FA Psych Book Pearls Flashcards
What is the Minnesota Mulitphasic Personality Inventory test used for?
Assess personality and ID psychpathologies
-mean score of 50, SD 10
Semantic memory located where?
Inferolateral Temporal lobe
What are the long acting (> 20 hour) benzos?
Diazepam, Clonazepam
What refers to the sudden loss of muscle tone?
Sx of what?
Cataplexy
Narcolepsy
What TCAs are the tertiary amines?
AICD Amitriptyline Imipramine Clomipramine Doxepin
What are the secondary TCA amines?
Nortriptyline
Desipramine
Pt w/hepatic encephalopathy shows what on EEG?
Triphasic waves
According to Freud, what contains the instinctual drives?
The Id
What is the most important factor in assessing a pt’s risk of violence?
Hx of violence
What is the #1 SE in SSRI?
GI disturbance
What are important CYP450 inducers?
What does this mean?
Tobacco, Carbamazepine, barbs, St Johns Wort
Decreased level of drug
What is the primary metabolite of dopamine?
Found where?
Homovanillic acid (HVA)
CSF, blood, urine
Pt w/opioid intox: shows what on EEG?
Dec alpha, inc voltage of delta and theta waves
Person that is hyposexual, emotionally intense, and has viscosity and a peculiar perseverative approach to interactions with others is suffering from what?
Temporal lobe epilepsy
What receptor does sumatriptan target?
5-HT1D
What is Pregabalin used to treat?
GAD (2nd line)
Fibromyalgia
Who decided competence?
Capacity?
Judge
Dr
A “blanky” that comforts a child is called what according to Winnicott?
Transitional object
all primary psychiatric disorders are recorded in what axis?
Other than what?
Those go where?
1
Retard or personality
2
Chlorpromazine SE?
Ortho HoTN
Blue-gray skin discoloration
Cornea/lens deposits
What receptors do atypical antipsychotics target?
5-HT6
D4
What is Memantine used to treat?
Should be used with what?
Dementia
AChE-i
Circadian rhythms are targeted by what receptor?
5-HT7
Pt w/caffeine withdrawal shows what on EEG?
Nicotine withdrawal?
Inc in amplitude of theta activity
Dec in alpha activity
What are the 4 elements of informed consent?
Reason for treatment
Risks and benefits
Alternatives
Refused treatment consequences
Antiparkinsonism anticholinergic drugs target what receptor?
M4
Episodic memory located where?
Medial temporal lobe Anterior thalamic Nucleus Mamillary bodies Fornix Prefrontal cortex
Procedural memory located where?
BG
Cerebellum
What refers to an immobile position that is constantly maintained?
Catalepsy
What drug is best at treating mania w/mixed features and rapid-cycling bipolar disorder?
What must be checked during treatment?
Carbamazepine
CBC, LFT
What antipsychotics are better at treating the negative psychotic symptoms?
Atypicals - 2nd gen
Pt that used weed shows what on EEG?
Inc alpha activity in the frontal area of brain but OVERALL slows alpha activity
Pt w/electrolyte imbalance - stroke shows what on EEG?
Diffuse slowing of background rhythms
What is the most significant developmental event of middle childhood (age 6-12)?
Going to school
What axis do medical conditions go in?
3
- symptoms of schizophrenia via what brain pathway?
Dec dopaminergic action in the mesocortical pathway
According to Freud, whose function is to find an equilibrium between gratification of the instinctual drives and the rules of society?
Ego
+ symptoms of schizophrenia occur in what brain pathway?
What is involved?
Mesolimbic dopamine
nucleus acumen’s, fornix, amygdala and hippocampus
Thioridazine SE?
Retinitis pigmentosa
What are the Short acting BENZOs?
Triazolam, Midazolam
Pt w/CJD shows what on EEG?
Generalized periodic sharp waves
Periodic lateralizing epileptiform discharges on EEG indicates what?
Stroke
What axis does global assessment of functioning go in?
5
What SSRI is only approved to treat OCD?
Fluvoxamine
According to Freud, what is the agency that contains the internalized parental and societal rules and dictates to the ego what is not to be done?
Superego
Avg IQ?
V. Superior?
High Avg?
Superior?
90-109
> 130
110-119
120-129
What are important CYP450 inhibitors?
Means what?
Fluvoaxmine, Fluoxetine, Paroxetine
Increased levels of drug
What axis do stressors in the pt’s life go in?
4
What is a compulsive act performed in an attempt to negate or avoid the consequences of a fantasized action that is the result of an obsessional impulse?
Seen in what?
Undoing
OCD
Biggest SE of venlafaxine?
HTN