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adult psych ques L Flashcards

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1
Q

Cotard syndrome

A

nihilistic delusional content (feel they have lost blood, heart, intestines, etc)
seen in many psychotic illnesses

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2
Q

Capgras syndrome

A

belief that people have been replaced by imposters

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3
Q

most cases of postpartum psychosis manifest as

A

bipolar disoder

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4
Q

features of catatonia

A

negativism
psychomotor slowing
echopraxia

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5
Q

mainstay of tx for catatonia

A

benzos or ECT

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6
Q

Arnold Chiari syndrome

A

hydrocephalus

cerebellar anatomic and functional abnormalities

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7
Q

Mobius syndrome

A

congenital absence of facial nerves and nuclei with bilateral facial paralysis

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8
Q

Pick disease

A

frontal and temporal lobe atrophy

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9
Q

Punchdrunk syndrome

A

acquired mvmt disorder assoc w traumatic damage to substantia nigra (for instance, from boxing)

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10
Q

what benzo has shortest half life and time of onset?

A

alprazolam (so good for acute panic attack)

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11
Q

whenever you prescribe a SSRI, what to keep in mind about effect?

A

takes 4-8 weeks

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12
Q

adjustment disorder-symptoms remit when

A

within 6 months

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13
Q

acute stress disorder

A

exposed to traumatic event

reexperiencing, numbing, increased arousal symptoms for up to 1 month after event

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14
Q

agoraphobia

A

tied to fear of having panic symptoms in public

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15
Q

schizoid personality disorder

A

reclusive and does not mind lack of social interaction

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16
Q

avoidant personality disorder

A

shy and fearful of social rejection

lack of socialization is distressing to them

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17
Q

schizotypal personality disorder

A

schizoid features but also bizarre thinking

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18
Q

most appropriate pharm therapy for tx of heroin addiction, even in preg

A

methadone

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19
Q

schizoaffective disorder

A

episodic mood symptoms and chronic psychotic symptoms outside of those mood episodes

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20
Q

narcissistic personality disorder characterized by

A

grandiosity, need for admiration, lack of empathy

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21
Q

wet wobbly and wacky

A

normal pressure hydrocephalus

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22
Q

is normal pressure hydrocephalus reversible?

A

potentially

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23
Q

dementia pugilistica

A

punchdrunk syndrome

is a type of dementia seen following repeated head trauma over years (like in boxers)

emotional lability, dysarthria, impulsivity

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24
Q

Lewy body dementia

A

hallucinations, parkinsonian features, extrapyramidal signs

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25
Q

pseudodementia

A

symptoms consistent w memory difficulties but in the absence of a dementia (often seen in depression)

usually have more depressive symptoms, have more insight into their symptoms than demented pts and will often have hx of dpression

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26
Q

Binswanger disease

A

subcortical arteriosclertoic encephalopathy

multiple sm infarcts in white matter w sparing of cortical regions

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27
Q

how to tx treatment refractory schizophrenia pts

A

clozapine (decreases suicidality too)

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28
Q

what do you have to watch out for with clozapine

A

agranulocytosis

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29
Q

identification defense mechanism

A

unconscious incorporation of someone else’s traits into one’s own manner (ex-adolescents having hairstyles similar to admired rock stars)

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30
Q

projection

A

assigning emotions to another person in a attempt to psychologically defence against the presence of those emotions within onself (ex-doctor may tell female pt he believes his female pt is attracted to him when in actuality he is attracted to her)

31
Q

countertransference

A

feelings and attitudes originating from clinican that are evoked by the patient

32
Q

what percent of pts with MDD commit suicide?

A

15

33
Q

frotterism

A

pt is sexually aroused by touching a nonconsenting person

34
Q

fetishism

A

sexual arousal connected to nonliving objects

35
Q

restless leg syndrome falls under what category

A

dyssomnia, not otherwise specified

36
Q

if untreated, major depressive episode will last how long

A

6-13 months

37
Q

many heroins users have what

A

scarred veins

38
Q

alcohol and PCP intoxication are assoc with what with the eye

A

nystagmus

39
Q

methylene blue is used to treat

A

methemoglobinemia

40
Q

first line mood stabilizers

A

lithium

valproic acid

41
Q

how to tx acute depressive episodes of bipolar disorder

A

lithium, lamotrigine

42
Q

hallmark for delirium

A

fluctuation in level of consciousness with deficits in attention (attention usu intact in dementia)

also, acute onset

43
Q

sensory gating deficits, short term memory difficulty, abnormalities in smooth pursuit eye mvmts

A

schizophrenia

44
Q

antidepressants can induce mania: true or false

A

true

45
Q

localized amnesia

A

memory loss surrounding discrete period of time, usu after traumatic event

46
Q

continuous amnesia

A

forgets all events following trauma except for immediate past

47
Q

retrograde amnesia

A

loss of memory for all events before a traumatic event

48
Q

selective amnesia

A

inability to recall certain aspects of an event, though other memories of event may be intact

49
Q

depressive disorder nos

A

impairing but do not fit any of official specified diagnoses

50
Q

sleep paralysis

A

total or partial parlysis in sleep wake transition with narcolepsy pts

51
Q

rabbit syndrome

A

fine, rhytmic mvmt of lips that is a late onset side effect of neuroleptics

52
Q

depersonalization

A

feeling that one’s identity is lost or feeling of being unreal or strange

can occur with anxiety states

53
Q

derealization

A

sense that one’s surroundings are strange or unreal

can occur w anxiety states

54
Q

dissociative amnesia

A

loss of memory for period of time w/o loss of ability to form new memories

usu associated w emotional trauma

55
Q

prosopagnosia

A

inability to remember faces despite being able to recognize that they are faces

56
Q

logorrhea

A

excessive talking smtimes seen in manic episodes

57
Q

scanning speech

A

interrupted

58
Q

derailment

A

abrupt interruption of idea and then after a period of time, beginning a new topic

59
Q

apraxia

A

inability to perform previously learned motor skills

60
Q

clang associations commonly seen in

A

mania

61
Q

prosopagnosia

A

inability to recognize faces despite perception of all the components

62
Q

what depressive symptoms are the first to respond to antidepressants

A

sleep, energy, appetite changes

63
Q

what part of brain is hyperactive in anxiety states

A

locus ceruleus (makes NE)

64
Q

withdrawal from caffeine symptoms

A 
HA
sleepiness
irritable
vomiting
muscle aches/stiffness
concentration problems
65
Q

drug effects

A

study questions p51 on lange

66
Q

PCP and other dissociative anesthetics’ effects

A 
vertical or horizontal nystagmus(rotary with ketamine)
HTN
tachycardia
ataxia
numbness
high pain tolerance
hyperacusis
hyperthermia
musc rigidity
seizures
death

presence of nystagmus helps distinguish PCP intoxication from other forms of psychosis

severe agitation, rage, panic

67
Q

amphetamine intoxication

A

euprhoia, interpersonal sensitivity, anxiety, tension, anger, impaired judgment, impaire social and occupational functioning

tachycardia/bardycardia
pupillary dilation
insomnia
BP changes
sweating or chills
n/v

chronic use: dry skin, acne like lesions, chronic nose bleeds

68
Q

alcohol withdrawal symptoms

A 
autonomic instability (sweating, tachycardia)
tremors
insomnia
n/v
transient hallucinations/illusions
psychomotor agitation
anxiety
seizures
69
Q

review drug receptor sites

A

pg 52 lange

70
Q

olanzapine’s blockade of what receptors causes sedation, weight gain

A

histamine

71
Q

atypical antipsychotics act at what receptors

A

dopamine, 5HT, alpha, histamine

72
Q

rxn formation

A

turning unacceptable drives into their opposite

73
Q

cyproheptadine

A

sometimes used in tx of most severe cases of serotonin syndrome

5HT2a antagonist

74
Q

what’s contraindicated w MAOIs

A

stimulants
decongestatns
serotonin
amine precursors such as L dopa, L tryptophan
antihypertensives methyldopa, guanethidine, reserpine

Psych (20 decks)

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