Deck 3 Flashcards

You may prefer our related Brainscape-certified flashcards:
1
Q

oppositional defiant disorder

A

this is when adolescents have annoyed moods, disregard for peers, and defiant behaviors towards authority

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what is the cause of refeeding syndrome

A

increased insulin release

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what is primary eneuresis

A

this is bedwetting past 5yo

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

generalized anxiety disorder worry spectrum

A

worries about everything, not just one specific area of life

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

catatonia

A

when a patient doesnt speak, move, posturing, resists movement etc. can also be excitatory

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

when do we see catatonia

A

often in schizophrenic and bipolar disorder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

age of onset delusional disorder

A

can be any age but is more common in older individuals

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

risk factors for brief psychotic disorder

A

stressful life events, personality disorders etc

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

cognitive side effect of schizophrenia

A

slowing of the working memory

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what type of therapy do you do for OCD

A

CBT

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what is panic disorder

A

this is when you have panic attacks without a trigger

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

treatment for acute mania

A

antipsychotic, lithium, valproate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

can you purge in anorexia

A

yes! but if the BMI is lower than 18.5 this automatically is anorexia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

ADHD neurological abnormalities

A

minor abnormalities like brisk reflexes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

what neurotransmitter is often low in patients with impulsive PDs

A

serotonin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

what is adjustment disorder

A

emotions or excessive responses within 3 months of an identifiable stressor, emotions are out of proportion to the identifiable stressor

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

which drug stays in the UDS the longest

A

marijuana

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

examples of inhalants

A

toluene, nitrous oxide, glue, spray paint

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

what drugs are contraindicated in cocaine intoxication

A

anything that will cause increased BP, like beta blockers (unapposed a1 activation)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

cardiac side effect of cocaine

A

coronary artery vasospasm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

how do you treat pain for a patient on methadone therapy for OUD

A

maintain their current methadone levels and then add patient controlled analgesia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

what protein is mutated in alzheimer

A

tau

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

what protein is mutated in parkinsons

A

a-synuclein

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

treatment of restless leg syndrome

A

dopamine agonist like ropinerole

25
Q

DUMBELLS

A

diarrhea, urination, miosis, bradycardia, bronchospasm, emesis, lacrimation, lethargy, sweating, salivation

26
Q

do patients with anticholinergic toxicity have to have sweating

A

no but they will have flushed skin

27
Q

sexual side effects of marijuana use

A

erectile dysfunction, not too severe but severe enough to not get hard enough for penetration

28
Q

wernicke encephalopathy presentation

A

ataxia, opthalmoplegia, acute altered mental status

29
Q

what happens when you have chronic wernicke encephalopathy

A

korsakoff syndrome, antero and retrograde amnesia, confabulation

30
Q

williams syndrome

A

intellectual disability, flat nasal bridge, small chin, hypersociability

31
Q

criteria for decisional capacity

A

consistent choice of care, demonstrate understanding of benefits and negative, ability to reason, ability to see how the choice fits their personal circumstances)

32
Q

should people who are cognitively impaired be able to make end of life decisions

A

yes! it can be case by case but mild impairment should not preclude

33
Q

conversion disorder disfunction

A

neurological symptoms

34
Q

oppositional defiant disorder

A

this is like conduct disorder but less dysfucntion and less severe/destructive behaviors

35
Q

how do you treat psychosis from PD treatment

A

lower Levodopa/carbidopa therapy

36
Q

diagnostic criteria for social anxiety disorder

A

> 1 social situations that cause anxiety, fear of scrutiny by others, fear of judgement etc.

37
Q

treatment of social anxiety disorder

A

SSRI

38
Q

what do you do if an SSRI does not cut it for social anxiety disorder

A

propanolol especially if there is a hx of abuse in the family

39
Q

signs of youth-onset schizophrenia

A

prodromal withdrawal phase, talking to an imaginary friend, hallucinations, academic decline

40
Q

selective mutism

A

refusal to speak in a specific social situation but has normal speech in other situations, often in school

41
Q

what is a good therpapy for PTSD nightmares

A

prazosin if SSRIs are not helping sufficiently

42
Q

displacement vs. projection

A

displacement is when you shift your feelings to a safer target (med student-resident example) and projection is when you attribute your own feelings to others (so if you feel shame you attribute someone elses actions as shameful)

43
Q

how do you treat performance anxiety

A

propanolol

44
Q

which two benzos are shorter acting for anxiety

A

alprazolam or lorazepam

45
Q

medication treatment of bulemia

A

SSRI

46
Q

for BDD do you ever suggest changing their appearance

A

No never ever

47
Q

indications for ECT

A

emergent situations in which they need treatment but maybe cant take pills, or pregnancy, refusal to eat/drink, imminent suicide risk,

48
Q

monotherapy for bipolar 1

A

lithium, quitiapine, valproate, lamotragine

49
Q

severe bipolar 1 treatment

A

lithium or valproate plus antipsychotic

50
Q

signs of cocaine use

A

chest pain, tachycardia, mydriasis, seizures, agitation

51
Q

what SSRI can cause increase in BP

A

venlafaxine

52
Q

treatment of body dysmorphic disorder

A

SSRI and CBT

53
Q

which dissociative disorder has alters

A

dissociative identidy disorder

54
Q

what is first line to reduce cravings in alcohol UD and OUD

A

naltrexone

55
Q

non stimulant adult drugs for ADHD

A

atomoxetine

56
Q

what is childonset fluiency disorder

A

stuttering

57
Q

social communication disorder

A

social difficulities of verbal and nonverbal communication

58
Q

first line drugs for alcohol use disorder

A

naltrexone and acomprosate, disulfiram is second line