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COMLEX 3 > Psych > Flashcards

Psych Flashcards

1
Q

acute/brief psychotic disorder –> duration?

A

<1mo

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2
Q

schizophreniform disorder –> duration

A

1-6mo

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3
Q

schizophrenia –> duration?

A

> 6mo

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4
Q

what is phenelzine

A

MAOI

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5
Q

patient want to switch antidep from MAOI to SSRI. When can start SSRI? why?

A

14day after d/c MAOI

prevent serotonin syndrome

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6
Q

differentiate: acute anxiety disorder vs acute stress disorder

A

acute anxiety disorder: worry/fear that about something that might happen in the future

acute stress disorder: traumatic event –> nightmares, flashbacks, easily startled, etc

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7
Q

differentiate: acute stress disorder vs PTSD

A

acute stress disorder: lasts 4wk max

PTSD: can last years

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8
Q

differentiate: depressive disorder w psychotic features vs schizoaffective disorder

A

depressive disorder w psych features: psychotic ssx occur concurrently w mood ssx

schizoaffective disorder: psychotic features occur without mood ssx

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9
Q

major depressive disorder –> duration for dx

A

> 2wk

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10
Q

bipolar I –> duration for dx

A

> 1wk

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11
Q

bipolar I –> ER –> agitated

tx

A

benzo

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12
Q

bipolar I –> mood stabilizer –> #1 choice

A

lithium

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13
Q

bipolar I –> mood stabilizer –> can’t take lithium –> 2nd choice?

A

valproate

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14
Q

differentiate: bipolar I vs bipolar II

A

bipolar I:

  • full mania
  • no depressive episodes

bipolar II:

  • hypomania (less severe than bipolar I)
  • major depressive episode
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15
Q

dysthmia –> duration for dx

A

<2mo at a time for >2yr

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16
Q

bipolar I –> tx –> 3rd choice?

A
  • carbamazepine

- lamotrigine

17
Q

bipolar I –> tx –> 4th choice?

A

quetiapine

18
Q

electroconvulsive therapy is safe in pregnancy

T/F

A

T

19
Q

differentiate: adjustment disorder vs generalized anxiety disorder

A

adjustment disorder: within 3mo of identifiable stressor

GAD:

  • no identifiable stressor
  • ssx for >6mo
20
Q

neuroleptic malignant synd –> tx

A
  • supportive care
  • dantrolene –> control hyperthermia
  • bromocriptine –> reverse loss of dopaminergic tone
21
Q

increased sleep, increased appetite, psychomotor slowing, severe depression, suicidal ideation, pain, tremor, chills, involuntary motor mvmt –> withdrawal of what substance?

A

cocaine withdrawal

22
Q

tremor, anxiety, perceptual disturbance, psychosis, sz –> withdrawal of what substance?

A

benzo withdrawal

23
Q

PCP intoxication –> tx?

A
  • haldol to subdue

- acidify urine to increase excretion

24
Q

49F –> h/o alcohol abuse –> agitated combative, T 102, HR 129, BP 178/101

what condition?

A

delirium tremens

COMLEX 3 (17 decks)

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