Psych

Question 1

Delusion vs. Hallucinations

Answer 1

Delusion = false beliefs that persist despite proof of the contrary

Hallucinations = perceive something without any external stimulus

Question 2

SE of low potency typical antipsychotics

Answer 2

Anticholinergic SE

Question 3

Two low potency typical antipsychotics

Answer 3

Chlorpromazine

Thioridazine

Question 4

SE of high potency typical antipsychotics

Answer 4

Extra pyramidal syndrome = Dyskinesia

Neuroleptic malignant syndrome

Question 5

SIDE EFFECT OF CLOZAPINE?***

Answer 5

Agranulocytosis

Question 6

Which antipsychotic is most closely associated with an increased risk of diabetes?

Answer 6

Olanzapine

*atypicals

Question 7

Fever
Muscle Rigidity
Altered mental state
Rhabdomyolysis
Autonomic Instability

On a high potency neuroleptic (typical antipsychotic)

Answer 7

Neuroleptic Malignant Syndrome

Question 8

Tx for neuroleptic malignant syndrome?

Answer 8

Dantrolene

Question 9

How long does mania need to occur to be a manic episode?

Answer 9

Greater than 1 week

Question 10

7 criteria for a manic episode…. need at least 3

Answer 10

“DIG FAST”

Distractibility
Irresponsibility
Grandiosity
Flight of Ideas
Activity/Agitation
Sleep (less need)
Talkativeness (pressured speech)

Question 11

Which is worse oppositional defiant disorder or conduct disorder?

Answer 11

Conduct disorder! = ignoring basic rights of others, and societal norms

ODD = disobedient and hostile behavior

Question 12

Tx for ADHD

Answer 12

Methylphenidate

Question 13

Impairments in social interactions/communication./play repetitive behaviros

Answer 13

Autism Spectrum

Question 14

Ignoring basic rights of others

Answer 14

Conduct disorder

Question 15

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

Answer 15

Oppositional defiant disorder

Question 16

Multiple motor and vocal tics

Answer 16

Tourettes

Question 17

Impulsive and inattentive

Answer 17

ADHD

Question 18

7 year old that avoids going to school to stay home with parent

Answer 18

Separation Anxiety disorder

Question 19

Difference between displacement and projection

Answer 19

Displacement = transferring avoided ideas and feelings to a neutral person or object = yelling at kids cuz boss yelled at you earlier

Projection = Attributing an unacceptable internal impulse to an external source = man who wants another woman thinks his wife is cheating on him

Question 20

Fixation vs. Regression

Answer 20

Fixation = partially remaining at a more childish level of development = adult fixating on video games

Regression = Turning back maturation clock = bedwetting in a previously potty trained child

Question 21

Repression vs. suppression

Answer 21

Repression = involuntarily withholding an idea or feeling from conscious awareness (immature defense) = not remembering being abused

Suppression = intentionally withholding an idea from conscious awareness = choosing not to worry about big game until time to play

Question 22

What are the 4 mature ego defenses?

Answer 22

Altruism
Humor
Sublimation
Suppression

Question 23

Differences between Avoidant and Schizoid?

Answer 23

Schizoid’s avoid! social withdrawl, want to be by themselves

Avoidant = worried about rejection, desires relationships, often lonely

Question 24

Medical treatment for alcohol withdrawal

Answer 24

Benzodiazepines

Question 25

When does delirium tremens occur?

Answer 25

Begin 2-3 days after cessation of alcohol Tx: benzodiazepines

Question 26

Pinpoint pupils Nausea/Vomiting Seizures

Answer 26

Opioids Intoxication (morphine/ heroin) Tx: Flumazenil

Question 27

``` Pupillary dilation Tachycardia, HTN Anorexia Paranoia Prolonged wakefulness and attention ```

Answer 27

Amphetamines intoxication

Question 28

``` Anxiety Depression Delusions Hallucinations FLASHBACKS ```

Answer 28

LSD intoxication

Question 29

``` Belligerence Impulsiveness Nystagmus Homicidal ideation Psychosis ```

Answer 29

PCP intoxication

Question 30

``` Severe depression Headache Fatigue Insomnia or hypersomnia Hunger ```

Answer 30

Cocaine or amphetamine withdrawl

Question 31

Defense mechanism = involuntary withholding of a feeling from conscious awarenesss

Answer 31

Repression

Question 32

Defense mechanism = A veteran can describe horrific war details without any emotion

Answer 32

Isolation

Question 33

Defense mechansim = A child abuser was himself abused as a child

Answer 33

Identification

Question 34

defense mechanism that underlies all other defense mechanisms

Answer 34

Repression

Question 35

Defense mechanism may lead to multiple personalities

Answer 35

DIssociation

Question 36

Defense mechanism = adult whinning, bedwetting, crying

Answer 36

Regression