Diagnoses
A procrastinating medical student pulls many late nights and all nighters studying for her exam. After the test, she goes home and crashes, sleeping for 16 hours. She wakes up the next morning refreshed and joins her friends for brunch. Halfway through brunch, she develops a throbbing headache
What is caffeine withdrawal
First line pharmacolotherapy for motor tics in Tourette's Syndrome (just the drug class is fine)
What is alpha-2 agonists?
Four dopaminergic tracks primarily indicated in schizophrenia
What is mesolimbic, mesocortical, nigrostriatal, tuberoinfundibular?
Scientist famous for landmark experiments in classical conditioning
Who is Ivan Pavlov?
The first anti-psychotic of the anti-dopaminergic class
What is chlorpromazine?
Patient has been embarrassed at school because he keeps involuntarily yelling out inappropriate words or clearing his throat repeatedly. This started since beginning of sixth grade, and still persists now, near the end of sixth grade
What is provisional tic disorder?
First line pharmacology for rapid cycling bipolar
What is valproic acid?
Part of brain that will show significant cell loss in Parkinson's Disease on imaging
What is substantia nigra?
8 year old sees you pour two equal bottles of liquid into a tall, slender glass and a wide, short glass. When asked which glass has more liquid, he says the glasses are equal. He exhibits understanding of concept of...
What is conservation?
Most common allegation in malpractice suits against psychiatrists
What is incorrect treatment?
Patient presents with parents with increased distractibility, heightened impulsivity. He is very irritable on exam, and talks loud, often interrupting you. Parents note he hasn't slept for 3 days - they brought him after he blamed his lack of sleep on his sisters' yelling next door. He is an only child...
What is bipolar I disorder
Mechanism of action (not just neurotransmitters involved, but the exact mechanism) of the two common classes of drugs used to delay the progression of Alzheimer's disease
What is cholinesterase inhibitor, NMDA receptor antagonist?
Mechanism of action of drug commonly used off-label for nightmares in patients with significant trauma history
What is non-selective inverse alpha-1 agonist?
(just kidding, alpha-1 antagonist is fine)
The test where the patient is asked to name the color of the printed words, not read the words themselves
What is stroop color word test?
(must include the word "stroop")
Year that the most recent iteration of the DSM was released
When is 2022? (DSM-5 TR)
Patient complains that she has periods of happy mood, increased energy and motivation, followed by periods of sad mood, decreased energy and motivation. She transitions between "highs" and "lows" every few weeks to months. She states "it's been like this forever, I've tried so many anti-depressants but they don't work"
What is cyclothymic disorder
Patient with history of schizophrenia, brought in by parents because they haven't been eating or showering and covered in filth. On exam, significant posturing, echolalia, grimacing. Next step is... (specific drug, not just class of drug)
What is lorazepam?
mechanism by which mirtazapine increases NE and 5HT release
what is a2-antagonism
Highest degree of education Freud received, and his specialty
What is MD and neurology
Legal term for level of evidence needed for placement of an involuntary hold
What is clear and convincing?
College kids go to CVS and buy a bunch of things for a party. They make many creative drink mixes (all alcoholic). That night, as patient keeps drinking, he progresses from socialness and happiness, to being unable to stand straight and being angry/getting into fights, to full blown dissociation. UDS+ cannabis
What is dextromethorphan intoxication/overdose?
FDA approved medications for bipolar maintenance (no partial credit)
What is lamotrigine, aripiprazole, olanzapine, lithium
(I lied, if they can get 3 of 4 WITHOUT any wrong answers, they get 300 points)
Brain circuitry pathway/loop primarily indicated in OCD
What is cortico-striato-thalamo-cortical?
(also acceptable if they name out each part involved in the loop, in the correct order, or if they say basal ganglia instead of striatum)
Freudian stage of latency is correlated with Erikson's stage of...
What is industry vs inferiority?
Imaging modality indicated in uncertain OCD diagnoses
What is nothing?