back to basics psychiatry mcqs tin ngo-minh, md r2 psychiatry university of ottawa
TRANSCRIPT
![Page 1: Back to Basics Psychiatry MCQs Tin Ngo-Minh, MD R2 Psychiatry University of Ottawa](https://reader036.vdocuments.site/reader036/viewer/2022062421/56649e3a5503460f94b2b9fc/html5/thumbnails/1.jpg)
Back to BasicsPsychiatry MCQs
Tin Ngo-Minh, MD
R2 Psychiatry
University of Ottawa
![Page 2: Back to Basics Psychiatry MCQs Tin Ngo-Minh, MD R2 Psychiatry University of Ottawa](https://reader036.vdocuments.site/reader036/viewer/2022062421/56649e3a5503460f94b2b9fc/html5/thumbnails/2.jpg)
MCC Objectives• 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.
![Page 3: Back to Basics Psychiatry MCQs Tin Ngo-Minh, MD R2 Psychiatry University of Ottawa](https://reader036.vdocuments.site/reader036/viewer/2022062421/56649e3a5503460f94b2b9fc/html5/thumbnails/3.jpg)
Neuropsychological effects of hallucinogens
may include all of the following EXCEPT:a) miosis
b) tremor
c) hyper-reflexia
d) incoordination
e) blurred vision
![Page 4: Back to Basics Psychiatry MCQs Tin Ngo-Minh, MD R2 Psychiatry University of Ottawa](https://reader036.vdocuments.site/reader036/viewer/2022062421/56649e3a5503460f94b2b9fc/html5/thumbnails/4.jpg)
Cocaine withdrawal can include all of the
following EXCEPT:a) Crash sleep
b) anergia
c) anhedonia
d) euphoria
e) continued craving
![Page 5: Back to Basics Psychiatry MCQs Tin Ngo-Minh, MD R2 Psychiatry University of Ottawa](https://reader036.vdocuments.site/reader036/viewer/2022062421/56649e3a5503460f94b2b9fc/html5/thumbnails/5.jpg)
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
![Page 6: Back to Basics Psychiatry MCQs Tin Ngo-Minh, MD R2 Psychiatry University of Ottawa](https://reader036.vdocuments.site/reader036/viewer/2022062421/56649e3a5503460f94b2b9fc/html5/thumbnails/6.jpg)
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 reactionb) delirium tremensc) maniad) schizophreniform reactione) post-operative delerium
![Page 7: Back to Basics Psychiatry MCQs Tin Ngo-Minh, MD R2 Psychiatry University of Ottawa](https://reader036.vdocuments.site/reader036/viewer/2022062421/56649e3a5503460f94b2b9fc/html5/thumbnails/7.jpg)
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
![Page 8: Back to Basics Psychiatry MCQs Tin Ngo-Minh, MD R2 Psychiatry University of Ottawa](https://reader036.vdocuments.site/reader036/viewer/2022062421/56649e3a5503460f94b2b9fc/html5/thumbnails/8.jpg)
A thorough assessment for the presence/absence of alcohol withdrawal should include questions about all of the following EXCEPT:
a) nausea and vomitingb) moodc) difficulty walking (ataxic gait)d) visual disturbancese) tremulousness
![Page 9: Back to Basics Psychiatry MCQs Tin Ngo-Minh, MD R2 Psychiatry University of Ottawa](https://reader036.vdocuments.site/reader036/viewer/2022062421/56649e3a5503460f94b2b9fc/html5/thumbnails/9.jpg)
![Page 10: Back to Basics Psychiatry MCQs Tin Ngo-Minh, MD R2 Psychiatry University of Ottawa](https://reader036.vdocuments.site/reader036/viewer/2022062421/56649e3a5503460f94b2b9fc/html5/thumbnails/10.jpg)
![Page 11: Back to Basics Psychiatry MCQs Tin Ngo-Minh, MD R2 Psychiatry University of Ottawa](https://reader036.vdocuments.site/reader036/viewer/2022062421/56649e3a5503460f94b2b9fc/html5/thumbnails/11.jpg)
![Page 12: Back to Basics Psychiatry MCQs Tin Ngo-Minh, MD R2 Psychiatry University of Ottawa](https://reader036.vdocuments.site/reader036/viewer/2022062421/56649e3a5503460f94b2b9fc/html5/thumbnails/12.jpg)
![Page 13: Back to Basics Psychiatry MCQs Tin Ngo-Minh, MD R2 Psychiatry University of Ottawa](https://reader036.vdocuments.site/reader036/viewer/2022062421/56649e3a5503460f94b2b9fc/html5/thumbnails/13.jpg)
![Page 14: Back to Basics Psychiatry MCQs Tin Ngo-Minh, MD R2 Psychiatry University of Ottawa](https://reader036.vdocuments.site/reader036/viewer/2022062421/56649e3a5503460f94b2b9fc/html5/thumbnails/14.jpg)
Unrelated Qs
![Page 15: Back to Basics Psychiatry MCQs Tin Ngo-Minh, MD R2 Psychiatry University of Ottawa](https://reader036.vdocuments.site/reader036/viewer/2022062421/56649e3a5503460f94b2b9fc/html5/thumbnails/15.jpg)
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
![Page 16: Back to Basics Psychiatry MCQs Tin Ngo-Minh, MD R2 Psychiatry University of Ottawa](https://reader036.vdocuments.site/reader036/viewer/2022062421/56649e3a5503460f94b2b9fc/html5/thumbnails/16.jpg)
All of the following are common side effects of tricyclic antidepressants EXCEPT:
a) dry mouth
b) constipation
c) parkinsonian tremor
d) tachycardia
![Page 17: Back to Basics Psychiatry MCQs Tin Ngo-Minh, MD R2 Psychiatry University of Ottawa](https://reader036.vdocuments.site/reader036/viewer/2022062421/56649e3a5503460f94b2b9fc/html5/thumbnails/17.jpg)
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
![Page 18: Back to Basics Psychiatry MCQs Tin Ngo-Minh, MD R2 Psychiatry University of Ottawa](https://reader036.vdocuments.site/reader036/viewer/2022062421/56649e3a5503460f94b2b9fc/html5/thumbnails/18.jpg)
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
![Page 19: Back to Basics Psychiatry MCQs Tin Ngo-Minh, MD R2 Psychiatry University of Ottawa](https://reader036.vdocuments.site/reader036/viewer/2022062421/56649e3a5503460f94b2b9fc/html5/thumbnails/19.jpg)
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
![Page 20: Back to Basics Psychiatry MCQs Tin Ngo-Minh, MD R2 Psychiatry University of Ottawa](https://reader036.vdocuments.site/reader036/viewer/2022062421/56649e3a5503460f94b2b9fc/html5/thumbnails/20.jpg)
20yo male with schizophrenia presents with acute onset of neck pain. Recent change in meds from risperidone to haldol. Likely diagnosis and treatment?
![Page 21: Back to Basics Psychiatry MCQs Tin Ngo-Minh, MD R2 Psychiatry University of Ottawa](https://reader036.vdocuments.site/reader036/viewer/2022062421/56649e3a5503460f94b2b9fc/html5/thumbnails/21.jpg)
![Page 22: Back to Basics Psychiatry MCQs Tin Ngo-Minh, MD R2 Psychiatry University of Ottawa](https://reader036.vdocuments.site/reader036/viewer/2022062421/56649e3a5503460f94b2b9fc/html5/thumbnails/22.jpg)
![Page 23: Back to Basics Psychiatry MCQs Tin Ngo-Minh, MD R2 Psychiatry University of Ottawa](https://reader036.vdocuments.site/reader036/viewer/2022062421/56649e3a5503460f94b2b9fc/html5/thumbnails/23.jpg)
Sources
• Toronto Notes and MCC Practice Exams 2003
• MCC Self-Administered Evaluating Examination - Online