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USMLE REVIEW > Psych > Flashcards

Psych Flashcards

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USMLE® Step 1 flashcards
1
Q

Delusion vs. Hallucinations

A

Delusion = false beliefs that persist despite proof of the contrary

Hallucinations = perceive something without any external stimulus

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2
Q

SE of low potency typical antipsychotics

A

Anticholinergic SE

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3
Q

Two low potency typical antipsychotics

A

Chlorpromazine

Thioridazine

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4
Q

SE of high potency typical antipsychotics

A

Extra pyramidal syndrome = Dyskinesia

Neuroleptic malignant syndrome

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5
Q

SIDE EFFECT OF CLOZAPINE?***

A

Agranulocytosis

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6
Q

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

A

Olanzapine

*atypicals

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7
Q 
Fever
Muscle Rigidity
Altered mental state
Rhabdomyolysis
Autonomic Instability

On a high potency neuroleptic (typical antipsychotic)

A

Neuroleptic Malignant Syndrome

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8
Q

Tx for neuroleptic malignant syndrome?

A

Dantrolene

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9
Q

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

A

Greater than 1 week

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10
Q

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

A

“DIG FAST”

Distractibility
Irresponsibility
Grandiosity
Flight of Ideas
Activity/Agitation
Sleep (less need)
Talkativeness (pressured speech)
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11
Q

Which is worse oppositional defiant disorder or conduct disorder?

A

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

ODD = disobedient and hostile behavior

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12
Q

Tx for ADHD

A

Methylphenidate

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13
Q

Impairments in social interactions/communication./play repetitive behaviros

A

Autism Spectrum

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14
Q

Ignoring basic rights of others

A

Conduct disorder

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15
Q

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

A

Oppositional defiant disorder

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16
Q

Multiple motor and vocal tics

A

Tourettes

17
Q

Impulsive and inattentive

A

ADHD

18
Q

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

A

Separation Anxiety disorder

19
Q

Difference between displacement and projection

A

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

20
Q

Fixation vs. Regression

A

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

21
Q

Repression vs. suppression

A

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

22
Q

What are the 4 mature ego defenses?

A

Altruism
Humor
Sublimation
Suppression

23
Q

Differences between Avoidant and Schizoid?

A

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

Avoidant = worried about rejection, desires relationships, often lonely

24
Q

Medical treatment for alcohol withdrawal

A

Benzodiazepines

25
Q

When does delirium tremens occur?

A

Begin 2-3 days after cessation of alcohol

Tx: benzodiazepines

26
Q

Pinpoint pupils
Nausea/Vomiting
Seizures

A

Opioids Intoxication (morphine/ heroin)

Tx: Flumazenil

27
Q 
Pupillary dilation
Tachycardia, HTN
Anorexia
Paranoia
Prolonged wakefulness and attention
A

Amphetamines intoxication

28
Q 
Anxiety
Depression
Delusions
Hallucinations
FLASHBACKS
A

LSD intoxication

29
Q 
Belligerence
Impulsiveness
Nystagmus
Homicidal ideation
Psychosis
A

PCP intoxication

30
Q 
Severe depression
Headache
Fatigue
Insomnia or hypersomnia
Hunger
A

Cocaine or amphetamine withdrawl

31
Q

Defense mechanism = involuntary withholding of a feeling from conscious awarenesss

A

Repression

32
Q

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

A

Isolation

33
Q

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

A

Identification

34
Q

defense mechanism that underlies all other defense mechanisms

A

Repression

35
Q

Defense mechanism may lead to multiple personalities

A

DIssociation

36
Q

Defense mechanism = adult whinning, bedwetting, crying

A

Regression

USMLE REVIEW (25 decks)

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