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Step 1 Clues > PP Clues Psychiatry > Flashcards

PP Clues Psychiatry Flashcards

1
Q

How is major depression diagnosed?

A

need 5 “SIGE CAPS” >2wks
Sleep disturbances: wake in early am
Interest/Libido loss
Guilt
Energy loss
Concentration loss
Appetite loss
Psychomotor agitation
Suicide: hopelessness

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2
Q

depression treatment

approaches

A

psychotherapy
eg:
1. Lifestyle modification
2.CBT, psychodynamic …
3..Pharm

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3
Q

depresion pharm

A

SSRIs (often trialed first),
SNRIs,
atypical antidepressants bupropion and mirtazapine

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4
Q

depression

SSRI

A

fluoxetine
Sertraline
Citalopram
Excitalopram

sexual advese effect

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5
Q

depression pharm

SNRIs

A

Venlafaxine
Desvenlafaxine
Duloxetine

Duloxetine: better for neuropathic/chronic pain

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6
Q

atypical antidepressants

A

Bupropion: smoking, low sex effect, lower seizure threshold
Mirtazapine: weight gain, sedation

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7
Q

What is Autism?

A

Repetitive movements, lack of verbal skills and bonding, sx since birth

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8
Q

What is Asperger’s?

A

Good communication, impaired relationships, no mental retardation

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9
Q

What is Rett’s?

A

Only in girls, ↓head growth, loss motor skills, and hand-wringing, normal until 5 years

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10
Q

What is Childhood Disintegrative Disorder?

A

Develop normally for first 2 years, then behave autistic

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11
Q

What is Selective Mutism?

A

Kid talks sometimes

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12
Q

What is Separation Anxiety Disorder?

A

Kid screams when Mom leaves

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13
Q

What is Conduct Disorder?

A

Aggressive, disregard for rules, no sense of guilt, harm animals, illegal activity “bite”

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14
Q

What is Oppositional Defiant Disorder?

A

Defiant, noncompliant, directed at authority
“bark”

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15
Q

What is Attention Deficit Hyperactivity Disorder?

A

Overactivity, difficulty in school

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16
Q

What is Dysthymia?

A

Low level sadness >2yr

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17
Q

What is Cyclothymia?

A

Dysthymia w/ hypomania

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18
Q

What is Double Depression?

A

Depression followed by dysthymia

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19
Q

What is Bipolar I?

A

Depression and Mania (psychosis)

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20
Q

What is Bipolar II?

A

Depression and Hypomania (no psychosis)

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21
Q

What are Loose associations?

A

Ideas switch subjects, incoherent

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22
Q

What is Tangentiality?

A

Wanders off the point

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23
Q

What is Circumstanciality?

A

Digresses, but finally gets back to the point

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24
Q

What is Clanging?

A

Words that sound alike

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25
Q

What is Word salad?

A

Unrelated combinations of words

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26
Q

What is Perseveration?

A

Keeps repeating the same words

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27
Q

What is Neologisms?

A

New words

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28
Q

What is Delusion?

A

False belief

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29
Q

What is Illusion?

A

Misinterprets stimulus

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30
Q

What is Hallucination?

A

False sensory perception, EtOH withdrawal/Cocaine intox => formication

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31
Q

What is Nihilism?

A

Thinks the world has stopped

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32
Q

What is Loss of ego boundaries?

A

Not knowing where I end and you begin

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33
Q

What are Ideas of reference?

A

Believes the media is monitoring you

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34
Q

What is Thought blocking?

A

Stops mid-sentence

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35
Q

What is Thought broadcasting?

A

Believes everyone can read his thoughts

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36
Q

What is Thought insertion?

A

Believes others are putting thoughts into his head

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37
Q

What is Thought withdrawal?

A

Believes others are taking thoughts out of his head

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38
Q

What is Concrete thinking?

A

Can’t interpret abstract proverbs, just sees the facts

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39
Q

What is Synesthesia?

A

Smell colors

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40
Q

What is Cataplexy?

A

Loss of mm. tone due to strong emotions

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41
Q

What is a Paranoid personality disorder?

A

Suspicious about everything, use projection

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42
Q

What is Schizotypal personality disorder?

A

“Magical thinking”, bizarre behavior

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43
Q

What is Schizoid personality disorder?

A

“Recluse”, don’t want to fit in

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44
Q

What is Antisocial personality disorder?

A

Lie, steal, cheat, destroy property, impulsive w/o remorse, illegal activity

45
Q

What is Conduct Disorder personality disorder?

A

<15 y/o antisocial disorder

46
Q

What is Histrionic personality disorder?

A

Theatrical, sexually provocative, use repression

47
Q

What is Borderline personality disorder?

A

“Perpetual teenager”, splitting (love/hate), projection, acting out, self-mutilation

48
Q

What is Narcissistic personality disorder?

A

Pompous, no empathy

49
Q

What is Dependent personality disorder?

A

Clingy, submissive, low self-confidence,
regression

50
Q

What is Obsessive- Compulsive personality disorder?

A

Perfectionist, doesn’t show feelings, detail- oriented, uses isolation

51
Q

What is Avoidant personality disorder?

A

Socially withdrawn, afraid of rejection but wants to fit in

52
Q

What is Kleptomania?

A

Steals for the fun of it

53
Q

What is Pyromania?

A

Starts fires

54
Q

What is Intermittent
Explosive Disorder?

A

Loses self-control without adequate reason

55
Q

What is Pathological Gambling?

A

Can’t stop gambling, affects others

56
Q

What is Trichotillomania?

A

Pull out their hair

57
Q

What is Lewy body dementia?

A

Stiff, visual hallucinations

58
Q

What is Normal Pressure Hydrocephalus?

A

TrIAD = Incontinence, Ataxia “magnetic gait”, Dementia
“Wet, Wobbly, Wacky”

59
Q

What is Korsakoff psychosis?

A

Alcoholic thiamine deficiency

60
Q

What is Vascular “multi- infarct” dementia?

A

Sudden onset, uneven progression
of deficits, “stair-step” decline

61
Q

What is Huntington’s?

A

In caudate/putamen, triplet repeat disorder, choreiform movements,

62
Q

What is Creutzfeldt-Jacob?

A

Prion induced, die within 1 year, post- cornea transplant

63
Q

What is Pick’s disease?

A

Frontal lobe atrophy, disinhibition

64
Q

What is Alzheimer’s?

A

↓ACh in nucleus basalis of Meynert, bad ApoE, amyloid plaques, tangles of tau

65
Q

What is Parkinson’s?

A

n substantia nigra, bradykinesia, pill- rolling tremor, shuffling gait, Lewy bodies

66
Q

What is Somatization?

A

Think they have a different illness all the time (at least 4 organ systems)

67
Q

What is Hypochondriasis?

A

Think they have the same illness all the time

68
Q

What is Body Dysmorphic Disorder?

A

Imagined physical defect

69
Q

What is Pain disorder?

A

Prolonged pain not explained by physical causes

70
Q

What is Conversion?

A

Neuro manifestation of internal conflict, indifferent to disability

71
Q

What is Malingering?

A

Fake illness for monetary gain, avoids medical treatment

72
Q

What is Factitious?

A

Fake illness to get attention, seeks medical treatment

73
Q

What is Munchausen?

A

Need to be the caregiver, Mom fakes child’s illness to get attention

74
Q

What is Munchausen by proxy?

A

Mom makes child ill for gain, move a lot

75
Q

What is Amnesia?

A

Can’t recall important facts

76
Q

What is Dissociative Fugue?

A

No past, travel to new place, usually due to trauma

77
Q

What is Multiple Personality Disorder?

A

Have 5-10 alters, usually associated w/ incest

78
Q

What is Depersonalization Disorder?

A

“Out of body” experiences, Deja vu

79
Q

What is Sublimation?

A

Substitute acceptable for
unacceptable (boxer vs. fighting)

80
Q

What is Imitation?

A

Dress like someone else

81
Q

What is Identification?

A

Act like someone else

82
Q

What is Displacement?

A

Take anger out on someone else

83
Q

What is Idealization?

A

Wait for “ideal spouse” while they are beating you up

84
Q

What is Transference?

A

Patient views doctor as parent

85
Q

What is Countertransference?

A

Doctor views patient as child

86
Q

What is Acting out?

A

Expression of impulse, “tantrums”

87
Q

What is Regression?

A

Immature behavior

88
Q

What is Rationalization?

A

Make excuses for all situations

89
Q

What is Intellectualization?

A

Act like a “know-it-all” to avoid feeling emotions

90
Q

What is Isolation of Affect?

A

Isolate feelings to keep on functioning

91
Q

What is Suppression?

A

Consciously block memory

92
Q

What is Repression?

A

Subconsciously block memory

93
Q

What is Reaction Formation?

A

Unconsciously act opposite to how you feel (tears of a clown)

94
Q

What is Undoing?

A

Doing exact opposite of what you used to do to fix a wrong

95
Q

What is Compensation?

A

Doing something different of what you used to do

96
Q

What is Sadism?

A

Gives pain

97
Q

What is Masochism?

A

Receives pain

98
Q

What is Exhibitionism?

A

Exposure to others

99
Q

What is Voyeurism?

A

Watching other people without their permission

100
Q

What is Telephone Scatalogia?

A

Phone sex

101
Q

What is Frotteurism?

A

Rub penis against fully clothed women

102
Q

What is a Transvestite?

A

Dress up as opposite sex, no identity crisis

103
Q

What is a Transsexual?

A

Gender identity crisis “man trapped in a woman’s body”

104
Q

What is a Fetish?

A

Objects (vibrators, dildos, shoes)

105
Q

What is a Pedophile?

A

Children (watching child pornography)

106
Q

What is a Necrophile?

A

Corpses

107
Q

What is a Beastophile?

A

Animals

108
Q

Can you die during EtOH withdrawal?

A

Yes

Step 1 Clues (27 decks)

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