PA PSYCHIATRY EOR - QUESTIONS WITH 100% CORRECT VERIFIED ANSWERS GR...

PA PSYCHIATRY EOR

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Borderline Personality Disorder - ANSWER-Mood swings & impulsive behavior Unstable personal relationships Poor impulse control - *splitting* *Always in Crisis Mode* Substance Abuse *Stress-induced paranoia/psychosis*

Tx:

1st Line: *Dialectical Behavioral Therapy*

2nd Line: SSRIs (fluoxetine)

Narcissistic Personality Disorder - ANSWER-Exhibitionist Grandiose Preoccupied w/ power and lack empathy Excessive demands for attention *Lying * is an integral part of the behavior Sense of *entitlement*

Tx: 1 / 4

1st Line: *Long-term psychodynamic therapy*

2nd Line: SSRIs

Histrionic Personality Disorder - ANSWER-Center of attention - egocentric Temper tantrums -immature, emotionally labile Inappropriately seductive or provocative Dependent Substance abuse

Tx:

1st Line: *Psychotherapy*

2nd Line: SSRIs

Avoidant Personality Disorder - ANSWER-Fear of rejection Hypersensitive to rejection or failure Low self-esteem Poor social-skills

Tx:

1st line: *Psychotherapy*

2nd line: Paroxetine (Paxil)

3rd line: Clonazepam (Klonopin) or BB for performance anxiety

*SIGECAPS* of Depression - ANSWER-*S*leep disturbances *I*nterests are ↓ 2 / 4

*G*uilt *E*nergy is ↓ *C*oncentration is ↓ *A*ppetite is ↓ *P*sychomotor Agitation *S*uicidal thoughts

Major depressive disorder - ANSWER-Depressed Mood or Anhedonia

Dx: 5 or more of the SIGECAPS Sxs for *> 2 wks* effecting normal function

Tx:

*SSRI* or *SNRI* > TCA/MAOi > ECT

S/Es of SSRIs - ANSWER-*Sexual Dysfunction* Wt gain Anxiety Nausea

*SHIVERS* of Serotonin Syndrome - ANSWER-*S*hivering *H*yperreflexia *I*ncreased temp (fever) *V*itals, unstable *E*ncephalopathy *R*estless 3 / 4

*S*weating

Tx: Cyproheptadine

1st line Tx of depression in children - ANSWER-Fluoxetine (Prozac)

• Longest Half-life of all SSRIs

• Caution ↑ SI in the 1st 2 weeks of use

SSRI known to cause QT interval prolongation - ANSWER-Citalopram (Celexa)

Screening tool or questionnaire used in clinic for:

Bipolar Disorder

Major Depression Disorder - ANSWER-BPD: The Mood Disorder Questionaire

MDD: Beck Depression Inventory

Atypical Antidepressant which inhibits DA reuptake, has less sexual and wt-related side effects, but decreases *seizure* threshold - ANSWER-Bupropion *smoking cessation*

*SNRI Trade Names* Effexor Pristiq Cymbalta Fetzima - ANSWER-*SNRI Drug Names*

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