Clinical psychiatry management scenarios and first line treatment choices as tested on USMLE Step 2 CK.
39 cards · basic cards · AI-written, checked twice. Edit anything.
- What is the first-line pharmacotherapy class for major depressive disorder?
- SSRIs
- What is the first-line treatment for panic disorder?
- An SSRI, sometimes with a short-term benzodiazepine for acute symptoms
- What is the first-line pharmacotherapy for generalized anxiety disorder?
- An SSRI or SNRI
- What is the first-line treatment for obsessive-compulsive disorder?
- An SSRI, often at higher doses than used for depression
- What is the first-line pharmacotherapy for PTSD?
- Sertraline or paroxetine
- What is the first-line treatment for social anxiety disorder?
- An SSRI
- What is first-line treatment for acute mania in bipolar I disorder?
- Lithium, valproate, or an atypical antipsychotic
- Which medications are first-line for bipolar depression?
- Quetiapine, lurasidone, or lamotrigine
- What is the first-line pharmacotherapy for a first psychotic episode of schizophrenia?
- A second-generation (atypical) antipsychotic
- What antipsychotic is used for schizophrenia after failing two other antipsychotic trials?
- Clozapine
- What lab must be monitored regularly in patients taking clozapine?
- Absolute neutrophil count
- What is the first step in managing neuroleptic malignant syndrome?
- Stop the offending antipsychotic immediately
- What two drugs are used to treat neuroleptic malignant syndrome, along with cooling and supportive care?
- Dantrolene and bromocriptine
- What is the treatment for serotonin syndrome?
- Stop serotonergic agents and give supportive care, with cyproheptadine if severe
- What is the first-line treatment for alcohol withdrawal?
- Benzodiazepines