13. Psych Flashcards
What electrolyte changes are seen in patients with excessive vomiting over time?
hypoK, hypoCl metabolic alkalosis
When does delirium tremens occur?
2-3 days after last drink
What drug intoxication or withdrawal is causing the following symptoms in each of the following patients?
- post-op constipation and/or respiratory depression
opioids
What drug intoxication or withdrawal is causing the following symptoms in each of the following patients?
- severe depression, headache, fatigue, insomnia/hypersomnia, hunger
cocaine or amphetamine withdrawal
What drug intoxication or withdrawal is causing the following symptoms in each of the following patients?
- pinpoint pupils, n/v, seizures
opioid OD
What drug intoxication or withdrawal is causing the following symptoms in each of the following patients?
- belligerence, impulsiveness, nystagmus, homicidal ideations, psychosis
PCP
What drug intoxication or withdrawal is causing the following symptoms in each of the following patients?
- headache, anxiety/depression, weight gain
nicotine withdrawal
What drug intoxication or withdrawal is causing the following symptoms in each of the following patients?
- anxiety/depression, delusions, hallucinations, flashbacks
LSD intoxication
What drug intoxication or withdrawal is causing the following symptoms in each of the following patients?
- euphoria, social withdrawal, impaired judgement, hallucinations
marijuana intoxication
What drug intoxication or withdrawal is causing the following symptoms in each of the following patients?
- rebound anxiety, tremors, seizures, life threatening
withdrawal from alcohol, barb, or benzo
What drug intoxication or withdrawal is causing the following symptoms in each of the following patients?
- anxiety, piloerection, yawning, fever, rhinorrhea, nausea, diarrhea
opioid withdrawal
What are the clinical features of NMS?
- delirium, AMS
- autonomic instability (tachy)
- muscle rigidity
- myoglobinuria
- hyperpyrexia
How is neuroleptic malignant syndrome treated?
- stop the drug
- supportive care (IVF, electrolytes, cooling blanket)
- dantrolene
- bromocriptine
What are the potential side effects of lithium?
- tremor
- teratogenic
- polyuria and nephrogenic DI
- arrhythmias (sick sinus syndrome, heart block)
- hypothyroidism
- sedation, lethargy, dizziness
What is the presentation of major depressive disorder with atypical features?
- mood reactivity
- hypersensitivity to rejection
- leaden paralysis (heavy arms and legs)
- hyperphagia
- hypersomnia
Which antidepressant matches each of the following statements?
- side effect of priapism
trazodone
Which antidepressant matches each of the following statements?
- lowers the seizure threshold
bupropion
Which antidepressant matches each of the following statements?
- appetite stimulant that is likely to result in weight gain
mirtazapine
What are the symptoms of TCA overdose? (3)
- cardiotoxicity
- anti-cholinergic
- CNS toxicity (seizures, coma)
What are the symptoms of serotonin syndrome?
- muscle rigidity
- hyperthermia
- CV collapse
What defense mechanism fits each of the following statements?
- voluntarily choosing not to think about a piece of bad news
suppression
What defense mechanism fits each of the following statements?
- not acknowledging a piece of bad news, as though it were never said
denial
What defense mechanism fits each of the following statements?
- involuntary withholding of a feeling from conscious awareness
repression
What defense mechanism fits each of the following statements?
- a veteran who can describe horrific war details without any emotion
isolation
What defense mechanism fits each of the following statements?
- man yells at his family when he has a bad day at work
displacement
