Psych

Question 1

symptoms for Major Depressive disorder

Answer 1

Sleep disturbance
loss of Interest
Guilt or feelings of worthlessness
loss of Energy
loss of Concentration
Appetite/weight changes
Psychomotor retardation, agitation
Suicidal ideations
depressed mood 

“SIGECAPS”

must have 5 or more sympt for dx for 2 wks or longer (and MUST MUST MUST include depressed mood or anhedonia)

dysthmia - milder; lasting at least 2 yrs (need less sympt)

Question 2

high potency antipsychotics?

Answer 2

trifluoperazine
fluphenazine
haloperidol

“Try to Fly High”

Question 3

high potency antipsych SE?

Answer 3

EPS

Potent = extraPyramidal symptoms

Question 4

low potency antipsych?

Answer 4

Chlorpromazine
Thioridazine

(Cheating Thieves are LOW)

Question 5

low potency antipsych SE?

Answer 5

anticholinergic (dry mouth, constipation, blurred vision)
antihistamine (sedation)
alpha1-blockade (orthostatic hypotension)

Question 6

SE specific for chlorpromazine

Answer 6

Corneal deposits

“C”

Question 7

SE specific for thioridazine

Answer 7

reTinal deposits

Question 8

schizophrenia time frame?

Answer 8

> 6 mo.

Question 9

schizophreniform time frame?

Answer 9

1-6 mo.

Question 10

brief psychotic disorder time frame?

Answer 10

< 1 mo.

Question 11

schizoaffective disorder time frame?

Answer 11

at least 2 wks of stable mood and psych sympt

Question 12

delusional disorder time frame?

Answer 12

> 1 mo.

Question 13

manic episode time frame?

Answer 13

@ least 1 wk

Question 14

hypomanic time frame?

Answer 14

at least 4 days

Question 15

bipolar disorder time frame?

Answer 15

at least 2 yrs (can have normal mood in b/w for up to 2 mo.)

Question 16

postpartum “blues” time frame?

Answer 16

starts 2-3 days after delivery

resolves w/in 10-14 days

Question 17

postpartum depression time frame?

Answer 17

starts 4 wks after delivery

lasts at least 2 wks

Question 18

postpartum psychosis

Answer 18

lasts days to 4-6 wks

Question 19

dysthymia in adults time frame

Answer 19

at least 2 yrs

Question 20

dysthymia in children time frame

Answer 20

at least 1 yr

Question 21

major depressive disorder time frame

Answer 21

lasts 6-12 mo.

at least 5/9 sympt for 2+ wks

Question 22

NT changes in anxiety

Answer 22

increased NE

decreased GABA, serotonin

Question 23

NT changes in depression

Answer 23

decreased NE, serotonin, dopamine

Question 24

NT changes in Alzheimer’s disease

Answer 24

decreased ACh

Question 25

NT changes in Huntington's

Answer 25

decreased GABA, ACh | increased dopamine

Question 26

NT changes in Schizophrenia

Answer 26

increased dopamine

Question 27

NT changes in Parkinson's

Answer 27

decreased dopamine | increased serotonin, ACh

Question 28

visual hallucinations = sign of?

Answer 28

dementia or drug intox

Question 29

auditory hallucinations = sign of?

Answer 29

psych illness (schizo)

Question 30

olfactory hallucinations = sign of?

Answer 30

aura of psychomotor epilepsy | brain tumors

Question 31

tactile hallucinations = sign of?

Answer 31

alc withdrawal or cocaine intox

Question 32

delusional disorder main idea =

Answer 32

NON-bizarre belief (eg. cheating spouse)

Question 33

this drug class can lead to increased mania

Answer 33

antidepressants

Question 34

atypical depression sympt + tx

Answer 34

``` mood reactivity (positive mood to positive event) hypersomnia wt gain heavy feeling in arms/legs HST to rejection ``` tx = MAOI, SSRI

Question 35

PTSD time frame

Answer 35

>1 mo

Question 36

acute stress disorder time frame

Answer 36

2 days - 1 month | same sympt as PTSD!!

Question 37

gen anxiety disorder time frame

Answer 37

at least 6 mo.

Question 38

Cluster A personality disorders

Answer 38

odd/eccentric "weird" (Accusatory, Aloof, Awkward) genetic ass w/ schizo

Question 39

Cluster B personality disorders

Answer 39

dramatic, emotional, erratic "wild" (Bad to the Bone) genetic ass w/ mood disorders + substance abuse

Question 40

major defense mech in paranoid personality disorder

Answer 40

projection

Question 41

major defense mech in borderline personality disorder

Answer 41

splitting

Question 42

Cluster C personality disorders

Answer 42

anxious or fearful "worried" (Cowardly, Compulsive, Clingy) genetic ass w/ anxiety disorders

Question 43

alcohol use sensitive indicator

Answer 43

GGT