NBME Psychiatry Shelf Exam
Antisocial PD - Must be > ___ years old - Answer 15
___ side-effect (long-term tx): hypothyroidism - Answer lithium
Acute stress disorder: ___ days - __ weeks after life is in jeopardy. - Answer 2, 4
Adjustment disorder: Within ___ months of life stressor, dissipating at ___ months. -
Answer 3, 6
Akathisia is a s/e of neuroleptics or prochlorperazine. Prevented by concurrent
administration of ___ - Answer IV benzo
Rett syndrome: Age-appropriate development for 1st ___ months (at least). - Answer 5
3 long-lasting (depot) antipsychotics: - Answer haloperidol, fluphenazine, risperidone
Narcolepsy: sleep attacks occuring DAILY for at least ___ months - Answer 3
Tx for Intermittent Explosive Disorder = - Answer carbamazepine
Of the TCAs, _____ is the most serotinergic, so it is used in OCD. - Answer
clomipramine
Prochlorperazine = ____. S/e = _____. - Answer anti-emetic, akathisia
Brief psychotic disorder: time = - Answer < 1 month
Delusional disorder: time = - Answer at least 1 month (Function is not impaired.
Delusion = non-bizarre. Hallucinations may be present.)
Bulimia tx = - Answer SSRI
Presence of an affective disorder (along with schizophrenia) ____ risk for tardive
dyskinesia. - Answer increases
Antipsychotics: ACUTE DYSTONIA is a side-effect. Tx = - Answer anticholinergics
3 anticholinergics - Answer diphenhydramine, benztropine, trihexyphenidyl (tx acute
dystonia caused by neuroleptics)
2 lab results in Neuroleptic Malignant Syndrome: - Answer increased CPK, leukocytosis
Antisocial PD - Must be > ___ years old - Answer 15
___ side-effect (long-term tx): hypothyroidism - Answer lithium
Acute stress disorder: ___ days - __ weeks after life is in jeopardy. - Answer 2, 4
Adjustment disorder: Within ___ months of life stressor, dissipating at ___ months. -
Answer 3, 6
Akathisia is a s/e of neuroleptics or prochlorperazine. Prevented by concurrent
administration of ___ - Answer IV benzo
Rett syndrome: Age-appropriate development for 1st ___ months (at least). - Answer 5
3 long-lasting (depot) antipsychotics: - Answer haloperidol, fluphenazine, risperidone
Narcolepsy: sleep attacks occuring DAILY for at least ___ months - Answer 3
Tx for Intermittent Explosive Disorder = - Answer carbamazepine
Of the TCAs, _____ is the most serotinergic, so it is used in OCD. - Answer
clomipramine
Prochlorperazine = ____. S/e = _____. - Answer anti-emetic, akathisia
Brief psychotic disorder: time = - Answer < 1 month
Delusional disorder: time = - Answer at least 1 month (Function is not impaired.
Delusion = non-bizarre. Hallucinations may be present.)
Bulimia tx = - Answer SSRI
Presence of an affective disorder (along with schizophrenia) ____ risk for tardive
dyskinesia. - Answer increases
Antipsychotics: ACUTE DYSTONIA is a side-effect. Tx = - Answer anticholinergics
3 anticholinergics - Answer diphenhydramine, benztropine, trihexyphenidyl (tx acute
dystonia caused by neuroleptics)
2 lab results in Neuroleptic Malignant Syndrome: - Answer increased CPK, leukocytosis
