Psych

Question 1

post-op constipation and/or respiratory depression

Answer 1

opioids

Question 2

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

Answer 2

cocaine or amphetamine withdrawal

Question 3

pinpoint pupils.n/v, seizures

Answer 3

opioid overdose

Question 4

belligerence, impulsiveness, nystagmus, homicidal ideations, psychosis

Answer 4

PCP

Question 5

HA, anxiety/depression, weight gain

Answer 5

nicotine or caffeine withdrawal

Question 6

anxiety/depression, delusions, hllns, flashbacks

Answer 6

LSD intoxication

Question 7

euphoria, social withdrawal, impaired judgement, hllns

Answer 7

marijuana intoxication

Question 8

rebound anxiety, tremors, seizures, lifethreatening

Answer 8

withdrawal from alcohol, benxodiazepines, or barbiturates

Question 9

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

Answer 9

opioid withdrawal

Question 10

treat alcohol OD

Answer 10

IVF, respiratory/ blood alcohol monitoring, time

Question 11

Benzodiazepine overdose

Answer 11

flumezanil

Question 12

treat PCP OD

Answer 12

benzodiazepines, haloperidol

Question 13

treat opioid overdose

Answer 13

naloxone, naltrexone

Question 14

visual hlln

Answer 14

more common in medical illness

Question 15

aud hlln

Answer 15

psychiatric illness

Question 16

olfactory hlln

Answer 16

seizure

Question 17

alcohol

Answer 17

tactile hlln, aka formication

Question 18

hypnogogic hlln

Answer 18

while going to sleep, often auditory

Question 19

hypnopompic

Answer 19

morning hllns, while awakening

Question 20

schizophrenia

Answer 20

smaller brain, enlarged ventricles, toxic exposures early in life?
genetic predisposition
environmental risk factors include exposure to psychoactive substances during adolescence and young adulthood

psychosis
DECLINE IN FUNCTION LASTING AT LEAST 6 months

> 2 of these 5 positive sx, and one must be of the first 3 listed (hlln, delusions, disorganized speech)
Positive: thought to be due to increased DA in the mesolimbic pathway
1. delusions,
2. hllns,
3. disorganized speech,
4. grossly disorganized or
5. catatonic behavior (frozen, or hyperactive purposeless movements called automatisms)

negative symptoms: may be because of decreased dopamine in mesocortical tract

1. flat affect
2. social withdrawal
3. avolition
4. alogia
5. thought blocking
6. poor grooming

presents earlier in men
increased risk of suicide
no subtypes in DSMV

if less than 6 months, then

Question 21

schizoaffective disorder

Answer 21

pure psychosis for 2 weeks (psychotic symptoms for at least 2 week in absence of mood disorder)

also a period of time with combined mood and psychosis. Time period with psychosis and major mood disorder episode at the same time

If primary issue is depression (less than 2 weeks psychosis), then this is called major depression with psychotic features

Question 22

schizoid personality disorder

Answer 22

schizoids avoid

Question 23

schizotypal personality disorder

Answer 23

odd thinking and strange behavior

Question 24

delusional disorder

Answer 24

fixed, persistent delusional belief system lasting > 1 month

functioning is not impaired

Question 25

folie a deux

Answer 25

shared delusion, among multiple people