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Psy (053) style guidelines

PSY (053) Style Guidelines*
Psychiatric Pharmacy

Person References
Generally, use third person present tense or passive tense wording
Professional is “psychiatric pharmacist” but is not routinely mentioned in items
Person served is the “patient”: a 25-year-old patient
Research “participant” not “subject” for humans; but “animal subject” OK
Use “individual(s)” not “person/people”
When patient’s sex is specified use “female,” not “woman”; “male,” not “man”: a 40-year-old male
Scenarios only for series; for single items, put all introductory information in premise
Bold face caps for emphasis on NOT and EXCEPT, IF INDICATED BY COMMITTEE;
No italics for titles of publications/reference materials or for scientific names (e.g., Gingko biloba) No initial caps on DSM-IV or DSM-IV-TR diagnoses If choices that continue premise begin with a mixture of “a” and “an,” end premise with “a/an:” Formula wording for citing OBRA in premise: “According to the Health Care Finance Administration interpretive guidelines relating to the Omnibus Budget Reconciliation Act of 1987,.” [or whatever year is cited]
[As of 7/06, use of .CD codes and secondary rubric diagnostic codes are to be sorted out with Vita Greco.
Rubrics, exam specs, and diagnostic codes were revised as of 10/05. Ignore the next 5 lines until the
classification is resolved.
Disorder Classification Codes (2 digits on “.CD” line of ibep item file):
Items with rubrics beginning 02 and 03 should not have .CD codes; remove the line from these items
Check each 01-rubric exam item’s current on-screen .CD code against list at end of
style guidelines; an item may have an acceptable verbal printout description of the diagnosis but the code number may have changed, as of November 2000] A few items have choices including assessment instruments or tests with incomplete names, made-up names, and/or misattributed acronyms;
these conditions are not in accordance with standard PSY or PES style
If these items have statistics, do not change them except at client request
Always check item comments to identify items that must not be used in the same examination,
Draft II and Final Booklets (Book I and Book II)
• Be sure that all “separate” (“keep-apart”) items are in different booklets,
as indicated by Committee comments in items • Be sure that item array is within specifications for each booklet individually;
recertification candidates may be required to take only Book I or Book II of the exam

Measurements Units/Clinical Findings

* As of 4/1/02, ALL BPS programs will be charged to 049 alone on eTIMEsheet.
Numerals for all ages and time periods: 2 weeks, 3 days
Spell out under 10 for all other usages: one dose; four panic attacks
Commas in integers of four or more digits: 4,000
AMA style for units: g, mg, kg, cm, mL (not cc), dL, L, h, d
BUT use “mcg” for “microgram” (per client 5/05)
(rather than the former combination of Greek “mu” followed by lowercase “g”) Replace the old symbol globally, even in used items
Drug dosages: Full-number doses stand alone without decimal point and zero, e.g.,4 mg (not 4.0 mg)\
Use mm3 for blood cell counts pH with full-cap “H” Statistical probabilities, reliabilities, coefficients: present values less than 1.0 as decimals without zero before decimal point (p < .05) Temperature: °F (°C) WBCs (use abbrev): show as thousands per mm3: 11,200/mm3 [same unit for CD4-type WBC counts] ANC— absolute neutrophil count; use abbrev; show as thousands per mm3: 3,000 /mm3 RBCs (use abbrev): show as thousands per mm3: 11,200/mm3
Serum sodium; mmol/L or mEq/L, as given
Blood pressure (use BP): mm Hg
Patient weight: kg
Patient height: cm

Medications (Drugs)
Use generic name only; compound OK in already-used items or
when client specifies compound form as “[whatever] hydrochloride,” etc. Refer to as “medication” or “treatment agent” in patient-related context Refer to patient's medication list as “regimen” Use “pharmacologic therapy” instead of “drug therapy” Administration routes: lower case with periods; i.v., i.v., s.c., p.v.; BUT - use “by mouth” rather than “p.o.” or “oral”; Frequency: lower case with periods (b.i.d., t.i.d., q.a.m., q.d., a.c., h.s., etc.) except “q6h”
Frequency for non-divided daily dose: mg daily (do not use “per day” or “/D”)
Comma after drug name: enalapril, 5 mg b.i.d.; except if no dose given: ranitidine i.v.
(See “Measurement Units/Clinical Findings” above for “microgram” abbreviation)

Specific Terms
(Ed. note: Term should appear in text exactly as it is shown here; note capitalization, periods, italics.
Abbreviation alone is used if term appears here as abbrev; other terms appear spelled out alone
or spelled out followed by abbreviation in parentheses, as noted in list.)
Aberrant Behavior Checklist
Abnormal Involuntary Movement Scale (AIMS)
Abuse and Addictions Rating Scale (AARS)
ACE—spell out as angiotensin-converting enzyme
ACEI—spell out as angiotensin-converting enzyme inhibitor
Addiction Severity Index (ASI)
ADHD—attention-deficit/hyperactivity disorder; use abbrev
ADL—spell out as activities of daily living ADR—spell out as adverse drug reaction adrenergic adrenoceptor adrenocorticotropic hormone (ACTH) AED—spell out as antiepileptic drug African American (n.) African-American (adj.) Aggression Index (AI) Aggression and Anxiety Scale (AAS) agranulocytosis AHFS—(American Hospital Formulary Service)—use abbrev AIDS alanine aminotransferase – spell out unless value given; then use ALT (SGPT); units = IU/L alprazolam analysis of variance—spell out without acronym (ANOVA) akathisia alpha1-adrenergic receptors; alpha2-adrenergic receptors ALT (SGPT)—use abbrev if value listed; otherwise spell out as alanine aminotransferase; units = IU/L alprazolam Alzheimer’s Disease Assessment Scale (ADAS) Alzheimer’s Disease Assessment Scale–Cognitive Subscale (ADAS-Cog) amantadine amitriptyline amoxapine ANA = antinuclear antibody anorgasmia ANCOV — spell out as “analysis of covariance” ANOVA — spell out as “analysis of variance” antiinflammatory—(no hyphen) anticholinergic anticonvulsant antidiarrheal agent antihistaminic antimuscarinic antiparkinsonian anxiogenic anxiolytic AOV — spell out as “analysis of variance” ASA = acetylsalicylic acid—use “aspirin” aspartate aminotransferase – spell out unless value given; then use AST (SGOT); units = IU/L Asperger's disorder aspirin – preferred to ASA or acetylsalicylic acid AST (SGOT)—use abbrev if value listed; otherwise spell out as aspartate aminotransferase; units = IU/L astemizole attention-deficit/hyperactivity disorder—(all lowercase) AUDIT buprenorphine Burkloderia (Pseudomonas) cepacia Barnes Akathisia Rating Scale Beck Depression Inventory (BDI) beclomethasone dipropionate Behavioral Pathology in Alzheimer’s Disease (BEHAVE-AD) Belmont Report beta blocker—spell out; do not use Greek symbol Beigel–Murphy Scale benign prostatic hypertrophy (not “hyperplasia”) Belmont ruling benzodiazepine benztropine bethanechol bisacodyl Blessed Dementia Scale blood–brain barrier blood urea nitrogen—spell out unless value given, then abbrev BUN Bonferroni brain stem Brief Psychiatric Rating Scale (BPRS) bromocriptine BUN—use abbrev if value given; otherwise spell out as blood urea nitrogen bupropion buspirone CAGE, CAGE questionnaire California Verbal Learning Test cannabis carbamazepine cardioselective catecholamine caucasian—re: ethnicity, use white CBC—complete blood count; use abbrev CBZ—spell out as carbamazepine CD4 cell count—show as cells per mm3: 450/mm3Centers for Disease Control and Prevention—spell out without acronym; use with singular verb Centers for Medicare and Medicaid Services (formerly known as HCFA) Charcot–Marie–Tooth disease chest X-ray—(not CXR) Child Attention Problems Rating Scale (CAP) Child Depression Inventory (CDI) Child Depression Rating Scale–Revised (CDRS–R) chi-square test, analysis chlordiazepoxide chlorpromazine cholinergic choreiform cimetidine citalopram Civil Rights of Institutionalized Persons Act—42 USCA 1997, et seq. clarithromycin Clinical Global Impression Scale (CGI)—(note no S in acronym) Clinician’s Interview Based Impression of Change plus Caregiver Input (CIBIC-Plus) (may be used more often now than the original CIBIC) clomipramine clonazepam clonidine clorazepate clozapine CNS coadministered, coadministration—(no hyphen) cocaine cogwheel Commission on Accreditation of Retardation Facilities (CARF) comorbid complex partial seizure—(no hyphens) Comprehensive Assessment of Symptoms and History (CASH) conjugated estrogen co-trimoxazole Cpss—spell out as steady-state plasma concentration creatine—substance involved in muscle cell metabolism; do not confuse with creatinine creatine kinase—an enzyme; do not confuse with creatinine creatinine—routinely measured in blood; do not confuse with creatine CSF—colony-stimulating factor; use abbrev. CT scan Cushing’s syndrome CVA cyclothymic CYP—see below, under “cytochrome” cyproheptadine cytochrome P-450-2D6; cytochrome P-450-3A4; cytochrome P-450-1A2: (examples of a class of cytochromal isoenzymes)
As of 6/06: Client prefers the shortened notation for these compounds,
e.g., cytochrome P-450-2D6 becomes CYP2D6 and cytochrome P-450-3A4 becomes CYP3A4]
D1, D2-receptor, agonist database Davidson Trauma Scale—for posttraumatic stress disorder DEA— use Drug Enforcement Administration Decanoate Dementia Rating Scale (DRS) Depression Status Inventory desipramine desmethylclomipramine dexfenfluramine dextroamphetamine DHHS—Department of Health and Human Services; use abbrev DHHS Office for Protection from Research Risks—use DHHS Office for diabetes: diabetes mellitus; insulin-dependent, and non–insulin-dependent types Diagnostic Interview Schedule Diagnostic Interview for Children and Adolescents (DICA–R) diazepam digoxin diphenhydramine distractibility disulfiram divalproex, divalproex sodium docusate donepezil dopamine, dopaminergic doxepin doxylamine droperidol Drug Abuse Screening Test (DAST) Drug Addiction Treatment Act—2000 Drug Enforcement Administration DS—(when used in medication order)—spell out as double strength DSM-IV duloxetine Dyskinesia Identification System: Condensed User Scale (DISCUS) dysthymia, dysthymic dystonia, dystonic Ebstein's anomaly EC (enteric coated)—with aspirin—spell out ECG—use abbrev; preferred to EKG echinacea echolalia ecstasy—illegal drug; use MDMA ECT—spell out as electroconvulsive therapy—abbrev OK on subsequent mention EEG—use abbrev enalapril encephalopathy enuresis eosinophil epinephrine EPS—spell out as extrapyramidal side effects ergotamine erythrocyte—use RBC erythromycin estazolam ethosuximide ethotoin euthymia extrapyramidal eye movement desensitization and reprocessing (EMDR) Facts and Comparisons FDA—Food and Drug Administration; use abbrev except as choice when all others are spelled out FDA MedWatch federal—all l/c; initial cap if part of formal name felbamate feverfew Fisher—statistician; developed various tests fluoxetine fluphenazine flurazepam fluvoxamine Food and Drug Administration—see “FDA” above fosphenytoin FSH—spell out as follicle stimulating hormone furosemide GABA GABAA receptors gabapentin GAD—use generalized anxiety disorder galanthamine gallamine gamma-glutamyl transpeptidase – spell out unless value given; then use GGT Geriatric Cognitive Assessment Scale (GCAS) GGT — use abbrev if value listed; otherwise spell out as gamma-glutamyl transpeptidase Gingko biloba (no italics) ginseng Global Assessment of Functioning (GAF) glyburide GnRH—spell out as gonadotropin-releasing hormone gonadotropin granulocyte colony-stimulating factor guanfacine h-1—elimination constant H1 blockade H2 blocker (not histamine blocker) haloperidol haloperidol decanoate Hamilton Rating Scale for Anxiety (HRS–A) Hamilton Rating Scale for Depression (HAM–D) [All referrals to this scale are now HAM–D per Patricia Marino 11/21/01. This acronym replaces the former “HRS–D”] HCFA—formerly the Health Care Finance Administration; change to Centers for Medicare and Medicaid Services (formerly known as HCFA) [of course, leave HCFA in older document/publication/regulation titles] HCTZ—spell out as hydrochlorothiazide health care (two words, as n. and adj.) hemoglobin A1c—no longer with subscript hepatotoxicity heroin Hispanic histamine blocker—abbrev as H2 blocker HIV HLA—spell out as human leukocyte antigen 5-HT1A activity, 5-HT2 antagonist, 5-HT1D activity hydrochlorothiazide hypnagogia, hypnagogic hypocortisolemia hypomania, hypomanic hypoparathyroidism hypoprolactinemia ibuprofen idiopathic imipramine inpatient—(one word) INR—international normalized ratio; use abbrev; show as 2.4, 4.0, etc. (no units) insulin-dependent diabetes melliltus Intermediate Care Facility–Mental Retardation (ICF–MR) standards; use ICF–MR standards IRB—Institutional Review Board; use abbrev isoniazid JCAHO—Joint Commission on Accreditation of Healthcare Organizations; use abbrev JCAHO survey recommendations: type I, etc.—Roman numerals kava kava ketoconazole ketoprofen l-acetyl-α-methadol (LAAM) lacrimation lactate dehydrogenase lamotrigine LASA medications—look-alike/sound-alike medications; spell out LDH—use abbrev if value shown; otherwise spell out as lactate dehydrogenase Lesch–Nyhan syndrome, disorder leukocytosis leucocyte, leukocyte—use WBC leuprolide leuprolide acetate levodopa levodopa/carbidopa—a therapeutic combination levomethadyl levothyroxine Leyton Obsessional Inventory–Child Version liothyronine lithium; occasionally lithium carbonate loading dose lockout—(time interval during which a drug dose cannot be administered) lorazepam losigamone lovastatin loxapine LSD Manchester Scale Mann–Whitney U test macrolide manic–depressive MANOVA—spell out as multivariate analysis of variance MAOI—spell out as monoamine oxidase inhibitor; abbrev OK on subsequent mention maprotiline MDMA—use this acronym; drug is colloquially known as “ecstasy” and other names chemical name is 3,4-methylenedioxymethamphetamine Medical Subject Headings—spell out without acronym MeSH Medline—(online database product) medroxyprogesterone memantine mephenytoin mescaline mesoridazine meta-analysis methadone metharbital methylphenidate methysergide Michigan Alcohol Screening Test (MAST) Minnesota Multiphasic Personality Inventory (MMPI) mirtazapine MMSE—use Mini-Mental State Examination (MMSE) molindone Montgomery–Asberg Depression Rating Scale (MADRS) morphine MRI Multiple Organ Dysfunction Score multivariate analysis of variance—spell out without acronym MANOVA muscarinic mydriasis myoclonic seizure nadolol naloxone naltrexone naproxen National Alliance for the Mentally Ill National Institute on Drug Abuse NDA—use National Institute on Drug Abuse nefazodone—Committee, 8/05: going off market soon. 6/06 – out of 10/06 exam neuroleptic malignant syndrome—spell out without acronym nicotine nifedipine NIH—National Institutes of Health; use abbrev Nisonger guidelines nomogram method non–insulin-dependent diabetes mellitus nonlinear mixed effect model—spell out without acronym NONMEM noradrenergic norfluoxetine nortriptyline NSAID—nonsteroidal anti-inflammatory drug; use abbrev Nurse's Observation Scale for Inpatient Evaluation (NOSIE) nystagmus OBRA—use Omnibus Budget Reconciliation Act of 1987 obsessive–compulsive disorder—(all lowercase) OHRP—DHSS’s Office for Human Research Protections [yes, last term is plural]; use acronym olanzapine orthostasis orthostatic ORYX—a JCAHO initiative integrating performance measurement data into the accreditation process OTC—(over the counter)—use abbrev Overt Aggression Scale (OAS) Overt Agitation Severity Scale (OASS) oxazepam oxcarbazepine p—italicize when referring to statistical probability Parkinson's disease parkinsonian, parkinsonism—(no initial cap) paroxetine Pb—in drug context, spell out as phenobarbital PCA—patient-controlled analgesia; use abbrev PCP PDR Pearson r correlation coefficient pemoline perphenazine pharmacopeia phase II, phase III (etc.)—(referring to drug trials) phenelzine phenobarbital phenothiazine phenytoin pimozide pindolol piperazine piroxicam Positive and Negative Syndrome Scale (PANSS) posttraumatic stress disorder—(all lowercase; do not use DSM form) Prader–Willi syndrome prazepam Present State Examination (PSE) presynaptic prochlorperazine prodromal progestins propranolol protriptyline pseudoparkinsonism Psychotropic Drug Handbook pyridoxine QTc Quality of Life Scale (QLS) quazepam quetiapine quinidine ralitoline RBC—use this abbrev red blood cell—use RBC REM remacemide retinopathy Rett’s syndrome rifampin risperidone Ritalin—use methylphenidate rivastigmine S-adenosylmethionine (SAMe) [use with uppercase “A” at beginning of sentence or freestanding choice] SAMSHA—use Substance Abuse and Mental Health Services Administration saturable saw palmetto Scale for Assessment of Negative Symptoms (SANS) Scale for Assessment of Positive Symptoms (SAPS) Schedule for Affective Disorders and Schizophrenia (SADS) Schedule for Affective Disorders and Schizophrenia for School-Age Children (KIDDIE-SADS) Schizophrenia Assessment Scale (SAS) selegiline sentinel event serotonin syndrome sertindole sertraline SF-36 Health Survey Short Michigan Alcohol Screening Test (Short MAST) SIADH—spell out as syndrome of inappropriate antidiuretic hormone sildenafil simple partial seizure—(no hyphens) Simpson–Angus Scale simvastatin SPD—spell out as schizotypal personality disorder SSRI—spell out as selective serotonin reuptake inhibitor; abbrev OK on subsequent mention SSUI—spell out as selective serotonin uptake inhibitor; abbrev OK on subsequent mention St. John’s wort Stevens–Johnson syndrome stirpentol Structured Clinical Interview for Disorders (SCID) Student’s t test—must have initial uppercase “S”; one of several types of t tests study phases – use Roman numerals: phase II Substance Abuse and Mental Health Services Administration succinylcholine sumatriptan tacrine Tall Man letters, lettering tardive dyskinesia—spell out tau protein TCA—spell out as tricyclic antidepressant; abbrev OK on subsequent mention TD—spell out as tardive dyskinesia temazepam terazosin terfenadine THC theophylline thiamine—(preferred spelling) thioridazine thiothixene tiagabine T lymphocytes
tonic–clonic seizure
torsades de pointes
Tourette’s syndrome
Trails A Test
Trails B Test
tricyclic antidepressant—spell out; abbrev (TCA) OK on subsequent mention
TRH—thyroid-releasing hormone; use abbrev
TSH—use abbrev if value given; otherwise spell out as thyroid-stimulating hormone
t test;—there are several types, including Student's t test; two-tailed t test
tumor necrosis factor (TNF)
United States—spell out unless abbrev is part of formal title
USPDI—(U.S. Pharmacopeia Drug Information)—use abbrev
UUN—use abbrev if value given; otherwise spell out as urine urea nitrogen
valproic acid
VPA—spell out as valproic acid
WBC—use this abbrev
Wernicke–Korsakoff syndrome
Wernicke’s encephalopathy
white (pref. to Caucasian re ethnic group)
white blood cell—use WBC
Wilcoxon rank sum test
Wisconsin Card Sorting Test
Yale–Brown Obsessive Compulsive Scale (Y–BOCS)—(no dash in spelled out O-C)
Zung Depression Rating Scale

Internet References

For checking medication names and usages, the following sites are helpful; generic or trade names can be used. A
very new medication that is not on either one yet can be checked on standard search engines.
MEDLINE Plus Health information: RxList: NOTE:
The list on this page is from the OLD CODING SYSTEM, which put the numbers on the .CD line of the
items’ ibep files.
Disorder Classification for PSY Item Bank
These numbers should be entered as 2 digits on the “.CD” line in items.
ONLY items in 01 rubric domain receive these codes;
remove codes from 02 and 03 items as encountered. 00 None assigned 01 Schizophrenia, psychotic disorder 02 Depressive disorder 03 Bipolar disorder 04 Generalized anxiety disorder/GAD 05 OCD/OC spectrum disorders 06 Panic disorder 07 PTSD 08 Phobic disorders 09 Sleep disorders (insomnia, narcolepsy, sleep apnea) 10 Substance-related disorders 11 Personality disorders 12 Delirium (medical induced) 13 Dementia 14 Psychiatric disorders in the elderly 15 Psychiatric disorders in children and adolescents 16 Pregnancy, post-partum, and lactation 17 Developmental disorders 18 Movement disorders (Tourette’s, Huntington’s, EPS, Parkinson’s) 19 Seizure disorder/head injury/stroke 20 Pain. headache, migraine 21 Impulse control/aggression 22 Eating disorders and obesity 23 Suicidal behavior 24 Adverse drug reaction/drug interactions 25 Other disorders (As received from Vita Greco 7/18/06; applicable as of 10/05)
The list on this page and the following one are associated with the NEW rubric system from 10/05. These
numbers are put on the .RU line of the items’ ibep files, following the primary rubric.

Categories of Disorders
Psychiatric Disorders
Attention-Deficit/Hyperactivity Disorder (ADHD)
Bipolar disorders
Delirium, dementia, and amnesic and other cognitive disorders
Depressive disorders
Developmental disorders
Eating disorders
Generalized anxiety disorder
Impulse control/aggression
Mental disorders due to a general medical condition (e.g., HIV-psychosis, hyperthyroidism,
depression secondary to chronic medical conditions) Obsessive Compulsive Disorder (OCD) and OC spectrum disorders
Other psychiatric disorders (e.g., somatoform, dissociative, factitious, sexual/gender identity,
Panic disorder
Personality disorders
Phobic disorders
Post-Traumatic Stress Disorder (PTSD) and other trauma- related disorders
Schizophrenia and other psychotic disorders
Sleep disorders (e.g., insomnia, narcolepsy, sleep apnea)
Substance-related disorders
Suicidal ideation
Neurologic Disorders
Movement disorders (e.g., Tourette’s, Huntington’s, Parkinson’s, drug-induced EPS)
Seizure disorders/head injury/stroke
Adverse psychotropic drug interactions/reactions (including, e.g., obesity/diabetes/lipid disorders
associated with atypical antipsychotics) Pregnancy, post-partum, and lactation (including medication use and psychiatric disorders occurring in
Special populations: developmentally disabled (including medication use and other psychiatric
Special populations: elderly (including medication use and other psychiatric disorders not included
Special populations: infancy, childhood, adolescence (including medication use and other psychiatric
Special populations: long-term care that is not age specified

Items in ANY domain (01, 02, and 03) may be given one of these new codes.


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