Exam Guru 4 Flashcards
What are poor prognostic factors for Schizophrenia?
Negative symptoms (blunted affect…)
Early onset
Family history schizo
Dementia + behavior changes, think…
Pick’s disease = frontotemporal dementia
Concrete (not abstract) thinking
Table and chair are both made of wood
A woman who thinks she has cancer jogs to decrease her anxiety…what mechanism?
Sublimation: channel displeasing impulses into constructive and positive actions
Concrete thought (can't do abstract) Impaired executive function Disorganization
Cognitive symptoms of Schizophrenia
- used to be considered a dementia!
OCD often presents with?
- because?
OCD and GAD
- both are anxiety disorders
TREAT both with SSRI
Steroids may induce what psych disorder?
- how?
Manic symptoms - or a mood disorder
- dose dependent
What if psychosis for 1 month
but negative symptoms for 1 year?
Schizophrenia
- one month of full criteria
- plus at least 6 months of some symptoms
What does tobacco do to antipsychotic meds?
Increases metabolism
- therefore decreases effectiveness
1st line for atypical depression?
What is atypical depression?
SSRI - sert/fluox/paroxe/citalop/fluvoxamine
Depression but pt’s perk up with positive situation or experience
+ and - of Bupropion?
Helps with smoking cessation
Treat SAD; atypical antidepressant
Bad: lowers seizure threshold
can’t use if eating disorder
Overworked doctor wants to date a female patient who came in for drug overdose. ???
Countertransference
What is identification?
Your personality is molded after an authority figure…child perpetuates domestic violence after watching dad do it.
What SSRI least likely to be involved in SSRI withdrawal for people who might forget to take it for 1-3 days?
Fluoxetine - half life of 4-6 days
What make you think sexual abuse rather than just normal sexual exploration of kids?
Every 1-2 weeks - normal
General stuff - normal
Inserting objects, mimicking intercourse = abuse
Attempt to engage in specific acts w/ others = abuse
Pervasive/daily = abuse
Atypical depression…
Increased sleep
Increased appetite
Atypical depression…how treat?
MAOI - more efficacious (Selegiline)
- but SSRI still 1st line due to safety proflie
When get Serotonin syndrome?
MAOI + SSRI
FOOD + MAOI
Agoraphobia goes with?
Panic disorder
What score is normal for older person on mini-mental?
24 and up = normal
below = dementia
Major symptoms of acute alcohol intoxication?
Nystagmus
Lack coordination
Impairment cognition
Haldol SE’s?
High incidence EPS
Chlorpromazine
Sedation
Orthostatic hypotension
Anticholinergic effects
Thioridazine
Cardiac disturbances
Retinitis pigmentosa - so night vision problems
Mesoridazine
Cardiac arrhythmias
Major depression, see what in brain?
Hypothalamic dysfunction
- consistent w/ alterations in sleep/appetite
How can anti-cholinergic effects lead to delirium in the elderly?
Think TCA and take too many anti-diarrheal medications.
Amitriptyline
Describe the acid-base abnormalities in acute alcohol intoxication?
Anion gap
Metabolic acidosis
With respiratory compensation
When consider psychometric testing in kid?
IQ test - for autism spectrum disorder
