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Step 1 DIT > 13. Psych > Flashcards

13. Psych Flashcards

1
Q

What electrolyte changes are seen in patients with excessive vomiting over time?

A

hypoK, hypoCl metabolic alkalosis

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2
Q

When does delirium tremens occur?

A

2-3 days after last drink

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3
Q

What drug intoxication or withdrawal is causing the following symptoms in each of the following patients?
- post-op constipation and/or respiratory depression

A

opioids

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4
Q

What drug intoxication or withdrawal is causing the following symptoms in each of the following patients?
- severe depression, headache, fatigue, insomnia/hypersomnia, hunger

A

cocaine or amphetamine withdrawal

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5
Q

What drug intoxication or withdrawal is causing the following symptoms in each of the following patients?
- pinpoint pupils, n/v, seizures

A

opioid OD

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6
Q

What drug intoxication or withdrawal is causing the following symptoms in each of the following patients?
- belligerence, impulsiveness, nystagmus, homicidal ideations, psychosis

A

PCP

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7
Q

What drug intoxication or withdrawal is causing the following symptoms in each of the following patients?
- headache, anxiety/depression, weight gain

A

nicotine withdrawal

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8
Q

What drug intoxication or withdrawal is causing the following symptoms in each of the following patients?
- anxiety/depression, delusions, hallucinations, flashbacks

A

LSD intoxication

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9
Q

What drug intoxication or withdrawal is causing the following symptoms in each of the following patients?
- euphoria, social withdrawal, impaired judgement, hallucinations

A

marijuana intoxication

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10
Q

What drug intoxication or withdrawal is causing the following symptoms in each of the following patients?
- rebound anxiety, tremors, seizures, life threatening

A

withdrawal from alcohol, barb, or benzo

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11
Q

What drug intoxication or withdrawal is causing the following symptoms in each of the following patients?
- anxiety, piloerection, yawning, fever, rhinorrhea, nausea, diarrhea

A

opioid withdrawal

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12
Q

What are the clinical features of NMS?

A
  • delirium, AMS
  • autonomic instability (tachy)
  • muscle rigidity
  • myoglobinuria
  • hyperpyrexia
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13
Q

How is neuroleptic malignant syndrome treated?

A
  • stop the drug
  • supportive care (IVF, electrolytes, cooling blanket)
  • dantrolene
  • bromocriptine
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14
Q

What are the potential side effects of lithium?

A
  • tremor
  • teratogenic
  • polyuria and nephrogenic DI
  • arrhythmias (sick sinus syndrome, heart block)
  • hypothyroidism
  • sedation, lethargy, dizziness
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15
Q

What is the presentation of major depressive disorder with atypical features?

A
  • mood reactivity
  • hypersensitivity to rejection
  • leaden paralysis (heavy arms and legs)
  • hyperphagia
  • hypersomnia
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16
Q

Which antidepressant matches each of the following statements?
- side effect of priapism

A

trazodone

17
Q

Which antidepressant matches each of the following statements?
- lowers the seizure threshold

A

bupropion

18
Q

Which antidepressant matches each of the following statements?
- appetite stimulant that is likely to result in weight gain

A

mirtazapine

19
Q

What are the symptoms of TCA overdose? (3)

A
  • cardiotoxicity
  • anti-cholinergic
  • CNS toxicity (seizures, coma)
20
Q

What are the symptoms of serotonin syndrome?

A
  • muscle rigidity
  • hyperthermia
  • CV collapse
21
Q

What defense mechanism fits each of the following statements?
- voluntarily choosing not to think about a piece of bad news

A

suppression

22
Q

What defense mechanism fits each of the following statements?
- not acknowledging a piece of bad news, as though it were never said

A

denial

23
Q

What defense mechanism fits each of the following statements?
- involuntary withholding of a feeling from conscious awareness

A

repression

24
Q

What defense mechanism fits each of the following statements?
- a veteran who can describe horrific war details without any emotion

A

isolation

25
Q

What defense mechanism fits each of the following statements?
- man yells at his family when he has a bad day at work

A

displacement

Step 1 DIT (20 decks)

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