Psych

Question 1

What’s the risk of switching from a SSRI to a MAOI?

Answer 1

Serotonin syndrome or hypertensive crisis

Need a 5 week washout from floxetine tophenelzine

Question 2

Tx for adult ADHD

Answer 2

atomoxetine

non stimulant, ideal for pts with hx of substance use disorder

Question 3

Girl < 5 y/o
Loss of speech
Loss of purposeful hand use
Gait disturbance
Head growth deceleration

Answer 3

Rett syndrome

Seizures are common

Question 4

HIV pt > 50 y/o
CD4 < 200
presenting with dementia/psychotic behaviors
Dx?

Answer 4

HIV associated neurocognitive disorder
d/t HIV replication in the CNS
chronic decline in multiple cognitive domains