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Back to Basics
Psychiatry MCQs
Tin Ngo-Minh, MD
R2 Psychiatry
University of Ottawa
MCC Objectives
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Stimulant – Depressants - Volatile Inhalants toxidromes
Need for emergency care b/c of withdrawal SSx or other complications
LFTs and tests if suspected of ETOH abuse
CAGE
Alcohol withdrawal management, indications and contraindications for
disulfiram, and naltrexone, methadone; outline management of
withdrawal from opioids and benzodiazepines
• Outline management for stopping nicotine including advice to quit,
nicotine replacement therapy, setting quitting dates, behavioral
counseling, information about community resources
– Discuss guidelines for safe prescription writing for benzodiazepines and
opioids.
– Outline management of cardiovascular complications of cocaine and alcohol.
– Outline prevention, detection, and management of infectious complications
of IV drugs use including Hepatitis B, C, and HIV.
Neuropsychological effects of hallucinogens
may include all of the following EXCEPT:
a) miosis
b) tremor
c) hyper-reflexia
d) incoordination
e) blurred vision
Cocaine withdrawal can include all of the
following EXCEPT:
a) Crash sleep
b) anergia
c) anhedonia
d) euphoria
e) continued craving
Alcohol withdrawal includes all of the
following EXCEPT:
a) autonomic hyperactivity
b) tremor
c) starts within 2-4 hours after prolonged
drinking
d) nausea
e) irritability
A 30 year-old man presents in emergency with
right lower quadrant abdominal pain. His wife
reports that he had been drinking heavily in
response to marital problems and had never had
such pain before. Appendicitis was diagnosed and
an appendectomy was successfully performed.
Four days later the patient was anxious, restless,
unable to sleep and claimed his wife was a
stranger trying to harass him. The likeliest
diagnosis is:
a) paranoid reaction
b) delirium tremens
c) mania
d) schizophreniform reaction
e) post-operative delerium
Which of the following is best treated with
high dose benzodiazepines:
a) schizophrenia, catatonic type
b) major depression
c) generalized anxiety disorder
d) delirium tremens
e) psychogenic amnesia
A thorough assessment for the
presence/absence of alcohol withdrawal
should include questions about all of the
following EXCEPT:
a) nausea and vomiting
b) mood
c) difficulty walking (ataxic gait)
d) visual disturbances
e) tremulousness
Unrelated Qs
Patients with conversion disorders will show
each of the following EXCEPT:
a) “la belle indifference”
b) severe depression
c) loss of special sense function
d) secondary gains
e) paralysis of voluntary muscles
All of the following are common side effects
of tricyclic antidepressants EXCEPT:
a) dry mouth
b) constipation
c) parkinsonian tremor
d) tachycardia
Which of the following investigations need
not be performed before starting treatment
with lithium carbonate?
a) serum creatinine
b) serum electrolytes
c) thyroid function studies
d) serum bilirubin
e) all of the above
Toxicity due to lithium carbonate is
associated with all of the following EXCEPT:
a) nausea
b) serum lithium level of 0.1 mEq/L
c) tremulousness
d) convulsions
Which of the following neurological
symptoms can be produced by antipsychotic
drugs?
a) akathesia
b) shuffling gait
c) oculogyric crisis
d) tremor at rest
e) all of the above
20yo male with schizophrenia presents with
acute onset of neck pain. Recent change
in meds from risperidone to haldol. Likely
diagnosis and treatment?
Sources
• Toronto Notes and MCC Practice Exams
2003
• MCC Self-Administered Evaluating
Examination - Online