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Aa Shit You Don't Know > Psych > Flashcards

Psych Flashcards

1
Q

Fluctuation between mild depressive and hypomanic symptoms for greater than or equal to two years, with symptoms present at least half the time.
-no more than 2 months of remission

A

Cyclothymic

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2
Q

5 or more SIGECAPS criteria for 2 weeks or more. But has psychotic features that occur ONLY in the CONTEXT of the Major Depressive episode

A

MDD w/ psychotic features

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3
Q

Streee related, 1 or more positive symptoms for LESS than one month

A

Brief psychotic disorder

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4
Q

Mood episode w/ concurrent active-phase symptoms of schizophrenia + 2 or more weeks of delusions or hallucinations in the ABSENCE OF PROMINENT MOOD SYMPTOMS

A

Schizoaffective

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5
Q

2 or more depressive symptoms lasting 2 or more years w/ no more than 2 months without depressive symptoms

A

Persistent depressive disorder (dysthymia)

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6
Q

Stages of grief

A

Denial, anger, bargaining, depression, acceptance

Can occur in any order.

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7
Q

Can you use convulsive therapy in pregnant patients and old people

A

Yes

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8
Q

Highest suicide risk factor

A

Previous attempt

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9
Q

Irrational fear of 2 or more specific situations

A

Agoraphobia

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10
Q

First line tx for Generalized anxiety disorder

Second line tx for Generalized anxiety disorder

A

First line is CBT, SSRI, SNRI.

Second line is buspirone, TCAs, benzodiazepines

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11
Q

Used to reduce nightmares in PTSD

A

Prazosin

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12
Q

Trauma disorder that lasts between 3 days and 1 month.

-what therapy is indicated

A

Acute stress disorder: 3 days- 1 month
Pharm therapy usually not indicated
CBT is indicated

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13
Q

Class C personality disorders

A

Avoidant, Obsessive compulsive, dependent

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14
Q

Munchausen

A

Factitious disorder imposed on oneself

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15
Q

Facitous disorder

A

Symptoms are intentional, motivation is unconscious.

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16
Q

Somatic symptom

A

Symptoms are unconscious and motivation is unconscious. As opposed to facitious in which symptoms are intentional and motivation is unconscious

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17
Q

Loss of sensory or motor function following acute stressor, but patient doesnt care

A

Conversion disorder

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18
Q

recurring purging behaviors: laxatives, diuretics, self-induced vomiting, OR binge eating over the last three months. All of this along w/ intense fear of weight gain, body image distortion

A

Binge-eating/purging type of anorexia nervosa

19
Q

Primary disordered behaviors include dieting, fasting, and/or over exercising. No recurring purging behaviors or binge eating over last 3 months

A

Restricting type of anorexia

20
Q

malnourished patient eats, resulting in increased insulin, hypophosphatemia, hypokalemia, hypomagnesemia, cardiac complications, rhabdomyolysis, seizures

A

Refeeding syndrome

21
Q

What med is contraindicated due to seizure risk in bulemics

A

Buproprion

22
Q

Transvestism vs transvestic disorder

A

Transvestism is deriving pleasure from wearing other genders clothes
Transvestic disorder is transvestism that causes significant distress/ functional impairment

23
Q

When do sleep terrors occur, when there are priods of inconsolable terrow w/ screaming in middle of the night.

A

Slow-wave/deep (stage N3) non-REM sleep with no memory of the episode, as opposed to nightmares that occur in REM sleep, you remember them

24
Q

Decreased orexin (hypocretin) production in lateral hypothalamus and dysregulated sleep-wake cycles
Hypnagogic (just before going asleep) hallucinations
Hypnopompic (just before waking up) hallucinations

A

Narcolepsy
Tx w/ sleep hygiene, stimulants during day, and nighttime sodium oxybate (GHB) (GHB reduces cataplexy episodes by improving nightime sleep)

25
Q

Stages of change in overcoming addiction

A
  1. Precontemplation
  2. Contemplation
  3. Preparation/determination
  4. Action/willpower
  5. Maintenance
  6. Relapse
26
Q

Tx of serotonin syndrome

A

Cyproheptadine (5HT2 receptor antagonist)

27
Q

Neuroleptic malignant syndrome has myoglobinuria, fever, encephalopathy, unstable vitals, increeased CK enzymes, muscle rigidity. How to tx

A

Dantrolene, dopamine agonist like bromocriptine, discontinue the causative agent

28
Q

TCA overdose

A

NaHCO3 to help prevent arrythmia, activated charcoal, supportive treatment

29
Q

Alcohol withdrawal timeline

A

12-24 hours: autonomic hyperactivity symptoms like tremor, tachycardia, htn
24-48 hours: seizures
48-72 hours: delirium tremens psychotic symptoms and confusion

30
Q

Withdrawal from barbituates

A

Delirium, life-threatening cardiovascular collapse

31
Q

Tx of wernicke-korsakoff

A

IV vitamin B1 before dextrose

32
Q

Haloperidol, pimozide, trifluoperiazine, fluphenazine, thioridazine, chlorpromazine

A

Typical antipsychotics; block dopamine D2 receptor (Increase cAMP)

33
Q

HAL TRIes to FLy HIGH

A

Haloperidol, trifluoperazine, fluphenazine are the typical antipsychotics. They have more neurologic side effects (extrapyramidal symptoms)

34
Q

CHeating THIeves are LOW

A

Chlorpromazine, thioridazine are low potency typical antipsychotics; more anticholinergic, antihistamine, and alpha 1 blockade effects

35
Q

Opthalmologic adverse effects of chlorpromazine (low potency typical) and Thioridazine (low potency typical)

A

Chlorpromazine: corneal deposits
Thioridazine: retinal deposits

36
Q

Aripiprazole, “apines”, “peridones”

A

Atypical antipsychotics

37
Q

Lithium possible moa

A

Phosphoinositol cascade inhibition

38
Q

MOA of the GAD drug Buspirone?

A

Stimulates 5-HT1A receptors

39
Q

Venlafaxine, desvenlafaxine, duloxetine, levomilnacipran, milnacipran

A

SNRIs; inhibit 5-HT, and NE reuptake

40
Q

Duloxetine, milnacipran special use

A

Fibromyalgia

41
Q

What antibiotic should you not give a MAO-i with?

A

Linzolid, due to partial MAO inhibition

42
Q

Bupropion is an atypical antidepressant; what is its mechanism

A

Inhibits NE and DA reuptake

43
Q

Male specific side effect of trazodone

A

Priapism

44
Q

Buprenorphine

A

Sublingual form used to prevent relapse. (Partial agonist)

Aa Shit You Don't Know (13 decks)

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