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Peds EOR > Psych > Flashcards

Psych Flashcards

1
Q

when do panic attacks peak + resolve

A

peak - 10 minutes
resolve - 1 hour

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2
Q

first line tx for panic attack

A

benzo (alprazolam, lorazepam, diazepam)

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3
Q

diagnostic criteria for panic disorder

A

recurrent, unexpected panic attacks (at least 2 panic attacks) + at least one of the following for at least 1 month: panic attacks often followed by persistent concern for future attacks, persistent worry about implication of attacks (losing control), maladaptive behavior related to attacks

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4
Q

how long must you have sx to be diagnosed with panic disorder

A

1 month

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5
Q

tx panic disorder

A

SSRIs first line

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6
Q

how long must you have sx to be diagnosed with agoraphobia

A

6 months

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7
Q

how long must you have sx for GAD

A

6 months

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8
Q

tx GAD

A

SSRIs and SNRIs

can use Buspirone as an adjunct

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9
Q

ADHD is characterized by

A

inattention, impulsivity, hyperactivity

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10
Q

ADHD is often comorbid with

A

Conduct and oppositional defiant disorders

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11
Q

what neurotransmitters play a large role in ADHD

A

dopamine and norepinephrine

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12
Q

dx ADHD

A

sx occurring for at least 6 months
at least 6 inattentive sx
or
at least 6 hyperactivity/impulsivity sx

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13
Q

at what age should kids be medically treated for ADHD

A

at least age 6

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14
Q

stimulants and MOA for ADHD

A

Methylphenidate
Dexmethylphenidate
Amphetamine
Dextroamphetamine

MOA - up regulate dopamine (blocks dopamine reuptake in pre- and post-synaptic)

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15
Q

non stimulants and MOA for ADHD

when are these preferred?

A

atomoxetine and viloxazine

MOA - SNRI (selective norepinephrine reuptake inhibitor)

preferred in patients with hx of illicit substance use/household members w illicit substance use

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16
Q

alpha2 adrenergic agonists for ADHD

A

guanfacine
clonidine

these are pretty much 3rd line

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17
Q

autism spectrum disorder is characterized by

A

impairment in social interaction or communication

restricted, repetitive stereotyped behaviors and other signs leading to impaired social functioning

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18
Q

when are sx for ASD usually recognized

A

12-24 mos

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19
Q

what is the MC genetic cause of ASD

A

fragile X syndrome

20
Q

what is conduct disorder

A

persistent pattern of behaviors that deviate sharply form the age-appropriate norms and violates the rights of other humans and animals

21
Q

conduct disorder is usually comorbid with

A

ADHD and oppositional defiance disorder

22
Q

conduct disorder may progress to

A

antisocial personality disorder

23
Q

4 main groups of behaviors for conduct disorder

A

breaking rules
aggressive conduct
destructive conduct
deceitfulness

24
Q

how to diagnose conduct disorder

A

persistent pattern of recurrent violation of rights of others with at least THREE behaviors over the least year and at least ONE incidence within the last 6 months

MUST BE < 18 years old

25
Q

what is oppositional defiant disorder

A

type of childhood disruptive behavior characterized by a. persistent pattern of negative, angry or irritable mood, argumentative or defiant behavior and intentional vindictiveness or spitefulness

NOT ASSOCIATED WITH PHYSICAL AGGRESSION, VIOLATION OF OTHERS’ BASIC RIGHTS, OR BREAKING LAWS

26
Q

dx oppositional defiant disorder

A

characterized by at least 4 sx for at least 6 months with at least one individual that is not a sibling

27
Q

classic sx of oppositional defiant disorder

A

angry or irritable behavior
argumentative or defiant
vindictiveness
behaviors distress others and negatively impact functioning

28
Q

BMI for anorexia nervosa

A

17.5 or body weight < 85% of ideal weight

29
Q

what type of “ego” for anorexia

A

ego-syntonic - their behaviors are acceptable to them and are in harmony with their self-image goals

30
Q

what has the highest mortality rate of all psychiatric conditions

A

anorexia nervosa

31
Q

bulimia nervosa is characterized by

A

frequent and recurrent binge eating combined w inappropriate compensatory behaviors to counteract weight gain (purging w vomiting, laxatives, diuretics, enemas)

32
Q

weight for bulimia

A

usually maintain a normal weight or may be overweight

33
Q

what type of “ego” for bulimia

A

ego-dystonic - behaviors are troublesome to patient

34
Q

what is the only FDA approved med for bulimia

A

fluoxetine

35
Q

binge eating disorder is characterized by

A

frequent and recurrent binge eating episodes without compensatory behaviors of bulimia nervosa

36
Q

what type of “ego” for binge eating

A

ego-dystonic - troublesome to patient

37
Q

how long must episodes occur to be diagnosed with binge-eating disorder AND bulimia nervosa

A

once a week for three months

38
Q

single strongest predictive factor for suicide

A

previous attempt

39
Q

gender and suicide

A

females attempt more
men are more successful

40
Q

who has the highest risk of suicide in US

A

elderly white men

41
Q

diagnose MDD

A

at least 2 distinct episodes of at least 5 associated sx (must include either depressive mood or anhedonia) almost every day for most of the days for at least TWO WEEKS

42
Q

what is cyclothymic disorder

A

hypomanic sx that fall short of meeting criteria for full hypomanic episode and numerous periods of mild to moderate depressive sx that fall short of meeting criteria for MDD

43
Q

diagnose cyclothymic disorder

A

at least 2 consecutive years of prolonged, milder elevations and milder depressions in mood that do not meet criteria of full hypomanic episodes or major depressive episodes

44
Q

persistent depressive disorder is also known as

A

dysthymia

45
Q

dx dysthymia

A

depressed mood for at least 2 years in adults
at least 2 conditions (insomnia, fatigue, low energy, etc)
not sx free for > 2 months at a time

Peds EOR (9 decks)

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