Deck 3 COPY COPY Flashcards
oppositional defiant disorder
this is when adolescents have annoyed moods, disregard for peers, and defiant behaviors towards authority
what is the cause of refeeding syndrome
increased insulin release
what is primary eneuresis
this is bedwetting past 5yo
generalized anxiety disorder worry spectrum
worries about everything, not just one specific area of life
catatonia
when a patient doesnt speak, move, posturing, resists movement etc. can also be excitatory
when do we see catatonia
often in schizophrenic and bipolar disorder
age of onset delusional disorder
can be any age but is more common in older individuals
risk factors for brief psychotic disorder
stressful life events, personality disorders etc
cognitive side effect of schizophrenia
slowing of the working memory
what type of therapy do you do for OCD
CBT
what is panic disorder
this is when you have panic attacks without a trigger
treatment for acute mania
antipsychotic, lithium, valproate
can you purge in anorexia
yes! but if the BMI is lower than 18.5 this automatically is anorexia
ADHD neurological abnormalities
minor abnormalities like brisk reflexes
what neurotransmitter is often low in patients with impulsive PDs
serotonin
what is adjustment disorder
emotions or excessive responses within 3 months of an identifiable stressor, emotions are out of proportion to the identifiable stressor
which drug stays in the UDS the longest
marijuana
examples of inhalants
toluene, nitrous oxide, glue, spray paint
what drugs are contraindicated in cocaine intoxication
anything that will cause increased BP, like beta blockers (unapposed a1 activation)
cardiac side effect of cocaine
coronary artery vasospasm
how do you treat pain for a patient on methadone therapy for OUD
maintain their current methadone levels and then add patient controlled analgesia
what protein is mutated in alzheimer
tau
what protein is mutated in parkinsons
a-synuclein
treatment of restless leg syndrome
dopamine agonist like ropinerole
DUMBELLS
diarrhea, urination, miosis, bradycardia, bronchospasm, emesis, lacrimation, lethargy, sweating, salivation
do patients with anticholinergic toxicity have to have sweating
no but they will have flushed skin
sexual side effects of marijuana use
erectile dysfunction, not too severe but severe enough to not get hard enough for penetration
wernicke encephalopathy presentation
ataxia, opthalmoplegia, acute altered mental status
what happens when you have chronic wernicke encephalopathy
korsakoff syndrome, antero and retrograde amnesia, confabulation
williams syndrome
intellectual disability, flat nasal bridge, small chin, hypersociability
criteria for decisional capacity
consistent choice of care, demonstrate understanding of benefits and negative, ability to reason, ability to see how the choice fits their personal circumstances)
should people who are cognitively impaired be able to make end of life decisions
yes! it can be case by case but mild impairment should not preclude
conversion disorder disfunction
neurological symptoms
oppositional defiant disorder
this is like conduct disorder but less dysfucntion and less severe/destructive behaviors
how do you treat psychosis from PD treatment
lower Levodopa/carbidopa therapy
diagnostic criteria for social anxiety disorder
> 1 social situations that cause anxiety, fear of scrutiny by others, fear of judgement etc.
treatment of social anxiety disorder
SSRI
what do you do if an SSRI does not cut it for social anxiety disorder
propanolol especially if there is a hx of abuse in the family
signs of youth-onset schizophrenia
prodromal withdrawal phase, talking to an imaginary friend, hallucinations, academic decline
selective mutism
refusal to speak in a specific social situation but has normal speech in other situations, often in school
what is a good therpapy for PTSD nightmares
prazosin if SSRIs are not helping sufficiently
displacement vs. projection
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)
how do you treat performance anxiety
propanolol
which two benzos are shorter acting for anxiety
alprazolam or lorazepam
medication treatment of bulemia
SSRI
for BDD do you ever suggest changing their appearance
No never ever
indications for ECT
emergent situations in which they need treatment but maybe cant take pills, or pregnancy, refusal to eat/drink, imminent suicide risk,
monotherapy for bipolar 1
lithium, quitiapine, valproate, lamotragine
severe bipolar 1 treatment
lithium or valproate plus antipsychotic
signs of cocaine use
chest pain, tachycardia, mydriasis, seizures, agitation
what SSRI can cause increase in BP
venlafaxine
treatment of body dysmorphic disorder
SSRI and CBT
which dissociative disorder has alters
dissociative identidy disorder
what is first line to reduce cravings in alcohol UD and OUD
naltrexone
non stimulant adult drugs for ADHD
atomoxetine
what is childonset fluiency disorder
stuttering
social communication disorder
social difficulities of verbal and nonverbal communication
first line drugs for alcohol use disorder
naltrexone and acomprosate, disulfiram is second line
