Psych Flashcards
anabolic (androgenic) steroid –> effect
- increase aggression
- mood/beh change
- accelerated male pattern bald
- gynecomastia
- decrease testicle size & sperm count –> virilization
- acne
- hepatic dysfx
- altered lipid profile
narcissistic personality disorder –> charact
- exagg sense of self-importance
- need for admiration
- grandiosity
- lack of empathy
acute stress disorder –> duration for dx?
> 3day but <1mo
PTSD –> duration for dx?
> 1mo
conversion disorder: charact
- sudden onset of neuro ssx w/out neuro condition
- often precipitated by stress
- hysterical or strangely indiff to ssx
conversion disorder –> first line tx
education & self-help
somatic symptom disorder: charact
- persistent physical ssx
- disproportionate & excessive anxiety, concern, energy devoted to ssx
antipsych –> EPS –> acute dystonia –> tx?
- antichol (benztropine)
- antihist (diphenhydramine)
GAD –> duration for dx?
> 6mo
cyclothymic disorder –> how long for dx?
> 2yr
schizophrenia –> neuroimage finding?
lat ventricle enlrg
baseline test before start lithium?
- Ca
- renal fx
- thyroid fx
sleep terror –> occur during what part of sleep?
non-REM
sleep terror –> charact?
- not fully awake
- cry/scream –> inconsolable
- fear
- no memory of incident
HIV-assoc dementia –> who? CD4 count?
- untrted HIV w CD4 <200
- long standing HIV
narcolepsy –> charact (5)
- excessive daytime sleepy
- cataplexy
- hypnagogic/hypnopompic hallucination
- sleep paralysis
- low CSF orexinA/hypocretin1
somatic symptom disorder vs illness anxiety disorder
somatic symptom disorder: excessive anxiety & preoccupation w >1 unexplained ssx
illness anxiety disorder: fear of having a serious illness despite few or no symptoms and consistently negative evaluations
OCD: tx
- SSRI
- CBT: exposure & response prevention
what is exposure & response prevention
repeat exposure to thoughts, images, & situations that provoke obsessional fears –> prevent accompanying compulsion
schizophreniform vs schizoaffective
schizophreniform: like schizophrenia but duration 1-6mo (schizophrenia >6mo)
schizoaffective: schizophrenia + mood disorder (bipolar, depression)
neuroleptic malig synd –> next step?
1) #1 d/c antipsych
2) if not respond to d/c antipysch & supportive care –> dantrolene, dopamine agonist (bromocriptine, amantadine)
neuroleptic malig synd –> lab findings?
- elevated creatine kinase
- leukocytosis
risperidone –> tardive dyskinesia –> next step?
switch to clozapine
bipolar –> severe episodes –> 1st line maintenance tx?
combined tx: lithium/valproate + SGA
anorexia nervosa –> tx?
- nutritional rehab
- psychotx
MDMA intox –> ssx? sequela?
- HTN
- tachycardia
- hyperthermia
- serotonin synd
- hypoNa
- coma
- sz
- death
somatic symptom disorder –> tx
- regularly scheduled visits w same provider
- avoid unnecess tests, referrals
- focus on stress reduction & improve coping
increase antipsych –> akasthesia –> next step?
decrease antipsych dose + BB/benztropine/benzo
