Interview
Diagnosis
Treatment
Misc
100
This is a fixed, false belief that cannot be altered by rational arguments
What is a delusion?
100
A patient presents true mania and psychosis. This is also needed to make diagnosis of Bipolar I
What is a major depressive episode?
100
This antipsychotic requires close monitoring of a patient's WBC count
What is clozapine?
100
It is hypothesized that overabundance of this neurotransmitter is involved in schizophrenia
What is dopamine?
200
This is one of the negative symptoms of schizophrenia
What is (name one) blunted affect, anhedonia, apathy, poverty of speech, lack of interest in socialization?
200
An elderly woman presents to the ED with an acute onset of hallucinations, confusion and paranoia. She has a dirty UA and fever. The ED doctor is worried schizophrenia. The psychiatry intern tells them this diagnosis is much more likely
What is delirium?
200
Of the following symptoms this one would be least likely to respond to a first generation anti-psychotic: ideas of reference, paranoid delusions, social isolation, disorganized speech.
What is social isolation? (negative symptoms)
200
These are distortions of real images or sensations
What are illusions?
300
Upon hearing this, note what in your MSE? "When I think of my dad, rad, mad, pad, lad, sad"
What is clang associations?
300
A patient has bizarre delusions, social withdrawal and difficulties at work for the past 3 months. She is most likely given the following diagnosis by a psychiatrist
What is schizophreniform disorder?
300
A 35 year old business executive presents to the ED with dilated pupils, tachycardia and paranoid delusions. Tox screen is positive for stimulants. Family is worried he will die from withdrawal. You answer them...
What is abrupt withdrawal is not life threatening? Patient may experience fatigue, hunger, depression, pupillary constriction. Only BZD and alcohol withdrawal are life threatening.
300
This hypothesis seeks to explain why lower socioeconomic groups have higher rates of schizophrenia
What is the downward drift hypothesis?
400
While pre-rounding you awake a patient who appears to be hallucinating and speaking non-sense as they wake up. This is called...
What is a hypnopompic episode?
400
A patient has nonbizarre, fixed delusions for 3 months. The delusions do not appear to be affecting his work or home life. This is his diagnosis...
What is delusional disorder?
400
Your patient that is being treated with olanzapine has recently started smoking. You decide to make the following changes with his medication.
What is increase the dose? Smoking induces CYP450
400
Mr T is 3 days post op. While rounding, the nurses report that he is suffering from acute mental status changes, vital sign abnormalities and hallucinations, but is afebrile. You treat him immediately with this class of medication.
What is benzodiazepines?
500
Throughout an interview with your patient they are mimicking all of your actions. This is known as...
What is echopraxia?
500
If one of these symptoms are present for 6 or more months, only one criterion A symptom is required for the diagnosis of schizophrenia
What are bizarre delusions, one voice voice keeping a running commentary on patient's behavior or thoughts or two voices conversing with each other?
500
Your patient has recently been started on Haldol. He now is feeling restless, struggles to initiate movement and is having muscle spasms in his neck. Without changing the haldol, you decide to start him on this class of drug to help with his sypmtoms.
What is anti-cholinergic
500
This antipsychotic is best in its class for treatment on negative symptoms.
What is clozapine?
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