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Psych > Exam I Cram > Flashcards

Exam I Cram Flashcards

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1
Q

what is Transference?

A

feelings of the pt toward the physican

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2
Q

what is Countertransference?

A

feelings of the physician toward the patient

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3
Q

______ assessment questions should be included in an initial psychiatric evaluation

A

spiritual

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4
Q

what is Mood?

A

pt’s reported emotional state

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5
Q

what is Affect?

A

observed emotional range of pt (can be congruent or incongruent with reported mood)

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6
Q

what is concentration?

A

capacity to maintain attention despite distracting stimuli

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7
Q

In a pt presenting with psychiatric symptoms or if you need to monitor for side effects, what labs may be useful?

A
  • electrolytes (Na, K)
  • renal function
  • liver function
  • TSH
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8
Q

describe EEG findings in dementia

A

decreased alpha power in occipital lobe

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9
Q

decreased alpha power in occipital lobe on EEG

A

dementia

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10
Q

what assessment tool helps monitor the symptoms in a pt with schizophrenia?

A

positive and negative symptoms scale (PANSS)

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11
Q

which neuropsychological cognitive screening tool is more sensitive to mild-severe cognitive impairment?

A

MOCA

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12
Q

which neuropsychological cognitive screening tool is only sensitive to severe cognitive impairment?

A

MMSE

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13
Q

________ is used to identify relevant medical conditions that may be presenting with psychiatric symptoms

A

ANotherMEDICalCONDITion

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14
Q

what psychiatric condition may Herpes present with?

A

gustatory hallucinations

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15
Q

what is the psychosexual stage associated with ages birth - 18 months?

A

oral

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16
Q

Oral is the psychosocial stage associated with ages…

A

birth-18mo

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17
Q

what is the Ericksonian stage for those 60+ y/o?

A

Ego Integrity vs Despair

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18
Q

Ego Integrity vs Despair is the _______ stage for those 60+ y/o?

A

Ericksonian

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19
Q

abstract thought and understanding underlying principles are most possible in what development stage?

A

Formal Operations (Piaget)

20
Q

_________ has provided several models for the development of psychopathology including risk factor identification

A

systems theory

21
Q

Civil Commitment requires…

A
  1. serious psychiatric disorder
  2. risk of harm to self or others
  3. hospitalization is the least restrictive option
22
Q

four elements of determining a patient’s capacity to make medical decisions?

A
  1. understanding
  2. expressing a choice
  3. appreciation
  4. reasoning
23
Q

give examples of justifiable reasons to terminate a patient relationship

A

failure to pay
threatening behavior
failure to keep appts
non-compliance
abuse of meds

24
Q

what should be done when terminating a patient relationship? (3)

A
  • formally inform pt (certified mail) with reasoning
  • provide emergency services x30 days
  • referral recommendation
25
Q

autism spectrum disorder includes a diverse presentation population and treatment options include… (2)

A
  • applied behavioral analysis
  • 2nd generation antipsychotics
26
Q

ADHD has three types and the best evidence for treatment remains…

A

stimulant medication

27
Q

Tic disorders have varied presentations with ____ being the most studied

A

Tourette’s

28
Q

primary treatments of positive and disorganized psychotic conditions?

A

FGAs and SGAs

29
Q

FGAs and SGAs are the primary tx of positive and disorganized psychotic conditions, however only _______ has significant success in addressing negative sx

A

Clozapine

30
Q

Catatonia management can include what three treatment options?

A
  • general
  • acute
  • malignant
31
Q

depersonalization / derealization disorders:
- avoid (2)
- instead use (2)

A
  • antipsychotics and benzos
  • CBT (desensitization/flooding) or hypnosis
32
Q

Types of ADHD?

A
  1. combined presentation
  2. predominantly inattentive presentation
  3. predominantly hyperactive/impulsive presentation
33
Q

duration of sx in MDD vs. PDD?

A
  • MDD: >2 weeks of recurring episodes with >5 SIGECAPS
  • PDD: >2 years of episodes with >2 SIGECAPS
34
Q

herbal and supplement options have been shown some efficacy in treating ______

A

MDD

35
Q

what are some herbal and supplement options that have been shown some efficacy in treating MDD (6)

A
  • omega-3 FAs
  • folic acid
  • inositol
  • SAMe (S-adenosyl-I-methionine)
  • St Johns Wort
  • B12
36
Q

all antidepressants have a ___% response rate with a ____% remission rate for MDD

A
  • 66%
  • 33-40%
37
Q

Differentiate between BPD I and BPD II

A
  • BPD I: at least one manic episode (3+ DIGFAST sx) – NO depressive episodes required
  • BPD II: at least one HYPOMANIC and one DEPRESSIVE episode–there has NEVER been a manic episode
38
Q

What is Cyclothymic Disorder?

A

milder form of BPD – 2 years of hypomanic sx that do not meet criteria for an episode and depressive sx that do not meet criteria for a depressive episode
- remissions are not longer than 2 months

39
Q

what is one of two psychiatric medications that decreases suicide rates?

A

lithium

40
Q

therapeutic level of Lithium?

A

0.6-1.2 mmol/L

41
Q

FDA approved options for GAD include… (5)

A
  • Paroxetine
  • Escitalopram
  • Duloxetine
  • Venlafaxine
  • Buspirone
42
Q

what reduces relapse rates following medication d/c in pts with OCD?

A

CBT

43
Q

what should NOT be used in PTSD d/t progression of trauma related sx?

A

benzos

44
Q

somatic sx disorder is typically managed by who?
- appt schedule?

A
  • PCPs instead of psychiatrists
  • regularly scheduled brief appts
45
Q

differentiate between factitious disorder, conversion disorder (an example of a somatic sx disorder), and malingering?

A
  • Factitious: intentional sx, unconscious motivation
  • Conversion: unconscious sx, unconscious motivation
  • malingering: intentional sx, intentional motivation
46
Q

weight restoration in anorexia nervosa pts is challenged by…

A
  • overcoming metabolic resistance
  • avoiding refeeding syndrome
47
Q

primary treatments of enuresis?

A

behavioral systems
alarm pads
imipramine

Psych (4 decks)

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