High Yield: Psy 2 Flashcards
At what age does conduct disorder become antisocial personality disorder?
18
What’s the difference between conduct disorder and oppositional defiant disorder?
both has attitude problems
- conduct disorder: doesn’t care about rules or laws
- oppositional defiant disorder: rebelious, not break laws
What’s the difference between OCD and OCPD?
- OCD:
- egodystonic
- hates that they have it, have intrusive thoughts, bothers them
- OCPD:
- egosyntonic
- perfecitonnist and enjoys it, doesn’T bother
Describe tx: Alcohol Use Disorder (2)
- Naltrexone
- Acamprosate
If someone takes hallucinogens and is freaking out, what do you give?
benzos
Kid has a perioral rash, acting psychotic last hour, goes back to normal after awhile. What did he take?
inhalents
perioral rash = glue sniffer’s rash
psychotic sx goes mup and down very quickly
What is contraindicated in patients with seizures and eating disorders?
Bupropion, bc it lowers seizure threshold
Name drugs used for nicotine addiction (2)
- Varenicline
- Bupropion
Name 3 most common rx that causes delirium
- benzo
- anticholinergic (ex: benadryl)
- TCA
What’s the 1st line tx for normal pressure hydrocephalus (2)
- lumbar puncture lowers CSF pressure
- definitive tx: ventricularperitionial shunt
Obese girl, BMI 35, age 25, takes isotretinoin orally, with headaches + papilledema, what’s the dx? (2)
- pseudotumor cerebri (associated with vitamine A, young female and obesity)
- want to do CT head first bc of papilledema
True or False
Antipsychotics increase mortality in patients with dementia
True
Name antipsychotics that you can give to elderly (2)
- Olanzapine
- Quetiapine
Name drugs for Alzheimer
Grandma Doesn’t Remember
- Grandma: Galantamine
- Doesn’t: Donepezil
- Remember: Rivastigmine
Name dx: Old man with personality changes and inappropriate behavior and memory loss (2)
Frontotemporal dementa or Picked disease
Describe: Huntington Disease (3)
- CAG repeats
- Autosomal dominant (patient’s parents one of them had it and died in 40s)
- Cognitive decline with chorea (uncontrolled mvts)
Describe tx: Huntington Disease (1)
Tetrabenazine
What’s diagnosis: startled myoclonus, rapid progression within months
- Prion disease (Creutzfeld Jacob Disease)
- On pathology: Spongiform cortex
- On EEG: Sharp wave triphasic complexes
How do you tx absence seizure?
Ethosuximide
What’s tx: Restless leg syndrome (2)
Dopamine agonists
- Ropinorole
- Pramipexole
What is restless leg syndrome associated with?
iron deficiency anemia
What’s the difference restless leg syndrome and akathia
- restless leg syndrome: no antipsychotics
- akathia: has been taking antipsychotics
In Tourette’ Syndrome, how long do you have to have sx for?
- Before that, provisional tic syndrome, less than a year
- >1 yr: Tourette syndrome
Describe: Tourette’ Syndrome
- motor + verbal tics, 1 year
- if only one, that’s a vocal tic disorder or motor tic disorder
Describe tx: Tourette’ Syndrome (4)
- 1st line: habit reversal therapy
- 2nd line:
- Atypical antipsychotics (2nd gen)
- Guanfacine
- Clonidine
At what age is encopresis dx?
4
POOP = 4 letters = 4
At what age is enuresis?
5
What’s tx of enuresis? (2)
- 1st line: urine alarm
- 2nd line: Desmopressin (ADH receptor agonist)
At what age of onset does ADHD have to be?
12
Describe tx: Somatic sx disorder
- Regular appointments to doctor
Difference between Illness Anxiety Disorder and Somatic Symptom Disorder
- Illness Anxiety Disorder: Don’t have pain, but worried about getting a disease
- Somatic Symptom Disorder: Actual pain, unexplained
Factitious Disorder vs Malingering (2)
- Factitious Disorder: Faking sick to get attention (psychological thing, like ppl taking care of them
- Malingering: Faking sick for personal gain (wealth, take off work, lawsuit)
Bulimia vs anorexia
- Bulimia: normal BMI
- Anorexia: low BMI
- everything is down: bradycardia, anemia, leukopenia, low electrolites
- admit if unstable vitals (ex: hypotensive), if electrolyte disturbances (low potassium)
- associated with osteoporosis, stress fx, amenoria
Anorexic patient, you hospit and feed them, 30 mins later they get arythmias, respiratory failure and seizure, what caused that?
Refeeding Syndrome, deficit in phosphorus
- worry in anorexis and alcoholics that are malnourished. if you feed too suddenly, you get sudden drop in phosphorus, due to all cells absorb glucose too quickly and they start to enter glycolysis
What’s tx for obesity weight loss?
- 1st line: Lifestyle modifications
- 2nd line: Orlistat (pancreatic lipase inhibitor), causes greasy bulk stools
- Vitamine ADEK deficiency
When to do bariatric surgery? (2)
- BMI > 40
- or 35 with comorbidities (severe DB, cardiomyopathy, osteoarthritis, severe sleep apnea)
Tx of narcolepsy (1)
- Modafinil
What’s name of hallucination when you fall asleep? (2)
- Fall asleep: Hyponogogic hallucination
- Waking up: Hypnopompic hallucination
Describe: Night terror (3)
- Nightmare but don’t remember
- Deep sleep N3 stage
- Reassurance
Describe: Nightmare disorder (2)
- REM sleep
- Associated with PTSD
Describe tx: PTSD + nightmares
prazosin (alpha 1 antagonist)
Name most common cause of physiologic erectile problem
atherosclorosis -> tx sildenafil (PDE5 inhibitor)
Vaginismus vs vulvodynia
- Vaginismus: dyspareunia with superficial entrance of vagina -> tx relaxation and physiotherapy
- Vulvodynia: sensitive vulva, sensitive to touch -> physiotherapy
Tx of fibromyalgia
SNRIs
Describe use of trazodone (2)
- Can be used with major depressive patients with insomnia
- Priapism (prolonged erection of the penis)
Describe use of mirtazapine (3)
- depressed
- increases appetite
- helps sleep
How do you dx folate deficiency?
- macrocytic anemia (RBC 100+)
For euthymic bipolar patients who are pregnant, what’s the 1st line tx?
lamotrigine
