Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Panre > Psych > Flashcards

Psych Flashcards

0
Q

Worse than blues, also has sleep disturbances and change in appetite. Lasts months after giving birth.

A

Postpartum depression

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
1
Q

Common in 50-70% of women after birth. Starts in first few days and resolves in 2 wks. Increased tearfulness, restlessness and anxiety. Tx is support and reassure

A

Postpartum blues

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Severe anxiety after giving birth with agitation, disordered thoughts, confusion and may harm child. Hospitalize.

A

Postpartum mania or psychosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

PMDD

A

PMS with more sever sx. Treatment with SSRI

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is the initial assessment for a suspected antifreeze ingestion?

A

Examine urine with woods lamp.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Withdrawal characterized with dysphoric mood, n/ v, muscle aches, yawning, diarrhea, lacrimation, rhinorrhea, sweating, fever and insomnia

A

Opioid withdrawal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Withdrawal with autonomic hyperactivity, hand tremor, insomnia, hallucinations, psychomotor agitation, seizures and anxiety

A

Xanax withdrawal (benzo)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Withdrawal with fatigue, unpleasant dreams, insomnia, hypersomnia, increased appetite, psychomotor retardation, anxiety

A

Amphetamine withdrawal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Withdrawal with fatigue, unpleasant dreams, insomnia, increased appetite, psychomotor retardation, anxiety

A

Amphetamine or cocaine withdrawal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Atypical antipsychotic used in resistant schizophrenia. Can cause agranulocytosis, seizures, myocarditis, and psychosis.

A

Clozapine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Disorder when Physical sx are constant with true illness but are under voluntary control of the patient. May have secondary gains.

A

Fictitious disorder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

First line med in depression?

A

SSRI

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

MAOI (phenelzine) contraindicated in patients who take () because it may cause delirium, hyperpyrexia, convulsions and HTN.

A

Meperidine (Demerol)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Causes microcephaly, short palprable fissure, cardiac defects, large ears, under sized jaw and small eyes.

A

Fetal alcohol syndrome

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Panic disorder treatment.

A

Cognitive behavior therapy (exposing patient to offending stimuli) along with SSRI

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Institutionalized patient presents with polyuria, vomiting, diarrhea, difficulty concentrating, confusion and lethargy. What could this be?

A

Psychogenic polydipsia.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is acute dystonic reactions!

A

Occur as a result of taking antipsychotics or raglan for over 12 wks. Patients often given an anti cholinergic with the antipsychotic to decrease side effects.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What are they extra pyramidal side effects?

A

Tremor, slurred speech, akathesia, dystonia, anxiety, distress, paranoia, bradyphrenia.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Best treatment for depression after stroke?

A

SSRI

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Side effects of lithium?

A

Nephrogenic diabetes insipidus, thyroid suppression, leukocytosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Withdrawal causing tremors, diaphoresis, hyper reflexes, elevated vital signs and anxiety

A

Alcohol

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Excessive altered mental status, hallucinations, autonomic instability, seizures and death are all sx of excessive withdrawal from?

A

Alcohol, delirium tremens

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Use and side effects of respiridone?

A

Atypical antipsychotic for tx of schizophrenia . Extrapyrimdial effects, tardive dyskinesia, neuroleptic sx.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

What is tardive dyskinesia?

A

Sudden uncontrollable movements of voluntary muscles. Usually mouth tongue cheeks and jaw. Lip smacking, puffing checks, protruding tongue etc.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Akathisia

A

Restlessness and psychomotor agitation from taking antipsychotics or reglan

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Persistent pattern of negative, hostile, defiant behavior towards adults.

A

Oppositional defiant disorder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

Drug that causes aggression, distortion of body image, ataxia, nystagmus, mid dilated pupils, fever, hyper salivation. Treatment?

A

PCP is drug. Treat with diazepam initially…. May need haldol.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

Most common side effect of zyprexa, an atypical antipsychotic?

A

Weight gain contributing to DM2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

What do you give for someone going through heroin withdrawal?

A

Benadryl

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

Disorder when patient develop somatic sx that are not explained by other disorders, usually after a traumatic experience

A

Conversion disorder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

Disorder common in hospitalized elderly. Rapid onset of impaired cognition, changes in LOC, disturbances in attention and psychomotor activity.

A

Delirium

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

Luvox/fluvoxamine

A

SSRI

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

Side effects of TCA?

A

Blurred vision, mydriasis, dry mouth, ortho static hypotension, weight gain, urinary retention, prolonged t wave

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

Personality disorder described as instability in personal relationships, poor self image, impulsivity, recurrent suicidal behavior, chronic feelings of emptiness, paranoid ideation, cutting, substance abuse and sexual promiscuity.

A

Borderline personality

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

Personality disorder who is distrustful or suspicious, fear of confiding in others, perceive threats everywhere, socially isolated, avoids intimacy, prides on being rational and objective but appears unemotional and hyper vigilant.

A

Paranoid personality disorder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

Personality: detached with limited emotional expression, indifferent and little interest in sex, works alone with no friends, enjoys solitary pursuits, can’t deal with strong emotion,

A

Schizoid personality disorder, schizoid/avoid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

Personality with magical thinking, believes in ESP, behavioral eccentricities, discomfort with close relationships, unusual beliefs outside of the norm, may talk to self in public or have vague speech

A

Schizotypal personality disorder, typal/magical

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

Personality: disregard for others, behavior violates others, lack of remorse or empathy, law breakers, lying, must be over 18, hostile, may appear charming

A

Antisocial personality disorder (serial killers)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
38
Q

Personality disorder with unstable self image, unstable relationships, rage, despair. Have difficulty knowing between fantasy and reality, rapid mood swings, impulsivity, usually substance abuse

A

Borderline personality disorder (think crazy fan)

39
Q

Personality with excessive attention seeking, center of attention, influenced easily, provocative. Overly concerned with appearance and may be perceived as vain. Threatened by anything that threatens sense of physical attractiveness.

A

Histrionic personality disorder

40
Q

Personality that needs praise or admiration. Entitled, conceited, arrogant with a lack of empathy. Self important, blind ambition, fantasy of unlimited success, they are special

A

Narcissistic personality disorder

41
Q

Personality that is submissive and has an excessive need to be cared for. Will not initiate anything, fear that illness leads to abandonment, clingy, may agree with everyone, right or wrong

A

Dependent personality disorder

42
Q

Personality that desires close relationships but avoids them, intense feelings of inadequacy, sensitive to criticism, fears rejection and humiliation,

A

Avoidant personality disorder

43
Q

Personality who is a perfectionist. Require order and control. Attentions to detail impairs ability to finish projects. * patient thinks that obsessions or compulsions are NORMAL.

A

Obsessive compulsive personality disorder

44
Q

How long must one have sx before a dx of schizophrenia can be given?

A

6 months

45
Q

Disease associated with auditory hallucinations, bizarre delusions, disorganized speech, catatonic behavior, social withdrawal, lack of emotion, lack of communication and lack of reactivity…. Must have functional decline

A

Schizophrenia

46
Q

This type of schizophrenia had delusions of persecution or grand urge, is tense suspicious and guarded

A

Paranoid schizophrenia

47
Q

This type of schizophrenia is when one regresses to a primitive state, has unorganized behavior, and inappropriate emotional response

A

Disorganized schizophrenia

48
Q

This schizophrenia is rare and has marked decrease in motor function, stupor, rigidity and posture.

A

Catatonic

49
Q

How do you treat schizophrenia?

A

Psychosocial rehab and antipsychotics.

50
Q

Haloperidol

A

First gen antipsychotic, can cause extrapyrimidal side effects.

51
Q

Clozapine

A

2nd gen atypical antipsychotic, can cause agranulocytosis

52
Q

Risperidone

A

2nd gen atypical antipsychotic, can cause increase in prolactin levels

53
Q

Olanzapine

A

2nd gen atypical antipsychotic, can cause weight gain

54
Q

Disorder that can cause multiple issues and multiple sx. Poly surgery is a feature, multiple physical complaints that MUST cause significant role impairment. 4 pain, 2 GI, 1 sexual, 1 pseudo neurological complaint.

A

Somatization disorder

55
Q

Disorder resulting in a loss or change in sensory or motor function. Suggestive of physical disorder but caused by psychological factors. Usually have depression/anxiety disorder. NOT intentional. Rule out medical causes first.

A

Conversion disorder

56
Q

Disorder with long hx of severe pain not consistent with clinical findings. Pain is the cause of all life troubles. Women more than men, poor prognosis.

A

Pain disorder (somatoform pain disorder)

57
Q

A fear or belief that one had a serious undisguised dz, patients doctor shop when they get the “wrong” diagnosis of normal.

A

Hypochondriasis

58
Q

Self induced sx or false lab or physical exam results, usually women with medical background

A

Fictitious disorder

59
Q

Parent creates illness in child to maintain relationship with clinician

A

Munchausen by proxy

60
Q

Disorder with refusal to maintain a normal weight. Loses weight, introverted, feels in control with food, abuses laxatives.

A

Anorexia

61
Q

A binge eater followed by behavior to prevent weight gain. Minor weight changes, extroverted, shame, feels out of control with food.

A

Bulemia

62
Q

Treatment of eating disorder?

A

Psychotherapy and cognitive behavior therapy, fluoxetine for bulimia, NO Wellbutrin!

63
Q

Childhood disorder with impairment in areas of development and social skills, communication skills,

A

Autism, refer to specialty care

64
Q

Distractibility, short attention span, hyperactive and impulsive. Must be present in greater than 1 setting, l,onager than 6 months and onset before age 7.

A

ADHD with behavior modification and stimulant drugs

65
Q

A persistent patter of negative, hostile, defiant behaviors toward adults. Arguments, temper, deliberate annoyance, hx of school and family conflict, low self esteem, mood lability

A

Oppositional defiant disorder, tx with behavior therapy

66
Q

Hx of social and academic difficulty, defies authority, fights, throws tantrums, fails in ,school, sets fires, steals, cruel to animals and people. Sexually aggressive, no guilt or remorse. Poor prognosis and must be under 18.

A

Conduct disorder

67
Q

Inherited disorder with onset in childhood, unknown cause of tics or vocal tics

A

Tourette syndrome, tx with atypical neuroleptics like respiridone, haldol and clonadine

68
Q

How do antipsychotics work.

A

Block dopamine receptors, effective in treating positive sx.

69
Q

Side effects of antipsychotics?

A

Restlessness, weight gain, anti cholinergic (dry mouth, constipation, urinary retention)

70
Q

How does an SSRI work?

A

Binds to serotonin reputable proteins inhibiting the reuptake, onset up to 6 wks.

71
Q

SNRI mechanism of action?

A

Inhibits the reuptake of serotonin and norepinephrine, treats major depression, mod disorders, OCD, use with caution I. HTN and with St. John’s wort. Effexor, cymbalta, pristiq

72
Q

What is the MAOI mechanism of action?

A

Inhibits presynaptic mono amine oxidase which catabolizes norepinephrine dopamine and serotonin

73
Q

What do you avoid eating when taking an MAOI?

A

Aged cheese, beer, red wine,

74
Q

What is the mechanism of action of bupropion?

A

Inhibits the uptake of dopamine and norepinephrine

75
Q

Bupropion is contraindicated when?

A

In patients with seizure risk, decreases the seizure threshold.

76
Q

When do you use benzodiazepines?

A

Used for anxiety, agitation, insomnia, augments the GABA function in the lymbic system.side effects are drowsiness and respiratory depression.

77
Q

What is the use of buspirone (buSpar)?

A

Tx for generalized anxiety disorder, takes weeks to not improvement, side effects are dizziness, nervousness and nausea

78
Q

Use for lithium?

A

Mood stabilizer, must monitor levels on a regular basis, adjust dose with renal decline

79
Q

Side effects of lithium?

A

Minor- tremor, wt gain, polyuria, GI distress, acne

Major- ataxia, confusion, course tremor, coma, sinus arrhythmia, teratogenicity, death

80
Q

Chronic mental illness with psychosis, disorganized speech, auditory hallucinations, thought disorder, delusions for over 6 months, function decline, begins in 20’s

A

Schizophrenia

81
Q

Bipolar 1 disorder

A

At least one manic episode, a period of elevate or irritable mood with grandiosity, flight of ideas, racing thoughts, decreased need for sleep, excessive pleasurable activity

82
Q

Brief psychotic disorder

A

Psychotic sx last greater than 1 day and less than one month, may follow a stressor

83
Q

Delusional disorder

A

Non bizarre delusions for at least one month

84
Q

Schizophreniform disorder

A

Schizophrenia lasting more than one month but less than 6 months

85
Q

What lab tests are required during long term lithium treatment?

A

TSH every 6 months

86
Q

Describe PCP intoxication

A

Nystagmus, flushing, sweating, distortions of body image, disorganized thinking, irritability, anger

87
Q

Common drug that causes depression

A

Propranolol

88
Q

Side effects of captropril?

A

Cough, rash, fever, hyperkalemia

89
Q

Captopril contraindications?

A

Bilateral renal artery stenosis

90
Q

Side effects of furosemide?

A

Potassium depletion hyperglycemia , hyperuremicemia, ypocalcemis

91
Q

Furosemide contraindicated in?

A

Hyperuricemia, gout, primary aldosteronism

92
Q

Side effects of minoxidil?

A

Hair growth, tachycardia, fluid retention

93
Q

Minoxidil contraindications?

A

Patients with severe coronary artery disease.

94
Q

Overdose of benzo? (Valium, lorazepam, diazepam)

A

Give flumazemil 0.2mg IV

Panre (18 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions