Mnemonics to Know!

Question 1

SIGECAPS

Answer 1

Depression screening: 
S - sleep
I - interest
G - guilt
E - energy
C - concentration
A - appetite
P - psychomotor 
S - suicidal ideation

Question 2

DIGFAST

Answer 2

Mania screening;
D - distractability
I - insomnia, impulsive
G - grandiosity 
F - flight of ideas
A - agitation
S - speech (pressured)
T - thoughtlessness

Question 3

Serotonin Syndrome

Answer 3

Autonomic instability, hyperthermia, and seizures

Question 4

Which medications can cause both depressive episodes and manic episodes?

Answer 4

Corticosteroids and Levadopa

Question 5

Side Effects of MAOIs

Answer 5

Due to foods with TYRAMINE; hypertensive crisis, serotonin syndrome, orthostatic hypotension (MC)

Question 6

Atypical features of MDD

Answer 6

Mood reactivity, leaden paralysis (legs weigh heavy), and hypersomnia, hyperphagia

Question 7

Best treatment for manic woman in pregnancy?

Answer 7

ECT

Question 8

First line medications for panic disorder:

Answer 8

Low dose SSRIs (especially paroxetine and sertraline) that are increased slowly over time.

Question 9

Treatment for performance anxiety?

Answer 9

Beta blockers

Question 10

Drug to cause depression?

Answer 10

Propranolol - as well as sleep disturbances, dizziness, bronchospasm, N/V

Question 11

Sublimation

Answer 11

Channeling objectionable impulses into an acceptable manner (urge to be controlling, becomes a prison guard)

Question 12

Displacement

Answer 12

Shifting emotions from one person (Mom) to getting angry at a teacher or disobeying them

Question 13

Reaction Formation

Answer 13

Doing the opposite of an unacceptable impulse (man who is in love with married coworker insults her)

Question 14

Projection

Answer 14

Attributing thoughts or emotions to others (man attracted to other women will accuse his wife of affair)

Question 15

If a patient acutely has tremors, ataxia, GI upset, seizures…need to think about?

Answer 15

Lithium toxicity (either due to high dose or interaction with drugs like thiazides, ACEI, tetracyclines, metronidazole, NSAIDs)

Question 16

Low Potency Antipsychotics

Answer 16

Chlorpromazine - causes blue discoloration, orthostatic hypotension
Thioridazine - assoc. with retinitis pigmentosa

Question 17

High Potency Antipsychotics

Answer 17

Haloperidol, Fluphenazine, Pimozide

Question 18

Atypical/2nd Gen Antipsychotics

Answer 18

Clozapine, Risperidone, Quetiapine, Olanzapine, Ziprasidone, Aripiprazole

Question 19

Associated with increased sensitivity to lactate infusion?

Answer 19

Panic Disorder

Question 20

Associated with abnormal Cortico-striatal-thalamo circuit?

Answer 20

OCD

Question 21

Associated with enlarged lateral ventricles?

Answer 21

Schizophrenia

Question 22

Treatment for catatonia?

Answer 22

Lorazepam