Psych Flashcards
Diagnostic criteria for Phobias is duration of ____
>6 months
tx for postpartum depression:
Sertaline (SSRI)
Antisocial PD is often preceeded by:
Conduct disorder in childhood
In order to be diagnosed with Generalized Anxiety Disorder (GAD)
sx must be present for more than ___ months in order to be
6 months
Buspar is used for:
Generalized Anxiety Disorder
Lithium therapy requires
close monitoring of the Li level due to severe neprho and thyroid toxicities
Hypothyroidism
nephrogenic diabetes insipidus)
Shallow, attention seeking individuals who must be the center of attention. May be seductive. Strong expression of emotion
Histrionic PD
tx for Panic Disorder:
immediate/acute relief - BENZO
chronic/maintanence - SSRI
episodes of Mania followed by depressive episodes:
Bipolar I Disorder
1st line tx for ADD
Stimulants:
Ritalin
Concerta
Adderal
overdoze of Benzo is tx with:
Flumazenil
Sedation, lethargy caused by Heroin/Opiates overdoze is tx with:
Narcan
Recurrent Panic Attack occur
every months or more frequent
Persisten Depressive Disorder lasting for more than 2 years is known as:
Dysthymic Disorder
important consideration for Monoamine Oxidase inhibitors:
-ine-
Tyramine restricted diet
No cheese, wine, smoked meats
Risk of HTNive crisie
odd beliefs, social anxiety
Schizotypycal
tx for OCD
SSRI + therapy
elements of PTSD:
Re-Experience
Avoidance
Hyperarousal
Emotional numbness
Medication contraindicated in Bulimima
Welbutrin/Bupropion
1st line of tx of Bipolar Disorder is:
Lithium
deadly Tricyclic antidepressants side effect is:
QR prolongation
ECG screening
elements of Major Depression Disorder Sx:
Sleep
Interes
Guilt
Energy
Concentration
Appetite
Psychomotor
Suicide
SSRI use in Anorexia and Bullimia?
Anorexia = SSRI are not indicated
Bulimia=SSRI are useful
PTSD criteria is continuosly lusting for more than
1 month
BMI <17.5
missed periods
self emposed startvation
intense preoccupation with weight
Anorexia Nervosa
Benzodiazapine are long or short term use?
short term
very addictive
SSRI should or should not be used in tx of Bipolar
Should NOT be used
as they cause Mania episode
onset of specific phobia is at:
childhood
not being concerned about your sx is known as:
la belle indifference
seen in CONVERSION disorder
meds to tx PTSD:
SSRI
prazosin - for nightmares
Marked instability in interpersonal relationships, self image, affect and impulsive control
Multiple suicide attempts and self mutilation
Splitting - (people are either all good or all bad)
Borderline PD
tx for GAD is:
SSRI + Cognitive Behavioral Thearpy
tx of Bipolar is:
Mood Stabalizer + anti pscychotic
lead pipe rigidity
sweating
increased CPK
in a pt. taking high potency antipsychotics is known as:
Neurolpetic malignant syndrome
tx for meth overdoze is:
benzo
benzoMeth
- tine-
- pram-
are
SSRI
pramtine
Narcan(Naloxone) is used to:
reverse opiods
used in Heroin intoxication
Heroin=Narcan
Rigid preoccupation with order and rules is known as:
Obsessive Compulsive Personality
Fear of having no escape/public spaces is known as:
Agarophobia
tx for Serotonin Syndrome is:
Aggressive cooling
Benzidiazepines
presence of:
Hallucination
bizarre haviror
delussions
are known as:
Positive psychotic sx.
Inattention
Impulsivity
Hyperactivity
sx present before age 12 y.o
ADD
hormonal changes in eating disorders include:
GH up
Cortisol up
estrogen down
T3 down
LH/FSH down
Refeeding syndrome can occur due to
hypophosphatemia
sx of Meth overdoze:
severe agitation and psychosis
OCD vs Obsessive Compulsive Personallity Disorder
OCD > egodystonic (does not produce happyness)
OC personallity Diosrder > egosystonic (produces joy)
hyper-startle respone
hypervigilance
are indicative of:
PTSD
Recurrent episodes of binge eating
normal body wieght or increased body weight
egodystonic
Bulimia Nervosa
best tx for Specific Phobia is:
Desensitization/exposure therapy
violate the rights of other people
Antisocial PD
Severe tremor or a sudden worsening of an ongoing tremor may be a sign of acute ___ toxicity
Lithium
lack of Thiamine in alcoholics lead to:
Wernicke’s encephalopathy
tx for hyperarousal
termor with perfromance anxiety
beta blockers
tx for Agoraphobia:
SSRI (-tine-)
SNRI
negative psychotirc sx (absence of) include
afffect (lack noramal affect)
apathy (lack of involvement)
anchedonia (lack of joy
poor grooming (lack of hygine)
social withedrwal (lack of socializing)
poor eye contact (lack of eye contact
Obsessive-Compulsive Disorder:
Obsessive > thinking
Compulsion>acting
compulsion relieve obscessions
Criteria for Major Depression is:
SIG E CAPS
5 or more, every day, for min of 2 conseq weeks
Sleep
Interest
Guilt
Energy
Concentration
Appetite
Psychomotor
Suicide
Persisten concern oover further attacks with maladaptive changes in behavior is known as:
Panic Disorder
definition of the adjustment disorder:
sx appear w/i 3 month after the stressor and
resolve w/in 6 months after the stressor
In Schizophhreniform Disorder sx last:
b/w 1-6 months
the purpose of ADD medications is:
Stimulate region of the brain that govern executive functions
Decrease need to self-stimulate therefore decreasing hyperactivity
detached, social withdrawl, loners
Schizoid
onset of Autism is at:
before 3 y.o
Episodes of major depressive episodes followed by hypomanica episodes
no previous h/o maniac epidsodes
is known as:
Bipolar II
abraded knucles:
Russel sign
lacrymation
rhinorrhea
sweating
are signs of:
Opiods (heroin, oxycodone) withdrawl
Recurrent episodes of binge eating
followed by vomiting/laxitive
indicative of:
Bulimia Nervosa
Schizophrenic sx that last b/w 1-6 months are known as:
Schizophhreniform Disorder
agitation, altered mental status, fever, resting tremor, myoclonic jerks, hyperreflexia, ataxia
in a pt with increased level of Serotonin is suggestive of:
Serotonin Syndrome
side effect of Atypical Antipsychotics such as:
Clozapine
Loazapine
agranulocytosis
Atypical depression sx:
overeating
oversleeping
reactive move
Leaden paralys (caised by daily life activity)
diagnosing criteria for Schizophrenia
two of more of:
Delusions
Hallucinations
Disorganized speech
Disorganized behaivor
Negative symptoms
tx for Schizophrenia is:
Atypical Antipsychotics
Side effect of ECT is:
temporary memory loss
serious side effect of increasing serotonin is known as:
Serotonin Syndrome