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psych Flashcards

1
Q

1irst line agent for pediatric depression

A

fluoxetine
(venlafaxine doesn’t have a lot of data)

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2
Q

lab eval for SSRI overdose

A

-ECG
-glucose level
-serum bicarb

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3
Q

acute stress disorder symptoms

vs PTSD

A

duration: 3 days - 1 month
Management: trauma focused CBT

PTSD lasts longer than 1 month

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4
Q

antidepressant discontinuations syndrome

A

FINISH
flu-like symptoms, insomnia, nausea, imbalance, sensory disturbance(paresthesia, shock-like sensation), hyperarousal (anxiety, agitation)

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5
Q

antidote for TCA

A

Na bicarbonate

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6
Q

antisocial personality disorder

A

at least 18 yrs old
CORRUPT
- confomirty to law is lacking
- obligatiosn ignored
- Reckless disregarrd fro safety of self or others
- Remorse lacking
- underhanded
- imPulsive
- Temper

conduct disorder <15

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7
Q

autonomic erection is mediated by

A

T11-T12 and S2-S4

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8
Q

Benzo withdrawl signs

A

ISTAND
insomnia
sweatiness
Tachnycardia, tremor
Anxiety
N& V, anorexia
Depressive mood

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9
Q

benztropine is used for?
propranolol is used for?

A

benztropine-dystonia
propranolol akathisia

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10
Q

borderline personality disorder tx

A

DBT

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11
Q

brain changes in patients with schizophrenia

A

lateral ventriuclar enlargement
loss of cortical stissue volume

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12
Q

brain changes in people with OCD

A

abnormalities in orbitofrontal cortex and basal ganglia

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13
Q

bupropion is containdicated in patients with and why?

A

anorexia, bulimia
-increased risk of seizure

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14
Q

calcitonin use

A

adjunct theory for patients with painful osteoporotic vertebral fracture

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15
Q

criteria for hold

A

danger to self,
danger to others, or grave disability and can’t care for self

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16
Q

d/c syndrome from antidepressant

A

flu-like symptoms from long 1/2 life

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17
Q

Depression criteria

A

SIGECAPS (4) + depressed mood x 2 weeks
sleep changes
interest loss
guilt
energy
Concentration
Appetite
Psychomotor slowness
Suicide ideation

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18
Q

depression types:
major depressive disorder vs adjustment disorder vs persistent depressive disorder

A

major depressive 2 weeks sigecaps
persistant 2 yrs
adjustment disorder - functional deficit w/I 3 months of stressor

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19
Q

dysthymic disorder is also known as

A

persistent depressive diroder ( when sx last > 2y)

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20
Q

ECT ADR

A

retrograde amnesia

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21
Q

first line treatment for bipolar depression

A

-lurasidone and quetiapine

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22
Q

histrionic personality disorder

A

become distressed when they are not the center of attention

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23
Q

Korsakoff syndrome

A

irreversitble thiamine def 2/2 EtOH use
-confabulation
anterograde and retrograde amnesia
personality changes (hallucination, dec executive fxn, disoriented to time, place, and person)

Korsacoff’s CAP
-confabulation, amnesia, personality changes

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24
Q

lithium reaches steady state in

A

5 days

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25
Lithiums toxicity
LMNOP L :lithium M: movement ( tremor, seizure, ataxia) N: Nephrogenic Diabetes insipidus; nephrology (kidney injury), N&V O: hypOthyroidism P: Pregnancy defect ( Epstein anomaly- heart defect)
26
Management of tardive dyskinesia
27
Neuroleptic Malignant Syndrome
FEVER -Fever -encephalopathy -VS unstable -Elevated enzymes (creatine kinase or creatine phosphokinase) -Rigidity
28
obsessive compulsive disorder vs obsessive compulsive personality disorder
OCD=ego-dystonic ( rituals that are repulsive to self) obsessive compulsive personality disorder = ego-syntonic ( situation that are cogruejnt with self image)
29
once mao i stopped, need to wait how long before starting SSRI?
2 weeks
30
opioid with a long 1/2 life
methadone
31
opioid withdrawal signs
N&V, abdominal cramping, diarrhea, muscle aches findings: dilated pupil, yawning, piloerection, lacrimation, hyperactive bowel sounds
32
PCP vs amphetamine intoxication
both hsow hyperthermia, hypertensionm tachycardia, weird behavior - PCP: nystagmus, myoclonus, ataxia
33
people with panic disorder have an increased sensitivity to
lactate infusions
34
persistent complex bereavement disorder
symotoms related to yearnign for deceased
35
prader wili syndrome
hypotonia, feeding difficulty (need NG tubein infancy( -GU abnormality ( males, undescended testes) -small hands or feet, short stature -adolescence or adulthood: excessive eating and obese deletion of 15q 11-134 on paternal side
36
relationship between FE and TIBC is
inverse
37
REM sleep behavior disorder
people lose muscle stiffness an act out their dreams - commonly occurs in parkinsons and lewy body dementia - dx: polysomnography w/o atonia - tx: create safe sleep environment, melatonin or clonazepam
38
risk factors for suicide risk
* Sex (male) * Age (older * Depression * Previous attempt * Ethanol /substance abuse * Rational thinking loss * Sickness (chronic illness) * Organized plan/ access to weapons * No spouse * Social support lacking
39
Schizoid personality disorder
4 of following DISTANT -Detached -indifferent to criticism and praise -sex is low interest -tasks done solitarily -absence of close friends -neither desires nor enjoys close relations -takes pleasure in few activities
40
schizophrenia diagnosis
3 of the 5 for 6 months or longer, but 1 must be 1,2, or 3 1. delusions 2. hallucinations 3.disorganized thinking 4. grossly disorganized 5. negative symptoms -alogia (poverty of words), -anhedonia (reduced pleasure) -affect (flat), -avolition (total lack of motivation) -attention (poor) 6 months of functional impairment 1-6 months = schiphreniform disorder
41
sign of bulimia
hypokalemic, hypochloremic alkalosis
42
signs of adrenal insufficiency , test you would use to diagnose it?
FEW hyper Pig's Vomit Fatigue, Electorlyte abnormality, Wt Gain , hyperpigmentation, Vomit dx: ACTH stimulation test
43
signs of carbon monoxide poisoning
1) cerebral hypoxia 2)elevated lactic acidosis 3) myocardial ischemia - cherry redskin with bulls lesions C ME
44
signs of opioid withdrawal and treatment
-CNS arousal, sympathetic activity -Flu symtoms -GI symptoms(N,V,D) - Tx: buprenorphine/methadone -clonidine, antdiarrheal
45
signs of thiamine deficiency Wernicke encephalopathy classic triad
encephalopathy ocular dysfunction (nystagmus, conugate gaze palsy, diplopia) gait ataxia ## Footnote wernicke's COAT : confusion, ocularmotr dysfunction, ataxia, thiamine administration
46
social anxiety disroder treatment
SSRI/SNRI
47
treatment for stimulant intoxication
Benzodiazepines
48
treatment for tar dive dyskinesia
valbenazine or deutrabenazine
49
tx for autism
applied behavioral analysis, teaching about social interactions and response
50
tx for oppositonal disorder
parent mangement
51
vaginismus
pain provoked by vaginal penetration
52
valproic acid reaches stady state in
3 days
53
when to use DBT
bordeline personality disorder
54
when to use CBT
depression. general anxiety disorder (GAD) PTSD panic disorder OCD eating disorder negative thought pattern
55
when to use motivational interviewing
substance abuse disorders
56
functional neurologic disorder aka conversion disorder
vs somatic symotoms disorder conversion disorder is chracterized by neurologic sx ie blindness
57
tx of mania in a pt who is pregnant
ECT, antipsychotics
58
suicidal behavior is associated with
low levels of 5-hydroxyindolacetic acid (5-HIAA) in CSF - 5-HIAA = metabolite of serotonin
59
3 Hz spike on EEG is characteristic of
absence seizure
60
-generalized slowing with periodic sharp wave complexes on EED and increased CSF 14-3-3 protein is seen in
Creutzfeld-Jakob disease ( prion disease)
61
low concentration of hypocretin in CSK is found in
narcolepsy
62
PTSD signs
nightmare, flashback, intrusive memories that disturb sleep
63
stranger anxiety
anxiety and distress when encountering unfamiliar people
64
selective mutism
refusal to speak in specific social situations for > 1 month
65
benzodiazepine used for (what intoxication)
-stimulant intoxiction =PCP intoxication
66
treatmetn for panic disorder
SSRI, SNRI, CBT
67
PCP intoxication
RED DANES rage, erythema, dilated pupil delusions, amnesia, nystagmus, excitation, skin dryness
68
meds for psychotic depression
ssri + antipsychotic
69
cyclothymia
history of mood instablity does meet crieria for MDD or BPD -at least 2y, present at least 1/2 of the time -not symtomless for more than 2 months
70
dementia workup
moca
71
treatment for tourrette
dopiamine blocker antipsychotic
72
indications for long-term maintenance on antidepressants
-2 or more episodes -age less that 20 at onset -comorbid psychiatric disorder -history of child abuse
73
dhat syndrome
South Asian culture - sufferers attribute psychological and somatic complaints to loss of semen
74
Bipolar 1
1 manic episode -3 or more DIGFAST for 7 or more consecutive days Distractibility irritability Grandiosity Flight of Ideas agitation/ increase in goal directed activity sleeplessness Thoughtless ness - seek pleasure w/o regard for consequences
75
Bipolar 2
4 or more days hypomania + 1 or more depressive episode
76
synthetic cathinone symptoms
does show up on US, bath salts - analog of amphetamines -agitationm combativeness, psychosis, delirium, myoclonus , seizures
77
Treatment for bipolar 1
1) monotherapy with mood stabilicer 2) valporate/lithium +2nd gen antipsychotic

Psych neuro (3 decks)

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