What is the screening tool used to help diagnose anxiety?
What is GAD-7 Screener
How long does a patient have to have 5 symptoms of MDD to meet DSM5 criteria
2 weeks
What is the screening tool used to help evaluate psychotic symptoms
BPRS: Brief Psychiatric Rating Scale
What is the deadliest illness in psychiatry with a mortality rate of 5-18%
Anorexia nervosa
This personality has marked impulsivity, frantic effort to avoid real/imagined abandonment, recurrent suicidal behavior, self-mutilation, and chronic feeling of emptiness
What is Borderline Personality disorder?
How long does a patient need to have symptoms of GAD to meet DSM-5 Criteria
6 months
What is the difference between Bipolar 1 and Bipolar 2
Bipolar 1 is depression + manic episode
Bipolar 2 is depression + hypomanic episode
What is the mechanism of action of first-generation antipsychotics and second-generation antipsychotics
1st gen: Dopamine antagonists
2nd gen: Serotonin-dopamine antagonists
What sign is commonly seen in bulimia nervosa patients, and which digits are they found on?
Russel’s sign: 2nd and 4th digit
This personality has a pattern of excessive emotional and attention-seeking behavior. They are uncomfortable not being the center of attention, show inappropriate sexual interaction towards others, are suggestible, and have exaggerated emotions.
What is Histrionic personality disorder?
What are 3 classes of medication that are typically used to treat depression, name 1 drug from each class
SSRIs:fluoxetine, paroxetine , Sertraline , citalopram , Escitalopram
SNRIs: duloxetine , Fetzima, Venlafaxine , Desvenlafaxine
TCAS:Imipramine, Amitriptyline, Doxepin, Nortriptyline
What are the time frames for Brief Psychotic Disorder, Schizophreniform Disorder, Schizophrenia
Brief Psychotic Disorder: Psychosis for only a month
Schizophreniform Disorder: 1-6 months
Schizophrenia:> 6 months, symptoms do not resolve
What is an FDA-approved medication used to treat Bulimia Nervosa
Prozac (fluoxetine)
A patient who has pervasive distrust and is suspicious of others without reason. They are reluctant to share information going on in their life, afraid that it'll be used against them.
What disorder is this most likely?
What is paranoid personality disorder
What therapy type is indicated for OCD patients?
Exposure and response prevention therapy (ERP)
What is the initial 2-3 drug classes used to treat mania in bipolar patients
Lithium or VPA
+/- Benzodiazepine
+/- 2nd gen antipsychotics
What are the two most consistent structural brain finding in patients with schizophrenia?
reduction in gray matter and ventricular enlargement(butterfly sign)
Which medications are contraindicated in the treatment of anorexia nervosa?
bupropion: lowers seizure threshold
TCAs: prolongs QTc
A patient with a flat affect, is incapable of holding close relationships, has odd thinking speech, and believes wizards and witches walk amongst us making them always suspicious of others.
Which disorder is this most likely?
What is schizotypal personality disorder
The time of onset for PTSD after an event is how long? The time of onset of Acute stress disorder is how long?
PSTD is more than or equal to 1 month
Acute Stress Disorder is typically 1 day to 1 month
Lithium is a common drug used to treat bipolar disease. Which medication can potentiate lithium and cause lithium toxicity. Which organ will be affected most from lithium toxicity?
Hydrochlorothiazide
Kidneys
What five 2nd gen antipsychotics have lowest side effects?
Hint: (Dr. Luu's acronym LIZZA)
lurasidone, iloperidone, ziprasidone, asenapine, aripipazole
What is the hallmark biochemical feature of re-feeding syndrome?
hypophosphatemia
What are the two drug classes, and type of therapy used to treat borderline personality disorder?
Anticonvulsants
Antipsychotics (both typical and atypical)
Dialectic Behavior Therapy (DBT)