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KW1 Flashcards

1
Q

PTSD: Dx

A

Symptoms >1 months post traumatic event

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2
Q

GAD: DS

A

Anxiety/Worry almost everyday for 6 months

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3
Q

GAD –> Can present similar to ?

A

Hyperthyroidism

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4
Q

GAD: HP (symptoms)

A

Excessive worry >6 months, difficultly concentrating, restless, fatigue, irritability, tension, insomnia

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5
Q

Acute Stress: SC

A

3 days-1 month post traumatic event (<1 months)

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6
Q

GAD: SC

A

hippocampus, amygdala, prefrontal cortex –> NE??

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7
Q

TCA OD: DS

A

Inhibits reuptake of NE and Serotonin –> Cardiac (EKG), Coma, Convulsions + anti-cholinergic s/e
-montitor wt, bmi, plasma
Tx: Sodium Bicarb

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8
Q

MDD: SC

A

Decrease in Serotonin/5HT, NE, and DA

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9
Q

ADHD: Dx

A

> 12 years old
6 months
2 settings

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10
Q

CD: Dx

A

6 mths
harming others or pets
>18 = antisocial
tx: parental therapy

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11
Q

ADHD: HM/Tx if no stimulants

A

stimulants 1st
no stimulants = Atomoxetine
OR
alpha2agonists = Clonidine or Guaficine

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12
Q

Anorexia: HM

A

WEIGHT UP FIRST –> Then treat
Fluoxetine if needed

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13
Q

1st line Tx for Bulimia:

A

CBT
Fluoxetine

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14
Q

Eating DO HM:

A

Multidisciplinary –> CBT, Family Tx

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15
Q

Psychotic DO: CT (Schizophrenia??)

A

Auditory Hallucinations
Visual Acuity 20/200?

Risperidone
Abilify
Haldol

IM Ativan for Non-Malignant Catatonia

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16
Q

Brief Psychotic DO: DX

A

<1month of psychosis

Acute: Risperidone, Ability
Catatonia: tx with Benzos (just stares off into space)
Agitation: Olanzapine, etc.

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17
Q

Schizophrenia: HM

A

Atypical AP first line

Clozapine = last line

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18
Q

Factitious DO: CI

A

Confrontation
Child = DSS

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19
Q

Substance Use DO: CI withdrawal

A

Benzos help with withdrawal

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20
Q

Alcohol Use DO: HP
-Wernickes:
-Korsakoff:
-Acute:
-Chronic:

Withdrawal:
6hrs:
12-24:
48:
48-96:

A

W: ataxia, encephalopathy, opthalmoplegia
K: amnesia, confabulation, innappropriate behavior, mood liability
A: slurred speech, incoordation, ataxia, nystagmus
C: hepatomegaly, palmar redness, cirrhosis

6: trembling, irritable
12-24: hallucinations
48: seizures
48-96: DT –> autonomic instability, disorientation, hallucinations, agitiation

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21
Q

Cannabis use DO: HP

A

conjunctival injections, increased appetite, dry mouth, tachy

Withdrawl:
insomnia, irritable, anxious,
restless

+ ab. pain, shaky, sweaty, fever, ha, chills

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22
Q

Tobacco Use DO: SC

A

Nicotinic
-Get CT if havent gotten in last 2 yrs

Monitor dopamine

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23
Q

Social Anxiety DO: HM

A

1st Line: CBT
Propranolol (performance)
SSRIs
Benzos

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24
Q

BP1: CTx

A

Lithium, Valproate Acid, Lamotrigine, Carbomazepine

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25
Q

BP1 Dx:

A

1 manic = >1 week of elevated mood and elevated energy level

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26
Q

ADHD: SC

A

1st degree relative
ODD, CD

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27
Q

Pedophilic DO: CTx

A

SSRIs/Fluoxetine for urges
Antiandrogen for Pedophilic

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28
Q

Antisocial TX

A

DBT
(stimulant to control ADHD???)

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29
Q

Illness Anxiety DO: CT

A

Regular visits with PCP
CBT

30
Q

Somatic Symptom: DxS

A

Will seek tx from many doctors, extensive lab work, >6mths

31
Q

Alcohol WD: CTx

A

Chlorodiazephine

32
Q

ALC WD Seizures: CT

A

Thiamine-Glucose-Benzos

33
Q

Anticholinergic Intoxication: Dx

A

Dry mouth, dry eyes, urinary retentions, dilated pupils

34
Q

Stimulant Intoxication: Dx

A

Mydrasis, diaphoresis, seizures, tachy/brady

35
Q

Cocaine Withdrawal: HP

A

Myosis, drowsy, unpleasant dreams, increased appetite, agitation, fatigue, insomnia

36
Q

When do you test for autism

A

18-24 months

37
Q

ADHD Neurotransmitter

A

dopamine and norepinephrine

38
Q

Positive symptoms SC

A

Increased Dopamine

39
Q

Stimulants Neurotransmitter:

A

Block DA and NE reuptake

40
Q

GAD neurotransmitter

41
Q

Nightmares Tx

42
Q

Pain inflicted on sex Dx

A

Sexual Masochism

43
Q

TSH is checked with

A

Lithium

MDD, GAD

44
Q

BMI <15

45
Q

Bulimia can lead to

46
Q

Borderline Personality brain scan

A

dysregulation of frontal lobe

47
Q

PTSD Tx

A

SSRI + CBT

48
Q

SSRI C/I in pregnancy

A

Paroxetine

49
Q

Tx Schizotypal

A

Risperidone

50
Q

Negative Symptom of Schizophrenia

51
Q

SE for clozapine

A

agranulocytosis, check ANC

52
Q

Tx for Dystonia

A

Benztropine or Benedryl

53
Q

bad neuro effects in kids often come from

54
Q

Questionnaires for GAD, MDD, and BP

A

GAD7
PHQ9
Mood Questionnaire

55
Q

With TCA OD order

56
Q

MDD can present similar to

A

Pernicious Anemia

57
Q

Check with lithium

A

Kidneys, TSH

58
Q

GAD is similar symptoms to ?
MDD is similar to ?

A

GAD = HYPERthyroid
MDD = HYPOthyroid

59
Q

MDD Neurotransmitter that is increased

A

Cortisol
(others are decreased)

60
Q

Lab for anorexia

A

serum prealbumin

61
Q

Body Dysmorphia DO: CI

A

Therapy + SSRI

62
Q

BPD: CI

63
Q

Conversion DO

A

Neurological symptom after a stressor

64
Q

Panic DO: RF/HM

A

Females, young onset

65
Q

PTSD: HM

A

SSRI
Prazosin for nightmares
CBT

66
Q

PTSD: HP

67
Q

Acute Stress: SC

68
Q

MDD SC:

A

increased cortisol, decreased 5HT, DA, NE

69
Q

Anorexia: DxS

A

Prealbumin
EKG

70
Q

Antisocial DxS

A

> 18 years old?

71
Q

Conversion DO: CI

A

patient education about illness + CBT

72
Q

Factitous DO: CI

A

collaborative care
confrentation

Psych EOR (12 decks)

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