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Psych Flashcards

1
Q

Delusions; subtypes?

A

Fixed, false beliefs that remain despite evidence to the contrary and cannot be accounted for by the cultural background
Bizarre or non-bizzare

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2
Q

What does DIG FAST stand for and what is it used for

A

Sx of mania
Distractibility, Irritable mood/insomnia, Grandiosity, Flight of ideas, Agitation/increase in goal-directed activity, Speedy thoughts/speech, Thoughtlessness: seek pleasure without regard to consequences

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3
Q

What does SIG E. CAPS stand for and what is it used for?

A

Depression

Sleep, Interest, Guilt, Energy, Concentration, Appetite, Psychomotor, Suicidal ideation

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4
Q

Mood stabilizers

A

Lithium
Valproate, lamotragine, carbamazepine
Aripiprazole and atypical antipsychotics

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5
Q

DSM-5 for schizophrenia

A

-2+: Delusions, Hallucinations, Disorganized speech (must have at least one of these)
Grossly disorganized/catatonic behavior or Negative symptoms
-Significant impair of life
-at least 6m

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6
Q

Which neurotransmitter is likely involved in schizophrenia

A

Dopamine

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7
Q

Which neural pathways are likely involved for positive and negative symptoms in schizophrenia?

A

Prefrontal cortical: Inadequate dopaminergic activity responsible for negative symptoms
Mesolimbic: Excessive dopaminergic activity responsible for positive symptoms

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8
Q

Implications of tubuloinfundibular pathway in schizophrenia?

A

Blocked by antipsychotics, causing hyperprolactinemia, which may → gynecomastia, galactorrhea, sexual dysfunction, and menstrual irregularities

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9
Q

Implications of nigrostriatal pathway in schizophrenia?

A

Blocked by antipsychotics, causing Parkinsonism/ extrapyramidal side effects such as tremor, rigidity, slurred speech, akathisia, dystonia, and other abnormal movements

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10
Q

Sx of NMS?

A 
Change in mental status, autonomic instability (high fever, labile blood pressure, tachycardia, tachypnea, diaphoresis), “lead pipe” rigidity, elevated
creatine phosphokinase (CPK) levels, leukocytosis, and metabolic acidosis.
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11
Q

DSM-5 of schizophreniphorm

A

Same as schizophrenia except time frame; 1m-6m

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12
Q

DSM-5 for schizoaffective

A
  • Meet criteria for a major depressive or manic episode AND psychotic symptoms consistent with schizophrenia
  • Delusions or hallucinations for 2 weeks in the absence of mood disorder symptoms
  • Mood symptoms present for a majority of the psychotic illness
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13
Q

Brief psychotic disorder

A

Like schizophrenia but 1w-1m

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14
Q

DSM-5 delusion disorder

A
  • One or more delusions for at least 1 month.
  • Does not meet criteria for schizophrenia.
  • Functioning in life not significantly impaired, and behavior not obviously bizarre
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15
Q

Schizotypal personality disorder

A

Paranoid, odd or magical beliefs, eccentric, lack of friends, social anxiety. Criteria for overt psychosis are not met

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16
Q

Schizoid personality disorder

A

Solitary activities, lack of enjoyment from social interactions, no psychosis.

17
Q

SAD PERSONS

A

Suicide risk
Sex (male), Age (<19/>45), Depression, Previous attempt/Psych hx, EtOH or drugs, Rational thinking loss, Separated/divorced, Organized (plan), No social support, Sick

18
Q

Time frame for a major depressive episode?

A

2 weeks

19
Q

Brand names of SNRIs

A

venlafaxine (Effexor) and duloxetine (Cymbalta)

20
Q

Persistant depressive disorder

A

aka dysthymia

Depressed mood most of the time most days for at least 2 years (no more than 2 months asymptomatic)

21
Q

Cyclothymic disorder

A

Alternating periods of hypomanic sx (but not full episode) and periods with mild-to-moderate depressive symptoms (but not full MDE)
-2 years with no asymptomatic period >2m

22
Q

Difference in using SSRI to treat anxiety vs depression

A

Takes longer and higher dose required for anxiety

23
Q

Panic disorder

A

Spontaneous, recurrent panic attacks that occur suddenly, “out of the blue”

24
Q

Order of glucose and thiamine in EtOH abuse?

A

Thiamine first; prevent precipitation of Wernike-Korsakoff

25
Q

What do you give for severe agitation in cocaine abuse?

A

Antipsychotics (Haldol)

26
Q

Why does paroxetine suck?

A

(Paxel) anticholinergic SE, most sexual dysfunction, not as good as the others

27
Q

First line antidepressant in cancer patients?

A

Mirtazipine

Anti-anxiety and increases appetitie

28
Q

What do you use to treat a depressive episode in someone with BP?

A

2nd gen antipsychotics (quetiapine and lurasidone) or lamotragine

29
Q

First step in acute psychosis in children

A

Rule out medical cause (SLE, UTI, DM etc)

30
Q

Most common used psychoactive substance in US?

A

Caffeine

31
Q

Best antipsychotic for diabetics

A

Ziprasidone (geodon)

32
Q

Treat aggression in PCP intoxication

A

Benzo

33
Q

First line pharmacotherapy for ETOH abuse?

A

Naltrexone or acamprosate

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