High Yield Psychiatry Review for Step 2 CK & Shelf Exam

Psychiatric Emergencies00:00:05

Discusses Neuroleptic Malignant Syndrome (NMS) vs. Serotonin Syndrome, noting that Serotonin Syndrome is distinguished by myoclonus. Covers Tyramine crisis (MAOIs), management of TCA toxicity with sodium bicarbonate, and treatment of lithium toxicity.

Extrapyramidal Symptoms (EPS)00:01:43

Defines the four types of EPS (dystonia, akathisia, parkinsonism, and tardive dyskinesia) and their treatments, primarily focusing on benztropine or diphenhydramine for acute dystonia and medication changes for tardive dyskinesia.

Antipsychotics and Prognosis00:09:07

Explains dopamine pathways, hyperprolactinemia side effects of antipsychotics, and prognostic indicators for schizophrenia, where late onset and female gender correlate with a better prognosis.

Mood Disorders and Suicide Risk00:16:46

Details diagnostic criteria for Major Depressive Disorder, Bipolar Disorder (using the DIGFAST mnemonic), and effective suicide-reducing medications like clozapine and lithium.

Anxiety, Phobias, and Personality Disorders00:25:40

Covers treatment for panic disorders, social anxiety (beta-blockers vs. benzos), OCD vs. OCPD, and the specific use of dialectical behavioral therapy for borderline personality disorder.

Eating Disorders and Neurocognitive Issues00:44:39

Distinguishes between Anorexia, Bulimia, and Binge Eating Disorder based on BMI and medical complications, including refeeding syndrome. Covers dementia types and pseudotumor cerebri associated with isotretinoin.

Sleep and Sexual Disorders00:48:07

Discusses narcolepsy treatment, sleep terrors vs. nightmares, erectile dysfunction causes, and the distinction between vaginismus and vulvodynia.

Final Review and Pediatric Psychiatry00:54:12

A rapid-fire summary of pharmacological side effects, contraindications for bupropion, and pediatric milestones, such as the age at which children understand the permanence of death.