Psych Flashcards

1
Q

increased NE

Decreased GABA and 5HT

A

Anxiety

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2
Q

Decreased NE, 5HT, DA

A

depression

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3
Q

Decreased ACh

A

ALZ

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4
Q

increased DA

Decreased GABA, ACh

A

Huntington’s

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5
Q

Increased DA

A

Schizophrenia

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6
Q

increased 5HT, ACh

Decreased DA

A

Parkinson’s

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7
Q

Tx for delirium?

A

Haloperidol

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8
Q

Female pt with regression, mental retardation, and stereotyped hand-wringing

A

Rett’s Disorder

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9
Q

Dementia characterized by?

A

memory loss

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10
Q

Tactile hallucinations seen in?

A

EtOH withdrawal and cocaine abusers

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11
Q

Hypnagogic vs hypnopompic

A

Hallucinations while going to sleep vs upon waking up

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12
Q

Stable mood with psychotic symptoms for two weeks?

A

Schizoaffective

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13
Q

Increase of schizophrenia with use of what drug?

A

Cannibis

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14
Q

Development of delusions in a person in a close relationship with someone with delusional disorder?

A

Shared psychotic disorder

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15
Q

Dissociative identity disorder - associated with?

A

sexual abuse

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16
Q

Dx of mania requires 3 of the following:

A
DIGG FAST
Distractability
Irresponsibility
Grandiosity
Goal oriented behavior
Flight of Ideas
less sleep
Talkativeness
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17
Q

Milder form of bipolar disorder lasting 2 years?

A

Cyclothymic disorder

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18
Q

MDD Sx?

A
SIG E CAPS
Sleep disturbances
loss of Interest
Guilt
loss of Energy
loss of Concentration
Appetite/weight changes
Psychomotor retardation or agitation
Suicidal ideations
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19
Q

milder form of depression lasting 2 years?

A

Dysthymia

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20
Q

pt with hypersomnia, weight gain, interpersonal rejection sensitivity, mood reactivity (good things make them feel good)

A

Atypical depression (most common subtype of depression)

21
Q

Postpartum Disorders:

lasts 10-14 days? 2 weeks to a year? 4-6 weeks?

A

postpartum blues, postpartum depression, postpartum psychosis

22
Q

Risk factors for Suicide completion?

A
SAD PERSONS
Sex (male)
Age (teenager)
Depression
EtOH/Drugs
loss of Rational thinking
Organized plan
No Spouse
Social support lacking
23
Q

Panic Disorder. Must have 4 of:

A
PPANIICCCCSSS
Palpitations
Paresthesias
Abdominal distress
Nausea
Intense fear of dying
Lightheadedness
Chest Pain
Chills
Choking
disConnectedness
Sweating
Shaking
SOB
24
Q

TX for Panic disorder

A

CBT, SSRI, venlafacine benzos

25
Q

TX for atypical depression

A

MAO-Is, SSRIs

26
Q

TX for postpartum psychosis?

A

Antipsychotics, antidepressants

27
Q

TX for delirum

A

Haloperidol

28
Q

Tx for separation disorder?

A

SSRIs and relaxation

29
Q

TX for tourette’s

A

antipsychotics and behavioral therapy

30
Q

TX Phobia

A

SSRIs

31
Q

TX OCD

A

SSRI, clomiparmine

32
Q

TX PTSD?

A

SSRIs

33
Q

TX Generalized anxiety?

A

SSRIs, SNRIs

34
Q

Somatization disorder?

A

complaints in multiple organ systems - 4 pain, 2 GI, 1 sexual, 1 pseudoneurologic

35
Q

Conversion disorder?

A

Loss of sensory or motor function after acute stressor

36
Q

Cluster A?

A

Weird - Paranoid, Schizoid, Schizotypical (accusatory, aloof, awkward)

37
Q

Cluster B?

A

Wild (Bad to the bone) - Antisocial, Borderline, Histrionic, Narcissistic

38
Q

Cluster C?

A

Worried - Avoidant, OCPD, Dependent (Cowardly, compulsive, clingy)

39
Q

“Schizo”s

A

Schizoid
Schizotypical (Schizoid+ odd thinking)
Schizophrenic (Schizotypical+ even more odd thinking))
Schizoaffective (Schizotypical+bipolar or depressive mood)

40
Q

Russell’s sign?

A

Dorsal hand calluses from induced vomiting

41
Q

Drug that causes slurred speech, ataxia and blackouts - indicator for abuse?

A

EtOH. serum gamma-glutamyltransferase; AST>ALT

42
Q

Drug that causes eurphoria, pupillary constriction, seizures - withdrawal symptoms?

A

Sweating, dilated pupils, piloerection, rhinorrhea, yawning, stomach cramps

43
Q

TX for opioid withdrawal?

A

Methadone, buprenorphine

44
Q

Withdrawal can cause life-threatening cardiovascular collapse and delirium

A

Barbs

45
Q

Drug that causes grandiosity, pupillary dilation, increased attention and wakefulness, tachycardia - withdrawal?

A

Amphetamines. Anhedonia, increased appetite, hypersomnolence

46
Q

Drug that causes impaired judgement, pupillary dilation, hallucinations, paranoid ideations, angina, sudden cardiac death - withdrawal?

A

Cocaine. Hypercomnolence, craving, suicidality

47
Q

TX for PCP?

A

Benzos

48
Q

Drug that causes dry mouth, conjunctival injection, increased appetite?

A

Marijuana