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DIT > Psych > Flashcards

Psych Flashcards

1
Q

chronic hair pulling common in young girls

A

trichotillomania (hair pulling disorder in DSM V)

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2
Q

meds for ADHD

A

methylphenidate (Ritalin) most common
dextroamphetamine (Adderral)
atomoxetine: norepi reuptake inhibitor

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3
Q

impairments in social interactions, communications, play, repetitive behaviors

A

autism spectrum

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4
Q

ignoring the basic rights of others

A

conduct disorder

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5
Q

characterized by hostility, annoyance, vindictiveness, disobedience, and resentfulness

A

oppositional defiant disorder

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6
Q

multiple motor and vocal tics

A

Tourette’s

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7
Q

impulsive and inattentive

A

ADHD

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8
Q

7 yo that avoids going to school to stay home with parent

A

separation anxiety disorder

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9
Q

electrolyte changes in pts with excessive purging

A

hypokalemic, hypochloremic metabolic alkalosis

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10
Q

diagnosis of anorexia nervosa

A

distorted body image
intense fear of gaining weight
refusal to maintain normal body weight

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11
Q

criteria for binge-eating disorder

A

episodes of eating with sense of lack of control
plus 3/5: eating faster, eating until uncomfortably full, eating large amounts when not hungry, eating alone, feeling badly about it
at least 1x week for 3 months

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12
Q

most common medication for bulimia nervosa

A

SSRI (fluoxetine)

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13
Q

Wernicke-korsakoff syndrome

A

Wernicke (acute): confusion, ophthalmoplegia, and ataxia
Korsakoff (chronic): irreversible memory loss, confabulations, personality change
caused by thiamine deficiency
gets worse with administration of glucose
damage to mammillary bodies common

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14
Q

stages of behavioral change

A 
precontemplation
contemplation
preparation/determination
action/willpower
maintenance
relapse
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15
Q

alcohold withdrawal

A

benzodiazepines

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16
Q

most effective treatment for alcohol abuse

A

alcoholics anonymous

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17
Q

atrophy of the mammillary bodies

A

Wernicke encephalopathy

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18
Q

post op constipation and/or respiratory depression

A

opioid intox

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19
Q

severe depression, headache, fatigue, insomnia/hypersomnia, hunger

A

cocaine or amphetamine withdrawal

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20
Q

pinpoint pupils, N/V, seizures

A

opioid overdose

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21
Q

belligerence, impulsiveness, nystagmus, homicidal ideations, psychosis

A

PCP overdose

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22
Q

headache, anxiety/depression, weight gain

A

nicotine/caffeine withdrawal

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23
Q

anxiety/depression, delusions, hallucinations, flashbacks

A

LSD intox

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24
Q

euphoria, social withdrawal, impaired judgment, hallucinations

A

marijuana intox

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25
Q

rebound anxiety, tremors, seizures, life-threatening

A

alcohol, benzodiazepines, barbiturate withdrawal

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26
Q

anxiety, piloerection, yawning, fever, rhinorrhea, nausea, diarrhea

A

opioid withdrawal

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27
Q

treatment of alcohol intoxication

A

IVF, respiratory monitoring

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28
Q

treatment of benzodiazepine intoxication

A

flumazenil (watch for seizures)

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29
Q

treatment of PCP intoxication

A

benzodiazepines, haloperidol

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30
Q

treatment of opioids intoxication

A

naloxone, naltrexone

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31
Q

use amphetamines to treat

A

ADD, narcolepsy/sleep disorders, obesity

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32
Q

positive symptoms of schizophrenia

A 
caused by increased DA in mesolimbic pathway
delusions
hallucinations (usually auditory)
disorganized speech
disorganized or catatonic behavior
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33
Q

negative symptoms of schizophrenia

A 
caused by decreased DA in mesocortical tract
flat effect
social withdrawal
lack of motivation (avolition)
lack of speech (alogia) or thought
34
Q 
how long must symptoms last:
schizophrenia
delusional disorder
brief psychotic disorder
schizophreniform disorder
A

schizophrenia > 6 months
delusional disorder > 1 month
brief psychotic disorder < 1 month
schizophreniform disorder 1-6 months

35
Q

hallucination

A

perception in absence of external stimuli

36
Q

delusion

A

false belief that continues despite proof against it

37
Q

illusion

A

misinterpret something that is actually there

thinking tree limb outside window is someone’s are trying to reach through

38
Q

high potency neuroleptics

A

haloperidol, fluphenazine, trifluoperazine, loxapine, thioridazine
can use Try to Fly High for trifluoperazine, fluphenazine and haloperidol

39
Q

low potency neuroleptics

A

chlorpromazine

thioridazine

40
Q

atypical antipsychotics

A

olanzapine, clozapine, quetiapine, risperidone, aripiprazole

41
Q

what antipsychotic is associated with increased risk for diabetes

A

olanzapine

42
Q

what antipsychotic is associated with increased risk for agranulocytosis

A

clozapine

43
Q

what antipsychotic is associated with treating Parkinson’s drug psychosis

A

quetiapine

44
Q

rigidity, myoglobinuria, autonomic instability (tachycardia), hyperpyrexia, delirium

A

neuroleptic malignant syndrome

45
Q

manic episode

A

excessive goal-directed energy for at least 1 week

46
Q

how to diagnose manic episode

A 
3 of DIG FAST
Distractibility
Irresponsibility (pleasure without consequence)
Grandiosity (inflated self esteem)
Flight of ideas
Activity/Agitation increased
Sleep decreased
Talkative
47
Q

bipolar

A

at least one manic episode (type I) or one hypomanic episode with depression (type II)
depression will always occur at some point with type 1
antidepressives can increase mania
high suicide risk

48
Q

side effects of lithium

A 
LMNOP
Movement (tremors) most frequent
Nephrogenic diabetes insipidus (blocks aquaporins)
HypOthyroidism
Pregnancy problems (ebstein anomaly)
49
Q

major depressive disorder

A 
anhedonia plus at least 5 of SIGECAPS for 2 weeks
Sleep disturbance
loss of Interest
Guilt or feelings of worthlessness
loss of Energy
loss of Concentration
Appetitie/weight changes
Psychomotor retardation or agitation
Suicidal ideations
Depressed mood
50
Q

screening tool for suicide

A 
SAD PERSONS
Sex (male)
Age (teenager or elderly)
Depression
Previous attempt
Ethanol or drug use
loss of Rational thinking
Sickness (major medical illness or a lot of prescriptions)
Organized plans
No spouse (divorced, widowed, or single)
Social support lacking
51
Q

presentation of major depressive disorder with atypical features

A 
SIGECAPS and
hyperphagia
hypersomnia
mood reactivity
rejection hypersensitivity
52
Q

mild depression for 6 years. What’s the diagnosis

A

persistent depressive disorder (used to by dysthymia)

53
Q

treatment for serotonin syndrome

A

benzodiazepines are first line

cyproheptadine (5-HT2 receptor antagonist)

54
Q

SE effect of priapism

A

trazodone

55
Q

lowers the seizure threshold

A

bupropion, TCA

56
Q

works will with SSRIs and increases REM sleep

A

trazodone

57
Q

appetite stimulant that is likely to result in weight gain

A

mirtazapine

58
Q

can be used for smoking cessation

A

bupropion

59
Q

can be used for bedwetting children

A

imipramine

60
Q

symptoms of TCA overdose

A

convulsions, coma, cardiotoxicity

61
Q

symptoms of serotonin syndrome

A

muscle rigidity, hyperthermia, cardiovascular collapse

62
Q

ingesting tyramine while on MAOIs

A

HTN crisis, hemorrhagic stroke

63
Q

Panic disorder symptoms

A 
PANICS
palpitations, parasthesias
abdominal distress
nausea
intense fear of dying or losing control
Chest pain, chills, choking
sweating, shaking, shortness of breath
64
Q

unexplained pain

A

somatic symptom disorder with predominant pain

65
Q

patient with normal anatomy is convinced a part of their appearance is abnormal

A

body dysmorphic disorder

66
Q

unexplained loss of sensory or motor function (tests and PE are negative)

A

conversion disroder

67
Q

unwavering belief by the patient that she has a specific disease (despite medical reassurance)

A

illness anxiety disorder

68
Q

unexplained complaints in multiple organ systems

A

somatic symptom disorder

69
Q

treat generalized anxiety disorder

A

buspirone

70
Q

consciously fakes or claims to have a disorder to get a secondary gain

A

malingering

71
Q

consciously creates physical or psychological symptoms to assume sick role and get primary gain

A

factitious disorder

72
Q

Munchausen’s syndrome

A

chronic factitious disorder with history of multiple hospital admins or invasive procedures

73
Q

voluntarily choosing not to think about a piece of bad news

A

suppression

74
Q

not acknowledging a piece of bad news, as though it was never said

A

denial

75
Q

involuntarily withholding of a feeling from conscious awareness

A

repression

76
Q

veteran who can describe horrific war details without any emotion

A

isolation

77
Q

child abuser was himself abused as a child

A

identification

78
Q

man yells at his family when he has a bad day at work

A

displacement

79
Q

8 year old girl who is being bullied starts carrying around security blanket again

A

regression

80
Q

cluster A personality disorders

A

weird

paranoid, schizoid, schizotypal

81
Q

Cluster B personality disorders

A

wild

antisocial, borderline, histrionic, narcissistic

82
Q

Cluster C personality disorders

A

worried

avoidant, obsessive-compulsive, dependent

DIT (28 decks)

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