FA Psych Flashcards
Most common cause of inherited intellectual disability?
Fragile-X syndrome
X-linked dominant- hypermethylation of FMR1
Macro-orchidism, long face, prominent jaw and forehead, high arch palate, large ears, autism, mitral valve prolapse
What is Rett syndrome?
X-linked disorder physical and psychomotor regression at 6 months of age
Females
Hang-wringing movements
ODD vs conduct
ODD may progress to conduct
Conduct is persistent pattern of violating the basic rights of others or age-appropriate societal norms/rules
Most common preventable cause of intellectual disability?
FAS
Coprolalia
Repetition of obscene words
Schizoaffective
Shiz+mood disorderS
Schizotypal
Magical thinking
Schizoid
Loner
Delusion
Fixed false belief
Hallucination
Perception without existing stimulus
Illusion
Misperception of an actual external stimulus
Haloperidol SE
Torsades de pointes and QT prolongation
Clozapine main SE
Agranulocytosis - weekly CBC for first 6 months
NMS treat
Dantrolene, bromocriptine
SNRI side effect
Hypertension and stimulant effects
Stopping BZD abruptly can result in
Seizures
What can you NOT USE with MAOi
SSRIs
Buproprine
Acute treatment of panic attack
BZD
OCD vs OCPD main difference
OCD= ego dystonic (recognize them and want to get rid of them)
OCPD = ego syntonic (don’t think their behaviour is problematic)
Best initial treatment of dementia
Cholinesterase inhibitors (donepezil, rivastigamine)
Delirium in normal vs PD patient
IM haloperidol
Lorazepam, quetiapine
TCA toxicity
Coma
Convulsions
Cardiotoxicity
Treat: sodium bicarb
Adverse effects of ECT
Amnesia, postictal confusion, arrythmias, headache
Adjustment disorder time frame
> 1month <6months
Dysthymia
Mild-long lasting depression
Therapeutic index Lithium
0.8-1.2
Lithium toxicity presentation
Ataxia, dysarthria, delirium, renal failure
Which drug causes Ebsteins in first semester
Lithium
What causes congenital heart defects in first semester
SSRIs
Sleep disorders must be going on for
3 months
Hypnagogic hallucinations
As they are going to sleep
Hypnopompic hallucinations
Waking up
CSA is
Central sleep apnea, need BiPap and backup for severe cases, CSA is where resp effort is affected
