ABPN Basic Flashcards

Which medication is first-line for acute mania in bipolar disorder along with mood stabilizers?

Answer: An atypical antipsychotic

Atypical antipsychotics, often with lithium or valproate, are first-line for acute mania.

Loss of pain and temperature sensation with preserved proprioception suggests a lesion of which tract?

Answer: Spinothalamic tract

The spinothalamic tract carries pain and temperature, so its lesion spares proprioception.

Which agent is used to reverse acute benzodiazepine overdose?

Answer: Flumazenil

Flumazenil is a benzodiazepine receptor antagonist used to reverse overdose.

A sudden severe headache described as the 'worst of my life' most warrants evaluation for what?

Answer: Subarachnoid hemorrhage

A thunderclap 'worst headache of life' raises concern for subarachnoid hemorrhage.

Which cognitive symptom is a core feature of major depressive disorder rather than normal grief?

Answer: Persistent worthlessness and guilt

Pervasive worthlessness and excessive guilt point to major depression rather than uncomplicated grief.

Which finding is most consistent with an upper motor neuron lesion?

Answer: Hyperreflexia and spasticity

Upper motor neuron lesions cause hyperreflexia, spasticity, and a positive Babinski sign.

First-line pharmacologic treatment for generalized anxiety disorder is typically which class?

Answer: SSRIs or SNRIs

SSRIs and SNRIs are first-line for long-term management of generalized anxiety disorder.