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COMAT Exams > Psych > Flashcards

Psych Flashcards

1
Q

SSRI Drugs
Tx …
AR …

A

“City Parrots Flu South”

Citalopram
Paroxetine
Fluoxetine
Sertaline

Tx: First-Line for Antidepressants
AR: Dec libido, delayed ejaculation, GI dysfxn, Insomnia, Seretonin Syndrome

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2
Q

SNRI Drugs

A

“SN … Venla Dulo”
Venlafaxine
Duloxetine

Cleaner but more expensive than SSRI

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3
Q

TCA Drugs

A

-“tryptiline”
Imipramine
Despiramine
Doxepin

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4
Q

Bipolar Tx

A

Lithium or Valproate&raquo_space; Add 2 gen Anti-psych&raquo_space; d/c previous, use Lamotrigine (anticonvulsant)

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5
Q

Bupropion Class/Use/Adverse Reaction

A

Class: 2nd Gen Antipsych
Tx: Smoking cessation/Depression
AR: Dec seizure threshold

DO NOT GIVE TO ANOREXIC/BULIMIC PTS!

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6
Q

Smoker w/ Depression, Tx w/ …

A

Bupropion

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7
Q

Depression w/ weight loss/under weight, Tx w/ …

A

Mirtazapine

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8
Q

Depression w/ Insomnia, Tx w/ …

A

Trazadone

AR: Priapism

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9
Q

Atypical Anti-Psyche with low metabolic effects

A

Aripiprazole and Lurasidone

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10
Q

Atypical Anti-Psyche MOA and Rx

A

D2 Antagonist and Seretonin Antagonist

Quiet CARBOLIC ZAP

Quetipine

Cariprazine
Ariprazole
Risperadone
Bupropion
Olanzapine
lurasidone
Iloperidone
Clozapine

Ziprazidone
Asenapine
Paliperadone

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11
Q

How to abort a panic attack

A

Tx w/ Benzo

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12
Q

Munchausen by proxy is suspected, next step …

A

call CPS

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13
Q

Polycyclic Aromatic Hydro carbons found in … bind to … and causes … in antipsychotic meds, most notably …

A

Nicotine
AHR
Induction of the P450 1A2 metabolism
Olanzapine

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14
Q

MDD w/ cc of memory impairment and cognitive impairment

A

Pseudodementia

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15
Q

Dx criteria of MDD

A

SIGECAPS
At least 4 of the following for 2 weeks + Low mood

Sleep
Interest
Guilt
Energy
Concentration
Appetite 
Psychomotor
Suicide
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16
Q

NMS presents with…

A 
Fever
Rigid
Mydriasis
Creatine Kinase
D/T Anti-dopamine Med
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17
Q

Seretonin Syndrome presents w/ …

A

Hyperreflex/Clonus
Mydriasis
+/- Elevated CK
D/T Seretonin Drugs

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18
Q

Pt lives vicariously by helping others

A

Altruism

Mature Defense

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19
Q

Pt jokes with his Palliative care doctor about the disease

A

Humor

Mature Defense

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20
Q

Pt shifts the blame and justifies his actions for the disease

A

Rationalization

Neurotic Defense

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21
Q

Pt seems emotionless about his condition and reasons out the cause

A

Intellectualization

Neurotic Defense

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22
Q

The Pt is adamant that they are in excellent health despite an A1c of 12

A

Denial

Immature Defense

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23
Q

Pt is angry with his nurse and reports to the doctor that he is being treated poorly d/t the anger the nurses have for him

A

Projecting

Immature Defense

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24
Q

Pt w/ OCD is given an SSRI. Little effect occurs. In addition to CBT, the Pt should be perscribed …

A

Clomipramine (TCA)

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25
Q

Tx for PTSD related nightmares

A

Prazosin

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26
Q

Motor immobility w/ mutism. Vitals Normal. Hx of schizophrenia. Dx?

A

Catatonia

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27
Q

First line Tx for PTSD

A

SSRI

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28
Q

First line Tx for Tourette

A

Aripiprazole

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29
Q

Specific phobia w/ highest FamHx

A

Injections/needles

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30
Q

Alpha-synuclein inclusions are found in

A

Lewy Bodies

Parkinson’s

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31
Q

Pt has trisomy 21 and neurofibrillary tangles. Dx?

A

Early onset Alzheimers

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32
Q

Volume loss in Caudate Nucleus and choreoathetoid movements. Dx?

A

Huntington

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33
Q

Most common metabolic abnormality w/ bulimic pt.

A

Non Gap Metabolic Alkalosis w/ resp compensation +hypokalemia +Increased Amylase

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34
Q

To interact w/ this personality disorder, you must monitor your emotions to avoid countertransference

A

Borderline

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35
Q

Unstable, suicidal, promiscuous, rapid mood change “empty”

A

Borderline

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36
Q

Dopamine pathway that controls function and movement

A

Nigrostriatal

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37
Q

Dopamine pathway that controls pleasure, delusions and hallucinations

A

Mesolimbic

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38
Q

Dopamine pathway that controls prolactin secretion

A

Tuberfundibular

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39
Q

Dopamine pathway that controls Cognitive and Affective Sx

A

Mesocortical

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40
Q

Cognitive Sx arise from this area of the brain, be specific

A

Dorsal Lateral Prefrontal Cortex

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41
Q

Affective Sx arise from this area of the brain, be specific

A

Ventromedial Prefrontal Cortex

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42
Q

Loss of the caudate nucleus results in …

A

Huntington Disease

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43
Q

Loss in the frontal and temporal lobes results in …

A

Frontaltemporal Dementia

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44
Q

Loss of the Substantia Nigra leads to

A

Parkison’s and Lewey Body Dementia

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45
Q

Diffuse cerebral atrophy leads to

A

Alzheimers

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46
Q

Diffuse spongiform lesions in the brain

A

Creutzfeldtz Jakob

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47
Q

Pt is increasingly irritable, decreased concentration, and has constipation, what electrolyte is out of balance

A

Hypercalcemia

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48
Q

Pt on a three month binge presents w/ two months of low mood and Pos SIGECAPS, Dx ?

A

Substance induced mood disorder

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49
Q

What anticonvulsant is safe in pregnancy

A

Lamotrigine

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50
Q

Tx for Impulse Control Disorders

A

Psychotherapy

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51
Q

Inappropriate sexual behavior in children may be d/t …

A

Sexual abuse

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52
Q

Schneideran First Rank Symptoms (7)

A 
Thought Insertion, 
Thought W/D
Thought Broadcasting
Delusional Perception
Voice Commentary
Voice Discussion
Audible Thoughts
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53
Q

EtoH w/d is life threatening d/t this feedback mechanism

A

Down regulation of GABA receptors

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54
Q

Pt loves blood, so he becomes a phleb.

A

Sublimation

Mature Defense

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55
Q

Pt, who is a lawyer, gets yelled at by the judge. Later, the pt yells at his wife.

A

Displacement

Neurotic Defense

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56
Q

Man w/ a sexual addiction becomes a priest

A

Reaction Formation

Neurotic Defense

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57
Q

MDD second to substance abuse, no SIHI. Next step?

A

Rehabilitation program

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58
Q

Why are pts hospitalized for psych issues

A

Danger to self or others

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59
Q

Pt believes a famous person is in love w/ them

A

Erotomania (Erotomanic Delusion)

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60
Q

Pt describes secret messages from Washington in songs on the radio.

A

Delusion of Reference

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61
Q

What is Amylase increased in bulemic pts

A

Parotid glands are over active d/t repeat emesis

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62
Q

Major difference b/t acute stress disorder and adjustment disorder

A

Acute stress involves a traumatic stressor

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63
Q

Pt is on haloperidol, citalopram, methadone. Long term affect?

A

QT prolongation through potassium channel inhibition

64
Q

Type of therapy where repressed childhood feelings are uncovered

A

Psychoanalysis

65
Q

Therapy based on the learning theory

A

Behavioral

66
Q

Therapy to treat maladaptive beliefs

A

Cognitive

67
Q

A chronic schizophrenic brain will have volume loss of the …

A

hippocampus and medial temporal lobe

68
Q

A chronic schizophrenic brain will have volume increase of the …

A

hypothalamus

69
Q

Ralphe nuclei are associated w/ …

A

Serotonin re-uptake inhibition

70
Q

Pt hear colors or sees tastes

A

Synesthesia

71
Q

Process of the brain “filling in” a perception following a traumatic stressor

A

Pseudohallucination

72
Q

Elderly pt taking an SSRI for MDD is not improving. Next step?

A

ECT

73
Q

GAD and OCD are treated w/

A

SSRI

74
Q

Buspirone is indicated to Tx ONLY

A

GAD

75
Q

Most common physical manifestation of GAD is

A

Insomnia

76
Q

Visual Hallucinations
Parkinsonism
Fluctuating Cognition
Adverse effects to Neuroleptics

A

Lewey Body Dementia

77
Q

Knife like frontal temporal atrophy

<65 yo

A

Pick Disease

78
Q

Focal Neuro Deficits

Step-wise Decline

A

Vascular Dementia

79
Q

Lewey Body Tx

A

Cholinesterase inhibitor (Donepezil)

80
Q

Akathsia

A

Continuous movement when attempting to sit still

81
Q

Most concerning side effect of Lamotigine

A

TENS/SJS

82
Q

Pt has orthostatic hypotension and schizophrenia. What neuroleptic should he be on

A

Haloperidol

83
Q

Wandering off topic during regular conversation

A

Derailment

84
Q

Rapid cycling through ideas w/ no connection

A

Flighty

85
Q

Lose track of intended purpose of a sentence

A

Loss of Goal

86
Q

Decreased speech, but complete sentences

A

Poverty of Speech

87
Q

Adequate speech, but lack of content

A

Poverty of Thought

88
Q

Wandering off topic during an explanation or responding to a question

A

Tangentiality

89
Q

Thoughts go blank mid sentence

A

Thought blocking

90
Q

Wandering off topic but returns to it

A

Circumstantiality

91
Q

Pt afraid of:
Public peeing
Public Speaking

A

Social Phobia

92
Q

Pt is having trouble in school but not at home

A

Learning Disorder

93
Q

Tics that last less then 12 months

A

Provisional Tic Disorder

94
Q

Monoclonic jerks, typically in the morning and UE along w/ absence seizures

A

Juvenile Monoclonic Epilepsy

95
Q

Chronic alcoholism will cause this on a CBC

A

MCV > 100 d/t B12 deficiency

96
Q

ECT is indicated for

A

Mood and Psych Disorders, NOT Anxiety Disorders

97
Q

Rapid acting opioid antagonist, used for Opiate overdose

A

Naloxone

98
Q

Long acting opioid antagonist in the endorphin system.
Only active if given IM.
Often paired w/ Buprenorphine in tablet form
Also used to Tx alcoholism

A

Naltrexone

99
Q

Used to Tx the autonomic Sx of Opioid w/d

A

Clonidine

100
Q

Partial opioid agonist
Can cause w/d if taken after heroin
Taken orally

A

Buprenorphine

101
Q

Causes adverse effects if alcohol is drank

A

Disulfiram

102
Q

Intrusive idea that is hard for the Pt to dismiss

A

Obsession

103
Q

Delusional type thinking, but the Pt is able to see it might be inaccurate

A

Overvalued Idea

104
Q

This lab can differentiate b/t psychogenic and epileptic seizures

A

Prolactin

105
Q

This personality disorder is categorized by:
Maladaptive coping strategy
Immature Defense
Childhood trauma

A

Boderline

106
Q

Long acting bento to Tx w/d from alcoholism or tapering from short acting benzos

A

Chlordiazepoxide

107
Q

HTN med that can cause MDD Sx (4)

A

Clonidine
Reserpine
Methyldopa
Propranolol

108
Q

Tx for akathisia

A

Propranolol

109
Q

Tx for acute dystonia and parkinsonism

A

Benztropine

Diphenhydramine

110
Q

Pramipexole treats

A

Restless Leg

111
Q

Tx for Fibromyalgia

A

TCA

112
Q

Difference b/t Fibromyalgia and Polymyalgia Rheumatica

A

FM has normal labs

113
Q

Echolalia

A

Pt mimics speech

114
Q

Echopraxia

A

Pt mimics movement

115
Q

Pt interacts w/ hallucinations that he knows are not real. What substance did they ingest?

A

Psilocybin (Mushrooms)

116
Q

Pt being Tx w/ Buprenorphine takes this med and the result is Resp Depression, Miosis, Wheezes, Somnolance

A

Alprazolam (Benzo)

117
Q

Triad of MDD

A

Neg about self
Neg about world
Neg about future

118
Q

Tx for narcolepsy

A

Modafinil

119
Q

MDD w/ Psychotic features, Tx w/ …

A

Risperadone

120
Q

Anticonvulsant that can depresses cognitive ability that does not improve w/ time

A

Topiramate

121
Q

Tetrabenazine may cause a depressive mood by

A

depleting dopamine in the synaptic cleft

122
Q

OCD Pt will have this change on a brain MRI

A

Basal Ganglia (Vol increase in Caudate Nucleus)

123
Q

Med to reduce Alcohol Craving

A

Acamprosate

124
Q

Med to cause adverse effects if Alcohol is ingested

A

Disulfiram

125
Q

Med to reduce the pleasure acquired from drinking

A

Naltrexone

126
Q

Panic disorder is defined by

A

Non specific stimuli

Fear of having another

127
Q

Epstein Abnormally disassociated w/ this mood stabilizer

A

Lithium

128
Q

Pt is on Lithium and becomes preggo, next step is

A

Switch med to haloperidol

129
Q

Nephro DI d/t Lithium has a urine osmo that is …

A

normal

130
Q

Inability to measure distance/field depth

A

Dysmetria

131
Q

Impaired ability to perform rapid, alternating movements

A

Dysdiadochokinesia

132
Q

Mental illness in which the affected person holds the delusional belief that they are already dead, do not exist, are putrefying, or have lost their blood or internal organs.

A

Cotards Syn

133
Q

Delief that different people are in fact a single person who changes appearance or is in disguise – Delusion of Doubles

A

Fregoli Syn

134
Q

Delusion that a friend, spouse, parent, or other close family member (or pet) has been replaced by an identical impostor

A

Capgras Syn

135
Q

Elderly pt has delirium d/t UTI and is hospitalized. She is quite agitated, so you prescribe …

A

Haloperidol (or another High potency Antipsych)

High potency: Halo Tries Flying High
H = Haloperidol
T = Trifluoperazine
F = Fluphenazine

136
Q

How to determine the difference b/t the combined mood and psychotic.

A

What is present at baseline is the basis

137
Q

Background of schizophrenia that develops MDD, Dx…

A

Schizoaffective

138
Q

major difference b/t schizophrenia/phreniform and MDD w/ psychosis?

A

schizophrenia/phreniform do not have depressive features

139
Q

mental condition in which a person has blindness, paralysis, or other nervous system (neurologic) symptoms that cannot be explained by medical evaluation.

A

Conversion

140
Q

Obsession with the idea of having a serious but undiagnosed medical condition.

A

Illness anxiety disorder

141
Q

occurs when a person feels extreme anxiety about physical symptoms such as pain or fatigue. The person has intense thoughts, feelings, and behaviors related to the symptoms that interfere with daily life, no medical cause found

A

Somatic Symptom Disorder

142
Q

sleep disorder characterized by persistent episodic hypersomnia and cognitive or mood changes. Many patients also experience hyperphagia, hypersexuality and other symptoms.

A

Kleine–Levin syndrome

“Sleeping Beauty Syndrome”

143
Q

Acute Stress Disorder vs PTSD

A

PTSD = ASD>1 Month

144
Q

Dementia plus non-dilating pupils and anisocoria

A

Tert Syphilis

145
Q

Unequal pupils

A

anisocoria

146
Q

Pt has FM and takes Benadryl to relieve allergies. She starts to have cholinergic sx d/t this FM medication

A

TCA

147
Q

syndrome in which symptoms of a delusional belief and sometimes hallucinations are transmitted from one individual to another.

A

Folie à deux

148
Q

NMDA Antagonist to Tx Alzheimers Sx

A

Memantamine

149
Q

Cholinesterase inhibitors to slow the progress of Alzheimers

A

Donezepil
Galantamine
Rivastigmine

150
Q

Tx for tourettes

A

Anti-psych

151
Q

Feelings a physician has for a pt

A

Countertransference

152
Q

Key features of alcohol use disorder include …

A

Tolerance

W/D

153
Q

Time Dx Criteria for tourettes

Tx?

A 
> 1 Year
<18 yo
Tx:
     Impairment -- pharm
     Non- Impair -- Reassure/reasses
154
Q

Hormone that blocks pain in trauma

A

Endorphin

155
Q

First line med for sedation in the ER

A

Lorazepam +/- Haloperidol

COMAT Exams (6 decks)

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