Psych Flashcards by Boris D

Diagnostic criteria for Phobias is duration of ____

>6 months

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tx for postpartum depression:

Sertaline (SSRI)

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Antisocial PD is often preceeded by:

Conduct disorder in childhood

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In order to be diagnosed with Generalized Anxiety Disorder (GAD)

sx must be present for more than ___ months in order to be

6 months

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Buspar is used for:

Generalized Anxiety Disorder

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Lithium therapy requires

close monitoring of the Li level due to severe neprho and thyroid toxicities

Hypothyroidism

nephrogenic diabetes insipidus)

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Shallow, attention seeking individuals who must be the center of attention. May be seductive. Strong expression of emotion

Histrionic PD

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tx for Panic Disorder:

immediate/acute relief - BENZO

chronic/maintanence - SSRI

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episodes of Mania followed by depressive episodes:

Bipolar I Disorder

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1st line tx for ADD

Stimulants:

Ritalin

Concerta

Adderal

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overdoze of Benzo is tx with:

Flumazenil

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Sedation, lethargy caused by Heroin/Opiates overdoze is tx with:

Narcan

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Recurrent Panic Attack occur

every months or more frequent

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Persisten Depressive Disorder lasting for more than 2 years is known as:

Dysthymic Disorder

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important consideration for Monoamine Oxidase inhibitors:

-ine-

Tyramine restricted diet

No cheese, wine, smoked meats

Risk of HTNive crisie

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odd beliefs, social anxiety

Schizotypycal

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tx for OCD

SSRI + therapy

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elements of PTSD:

Re-Experience

Avoidance

Hyperarousal

Emotional numbness

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Medication contraindicated in Bulimima

Welbutrin/Bupropion

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1st line of tx of Bipolar Disorder is:

Lithium

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deadly Tricyclic antidepressants side effect is:

QR prolongation

ECG screening

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elements of Major Depression Disorder Sx:

Sleep

Interes

Guilt

Energy

Concentration

Appetite

Psychomotor

Suicide

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SSRI use in Anorexia and Bullimia?

Anorexia = SSRI are not indicated

Bulimia=SSRI are useful

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PTSD criteria is continuosly lusting for more than

1 month

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BMI \<17.5 missed periods self emposed startvation intense preoccupation with weight

**Anorexia** Nervosa

Benzodiazapine are long or short term use?

**short term** very addictive

**SSRI** should or should not be used in tx of **Bipolar**

Should **NOT** be used as they cause **Mania episode**

onset of specific phobia is at:

childhood

not being concerned about your sx is known as:

***la belle indifference*** seen in **CONVERSION disorder**

meds to tx PTSD:

**SSRI** prazosin - for nightmares

Marked instability in interpersonal relationships, self image, affect and impulsive control Multiple suicide attempts and self mutilation Splitting - (people are either all good or all bad)

**Borderline PD**

tx for GAD is:

SSRI + Cognitive Behavioral Thearpy

tx of Bipolar is:

**Mood Stabalizer + anti pscychotic**

lead pipe rigidity sweating **increased CPK** in a pt. taking high potency antipsychotics is known as:

**Neurolpetic malignant syndrome**

tx for meth overdoze is:

benzo ## Footnote **benzoMeth**

- tine- - pram- are

SSRI ## Footnote ***pramtine***

**Narcan(Naloxone)** is used to:

reverse opiods used in **Heroin** intoxication **Heroin=Narcan**

**Rigid** preoccupation with order and rules is known as:

Obsessive Compulsive Personality

Fear of having **no escape/public spaces** is known as:

Agarophobia

tx for **_Serotonin Syndrome_** is:

**Aggressive cooling** **Benzidiazepines**

presence of: **Hallucination** **bizarre haviror** **delussions** are known as:

**_Positive_ psychotic** sx.

Inattention Impulsivity Hyperactivity sx present before age 12 y.o

ADD

hormonal changes in eating disorders include:

GH up Cortisol up estrogen down T3 down LH/FSH down

**Refeeding syndrome** can occur due to

**hypophosphatemia**

sx of Meth overdoze:

severe agitation and psychosis

**_OCD vs Obsessive_** Compulsive Personallity Disorder

**OCD \> egodystonic** (does not produce happyness) **OC personallity Diosrder** \> egosystonic (produces joy)

**hyper-startle respone** **hypervigilance** **are indicative of:**

**PTSD**

Recurrent episodes of binge eating **normal body wieght or increased body weight** egodystonic

**Bulimia Nervosa**

best tx for Specific Phobia is:

Desensitization/exposure therapy

**violate the rights** of other people

Antisocial PD

**Severe tremor** or a sudden worsening of an ongoing tremor may be a sign of **acute** ___ toxicity

**Lithium**

lack of Thiamine in alcoholics lead to:

Wernicke's encephalopathy

tx for **hyperarousal** ## Footnote **termor with perfromance anxiety**

beta blockers

tx for Agoraphobia:

SSRI (-tine-) SNRI

negative psychotirc sx (absence of) include

afffect (lack noramal affect) apathy (lack of involvement) anchedonia (lack of joy poor grooming (lack of hygine) social withedrwal (lack of socializing) poor eye contact (lack of eye contact

**Obsessive-Compulsive Disorder:**

Obsessive \> thinking Compulsion\>acting **compulsion relieve obscessions**

Criteria for Major Depression is: SIG E CAPS

**_5 or more, every day, for min of 2 conseq weeks_** Sleep Interest Guilt Energy Concentration Appetite Psychomotor Suicide

**Persisten concern oover further attacks** with maladaptive changes in behavior is known as:

**Panic Disorder**

definition of the **adjustment disorder:**

sx appear w/i 3 month after the stressor and resolve w/in 6 months after the stressor

In **Schizophhreniform Disorder sx last:**

**b/w _1-6_ months**

the purpose of ADD medications is:

Stimulate region of the **brain that govern executive functions** Decrease need to **self-stimulate therefore decreasing hyperactivity**

detached, social withdrawl, loners

**Schizoid**

onset of Autism is at:

**before 3 y.o**

Episodes of major depressive episodes followed by hypomanica episodes **no previous h/o maniac epidsodes** is known as:

Bipolar II

abraded knucles:

Russel sign

lacrymation rhinorrhea sweating are signs of:

Opiods (heroin, oxycodone) withdrawl

Recurrent episodes of binge eating followed by vomiting/laxitive indicative of:

**Bulimia Nervosa**

Schizophrenic sx that last b**/w 1-6** months are known as:

**Schizophhreniform Disorder**

agitation, altered mental status, **fever**, resting tremor, **myoclonic jerk**s, **hyperreflexia,** ataxia in a pt with increased level of Serotonin is suggestive of:

**Serotonin Syndrome**

side effect of Atypical Antipsychotics such as: Clozapine Loazapine

**agranulocytosis**

**Atypical depression** sx:

overeating oversleeping reactive move Leaden paralys (caised by daily life activity)

diagnosing criteria for **Schizophrenia**

_two of more of:_ ## Footnote **Delusions** **Hallucinations** **Disorganized speech** **Disorganized behaivor** **Negative symptoms**

tx for Schizophrenia is:

**Atypical Antipsychotics**

Side effect of ECT is:

temporary **memory loss**

serious side effect of increasing serotonin is known as:

**Serotonin Syndrome**