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2024 - Élo - Revision LMCC > High Yield: Psy 2 > Flashcards

High Yield: Psy 2 Flashcards

1
Q

At what age does conduct disorder become antisocial personality disorder?

A

18

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2
Q

What’s the difference between conduct disorder and oppositional defiant disorder?

A

both has attitude problems

  • conduct disorder: doesn’t care about rules or laws
  • oppositional defiant disorder: rebelious, not break laws
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3
Q

What’s the difference between OCD and OCPD?

A
  • OCD:
    • egodystonic
    • hates that they have it, have intrusive thoughts, bothers them
  • OCPD:
    • egosyntonic
    • perfecitonnist and enjoys it, doesn’T bother
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4
Q

Describe tx: Alcohol Use Disorder (2)

A
  • Naltrexone
  • Acamprosate
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5
Q

If someone takes hallucinogens and is freaking out, what do you give?

A

benzos

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6
Q

Kid has a perioral rash, acting psychotic last hour, goes back to normal after awhile. What did he take?

A

inhalents

perioral rash = glue sniffer’s rash

psychotic sx goes mup and down very quickly

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7
Q

What is contraindicated in patients with seizures and eating disorders?

A

Bupropion, bc it lowers seizure threshold

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8
Q

Name drugs used for nicotine addiction (2)

A
  • Varenicline
  • Bupropion
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9
Q

Name 3 most common rx that causes delirium

A
  • benzo
  • anticholinergic (ex: benadryl)
  • TCA
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10
Q

What’s the 1st line tx for normal pressure hydrocephalus (2)

A
  • lumbar puncture lowers CSF pressure
  • definitive tx: ventricularperitionial shunt
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11
Q

Obese girl, BMI 35, age 25, takes isotretinoin orally, with headaches + papilledema, what’s the dx? (2)

A
  • pseudotumor cerebri (associated with vitamine A, young female and obesity)
  • want to do CT head first bc of papilledema
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12
Q

True or False

Antipsychotics increase mortality in patients with dementia

A

True

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13
Q

Name antipsychotics that you can give to elderly (2)

A
  • Olanzapine
  • Quetiapine
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14
Q

Name drugs for Alzheimer

A

Grandma Doesn’t Remember

  • Grandma: Galantamine
  • Doesn’t: Donepezil
  • Remember: Rivastigmine
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15
Q

Name dx: Old man with personality changes and inappropriate behavior and memory loss (2)

A

Frontotemporal dementa or Picked disease

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16
Q

Describe: Huntington Disease (3)

A
  • CAG repeats
  • Autosomal dominant (patient’s parents one of them had it and died in 40s)
  • Cognitive decline with chorea (uncontrolled mvts)
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17
Q

Describe tx: Huntington Disease (1)

A

Tetrabenazine

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18
Q

What’s diagnosis: startled myoclonus, rapid progression within months

A
  • Prion disease (Creutzfeld Jacob Disease)
  • On pathology: Spongiform cortex
  • On EEG: Sharp wave triphasic complexes
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19
Q
A
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20
Q

How do you tx absence seizure?

A

Ethosuximide

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21
Q

What’s tx: Restless leg syndrome (2)

A

Dopamine agonists

  • Ropinorole
  • Pramipexole
22
Q

What is restless leg syndrome associated with?

A

iron deficiency anemia

23
Q

What’s the difference restless leg syndrome and akathia

A
  • restless leg syndrome: no antipsychotics
  • akathia: has been taking antipsychotics
24
Q

In Tourette’ Syndrome, how long do you have to have sx for?

A
  • Before that, provisional tic syndrome, less than a year
  • >1 yr: Tourette syndrome
25
Q

Describe: Tourette’ Syndrome

A
  • motor + verbal tics, 1 year
  • if only one, that’s a vocal tic disorder or motor tic disorder
26
Q

Describe tx: Tourette’ Syndrome (4)

A
  • 1st line: habit reversal therapy
  • 2nd line:
    • Atypical antipsychotics (2nd gen)
    • Guanfacine
    • Clonidine
27
Q

At what age is encopresis dx?

A

4

POOP = 4 letters = 4

28
Q

At what age is enuresis?

A

5

29
Q

What’s tx of enuresis? (2)

A
  • 1st line: urine alarm
  • 2nd line: Desmopressin (ADH receptor agonist)
30
Q
A
31
Q

At what age of onset does ADHD have to be?

A

12

32
Q

Describe tx: Somatic sx disorder

A
  • Regular appointments to doctor
33
Q

Difference between Illness Anxiety Disorder and Somatic Symptom Disorder

A
  • Illness Anxiety Disorder: Don’t have pain, but worried about getting a disease
  • Somatic Symptom Disorder: Actual pain, unexplained
34
Q

Factitious Disorder vs Malingering (2)

A
  • 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)
35
Q

Bulimia vs anorexia

A
  • 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
36
Q

Anorexic patient, you hospit and feed them, 30 mins later they get arythmias, respiratory failure and seizure, what caused that?

A

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
37
Q

What’s tx for obesity weight loss?

A
  • 1st line: Lifestyle modifications
  • 2nd line: Orlistat (pancreatic lipase inhibitor), causes greasy bulk stools
    • Vitamine ADEK deficiency
38
Q

When to do bariatric surgery? (2)

A
  • BMI > 40
  • or 35 with comorbidities (severe DB, cardiomyopathy, osteoarthritis, severe sleep apnea)
39
Q

Tx of narcolepsy (1)

A
  • Modafinil
40
Q

What’s name of hallucination when you fall asleep? (2)

A
  • Fall asleep: Hyponogogic hallucination
  • Waking up: Hypnopompic hallucination
41
Q

Describe: Night terror (3)

A
  • Nightmare but don’t remember
  • Deep sleep N3 stage
  • Reassurance
42
Q

Describe: Nightmare disorder (2)

A
  • REM sleep
  • Associated with PTSD
43
Q

Describe tx: PTSD + nightmares

A

prazosin (alpha 1 antagonist)

44
Q

Name most common cause of physiologic erectile problem

A

atherosclorosis -> tx sildenafil (PDE5 inhibitor)

45
Q

Vaginismus vs vulvodynia

A
  • Vaginismus: dyspareunia with superficial entrance of vagina -> tx relaxation and physiotherapy
  • Vulvodynia: sensitive vulva, sensitive to touch -> physiotherapy
46
Q

Tx of fibromyalgia

A

SNRIs

47
Q

Describe use of trazodone (2)

A
  • Can be used with major depressive patients with insomnia
  • Priapism (prolonged erection of the penis)
48
Q

Describe use of mirtazapine (3)

A
  • depressed
  • increases appetite
  • helps sleep
49
Q

How do you dx folate deficiency?

A
  • macrocytic anemia (RBC 100+)
50
Q

For euthymic bipolar patients who are pregnant, what’s the 1st line tx?

A

lamotrigine

2024 - Élo - Revision LMCC (6 decks)

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