Psych Flashcards

1
Q

anabolic (androgenic) steroid –> effect

A
  • increase aggression
  • mood/beh change
  • accelerated male pattern bald
  • gynecomastia
  • decrease testicle size & sperm count –> virilization
  • acne
  • hepatic dysfx
  • altered lipid profile
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2
Q

narcissistic personality disorder –> charact

A
  • exagg sense of self-importance
  • need for admiration
  • grandiosity
  • lack of empathy
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3
Q

acute stress disorder –> duration for dx?

A

> 3day but <1mo

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4
Q

PTSD –> duration for dx?

A

> 1mo

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5
Q

conversion disorder: charact

A
  • sudden onset of neuro ssx w/out neuro condition
  • often precipitated by stress
  • hysterical or strangely indiff to ssx
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6
Q

conversion disorder –> first line tx

A

education & self-help

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7
Q

somatic symptom disorder: charact

A
  • persistent physical ssx

- disproportionate & excessive anxiety, concern, energy devoted to ssx

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8
Q

antipsych –> EPS –> acute dystonia –> tx?

A
  • antichol (benztropine)

- antihist (diphenhydramine)

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9
Q

GAD –> duration for dx?

A

> 6mo

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10
Q

cyclothymic disorder –> how long for dx?

A

> 2yr

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11
Q

schizophrenia –> neuroimage finding?

A

lat ventricle enlrg

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12
Q

baseline test before start lithium?

A
  • Ca
  • renal fx
  • thyroid fx
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13
Q

sleep terror –> occur during what part of sleep?

A

non-REM

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14
Q

sleep terror –> charact?

A
  • not fully awake
  • cry/scream –> inconsolable
  • fear
  • no memory of incident
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15
Q

HIV-assoc dementia –> who? CD4 count?

A
  • untrted HIV w CD4 <200

- long standing HIV

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16
Q

narcolepsy –> charact (5)

A
  • excessive daytime sleepy
  • cataplexy
  • hypnagogic/hypnopompic hallucination
  • sleep paralysis
  • low CSF orexinA/hypocretin1
17
Q

somatic symptom disorder vs illness anxiety disorder

A

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

18
Q

OCD: tx

A
  • SSRI

- CBT: exposure & response prevention

19
Q

what is exposure & response prevention

A

repeat exposure to thoughts, images, & situations that provoke obsessional fears –> prevent accompanying compulsion

20
Q

schizophreniform vs schizoaffective

A

schizophreniform: like schizophrenia but duration 1-6mo (schizophrenia >6mo)
schizoaffective: schizophrenia + mood disorder (bipolar, depression)

21
Q

neuroleptic malig synd –> next step?

A

1) #1 d/c antipsych

2) if not respond to d/c antipysch & supportive care –> dantrolene, dopamine agonist (bromocriptine, amantadine)

22
Q

neuroleptic malig synd –> lab findings?

A
  • elevated creatine kinase

- leukocytosis

23
Q

risperidone –> tardive dyskinesia –> next step?

A

switch to clozapine

24
Q

bipolar –> severe episodes –> 1st line maintenance tx?

A

combined tx: lithium/valproate + SGA

25
Q

anorexia nervosa –> tx?

A
  • nutritional rehab

- psychotx

26
Q

MDMA intox –> ssx? sequela?

A
  • HTN
  • tachycardia
  • hyperthermia
  • serotonin synd
  • hypoNa
  • coma
  • sz
  • death
27
Q

somatic symptom disorder –> tx

A
  • regularly scheduled visits w same provider
  • avoid unnecess tests, referrals
  • focus on stress reduction & improve coping
28
Q

increase antipsych –> akasthesia –> next step?

A

decrease antipsych dose + BB/benztropine/benzo