Development
Who is famous for the phrase "good enough mother"
Winnicott
Which anticonvulsant is notable for autoinduction of its own metabolism?
Carbamazepine
A patient on risperidone comes into your office and reports that she intends on going to her gynecologist because she hasn't been having her menstrual periods. She has taken a pregnancy test and it was negative. Which lab test would you order?
Prolactin level
What is the likelihood of a patient acquiring Huntington's disease if his father is a carrier and has the illness?
50%
Postpartum psychosis is often associated with what dx?
A. bipolar
B. delusional
C. schizophrenia
D. MDD
E. PTSD
A. bipolar
Object permanence develops during which one of Piaget's developmental stages?
sensorimotor
Which side effect of SSRI is the most common reason leading to discontinuation by patients?
GI side effects
Correct schedule for monitoring CBC when using clozapine
Weekly for first 6 months, then biweekly for 6 months, monthly thereafter
A 7-year-old girl with staring spells and 3-per-second spike and wave activity on electroencephalogram (EEG) fails therapy with ethosuximide and has breakthrough spells. The next best medication of choice to treat this patient is:
Depakote
What diagnosis is most common in individuals with a family history of bipolar disorder?
A. bipolar disorder
B. MDD
C. GAD
D. Persistent depressive disorder
E. OCD
B. MDD
Mirroring is central to which person's theory of development?
Heinz Kohut
16 y/o was started on a medication by his psychiatrist for the following symptoms: irritable mood, increased energy, decreased need for sleep, and pressured speech. He has complaints of worsening acne since starting this new medication. What medication?
Lithium
A patient in treatment for bipolar disorder reports severe mid-upper abdominal pain radiating to the back, nausea, anorexia, fever, and evidence of acute abdominal pain. Pain is worse after eating and upon lying down. She is taking citalopram and valproic acid. Which labwork will be most useful in making a diagnosis?
Lipase/Amylase
The lesion that produces the classical signs of internuclear ophthalmoplegia in multiple sclerosis is most often found in the:
Medial longitudinal fasciculus
Which of the following conditions most common in men with PTSD?
A. agoraphobia
B. Panic disorder
C. MDD
D. AUD
E. GAD
D. AUD
Child develops conservation in which Piaget's stage?
Concrete operations
Which tricyclic has the most antihistaminic activity?
doxepin
As part of doing blood work for an alcoholic patient you decide to order a GGT (γ-glutamyl transpeptidase). How many months after the patient stopped drinking would you expect the GGT to return to normal?
2 months
A 34-year-old obese African-American woman presents to the emergency room with a complaint of 6 weeks of intermittent bifrontal headache and vague visual obscurations. She is on oral contraceptive medication and has a history of being on tetracycline therapy for a recent sexually transmitted disease. Papilledema is present. The immediate diagnostic test of choice in the emergency room is:
LP with CSF opening pressure (+20 cm H2O)
dx: psedotumor cerebri/benign intracranial hypertension
Selective mutism in children is most likely to be a manifestation of:
A. Anxiety disorder
B. Asperger's disorder
C. Schizophrenia
D. mixed receptive-expressive language disorder
E. Pediatric autoimmune neuropsychiatric disorder associated with streptococcal infection (PANDAS)
A. Anxiety Disorder
A child is in the doctor's office for evaluation. Mother is waiting in the waiting room. Child is aware that his mother still exists even though not present in the room. Which stage of Mahler's stages of separation-individuation?
Object constancy
By what mechanism of action does mirtazapine decrease nausea?
5-hT 3 antagonism
How long after taking PCP can it still be found in the urine?
8 days
cannabis: up to 4 weeks
cocaine: up to 8 hours
heroin, up to 72 hours.
The most likely offending infectious agent responsible for AIDs-related retinopathy
Cytomegalovirus
Completed suicide is most frequently associated with which diagnosis?
A. MDD
B. SUD
C. schizophrenia
D. Borderline personality
E. chronic medical illness
A. MDD