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D&T 2 > Adam > Flashcards

Adam Flashcards

1
Q

What has a 95% response rate for MDD

A

ECT (~1 min seizure)

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2
Q

Child presentation of MDD

A

somatic complaints

irritability

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3
Q

Geriatric MDD risks

A

misdiagnose (treat MDD to avoid hospice)

High suicide risk

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4
Q

What do you see in CSF of MDD

A

decreased 5HT

decreases 5-HIAA

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5
Q

Pneumonic for MDD

A

SIGECAPS

Sleep
Interest (dec)
Guilt
Energy (dec)
Concentration (dec)
Appetite change
Psychomotor retardation
Suicidal Ideation
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6
Q

How many symptoms must you need for MDD

A

5 for at least 2 weeks

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7
Q

How many symptoms must you have for Persistent Depressive Disorder

A

Depression for 2 years with 2 of the SIGECAPS

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8
Q

Bipolar type 1 diagnosis

A

Abnormal and persisted elevated, goal-directed activity/energy lasting at least ONE WEEK

with 3 or more DIGFAST

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9
Q

What is the pneumonic for Mania

A

DIGFAST

Distractibility
Irritability
Grandiosity
Flight of Ideas
Activity increased
Sleep deficit
Talkativeness
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10
Q

What is the most inheritible psychiatric illness

A

bipolar disorder

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11
Q

What do you see in mania in terms of connections

A

frontal lobe to amygdala white matter degeneration

reduced gray matter

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12
Q

What causes the toxicity in manic episodes

A

Glutamate and calcium in excess are neruotoxic

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13
Q

What do you give to rapid cyclers

A

Valproic acid

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14
Q

When do psychosis episodes occur in bipolar I

A

during manic episodes

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15
Q

What types of hallucinations do you usually have in mania

A

auditory hallucinations

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16
Q

What greatly decreases suicide risk

A

lithium

17
Q

Bipolar II disorder diagnosis

A

Abnormal and persisted elevated, goal-directed activity/energy lasting at least 4 days

with hypomanic episode

  • hyperactive and talkative
  • still can work but just annoying to others
18
Q

What does bipolar II require

A

Req a major depressive episode

19
Q

What is cyclothymic disorder

A

You don’t quite have full hypomania or full depressive symptoms, but you have multiple periods of each for 2 years

D&T 2 (7 decks)

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