Podcast
Questions and Answers
What is the most common side effect of electroconvulsive therapy (ECT)?
What is the most common side effect of electroconvulsive therapy (ECT)?
- Headache
- Seizures
- Long-term memory loss (correct)
- Nausea
Sexual dysfunction associated with SSRIs is mediated mainly by:
Sexual dysfunction associated with SSRIs is mediated mainly by:
- 5-HT1, etc. receptor blockade
- 5-HT2, etc. receptor stimulation
- 5-HT1, etc. receptor stimulation
- 5-HT2, etc. receptor blockade (correct)
- 5-HT3, etc. stimulation
Use of stimulants is relatively contraindicated in which of the following patients with ADHD?
Use of stimulants is relatively contraindicated in which of the following patients with ADHD?
- 9-year-old child with a family history of ADHD
- 9-year-old child with a family history of psychosis
- 9-year-old child with ADHD and treatment-emergent tics
- 19-year-old with significant residual symptoms of ADHD
- All of the above (correct)
Which of the following features confers a worse prognosis for a patient with bipolar II disorder?
Which of the following features confers a worse prognosis for a patient with bipolar II disorder?
Which of the following antipsychotic drugs was shown to be useful in the prophylaxis of delirium?
Which of the following antipsychotic drugs was shown to be useful in the prophylaxis of delirium?
Which of the following laboratory studies must be obtained before initiating lithium therapy in a child?
Which of the following laboratory studies must be obtained before initiating lithium therapy in a child?
Immediately after a myocardial infarction, a 58-year-old man develops depression of moderate severity. The preferred antidepressant of choice is:
Immediately after a myocardial infarction, a 58-year-old man develops depression of moderate severity. The preferred antidepressant of choice is:
What is the range of the correlation coefficient?
What is the range of the correlation coefficient?
If A = number of people with disease and exposure, B = number of people without disease but with exposure, C = number of people with disease but without exposure, D = number of people without disease and without exposure, which of the following equations will calculate the odds ratio?
If A = number of people with disease and exposure, B = number of people without disease but with exposure, C = number of people with disease but without exposure, D = number of people without disease and without exposure, which of the following equations will calculate the odds ratio?
Donna is an active opiate user who recently found out that she is pregnant. Which of the following is the most appropriate time for Donna to undergo opiate withdrawal during pregnancy?
Donna is an active opiate user who recently found out that she is pregnant. Which of the following is the most appropriate time for Donna to undergo opiate withdrawal during pregnancy?
How do the depressive episodes associated with bipolar II disorder differ from those associated with bipolar I disorder?
How do the depressive episodes associated with bipolar II disorder differ from those associated with bipolar I disorder?
In patients with delirium due to hepatic failure, which of the following EEG changes may be seen?
In patients with delirium due to hepatic failure, which of the following EEG changes may be seen?
A 48-year-old homeless man is brought to the A&E department with agitation and confusion. The most appropriate treatment is:
A 48-year-old homeless man is brought to the A&E department with agitation and confusion. The most appropriate treatment is:
A 42-year-old woman has a history of eating excessively after developing herpes encephalitis. Which syndrome explains this presentation?
A 42-year-old woman has a history of eating excessively after developing herpes encephalitis. Which syndrome explains this presentation?
Study Notes
Electroconvulsive Therapy (ECT) Side Effects
- Common side effect of ECT is long-term memory loss.
Sexual Dysfunction and SSRIs
- Sexual dysfunction linked to SSRIs arises mainly from 5-HT2 receptor blockade.
Antipsychotic Drugs and Delirium
- Haloperidol has been shown useful for delirium prophylaxis.
Stimulants and ADHD Contraindications
- Stimulants may be contraindicated in children with a family history of psychosis and those with treatment-emergent tics.
Prognosis in Bipolar II Disorder
- Rapid-cycling pattern indicates a worse prognosis in bipolar II disorder.
Lithium Therapy Laboratory Studies
- Required laboratory tests prior to lithium treatment in children include CBC, thyroid function tests, electrolytes, BUN, creatinine, urinalysis, ECG, and a pregnancy test for sexually active females.
Antidepressant Choice Post-Myocardial Infarction
- Sertraline is preferred for treating depression after myocardial infarction, especially with self-harm ideations but no suicidal intent.
Correlation Coefficient Range
- The correlation coefficient ranges from -1 to +1.
Odds Ratio Calculation
- The odds ratio can be calculated as AD divided by BC.
Opiate Withdrawal During Pregnancy
- The second trimester is deemed the most appropriate time for opiate withdrawal during pregnancy.
Depressive Episodes in Bipolar Disorders
- Bipolar II depressive episodes are generally less severe and less frequent than those in bipolar I disorder.
EEG Changes in Hepatic Encephalopathy
- Slow triphasic waves may be observed in patients with delirium due to hepatic failure.
MRI Findings in Acute Agitation
- MRI may reveal high-intensity areas in the third ventricle and surrounding regions in cases of acute agitation related to alcohol use disorder.
Personality Changes After Encephalitis
- Changes in personality and excessive eating behaviors following herpes encephalitis may indicate Kluver-Bucy syndrome.
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Description
Test your knowledge on psychiatry with these previous exam questions covering electroconvulsive therapy, SSRIs, and antipsychotic medications. Each question challenges your understanding of common side effects and mechanisms of action. Perfect for students preparing for psychiatry examinations.
