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EBSE > Psyc > Flashcards

Psyc Flashcards

1
Q

mature defense mechs

A 
SASH
sublimation
altruism
suppression
humor
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2
Q

anaclitic depression

A

results from depriving severe infant deprivation

child becomes withdrawn and unresponsive

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3
Q

many of the children dx w/ conduct disorder will qualify for what dx after age 18?

A

antisocial personality disorder

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4
Q

coprolalia

A

involuntary obscene speech. observed in 10-20% of tourette’s syndrome

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5
Q

Rett’s disorder

A

x linked disorder almost exclusively in females (males die in utero or shortly post partum)
regression, loss of development / verbal abilities, mental retardation, ataxia, stereotyped hand wringing

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6
Q

NT changes in anxiety and depression

A

anxiety - inc NE, dec GABA and 5 HT

depression - dec NE, 5HT, DA

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7
Q

order of loss of orientation

A

time > place > person

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8
Q

Korsakoff’s amnesia

A

anterograde w/ some retrograde. caused by thiamine def > destruction of mamillary bodies

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9
Q

MC presentation of AMS in inpatient setting

A

delirium

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10
Q

tx of delirium

A

id and address underlying cause
optimize brain condition (O2, hydration, pain etc)
antipsychotics (haloperidol)

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11
Q

3 signs of psychosis

A

hallucinations
delusions
disorganized speech

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12
Q

which type of hallucination is more likely caused by psychiatric illness rather than medical - visual or auditory?

A

auditory > psych

visual > med

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13
Q

hypnagogic vs hypnapompic hallucinations

A

gogic - GOing to sleep

pompic - upon waking

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14
Q

3 signs of psychosis

A

hallucinations
delusions
disorganized speech

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15
Q

which type of hallucination is more likely caused by psychiatric illness rather than medical - visual or auditory?

A

auditory > psych

visual > med

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16
Q

schizoaffective disorder def

A

at least 2 wks of stable mood w/ psychotic sx plus major depressive, manic, or mixed episode

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17
Q

5 subtypes of schizophrenia

A

paranoid, disorganized, catatonic, undifferentiated, residual

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18
Q

criteria to dx schizophrenia

A 
2 of the following:
delusions
hallucinations
disorganized speech
disorganized/catatonic behavior
negative sx (flat affect, social withdrawal, amotivation, lack of speech or thought)
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19
Q

schizoaffective disorder def

A

at least 2 wks of stable mood w/ psychotic sx plus major depressive, manic, or mixed episode

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20
Q

5 subtypes of schizophrenia

A

paranoid, disorganized, catatonic, undifferentiated, residual

21
Q

time req for manic episode

A

at least 1 wk

22
Q

difference btwn postpartum blues and depression

A

blues - depressed affect, tearfulness, fatigue from 2-3 d postpartum resolving in 10-14 d
depression - depressed affect, anxiety, poor concentration w/in 4 wks of delivery lasting 2 wks to a year+

23
Q

diagnostic criteria for major depressive disorder

A 
depressive episodes for 6-12 mo. episodes must have at least 5 sx and last at least 2 wks. must include patient reported depressed mood or anhedonia
possible sx (need >=5):
sleep disturbance
anhedonia
guilt/worthlessness
loss of energy
loss of concentration
appetite/wt changes
psychomotor retardation/agitation
suicidal ideations
depressed mood
24
Q

def of dysthymia

A

milder form of depression lasting at least 2 yrs

25
Q

difference btwn postpartum blues and depression

A

blues - depressed affect, tearfulness, fatigue from 2-3 d postpartum resolving in 10-14 d
depression - depressed affect, anxiety, poor concentration w/in 4 wks of delivery lasting 2 wks to a year+

26
Q

time req for PTSD, and what is the other disorder for if you have sx for less than that

A

> 1 mo

acute stress disorder is 2d-1mo

27
Q

generalized anxiety disorder time req

A

6 mo

28
Q

tx of DTs in alcohol withdrawal

A

benzos

29
Q

clusters of personality disorders

A

a - odd/eccentric, trouble forming meaningful relationships. paranoid, schizoid, schizotypal
b - dramatic, emotional, erratic. antisocial, borderline, histrionic, narcissistic
c - anxious, fearful. avoidant, OCPD, dependant

30
Q

serum indications of alcohol abuse

A

serum GGT is very sensitive

AST > 2xALT

31
Q

tx of DTs in alcohol withdrawal

A

benzos

32
Q

when does delirium tremens happen?

A

peaks 2-5 d after last drink

33
Q

olanzapine, clozapine, quetiapine, risperidone, aripiprazole, ziprasidone - class/mech, tox

A

atypical antipsychotics - mech not completely understood
fewer EPS and anticholinergic SEs.
olanzapine/clozapine: wt gain / metabolic synd
clozapine - agraunlocytosis (weekly monitoring) and seizures
ziprasidone - prolong QT interval

34
Q

“typical” antipsychotics - names, mech, tox

A 
haloperidol + "-azines"
block D2 receptors
extrapyramidal SEs (dyskinesia, etc), hyperprolactinemia, antimuscarinic, anti-alpha1, anti-histamine effects
35
Q

neuroleptic malignant syndrome

A 
FEVER- 
fever
encephalopathy
vitals unstable
elevated enzymes
rigidity of muscles

tx w/ dantroline and D2 agonists (bromocriptine)

36
Q

olanzapine, clozapine, quetiapine, risperidone, aripiprazole, ziprasidone - class/mech, tox

A

atypical antipsychotics - mech not completely understood
fewer EPS and anticholinergic SEs.
olanzapine/clozapine: wt gain / metabolic synd
clozapine - agraunlocytosis (weekly monitoring) and seizures
ziprasidone - prolong QT interval

37
Q

lithium tox

A 
LMNOP:
lithium tox:
mvmt (tremor)
nephrogenic DI
hypOthyroid
pregnancy problems
38
Q

serotonin syndrome

A

can occur w/ any drug that inc serotonin
hyperthermia, confusion, myoclonus, CV collapse, flushing, diarrhea, seizures
tx w/ cyproheptadine (5HT2 antagonist)

39
Q

busprione - mech, use

A

stim 5HT1a receptors

GAD - no addiction, sedation, or tolerance and can be taken w/ alcohol

40
Q

list 4 SSRIs

A

fluoxetine, paroxetine, sertraline, citalopram

41
Q

serotonin syndrome

A

can occur w/ any drug that inc serotonin
hyperthermia, confusion, myoclonus, CV collapse, flushing, diarrhea, seizures
tx w/ cyproheptadine (5HT2 antagonist)

42
Q

list 2 SNRIs

A

venlafaxine, duloxetine

43
Q

buproprion - mech, use, tox

A

inc NE and DA via unknown mech (atypical antidepressant)
depression, smoking cessation
tox - stimulant effects (tachy, insomnia), HA, seizure in bulimic patients. NO sexual side effects

44
Q

tox of TCAs

A

sedation, postural hypotension, atropine like anticholinergic effects
convulsions, coma, cardiotox (arrhythmias), resp depression, hyperpyrexia, confusion/hallucinations

45
Q

tranylcypromine, phenelzine, isocarboxazid, selegiline - class

A

MAOi

46
Q

buproprion - mech, use, tox

A

inc NE and DA via unknown mech (atypical antidepressant)
depression, smoking cessation
tox - stimulant effects (tachy, insomnia), HA, seizure in bulimic patients. NO sexual side effects

47
Q

mirtazapine - mech, use, tox

A

atypical antidepressant - alpha 2 antagonist, potent 5HT2 and 3 receptor antagonist
depression, esp w/ inpatients who can’t sleep or eat
sedation, inc appetite/wt gain, dry mouth

48
Q

maprotiline - mech, tox

A

atypical antidepressant - blocks NE reuptake

sedation, orthostatic hypoTN

49
Q

trazodone - mech, use, tox

A

atypical antidepressant - inhibits serotonin reuptake
used primarily for insomnia
sedation, nausea, priapism**, postural hypoTN

EBSE (18 decks)

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