short essay questions in psychiatry

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Short answer questions in psychiatry essay example.

Address the following Short Answer Questions. Be sure to include references to the Learning Resources below. QUESTIONS 1. In 3 or 4 sentences, explain the appropriate drug therapy for a patient who presents with MDD and a history of alcohol abuse. Which drugs are contraindicated, if any, and why? Be specific. What is the timeframe that the patient should see resolution of symptoms? 2. List 4 predictors of late onset generalized anxiety disorder. 3. List 4 potential neurobiology causes of psychotic major depression. 4. An episode of major depression is defined as a period of time lasting at least 2 weeks. List at least 5 symptoms required for the episode to occur. Be specific. 5. List 3 classes of drugs, with a corresponding example for each class, that precipitate insomnia. Be specific.  Short Answer Questions in Psychiatry Essay Example

Short-Answer Questions in Psychiatry

There is appropriate pharmacotherapy for those patients who present with major depressive disorder (MDD) and a history of alcohol abuse. That is those patients with co-occurring MDD and alcohol use disorder AUD (APA, 2013). The appropriate medications include sertraline (Zoloft), escitalopram (Lexapro), and citalopram (Celexa); whose timeframe for resolution of symptoms (onset of therapeutic actions) is 2-4 weeks (Stahl, 2017). According to DeVido and Weiss (2012), the contraindicated medications in this case include bupropion (Wellbutrin) because it lowers the seizure threshold; and duloxetine (Cymbalta) because of heightened hepatotoxicity in those with liver dysfunction secondary to chronic alcohol use.

Generalized anxiety disorder or GAD is a chronic disorder that causes significant disability as well as mortality. Studies have shown that late-onset incident GAD has some specific risk factors or predictors. Four (4) predictors of late onset generalized anxiety disorder are (Zhang et al., 2015):

• The female gender
• Chronic physical disorders such as heart disorders, dyslipidemia, respiratory disorders, and cognitive impairment.
• Recent adverse life events such as the loss of a partner or another close family member.

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Psychotic major depression is depression that is accompanied by psychotic symptoms such as hallucinations and delusions (APA, 2013). Four (4) potential neurobiological causes of psychotic major depression include (Stahl, 2013; APA, 2013):

• Genetics or heredity: The passage of a defective gene from parents to the offspring.
• Epigenetics: The alteration of the physical structure of a gene by non-genetic influences, such as in DNA methylation or the addition of a methyl group.
• The presence of particular biomarkers for psychotic major depression: These are objectively measured signs of psychotic major depression from a neurobiological standpoint.
• Physiology: Chemical imbalances in the brain, including that of active neurotransmitters.

A DSM-5 diagnosis of major depression must fulfil the requirement of symptoms occurring for at least a period of two weeks. Five of these symptoms needed for the diagnostic criteria to be fulfilled are (APA, 2013):

• A significantly reduced interest in pleasurable or day-to-day activities.
• A mood that is depressed for a large part of the day, almost daily.
• Weight loss that is noticeably significant.
• Either hypersomnia (excessive sleepiness) or insomnia (lack of sleep) almost on a daily basis.
• Having feelings of inappropriate guilt or a sense of worthlessness.

Insomnia has been defined as getting insufficient sleep in terms of both quality and quantity (Levenson et al., 2015). Three of the classes of pharmacotherapy agents that are known to pharmacodynamically precipitate the problem of insomnia are (Stahl, 2017; Morgenthaler et al., 2007):

• Selective serotonin reuptake inhibitors or SSRIs (for instance, sertraline or Zoloft and fluoxetine or Prozac).
• Psychostimulants (for instance, modafinil or Provigil).
• Amphetamines (such as methamphetamine).

DeVido, J.J., & Weiss, R.D. (2012). Treatment of the depressed alcoholic patient. Current Psychiatry Reports, 14 (6), 610-618. http://dx.doi.org/10.1007/s11920-012-0314-7

Levenson, J.C., Kay, D.B., Buysse, D.J. (2015). The pathophysiology of insomnia. Chest, 147 (4), 1179-1192.  https://doi.org/10.1378/chest.14-1617

Morgenthaler, T.I., Kapur, V.K., Brown, T.M., Swick, T.J., Alessi, C., Aurora, R.N., Boehlecke, B., Chesson Jr., A., Friedman, L., Maganti, R., Owens, J., Pancer, J., Zak, R., and AASM (2007). Practice parameters for the treatment of narcolepsy and other hypersomnias of central origin: An American Academy of Sleep Medicine report. SLEEP, 30 (12), 1705-1711. https://j2vjt3dnbra3ps7ll1clb4q2-wpengine.netdna-ssl.com/wp-content/uploads/2017/07/PP_Narcolepsy.pdf

Stahl, S.M. (2017). Stahl’s essential psychopharmacology: Prescriber’s guide, 6 th ed . Cambridge University Press.

Stahl, S.M. (2013). Stahl’s essential Psychopharmacology: Neuroscientific basis and practical application, 4 th ed . Cambridge University Press.

Zhang, X., Norton, J., Carrière, I., Ritchie, K., Chaudieu, I., & Ancelin, M-L. (2015). Risk factors for late-onset generalized anxiety disorder: Results from a 12-year prospective cohort (The ESPRIT study). Translational Psychiatry, 5 (e536), 1-8. http://dx.doi.org/10.1038/tp.2015.31   .  Short Answer Questions in Psychiatry Essay Example

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Think You Can Answer These 6 Psychiatry Board Exam Questions?

Written by BoardVitals

Jan 2, 2022

The only pathway to board certification through the American Board of Psychiatry and Neurology (ABPN) is the computer-administered Psychiatry Certification examination. But how can you best prepare for the psychiatry boards? By testing your knowledge with practice board questions, you will see where you stand as you study.

Below are 6 sample psychiatry board exam questions from the BoardVitals Psychiatry Board Review Question Bank  that will provide you a proper gauge as to how well you’re prepared. Good luck!

What is the neurobiological mechanism of mirtazapine?

Which statement is correct regarding the sublingual formulation of buprenorphine-naloxone, which medication used to treat dementia is matched with its correct neurobiological mechanism, a 76-year-old female with a past medical history significant for hyperlipidemia, hypertension, type 2 diabetes, and dementia….

She was diagnosed 5 years ago presents by ambulance from a personal care home for evaluation of agitation. Her husband visits her daily and states that she has been exhibiting increased irritability.

She has been treated for 1 year with rivastigmine and memantine. At her last visit 3 months ago, her MMSE score was 4/30; today, it is 3/30. The patient’s husband requests information about the duration of therapy, asking if her medication should be changed or stopped.

What information is accurate to relay to the patient’s husband during this discussion?

Among the general population, which of the following disorders is most commonly comorbid in anorexia nervosa?

Which of the following statements about patients with bipolar affective disorder (bad) is accurate, you’re almost ready.

But there’s always room for improvement. Study anywhere, any time with BoardVitals. 100% pass guarantee. Share your result with friends and go to www.boardvitals.com today!

You’re Ready

How’d you do? Even if you got all 6 questions correct, practice makes perfect, and you can never be too prepared. We suggest using question banks to reinforce concepts and engage with simulated test conditions, specifically the Psychiatry Board Review Question Bank , which is tailored to the ABPN Psychiatry exam content outline .

The Psychiatry Certification Examination is comprised of 425 questions — it’s a hefty exam that should not be underestimated and is definitely worth investing in the best study tools available. The exam conforms to a two dimensional content specification as follows:

Dimension 1: Psychiatric Disorders and Topics

• Developmental processes and development through the life cycle 2-4%
• Disorders usually first diagnosed in infancy, childhood, or adolescence (Neurodevelopmental disorders) 3-5%
• Substance-related and addictive disorders 7-11%
• Schizophrenia spectrum and other psychotic disorders 8-12%
• Depressive disorders 8-12%
• Bipolar and related disorders 4-6%
• Anxiety disorders 7-9%
• Obsessive-compulsive and related disorders 2-4%
• Trauma- and stressor-related disorders 4-6%
• Dissociative disorders 1-2%
• Somatic symptom and related disorders 2-4%
• Eating disorders 2-4%
• Elimination disorders 1-2%
• Sleep-wake disorders 3-5%
• Sexual dysfunctions 1-3%
• Gender dysphoria 1-2%
• Disruptive, impulse-control, and conduct disorders 1-3%
• Personality disorders 5-7%
• Paraphilic disorders 1-2%
• Other conditions that may be a focus of clinical attention 1-3%
• Neurocognitive disorders 6-8%
• Neurologic disorders 4-6%
• Dimension 2 topics without a corresponding Dimension 1 topic 4-6%

Dimension 2: Physician Competencies and Mechanisms

• Neuroscience and mechanisms of disease 17-23%
• Behavioral and social sciences 4-6%
• Clinical aspects of psychiatric and neuropsychiatric disorders 17-23%
• Diagnostic procedures 8-12%
• Treatment 25-35%
• Interpersonal and communication skills 2-4%
• Professionalism, ethics, and the law 3-5%
• Practice-based learning and improvement 3-5%
• Systems-based practice 3-5%

Please refer to the ABPN Certification Examination in Psychiatry Content Blueprint for a more detailed breakdown.

Looking for more sample psychiatry board exam questions? The BoardVitals Psychiatry Question Bank includes more than 1,450 questions tailored to the ABPN blueprint. Sign up for a free BoardVitals trial today , and save 10% on your question bank purchase when you use promo code QUIZ10 at checkout.

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