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