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Psych > GAD, eating > Flashcards

GAD, eating Flashcards

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1
Q

GAD is diag’d after XXX months

A

6

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2
Q

Rule out caffiene and abuse hx in what disease?

A

GAD, and rule out hyper thyroid

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3
Q

GAD TX?

A

CBT, SSRI, buspirone

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4
Q

Benzos are CI in what patients?

A

Substance abuse

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5
Q

agoraphobia, and recurrent unexpected panic attacks, worry of future attacks, worry out of proportion is?

A

Panic disorder

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6
Q

Panic disorder sxs?

A

Palp, tacky, sweat, shaking, fear.

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7
Q

Panic disorder tx?

A

CBT, SSRI/SNRI, Benzo if acute

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8
Q

Agoraphobia is

A

fear of enclosed space in a crowd, social setting, escape is difficult.

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9
Q

specific phobia is a fear of?

A

a specific thing, hieghts, needles

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10
Q

specific phobia tx?

A 
1st = CBT.
acute = benzo, exposure therapy, ssri, Propranolol, snri. fear reduction thru extinction
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11
Q

OCD has a fear of contamination, doubt, and needsXXXXX

A

Symmetry, 1 hour or more a day on the OCD activity

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12
Q

OCD meds

A

SSRI (higher dose), CBT, goal is to not do OCD activity for 1 hour a day

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13
Q

PTSD is due to (4)?

A

intrusion, avoidance, altered mood, hyperactivity.

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14
Q

acute stress rnx >1month is?

A

PTSD, dysfuntion

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15
Q

PTSD tx?

A

paroxetine/Sertraline and Prazosin (for nightmares)

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16
Q

Low food, low body weight, intense fear of getting fat is?

A

Anorexia nervosa

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17
Q

Anorexia nervosa BMI?

A

<17

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18
Q

Anorexia nervosa behaviors?

A

purge, workout alot, laxatives, fasting,

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19
Q

lugano, ekg changes, dehydration, anemia, low estrogen is due to?

A

Anorexia nervosa

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20
Q

Anorexia nervosa tx?

A

dietician, malnutrition, inpatient. Fluoxetine, olanzipine

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21
Q

refeeding synd

A

agressive refeeding: hypophosephetemia, hypokalemia, mypomag. decreased cardion contractility

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22
Q

delusions, hallucinations, disorganized speech, affect flat?

A

schizophrenia, >6 months

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23
Q

patho of schizophrenia

A

early insults, genetics, fx, marijuana usage

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24
Q

schizoform is less than 6 months, breif epsisode > 1 month, and schizoaffective is psychotic mood (MDD with psychotic sxs)

A

Yes, schizoeffective: after manic, schizo persists

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25
Q

schizophrenia tx

A

Antispych ( olanzapine, quetiapine, resperidone)

Next (haldol, -zine: SE = movement, pyramid)

26
Q

Clonazipine SE?

A

DVT, myocarditis, agranulocytosis

27
Q

benztropine tx?

A

EPS

28
Q

Akasthasia (cant sit still) is tx with ?

A

benadryl, propranolol

29
Q

tardive dyskinesia is tx with?

A

stop medication. IV Benadryl

30
Q

Risk assessment of suicide is?

A

SADPERSONS, no spouse, male, depression, old or young

31
Q

When do you inpatient a suicide pt?

A

SADPERSON > 10

32
Q

Suicide tx?

A

lithium, clonazapine, ECT

33
Q

insomnia, tremor, GI, palp, death are signs of ….

A

alcohol withdrawal

34
Q

Prophy for alcohol withdrawal

A

Chlordiazepoxide

35
Q

Hallucination, disorientation, tachy, HTN, are signs of?

A

Delirium tremes - IV Benzo

36
Q

Restless, lacrimation, mydriasis, piloerection, tachy, HTN increased respiratory rate?

A

opioid withdrawal

37
Q

a mu-agonist is?

A

methadone, bupernorphine

38
Q

opioid antagonist?

A

naltrexone

39
Q

what meds blunt sxs?

A

clonidine

40
Q

withdrawal if a patient has mydriasis, yawning, vomiting/diarrhea,
piloerection with associated tachycardia and hypertension

A

opioid withdrawal

41
Q

shaken baby syndrome leads to what 2 hemorrages

A

subdural hematoma & retinal hemorrage

42
Q

Etoh hallucinoses lasts how long?

A

12-24 hrs

43
Q

distrust and suspucious is what personality disorder

A

paranoid

44
Q

wants social relationships but is anxious with interpersonal is what personality disorder

A

schizotypel

45
Q

no sex is what personality disorder

A

schizoid

46
Q

fear of abandonment, fights alot, explosive, feel empty, impulsive

A

borderline PD

47
Q

borderline PD tx?

A

dialectical, aripriprazole

48
Q

best doctor theyve ever had, what PD?

A

borderline PD

49
Q

emotional PD?

A

historionic

50
Q

call you by first name?

A

narcissistic

51
Q

hypersensative to negative eval PD?

A

avoidant

52
Q

PD tx?

A

CBT and sxs control

53
Q

exagerated sxs, not wilfuly, what is the diag?

A

conversion

54
Q

wants to be the victim, like sick role is?

A

fictitious disorder

55
Q

hospital shop and provider shop?

A

fictitious disorder

56
Q

hyperactive and inattetion, diag’d in kids?

A

ADHD; before 12 years of age

57
Q

excess figet, cant sit still, talkative, interruptions?

A

ADHD - impuslive

58
Q

hard to focus, loses things, easily distracted?

A

ADHD - inattention

59
Q

ADHD tx?

A

stims( dextro/methylphe), atomoxatine

60
Q

cant communicate and interact well, restricted interest is?

A

Autism

61
Q

Autism diag?

A

1) social emotion
2) nonverbal comm (eye contact is poor)
3) restrictive repetative patterns

62
Q

Autism tx?

A

early intensive multi team therapy.

Psych (5 decks)

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