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PANRE > Psych > Flashcards

Psych Flashcards

1
Q

Mild-mod depression tx

A

CBT is best

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2
Q

Serotonin syndrome

A

Too much of the drug

AMS, neuromuscular change

Potentially life threatening

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3
Q

Cymbalta black box warning

A

Liver failure

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4
Q

Elderly depression treatment

A

Remeron

Bc causes appetite increase and wt gain

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5
Q

MAOIs

A

Tyramine restricted diet – can otherwise cause hypertensive crisis

Interacts with other antidepressants

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6
Q

Avoid What meds in pregnant in pts?

A

St. John’s wort
Paroxetine
Tricyclics
MAOIs

(SSRIs are ok)

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7
Q

First line treatment for depression

A

SSRIs

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8
Q

Bipolar I

A 
Depression w/ at least 1 week of mania - DIG FAST
Distractability 
Insomnia
Grandiose thght
Flight of ideas 
Activity increase
Speech rapid 
Thoughtlessness - no consequences
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9
Q

Bipolar II

A

Hypomania with out psychosis

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10
Q

Bipolar treatment

A

Lithium for mania and lamictal for depression together are good

Depakote for mania , DONT use with lamictal - bad , cause SJS

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11
Q

Somatization

A

Multiple unexplained symptoms in multiple organ systems

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12
Q

Malingering

A

Faking for secondary gain

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13
Q

Anorexia

A

CBT
1/2 - 1 lb wt gain
Inpt treatment
No meds available

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14
Q

Bulimia

A

Purging
Laxatives
Starvation
Exercise

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15
Q

What BMI start to worry for anorexia?

A
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16
Q

What BMI can qualify for gastric bypass?

A

> 40

17
Q

Morbid obesity WITH other risk factors can qualify for surgery with which BMI?

A

> 35

18
Q

Best way to achieve wt loss ?

A

Calories in

19
Q

Best way to Maintain wt ?

A

Exercise

20
Q

SIG E CAPS

A 
Sleep change
interest loss 
Guilt
Energy loss
Concentration issues
Appetite change
Psychomotor slow 
Suicidal ideation
21
Q

Generalized anxiety disorder

Definition:
Tx:

A

Worry out of proportion to what would be expected based on fear

Buspirone ( treats the anxiety, but not the depression)

22
Q

Panic disorder

A

Recurrent panic attacks and fear of having another attack

23
Q

Social anxiety disorder

A

Fear of being perceived negatively by others

24
Q

Obsessive compulsive disorder

A

Persistent intrusive thoughts or stereotyped behaviors

Can be disabling

Tx: therapy , no medications

25
Q

Cluster A personality disorder

A

Paranoid
Schizoid
Schiztypal

26
Q

Cluster B personality disorder

A

Borderline
Antisocial
Histrionic
Narcissistic

27
Q

Cluster C personality disorder

A

Anxious / fearful
Dependent
avoidant
Obsessive compulsive

28
Q

Obsessive compulsive disorder

Vs

OCD personality disorder

A

First is upsetting to pt

Second is not upsetting to pt as they don’t believe they have a problem, the problem is someone else’s.

29
Q

Schizoid

A

Loner

30
Q

Schizotypal

A

Magical thinking, loner

31
Q

Antisocial

A

No remorse

Multiple Arrests

32
Q

Histrionic

A 
Center of attention
Dramatic 
Unstable relationships
Fear of abandonment 
Self mutilation with suicide attempts 
Also with anxiety and depression.
33
Q

Narcissistic

A

Self important
Superior and special
Believe others are envious of them

34
Q

Avoidant

A 
Inadequacy
Can't talk about self
Hypersensitive to criticism 
May avoid situations where could be judged 
Low self esteem
35
Q

Dependent personality disorder

A

Common
Desire to be taken care of
Can’t make decisions on their own

36
Q

OCD personality disorder

A 
Morally inflexible 
Workaholics 
Stubborn and Will not delegate 
Preoccupied w/ orderliness/perfection 
Projects overwhelming
37
Q

Schizophrenia

A

Related to D2 dopamine receptors

38
Q

Antipsychotics side effects

A 
Akathisia 
Parkinsonism 
Tremor
Dystonia
Tardive dyskinesia 
High prolactin

PANRE (20 decks)

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