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Psychiatry > Pre-Test 1 > Flashcards

Pre-Test 1 Flashcards

1
Q

What is flight of ideas

A

Patient expresses thoughts very rapidly, with constant shifting from one idea to another, though the ideas are often connected

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2
Q

Loose association vs flight of idease

A

Both have lost goal directness, button LA the patient never gets back to the point and there is no clear connection between the sentences

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3
Q

What is perservation

A

Response that persists even after a new stimulus has been introduced

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4
Q

What is tangentiality

A

Pattern of thought in which the patient answers a question with something that is related to the question, but does not answer it directly

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5
Q

How do you test abstract reasoning in MSE

A

Ask patient to interpret a proverb

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6
Q

Cutoff between schizophreniform and schizophrenia

A

6 months

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7
Q

Age range for increased risk of violence

A

15-24

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8
Q

ER sedating meds? what does the second drug do

A

IM haloperidol and lorazepam

Lorazepam decreases the dose of antipsychotic needed and protects against dystonic reactions

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9
Q

What is projective identification

A

Defense mech when a person projects his own unconscious feelings on another, and the other person identifies with the projected emotion and begins to behave in the manner dictated by the projected emotion

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10
Q

circumstantiality vs tangentiality

A

Circumstantiality is a disturbance in which the patient digresses into unnecessary details before communicating the central idea
Tangentiality is present when the patient wanders and digresses to unnecessary details and the substance of the idea is never communicated

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11
Q

What is it called when a patient thinks his thoughts are being stolen

A

Thought broadcasting

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12
Q

CD criteria and timing

A

Criteria: Aggression to people or animals, destruction of property, deceitfulness or theft, serious violation of rules
Three criteria met in the past 12 months with at least one present in the last year

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13
Q

Malingering gain primary or secondary?

A

Secondary

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14
Q

ODD features

A

Defiance issues: losing temper, arguing with adults, defying rules, annoying people, blaming others

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15
Q

When can thyroid storm present

A

When a thyrotoxic patient is recovering from acute illness or stress

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16
Q

EEG for hepatic encephalopathy

A

Triphasic waves

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17
Q

Diffuse encephalopathy EEG

A

Diffuse slowing of background rhythms

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18
Q

Caffeine withdrawal EEG

A

Increase in amplitude or voltage of theta activity

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19
Q

Erikson stage of children 1-3

A

Autonomy vs Shame and Self Doubt

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20
Q

Erikson stage of children under 1

A

Basic trust vs Mistrust

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21
Q

Erikson stage for children 3-5

A

Initiative vs Guilt

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22
Q

Erikson stage 21-40 years

A

Intimacy vs isolation

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23
Q

Erikson stage 40-65

A

Generativity vs stagnation

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24
Q

What is a transitional object for a young kid

A

Toy or blanket substitute for primary care-giver

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25
Q

Erikson stage over 65

A

Integrity vs Despair

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26
Q

Id, Ego, and superego

A

Id: instinctual drives
Ego: Find equilibrium b/w gratification of instinctual drives and rules of society
Superego: determines societal rules and tells the ego what is not to be done

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27
Q

When is an unacceptable unconscious impulse transformed into its opposite

A

Reaction formation

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28
Q

What is sublimation

A

Satisfaction of an objectionable implies is obtained by using socially acceptable means
writing a book to live out character fantasies

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29
Q

What is undoing

A

Compulsive act that is performed in an attempt to negate or avoid the consequences of a fantasized action that is the result of an obsessional impulse

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30
Q

What is the protest phase of separation

A

Around 16 months old, after 3 days of separation a kid will push away mom when she comes back

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31
Q

Primary metabolite of dopamine

A

Homovanillic acid

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32
Q

What is cataplexy

A

Sudden loss of muscle tone triggered by strong emotions which takes place during full wakefulness

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33
Q

What is ideational apraxia? typical finding in what disease?

A

Inability to put sequence of skilled acts together in a row

Typical finding in those with cortical degeneration from Alzheimer’s

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34
Q

TLE personality? what is the opposite called?

A

Hyposexuality, emotional intensity, and viscosity

Opposite would be Kluver-Buscy

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35
Q

Triptans work on

A

5-HT (1D) serotonin receptor

36
Q

Atypical receptor (besides dopa)

A

5-HT (t6)

37
Q

Receptor responsible for EPS in antipsychotics

A

D2 receptors

38
Q

Complete inability to perceive color

A

Central achromatopsia

39
Q

Inability to ingrate a visual scene a perceive it as whole

A

Simultanagnosia

40
Q

What is inability to identify and draw items using visual cues

A

Apperceptive visual agnosia

41
Q

Inability to direct gaze rapidly

A

Oculomotor apraxia

42
Q

How does MDD affect sleep

A

Decreased latency of REM sleep

43
Q

Cocaine inhibits uptake of

A

NorEpi and Dopa

44
Q

Hereditary alzhemiers mutation

A

Presenlin 1

45
Q

Low level of what in CSF may predict suicide risk

A

Seratonin

46
Q

OCD neurotransmitter issue

A

Dysfunction of serotoninergic pathways

47
Q

Neurotransmitter involved in anxiety

A

NE

48
Q

Most common AE of anti-parkinson medications

A

Hallucinations

49
Q

Protein that clears out memories that aren’t being used

A

Protein phosphatase 1

50
Q

Atrophy of what in huntingtons

A

Caudate nucleus

51
Q

Injury to right pre-frontal area could cause?

Injury to left pre-frontal area?

A

Right: laughter, euphoria, and tendency to make jokes and puns
Left: abolishes normal mood-elevating influences of the right area and produces depression and uncontrollable crying

52
Q

Dysfunction of orbitofrontal area causes?

A

Disinhibition, irritability, lability, euphoria, and lack of remorse

53
Q

Lesion to dorsolateral area can cause

A

Deficiencies in planning, monitoring, flexibility, and motivation

54
Q

Vit A excess

A

Yellowing of skin and eyes

55
Q

Vit D excess

A

Calcification of bone and soft tissue, formation of kidney stones

56
Q

What vitamin excess can lead to clotting issues

A

Vitamine E

often taken in excess by those who believe it prevents against heart attacks

57
Q

Serotonin receptors in where may cause initial increase in anxiety when starting medicine

A

Limbic system

58
Q

90% of bodies serotonin receptors are where

A

In gut

59
Q

MRI of chronic neurosyphillis

A

Enhancement of meninges at the base of the brain

seen with many chronic infections

60
Q

Dementia and gait disorder think

A

Normal pressure hydrocephalus

don’t forget to look for peeing on self

61
Q

Triphasic waves on EEG seen with

A

Hepatic encephalopathy

62
Q

What is disintegrative disorder

A

Now part of ASD, development normal through at least 2 years of life and falls apart before the age of 10

63
Q

Most common reason for psychiatrist to see adolescents in ER setting

A

Suicidal behavior

64
Q

Treatment of vocal tics

A

Neuroleptics and A2 agonists (clonidine, guanfacine)

65
Q

When is separation anxiety disorder no longer considered normal

A

After 3 years of age

66
Q

Reactive attachment disorder is the product of?

A

A severely dysfunctional relationship between the principal caregiver and the child

67
Q

Best initial tx for sleep terrors

A

Make sure the kid is safe

68
Q

Psychotic symptoms present in what % of kids w/ MDD? what else is unusual

A

1/3

Also tend to be aggressive and irritable rather than sad

69
Q

Typical alzheimers symptoms

A

Progressive memory loss
Aphasia
Anomia
Apraxia (inability to perform voluntary motor activity)
Agnosia (inability to process and understand sensory stimuli)

70
Q

What kind of head trauma can cause dementia

A

Chronic subdural hemoatomas - headaches, confusion, inattention, apathy, memory loss, drowsiness, and coma

71
Q

Frontal lobe tumors mainly present as

A

Personality changes

72
Q

Drug for delirium

A

Haloperidol

73
Q

Brain stuff of alzheimers

A

Neurofibrillary tangles, neuritic plaques, and loss of Ach neurons in basal ganglia

74
Q

Most cases of CJD

A

Iatrogenic, following transplant of infected corneas

75
Q

First line treatment for panic attack

A

Breath into a paper bag

76
Q

Temporal lobe epilepsy personality

A

Hypo sexuality, emotional intensity, and perserverative approach to interactions (termed viscosity)

77
Q

Most common neuro issue with HIV

A

Dementia

78
Q

Somatic symptom disorder features

A

Recurrent physical complaints that are not explained by physical factors and that cause significant impairment and medical seeking
(can be w/ predominate pain)

79
Q

Garlic odor on breath from what poisoning

A

Arsenic

80
Q

What should always be considered in depressed middle aged patients

A

Pancreatic carcinoma

81
Q

Cholinesterase inhibitors for alzhemiers

A

Donepezil (first line)
Rivastigmine (GI side effects)
Galantine (GI side effects)
Tacrine

82
Q

Occipital lobe tumors present with

A

Headache, pappilledema, and homonymous hemianopsia

visual problems (hallucinations) and seizures common

83
Q

Test to discern b/w epileptic and non-epileptic seizures

A

Prolactin level (will not change in non-epileptic seizures)

84
Q

Most common cause of new onset hallucinations in recently hospitalized patient

A

DT

85
Q

What kind of dementia does multiple head traumas cause

A

Chronic traumatic encephalopathy

Psychiatry (6 decks)

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