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MJ- Mental Health EOR > miscellaneous > Flashcards

miscellaneous Flashcards

1
Q

side effects of lithium

A
  • nephrogenic diabetes insipidus (can be used to counter effects of SIADH)
  • Hypothyroidism
  • Papillary thyroid carcinom
  • Tremor, ataxia
  • heart block
  • arrhythmias
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2
Q

Can you take lithium in pregnancy?

A

no- contraindicated

if taken in 1st trimester= Ebsteins anomaly (atrialization of the right ventricle)

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3
Q
  • mood disorder involving persistently depressed mood, with low self-esteem, withdrawal, pessimism, or despair
  • present for at least 2 years
  • no absence of symptoms for more than 2 months
A

Persistent depressive disorder (dysthymia)

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4
Q

A mood disorder- 2+ weeks of significantly depressed moods, feelings of worthlessness, and diminished interest or pleasure in most activities.

A

Major depressive disorder

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5
Q

What sxs should be present to diagnose major depressive disorder

A

5 or more SIEGECAPS for > 2wks nearly every day, at least one of the sxs is depressed mood or anhedonia:

  1. Sadness
  2. Interest/anhedonia
  3. Guilt
  4. Energy
  5. Concentration
  6. Appetite
  7. Psychomotor activity
  8. Suicidal
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6
Q

A pattern of negativistic, hostile, and defiant behavior

child often loses his temper, a_rgues with adults_, and often actively defies or refuses to comply with adults’ requests or rules.

A

Oppositional defiant disorder

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7
Q

Oppositional defiant disorder is a precursor to what? and then what?

A

oppositional defiant disorder –> conduct disorder–> antisocial personality disorder

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8
Q

14 y/o with aggression to people and animals

(often a bully or cruel to animals)

A

conduct disorder

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9
Q

14y/o (or less than 18) who has done the following:

  • stolen
  • rape
  • destruction of property
    *
A

conduct disorder

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10
Q

Tx for conduct disorder

A

integrate individual, school and family settings

address familial conflicts

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11
Q

Child with at least 4 sxs for >6mo:

  • Frequent temper tantrums
  • Arguments w/ adults
  • intentional exasperation of others
  • revenge seeking
  • angry attituted
  • etc
  • NOT AGGRESSIVE TOWARDS PEOPLE OR ANIMALS, don’t destroy property, no theft or deceit
A

Oppositional defiant disorder

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12
Q

Tx for oppositional defiant disorder

A
  • psychotherapy
    • CBT and family therapy
  • Pharmacotherapy
    • mood stabilizers
    • antipsychotics
    • stimulants
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13
Q

______ is one of the most heritable psychiatric disorders

A

ADHD

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14
Q

Risk factors for PTSD (5)

A
  • Female
  • low socioeconomic status
  • previous trauma
  • Personal and family psych history
  • separated/divorced/widowed
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15
Q

What is the post traumatic stress disorder checklist (PCL-5) used for?

A

20-item self-report measure used to:

  1. screen patients
  2. Monitor symptom severity over time
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16
Q

Difference between PTSD and acute stress disorder

A
  • acute stress disorder- similar to PTSD but sxs < 1mo
  • PTSD- sxs > 1mo
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17
Q

Pathogenesis- Risk factors for developing panic disorder

A
  • Genetic
  • Temperament, neurobiology, childhood trauma and stressful life experiences
  • anxious personality traits
  • neurotic personality trait
  • Childhood exposure to sex/physical abuse
  • childhood smoking
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18
Q

What 3 things are often stressors for panic disorder

A

life stressors

  1. loss
  2. threat to life
  3. Illness
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19
Q

which 2 personality traits put you at increased risk of developing panic disorder

A

neurotic personality trait

anxious personality trait

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20
Q

What is the hallmark and predominant cause of refeeding syndrome (seen in anorexia nervosa)

A

hypophosphatemia

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21
Q

About half of children w/ oppositional defiant disorder also have ________

A

ADHD

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22
Q

What is the MOA of THC?

A

partial agonist of cannabinoid 1 and cannabinoid 2 receptors

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23
Q

What is exhibitionistic disorder?

A

paraphilic disorder characterized by sexual arousal from exposure of ones genitals to an unsuspecting person

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24
Q

What is Frotteuristic disorder

A

paraphilic disorder- sexual arousal from touching or rubbing against a nonconsenting person

25
Q

Sexual masochism disorder

A

sexual arousal from being humiliated, bound, beaten or tortured

26
Q

What is Voyeuristic disorder

A

paraphilic disorder associated w/ sexual arousal from observing an unsuspecting disrobing or nude individual

27
Q

What are some good prognostic factors (4) in a patient w/ exhibitionistic disorder

A
  1. only 1 paraphilia diagnosis
  2. self-referral for tx
  3. sense of guilt a/w the behavior
  4. H/o otherwise normal sexual activity occuring in addition to the paraphilia
28
Q

Which personality disorders make up cluster C

A
  1. Avoidant
  2. Dependent
  3. Obsessive-compulsive personality disorder
29
Q

What hematologic abnormality caused by nitrite abuse may require IV methylene blue administration

A

methemoglobinemia

30
Q

How many symptoms for mild, moderate vs severe alcohol use disorder

A

mild: 2-3 sxs
moderate: 4-5sxs
severe: 6+ sxs

31
Q

First line pharmacotherapy in moderate- severe alcohol use disorder

A

oral naltrexone

32
Q

What are the 11 sxs for alcohol use disorder

A
  1. Recurrent drinking resulting in failure to fulfill major role obligations
  2. Recurrent drinking in hazardous situations
  3. Continued drinking despite alcohol-related social or interpersonal problems
  4. Evidence of tolerance or evidence of alcohol withdrawal
  5. Use of alcohol for relief or avoidance of withdrawal
  6. Drinking in larger amounts or over longer periods than intended
  7. Persistent desire or unsuccessful attempts to stop or reduce drinking
  8. Great deal of time spent obtaining, using or recovering from alcohol
  9. Important activities given up or reduced b/c of drinking
  10. continued drinking despite knowledge of physical/psychological problems caused by alcohol
  11. Craving or having a persistent urge to drink alcohol
33
Q

what factor genetically predisposes a person to benzo dependence

A

family h/o alcoholism

34
Q
A
35
Q

What lab result is found to be increased in bulimia nervosa

A

amylase

(found in patients w/ h/o significant and frequent self-induced vomiting b/c of resulting hypersecretion from the salivary glands)

36
Q

What are 5 common symptoms patients might complain of with bulimia nervosa

A
  • fatigue
  • abdominal pain
  • bloating
  • constipation
  • irregular menses
37
Q

Are calcium, magnesium and potassium high or low in bulimia nervosa

A

low

38
Q

Is thyroid function usually normal or abnormal in bulimia nervosa

A

normal

39
Q

which delusion?

focus on impending catastrophic event

A

nihilistic delusion

40
Q

which delusion?

Delusions that involve romance

Often falsely believe that someone else is in love with them (person may be known or unknown)

A

erotomanic delusions

41
Q

Which delusion?

Delusions that center around the aptient believing they have abilities that are beyond what is expected of the individual

A

gradiose delusion

42
Q

Which delusion?

Delusions involve pt being focused on being harmed or harassed by another individual, organization or group

A

Persecutory delusions

(MC type of delusion seen with psychotic disorders including schizoaffective disorder)

43
Q

What is mesenteric artery syndrome

A

Loss of the fat pad surrounding the superior mesenteric artery in severe anorexia nervosa which leads to compression of the third portion of the duodenum between the superior mesenteric artery and the aorta, causing a small bowel obstruction.

44
Q

What is a barrier to treatment in a patient w/ personality disorder

A

fragile self-concept

(NOT delusions of persecution- this is seen in schizophrenia)

45
Q

What neurocutaneous disease has a high correlation with the development of autism?

A

Tuberous sclerosis

46
Q

Which 2 antipsychotics have the lowest risk for tardive dyskinesia

A

quetiapine and clozapine

47
Q

Development of a specific phobia:

What is direct conditioning

A

occurs as a result of being involved in a specific situation with subsequent development of the phobia

48
Q

Development of a specific phobia:

What is vicarious acquisition

A

Result of observing or seeing someone react to a situation

49
Q

Development of a specific phobia:

what is informational transmission

A

Hearing about something that happened to someone else and you develop a phobia to it

(ex: cousin died in MVC so now you’re scared to drive)

50
Q

What 2 symptoms MUST be present as one of the 5 sxs in order to make a dx of MDD?

A
  • Loss of interest in daily activities
  • Depressed mood
51
Q

What is the youngest age at which PTSD can be diagnosed

A

6 y/o

52
Q

What is the PCL-5 used for

A

20 questions

effective in identifying patients w/ PTSD as well as monitoring for changes in sx severity over time

Score >38= PTSD

53
Q

What are the 6 cardiac complications of Meth

A
  1. MI d/t vasospasm
  2. Stroke
  3. Malignant HTN
  4. Dysrhythmias
  5. aortic dissection
  6. cardiomyopathy
54
Q

Which two psychiatric disorders most commonly coexist in individuals diagnosed with antisocial personality disorder?

A

MDD and substance use disorder

55
Q

What 3 other mental disorders is attention-deficit and hyperactivity disorder also associated with?

A

Antisocial personality disorder

Bipolar

Autism

56
Q

Which part of the brain is responsible for processing fear

A

amygdala

57
Q

What are 2 absolute contraindications to clozapine?

A

h/o clozapine induced agranulocytosis or myocarditis

58
Q

What are the 5 common early clues to impending delirium tremens?

A

anxiety

decreased cognition

tremulousness

increasing irritability

hyperactivity

MJ- Mental Health EOR (4 decks)

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