Psych

Question 1

What is the most common side effect of Paxil?

Answer 1

erectile dysfunction

Question 2

What is the first line treatment for depression?

Answer 2

SSRI’s (zoloft, celexa, lexapro)

Question 3

1st choice SSRI for elderly patient with depression

Answer 3

Celexa

Zoloft also okay

Question 4

What depression med class causes low sperm count?

Answer 4

SSRIs

Question 5

Grandiosity is a symptom experienced by people with what?

Answer 5

Bipolar disorder.

Question 6

What exam asks an elderly patient to remember and repeat three words?

Answer 6

Mini Mental State Exam (MME) or (MMSE)

Question 7

Do you give Zoloft or Xanax for an acute anxiety attack?

Answer 7

Xanax. (give benzos for acute relief)

Question 8

Is presbycusis sensorineural or conductive hearing loss?

Answer 8

sensorineural

Question 9

A patient is experiencing memory loss and increase in confusion. She has a history of stroke and HTN. What type of Alzheimers does she likely have?
A) Lewy Body dementia
B) Vascular dementia
C) Frontotemporal dementia

Answer 9

B) Vascular dementia

Question 10

What is 1st line treatment for an essential tremor?

Answer 10

propranolol

Question 11

How do you treat someone with an intense, brief, unilateral stabbing pain in the lips, cheek, or chin. This pain is exacerbated by chewing.

Answer 11

DX: trigeminal neuralgia
TX: carbamazepine/Tegretol or phenytoin/Dilantin

Question 12

treatment for a cluster migraine

Answer 12

high dose oxygen and sumatriptan

Question 13

Papilledema is a sign of?

Answer 13

increased ICP

Question 14

Pt complains of worst headache of their live after experiencing trauma.
A) post-concussion headache
B) subarachnoid hemorrhage
C) subdural hematoma

Answer 14

B) subarachnoid hemorrhage

Question 15

What cranial nerves are involved in extra ocular movement?

Answer 15

CH 3, 4, 6

Question 16

lab changes associated with atypical antipsychotics?

clozaril, geodon, Abilify, Seroquel, risperdal, zyprexa

Answer 16

these can cause weight gain therefore check A1C, lipids, glucose levels

Question 17

Which SSRi can cause sexual dysfunction?

Answer 17

Paxil

Question 18

When are ADHD symptoms first seen?

Answer 18

before age 12

Question 19

highest suicide rates are in what age groups?

Answer 19

45-55 and over 80

Question 20

Fever, agitation, tachycardia, HTN, diarrhea, sweating while being treated for depression can be signs of?

Answer 20

serotonin syndrome

medical Emergency

Question 21

What does Zyprexa treat and what do you have to monitor while on it?

Answer 21

it’s an antipsychotic, treats bipolar, schizophrenia

monitor weight q3 months

Question 22

What category is Seroquel?

Answer 22

atypical antipsychotic

Question 23

What category are Zyprexa and Risperdal in?

Answer 23

atypical antipsychotics

monitor for weight gain and high sugar

Question 24

drug for smoking cessation?

Answer 24

Bupropion (Zyban)