COPEing in year 2020

Armin Moradi

2020-12-17

Table of Contents

Questions

1

  • Indigenous ethnicity associated with which of the following?
  • Increased accessing of primary care
  • Increased rate of homelessness
  • Increased life expectancy
  • Increased prevalence of schizophrenia

2

  • 12yo with sudden, rapid, recurrent, non-rhythmic movements and periodic vocalizations
  • Tetrabenazine
  • Guanfacine
  • Risperidone
  • Aripiprazole

3

  • First line for OCD and PTSD
  • Clonidine
  • Clomipramine
  • EMDR therapy (Eye Movement Desensitization & Reprocessing)
  • Paroxetine

4

  • "Recovery" in measuring effectiveness of mental health services
  • personal process that allows a patient to gain control, meaning, and purpose
  • a patient and family learning to accept a severe mental illness
  • 50% reduction of psychiatric symptoms on standardized measures
  • complete absence of symptoms of mental illness

5

  • paper with "red" on green font. asked to read the word. cognitive domain?
  • complex attention
  • learning and memory
  • language
  • executive functioning

6

  • Frequent binge+purge. bloodwork?
  • hyperkalemia
  • hyponatremia
  • hypokalemia
  • hyperchloremia

7

  • Lung transplant recipient. on tacrolimus. Has MDD. likely to present with tacrolimus toxicity?
  • Escitalopram
  • Venlafaxine
  • Fluvoxamine
  • Mirtazapine

8

  • Most prominent negative symptom in schizophrenia
  • avolition
  • anosognosia
  • alogia
  • anhedonia

9

  • studying association between NTD vs escitalopram. randomly chooses NTD, another random healthy. retroactively asked about escitalopram use. what is measured?
  • relative risk
  • prevalence ratio
  • relative rate
  • odds ratio

10

  • Hx of Bipolar I on valproic acid 500 bid, carbamazepine 300 bid, zopiclone 5 qhs, clonazepam 0.5 prn. wants to start OCP, which should be discontinued?
  • carbamazepine
  • valproic acid
  • zopiclone
  • clonazepam

11

  • Best method of reducing stigma?
  • targeted education to influential groups
  • work with people to stabilize income
  • help people identify their creative and spiritual needs
  • assist patients to achieve housing and food security

12

  • Long stem, 65yo hx of PTSD and MDD, hx of attempted suicide, divorced, anniversary of PTSD event. most important risk factor for suicide attempt?
  • race
  • PTSD comorbidity
  • prior suicide attempt
  • marital status

13

  • Most common ect side effect
  • arrhythmia
  • episodic memory impairment
  • prolonged seizure
  • headache