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Psych SHELF Prep > Deck 1 > Flashcards

Deck 1 Flashcards

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1
Q

Best predictor of outcome in autism

A

Language development

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2
Q

Autism is most commonly confused with ____

A

OCD

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3
Q

ADHD diagnosis requires __ symptoms present before age __

A

6; 12

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4
Q

ADHD is more common in _____ (boys/girls)

A

girls

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5
Q

ADHD is most commonly associated with the following two disorders: ______.

A

ODD, Conduct Disorder

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6
Q

____ intoxication can mimic ADHD, due to hyperactivity symptoms

A

Lead

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7
Q

Atomoxetine use and MOA

A

ADHD; inhibits norepinephrine presynaptic transport

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8
Q

5 non-stimulant ADHD pharmacotherpies

A

atomoxetine, clonidine, guanfacine, bupropion, imipramine

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9
Q

ADHD psychotherapy

A

Behavior training, classroom behavior modification

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10
Q

Length of tics present for Tourette Dx; onset before age ___

A

1 year; 18

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11
Q

Genetic inheritance pattern of Tourette

A

AD

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12
Q

Which component of Tourette Syndrome typically presents first?

A

Motor (before 7), Vocal (before 11)

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13
Q

Which may be confused with Tourette Syndrome, typically presenting with winter-spring seasonal worsening of ticks?

A

PANDAS

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14
Q

Duration of transient tic disorder

A

4 weeks to 1 year

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15
Q

Tourette Disorder is associated with __ (2)

A

ADHD, OCD

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16
Q

Best long term treatment for Tourette Disorder

A

Habit Reversal Training

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17
Q

Medications for Tourette Disorder (3)

A

Antipsychotics (Risperidone best studied/effective), Clonidine, Guanfacine

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18
Q

Duration of symptoms in schizophrenia

A

6 months

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19
Q

Most frequently used substance by patients with schizophrenia, can affect antipsychotic levels

A

nicotine

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20
Q

Delusional disorder criteria, including duration

A

Delusions with no other psychotic symptoms (more than a month)

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21
Q

Brief Psychotic Disorder duration

A

1 day to 1 month

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22
Q

Common causes of medication-induced psychosis (2)

A

steroids, anticholinergics

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23
Q

Most effective atypical antipsychotic, has been shown to decrease suicide attempts

A

Clozapine

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24
Q

Treatment of acute dystonia (2)

A

Benztropine, diphenhydramine

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25
Q

Treatment of akathisia (2)

A

Benzos, propranolol

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26
Q

Treatment of antipsychotic-induced parkinsonism

A

Benztropine

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27
Q

Treatment of NMS (2)

A

Dantrolene, bromocriptine

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28
Q

In epilepsy, psychosis is most common in the ____ period; most common in the ____ period with longterm inadequately treated or treatment-resistant epilepsy

A

post-octal; inter-ictal

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29
Q

Number of mood episodes per year required for rapid-cycling bipolar

A

4

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30
Q

Length of symptoms in mania and hypomania

A

7 days; 4 days

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31
Q

DIGFAST

A

Distractibility, indiscretion, grandiosity, flight of ideas, activity increase, sleep deficit, talkativeness/pressured speech

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32
Q

Lithium is FDA approved for bipolar in patients age __ and older

A

12

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33
Q

____ should be monitored routinely with lithium therapy

A

drug levels, thyroid function tests, creatinine

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34
Q

____ should be monitored routinely with carbamazepine therapy

A

CBC

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35
Q

____ should be monitored routinely with divalproex/valproic acid therapy

A

LFTs, plt count

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36
Q

Class of medications (other than mood stabilizers) that may be used as mono therapy for mania

A

Antipsychotics

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37
Q

Lamotrigine is helpful for ___ symptoms of bipolar

A

depressive

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38
Q

Indicated psychotherapies for bipolar disorder in children/adolescents

A

Cognitive therapy, family therapy

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39
Q

Duration required for cyclothymia

A

2 years

40
Q

Vitamin Deficiency that may cause depression (1) or mania (2)

A

folate; folate/B12

41
Q

Neurodegenerative disease that may cause mania

A

Huntington Disease

42
Q

Which illicit substance causes mania in intoxication and depression with withdrawal?

A

Cocaine

43
Q

Duration of symptoms for MDD

A

2 weeks

44
Q

Length of antidepressant therapy for first episode of MDD

A

6-12 months at therapeutic levels (with 2-3 month taper)

45
Q

First-line psychotherapy in MDD

A

CBT

46
Q

MDD is more common in ____ (women/men)

A

women

47
Q

Suicide risk _____ with age

A

increases

48
Q

Suicide risk _____ with previous attempts

A

increases

49
Q

Suicide risk ____ with family history of suicide

A

increases

50
Q

Signs of postpartum mood disorder necessitating treatment or hospitalization (2)

A

Suicidal ideation, psychosis

51
Q

Recurrent rate of MDD: 1 year, lifetime

A

40%, 85%

52
Q

Duration required for PDD

A

2 years (1 year for children/adolescents)

53
Q

Number of symptoms required for PDD

A

2

54
Q

Psychotherapies useful for PDD (3)

A

CBT, insight-oriented psychotherapy, interpersonal psychotherapy

55
Q

Duration required for Premenstrual Dysphoric Disorder

A

Majority of cycles over past year

56
Q

Number of symptoms required for Premenstrual Dysphoric Disorder

A

5

57
Q

Difference between PMDD and PMS

A

Less mood change in PMS

58
Q

Treatment of PMDD (2)

A

SSRIs, OCPs

59
Q

Psychotherapy for PMDD

A

CBT

60
Q

Panic Disorder requires intense fear/discomfort plus ___ symptoms that are not provoked by a stimulus

A

4

61
Q

Duration required for Panic Disorder

A

1 month of concerns/worry/maladaptive changes related to attacks

62
Q

Treatment of Panic Disorder (4)

A

SSRIs/SNRIs/TCAs, short-term benzos

63
Q

First-line psychotherapy for Panic Disorder

A

CBT

64
Q

Duration required for specific phobia

A

6 months

65
Q

Treatment of Specific Phobia (3)

A

Exposure therapy (first-line), short-term benzos, possibly SSRIs

66
Q

Duration required for separation anxiety disorder

A

4 weeks

67
Q

Usually age of separation anxiety disorder

A

9-10

68
Q

Treatment of Separation Anxiety Disorder

A

Exposure therapy (first-line), SSRIs in conjunction with psychotherapy

69
Q

Duration required for social anxiety disorder

A

6 months

70
Q

Psychotherapy for Social Anxiety Disorder is CBT that emphasizes _____ (3).

A

Desensitization, Exposure, Rehearsal

71
Q

Pharmacotherapy for Social Anxiety Disorder (5)

A

SSRIs, SNRIs, Benzos, Buspirone (esp. as SSRI adjunct), propranolol/beta blockers (performance situations)

72
Q

Duration required for Generalized Anxiety Disorder

A

6 months

73
Q

Which disorders should be treated with exposure therapy? (3)

A

Specific Phobia, Separation Anxiety Disorder, Social Anxiety Disorder

74
Q

Psychotherapy for Generalized Anxiety Disorder

A

CBT, Psychodynamic therapy

75
Q

First-line pharmacotherapy for Generalized Anxiety Disorder

A

SSRIs

76
Q

Second-line pharmacotherapy for Generalized Anxiety Disorder

A

SNRIs/TCAs

77
Q

Third-line/Adjunctive Treatment for Generalized Anxiety Disorder (4)

A

Benzos (short-term), buspirone, mirtazapine, hydroxyzine

78
Q

OCD is more common in ___ (men/women)

A

equal

79
Q

OCD is associated with ____ (2)

A

Tic Disorder, Tourette Disorder

80
Q

Pathophysiology underlying OCD

A

Glamatergic transmission in cingulate gyrus

81
Q

Medical cause of OCD symptoms in children

A

PANDAS

82
Q

Treatment of OCD (3)

A

CBT: exposure/response prevention, SSRIs, clomipramine

83
Q

Anxiety disorder with less evidence for SSRI use (2)

A

Specific phobia, Separation Anxiety Disorder

84
Q

Duration required for PTSD

A

1 month

85
Q

4 areas of symptoms required in PTSD

A

Intrusion, Avoidance, Cognitive/Mood, Arousal

86
Q

__% of patients with PTSD have a comorbid psychiatric illness

A

80

87
Q

Pharmacotherapy in PTSD (4)

A

SSRIs, SNRIs, Prazosin (nightmares), atypical antipsychotic (adjunct)

88
Q

Psychotherapy in PTSD

A

CBT: exposure therapy, cognitive processing therapy

89
Q

Time course of Adjustment disorder

A

Starts within 3 months of trigger; resolves within 6 months of onset

90
Q

Pharmacotherapy for Adjustment Disorder

A

None

91
Q

Psychotherapy for Adjustment Disorder

A

Group Therapy, Supportive Psychotherapy

92
Q

Duration required for Acute Stress Disorder`

A

3 days to 1 month

93
Q

Number of Symptoms required for Acute Stress Disorder

A

9

94
Q

Symptoms types in acute stress disorder (5)

A

Avoidance, Mood, Dissociation, Arousal, Intrusion

95
Q

Treatment for acute stress disorder (4)

A

social supports, critical incident stress debriefing (CISD, questionable efficacy), hypnotics/anxiolytics (short-term), propranolol

96
Q

Which medication can reduce the risk of developing PTSD?

A

Propranolol

Psych SHELF Prep (2 decks)

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