for some medication to help them stay sober.
You can offer them one of these two first line medication options
What is:
Naltrexone or acamprosate
an opioid antaonist, which reduced the 'high' from alcohol.
THIS feature of thought disorganization includes meaningless repetition of another person's spoken words.
What is echolalia?