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FIRST aid 2015 - Sahaja > First Aid pg 511- 515 Psych > Flashcards

First Aid pg 511- 515 Psych Flashcards

1
Q

of Days to qualify as hypomanic episode?

A

Last at least 4 consecutive days

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2
Q

What makes a hypomanic episode diff from a manic episode?

A

Hypomanic is not severe enough to cause marked impairment in social and/or occupational functioning or to necessitate hospitalization. No psychotic features.

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3
Q

Diff between Bipolar I and II

A

Bipolar I defined by presence of at least 1 manic episode +/− a hypomanic or depressive episode.
Bipolar II defined by presence of a hypomanic and a depressive episode.

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4
Q

Drugs that can ppt mania?

A

TCAs

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5
Q

Tx for Bipolar disorder?

A

Treatment: mood stabilizers (eg, lithium, valproic acid,

carbamazepine), atypical antipsychotics.

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6
Q

Minimal duration of cyclothymic disorder?

A

lasting at least 2 years

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7
Q

How long do major depressive episodes last?

A

major depressive episodes usually last 6–12

months.

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8
Q

What symptoms are included to Dx Major Depressive disorders?

A 
SIG E CAPS:
ƒƒDepressed mood
ƒƒ Sleep disturbance
ƒƒ Loss of Interest (anhedonia)
ƒƒGuilt or feelings of worthlessness
ƒƒ Energy loss and fatigue
ƒƒConcentration problems
ƒƒ Appetite/weight changes
ƒƒ Psychomotor retardation or agitation
ƒƒ Suicidal ideations
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9
Q

__#__ Sx out of __#__ ttl Sx for ____ (length of time) for diagnose Major Depressive Disorder?

A

Episodes characterized by at least
5 of the following 9 symptoms for 2 or more
weeks

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10
Q

1st line Tx for Major Depressive Disorder?

A

CBT and SSRIs

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11
Q

2nd line Tx for Major Depressive Disorder?

A

SNRIs, mirtazapine, bupropion can also be

considered.

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12
Q

Persistent depressive disorder

A

depression, often milder, lasting at least

2 years.

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13
Q

Changes in sleep in patients with Depression?

A 
ƒƒ  slow-wave sleep
ƒƒ  REM latency
ƒƒ  REM early in sleep cycle
ƒƒ  total REM sleep
ƒƒ Repeated nighttime awakenings
ƒƒ Early-morning wakening (terminal
insomnia)
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14
Q

What makes depression atypical?

A

Characterized by mood reactivity (being able to
experience improved mood in response to positive events, albeit briefly), “reversed” vegetative
symptoms (hypersomnia, hyperphagia), leaden paralysis (heavy feeling in arms and legs),
long-standing interpersonal rejection sensitivity

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15
Q

Sx of postpartum psychosis?

A

Characterized by mood-congruent delusions, hallucinations, and thoughts of harming the baby or self.

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16
Q

Most common method to commit suicide? Are men or women more likely to commit suicide?

A

Most common method in US is firearms, Women attempt suicide more often, men tend to succeed with it.

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17
Q

Symptoms of Panic attack?

A

PANICS
P = Palpitations, Paresthesias, dePersonalization or
derealization
A = Abdominal distress or Nausea,
I = Intense fear of dying, Intense fear of losing
control or “going crazy,” lIght-headedness,
C = Chest pain, Chills, Choking, Sweating,
S = Shaking, Shortness of breath

18
Q

How to treat a specific phobia?

A

Can be treated with systematic desensitization.

** NOTE - Patient does recognize that fear is excessive

19
Q

Define Gen anxiety disorder

A

Anxiety lasting > 6 months unrelated to a specific person, situation, or event

20
Q

How is adjustment disorder different from Gen anxiety disorder?

A 
emotional symptoms (anxiety, depression) causing impairment following an identifiable psychosocial stressor (eg, divorce, illness) and lasting  6 months in
presence of chronic stressor).

Key Points - Look for known stresser, and time duration

21
Q

How is OCD different from OC personality disorder?

A

Ego-dystonic: behavior inconsistent with one’s own beliefs and attitudes (vs obsessive-compulsive personality disorder

22
Q

Acute stress disorder v Post traumatic stress disorder?

A

Acute - lasts between 3 days and 1 month.

PTSD - lasts longer >1 mo

23
Q

Malingering

A

Patient consciously fakes, profoundly exaggerates, or claims to have a disorder in order to attain a specific 2° (external) gain (eg, avoiding work, obtaining compensation). Poor compliance with treatment or follow-up of diagnostic tests.

24
Q

Difference between factitious disorder and malingering?

A

Complaints in malingering cease after gain obtained (vs factitious disorder).

25
Q

Patient consciously creates physical and/or psychological symptoms in order to assume “sick role”
and to get medical attention

A

Factitious disorder

26
Q

Difference between malingering and somatic symptoms?

A

Malingering may be unconcious, but it is fabricated or exagerrated symptoms. Somatic illness and motivation are entirely unconscious, but not intentionally produced or feigned

27
Q

Loss of sensory or motor function (eg, paralysis, blindness, mutism), often following an acute
stressor; patient is aware of but sometimes indifferent toward symptoms

A

Conversion disorder

28
Q

Excessive preoccupation with acquiring or having a serious illness, often despite medical
evaluation and reassurance;

A

Illness anxiety disorder

29
Q

False, nondelusional belief of being pregnant. May have signs and symptoms of pregnancy but is
not pregnant.

A

Pseudocyesis

30
Q

Inflexible, maladaptive, and rigidly pervasive pattern of behavior causing subjective distress
and/or impaired functioning

A

Personality disorder

31
Q

Difference between Schizoid vs Schizotypal?

A

SchizOiD - alOne and Distant - likes to be alone and is fine with it.

Schizotypal - look for eccentric appearence or odd/magical thinking.

32
Q

Major defense mech in Paranoid type personality disorder ? And define it

A

Projection

33
Q

T or F - There are symptoms of psychosis with Paranoid personality disorder?

A

F - None of the personality disorders show signs of psychosis, but there is a general association with schizophrenia

34
Q

Which B cluster personality disorder is associated with males?

A

Antisocial

35
Q

What differentiates antisocial personality disorder from conduct disorder?

A

Age - Antisocial personality disorder must
be ≥ 18 years old and have history of conduct
disorder before age 15. Conduct disorder if

36
Q

Which cluster B disorder is associated with females?

A

Borderline

37
Q

self-mutilation, suicidality, sense

of emptiness; females > males

A

Borderline

38
Q

Most common defense mech of borderline? and define it

A

Splitting

39
Q

sexually provocative, overly

concerned with appearance.

A

Histrionic

40
Q

Grandiosity, sense of entitlement; lacks empathy
and requires excessive admiration; often
demands the “best” and reacts to criticism
with rage

A

Narcissistic

41
Q

Difference between avoidant and shizoid?

A

Avoidant desires relationships with others but is alone, Schizoid perfectly happy with being alone

42
Q

People of this personality type tend to get involved in abusive relationships?

A

Dependent - Submissive and clingy, excessive need to be taken care of, low self-confidence

FIRST aid 2015 - Sahaja (31 decks)

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