Enter Title

Depression and Anxiety

100

Key screening tool for depression in FM?

PHQ-9

200

Typical duration before judging antidepressant effectiveness?

4–6 weeks (I will also accept 6-8 weeks)

300

What should you assess (condition) before starting antidepressants in a depressed patient?

History of mania/hypomania

400

Key components of suicide risk assessment in FM? List any 3

Ideation, plan, intent, means, protective factors

500

A patient develops restlessness, agitation, and insomnia within days of starting an antidepressant, without hallucinations, fever, or autonomic instability

A. Serotonin syndrome
B. SSRI activation syndrome
C. Bipolar switch
D. Akathisia

B. SSRI activation syndrome

Bipolar and Psychosis

100

First-line treatment for acute psychosis?

Antipsychotics

200

Schizophrenia requires symptoms for how long?

≥6 months

300

Brief psychotic disorder duration?

<1 month

400

What is the diagnosis for: Psychosis + fluctuating attention + disorientation

Delirium

500

Medical causes of psychosis to rule out? (List 3)

Thyroid disease, CNS lesions, substances

Chronic/Functional

100

Chronic widespread pain syndrome?

Fibromyalgia

200

First-line treatment for fibromyalgia?

Exercise + CBT

300

Personality disorder with unstable relationships and self-harm?

Borderline personality disorder

400

What is the diagnosis for preoccupation with having serious illness despite reassurance 

Illness anxiety

500

I am marked by excessive emotionality, attention-seeking, and discomfort when not the center of attention, What am I?

Histrionic personality disorder

Mental Health Emergencies

100

Alcohol withdrawal can progress to?

Delirium tremens

200

Delirium hallmark?

Fluctuating attention and consciousness

300

Benzodiazepine withdrawal can cause?

Seizures

400

Serotonin syndrome neuromuscular finding?

Clonus / hyperreflexia

500

A patient is started on an antipsychotic but develops marked rigidity, fever, and autonomic instability. What life-threatening reaction is this?

Neuroleptic malignant syndrome

Psych Meds

100

Common SSRI side effect affecting adherence?

Sexual dysfunction

200

Common early side effect of SSRIs that often improves?

Nausea / GI upset

300

Antidepressant helpful for low energy + smoking cessation

Bupropion

400

Lithium toxicity early symptoms?

- GI upset

- Tremor

500

I am an atypical antipsychotic often used for both schizophrenia and bipolar depression, and I tend to be weight-neutral compared to others in my class

Aripiprazole