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Psych Flashcards

1
Q

Obsessive Compulsive personality disorder

A

pre-occupied with orderliness, perfectionism and Control.
Egosyntonic nature of symptoms (believe he is superior)

No insignt to his behaviour.

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2
Q

MDD diagnosis:

A

symptoms > 2 weeks

5/9 symptoms:

SIGECAPS:
S: Suicidlity
I: loss of interest
G: guilt/ worthlesness
E: Energy low
C: concentration low
A: apetite
P: psychomotor agitation
S: sleep disturbance (insomina)

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3
Q

DD of Depressed mood

A
  1. MDD > 2 weeks
  2. Persistent depressive disorder (chronic depressed mood > 2 years, with 2 symptoms)
  3. Adjustmant disorder (known within 3 months of a known stressor)
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4
Q

Management of adjustmant disorder ?

A

Psychotherapy

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5
Q

Buproprion is Contraindicated in

A

Bulemia Nervosa

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6
Q

CF of Tardive Dyskinesia

A

Lipsmacking
Choreoathetoid movement ( trunk movment)

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7
Q

Pathophysiology of Tardive dyskinesia

A

Hypersensitivity of dopamine receptors, in view of prolonged blockage of D2 receptors by anti-psychotics.

MC in first generation anti-psych and resperidone

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8
Q

Schizoid Personality disorder

A

lonely, detached, unemotional

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9
Q

Schizotypal

A

unusual thoughts, perception or behavior.

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10
Q

Borderline personality disorder ( Cluster C)

A

He is on the border of impulsivity, anger and suicidal ideation.
Unstable relationsips

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11
Q

CF of catatinia

A

Unresponsivness
mutism
staring blankly
waxy flexebility
posturing

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12
Q

Management of catatonia ?

A
  1. benzo (lorazepam)
  2. Electroconvulsive therapy
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13
Q

MDD with psychotic features ?

A

loss of concentration
lack of energy
Inability to sleep

delusions or hallucinations related to low self esteem.

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14
Q

Indications of Hospitalization in Anorexia Nervosa ?

A
  1. bradycardia
  2. dehydration
  3. BMI less than 15
  4. electrolyte imbalance
  5. hypothermia
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15
Q

Malingering

A

falsification of info to gain external reward

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16
Q

Factitious disroder

A

Falsification of symptoms without obvious external reward

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17
Q

Rx of ADHD ?

A

Methylphenidate ( addictive)
Atomoxetine

18
Q

DD between somatic symptom disorder and Illness anxiety disorder ?

A
  1. SSD: the pre-occupation with a specific symptom, causing distress and functional impairment
  2. IAD: worry about being ill with nonsymptoms.
19
Q

REM sleep behavior disorder

A
  • Common in patients with neurodegenrative diseases (parkinsons or dementia).
  • Absence of atonia while in REM cycle.
  • Able to wake up patient where he is at first confused and then fully awake
20
Q

Sleep Terro ?

A

Unable to awaken the sleeping person.

21
Q

nightmare

A

Patient remembers disturbing sleep content, but there is no motor activity

22
Q

Mnagament of MDD ?

A

1- single episode: continue treatment for 6 months, if well, consider tapering
2- If patient has recurrent episodes: consider maintenance to 1-3 years
3- In case of highly recurrenl episdoes: to be taken indefinitely

23
Q

Management of Acute dystonias ?

A

Benztropine or Diphenhydramine

( Anticholinergic and Anti-muscarinic).

24
Q

Pharmaco

25
Q

Indication of MOA-I

A

Refractory depression

26
Q

Mechanism of Action of MOA-I ?

A

Inhibits the metabolism of monoamines ( NEP, Seretonin and Dopamine) also inhibits the metabolism of tyramine

27
Q

Mech of action of tyramine ?

A

Facilitate the release of Monoamines, leading to sympathomimetic symptoms like HTN and headaches

causes a hypertensive crisis.

28
Q

Serotonin Syndrome ?

A

Altered mental status ( confusion, anxiety, delerium)
Autonomic symptoms ( tachycardia, htn, vomiting, dilated pupils, hyperthermia, diaphoresis)
Neuromuscular Hyperactivity ( myoclonus, hyperreflexia ad tremor).

29
Q

How to avoid Serotonin syndrome ?

A

All anti-depressants should be stopped 2 weeks before initiating MOA-I

30
Q

Management of Psychotic depression ?

A

1-Anti-depressant + anti-psychotic
2- or ECT

ECT has a faster onset of action.

31
Q

Indications of ECT

A

1- RX resistance
2- Psychotic Features
3- Emergency: pregnancy, inability to eat and drink, imminent risk of suicide

32
Q

Benzo Withdrawal

A

Anxiety
Restlessness
Insomnia
tremors
psychosis and seizures

33
Q

SE of valproate

A

drug induced liver injury

34
Q

Addictions

35
Q

What type of food contain tyramine ?

A

cured cheese, meat, alcohol

36
Q

Chronic Methamphetamine Use

A

1- Pasranoid delusions ( including visual)
2- Tactile hallucinations
3- skin picking (skin sores), bruxism (decayed teeth with poor dentition).
4- agressive bahviour

Symptoms of ympathetic overactivity
becuase it is a CNS stimulant

38
Q

Mech of action of Bupropione

A

Norepinephrine and Dopamine reuptake inhibitor.

39
Q

Indication of Bupropione

A

Augmentation of effect of SSRI

Psych-Uworld (1 decks)

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