Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

OME Cards > Psych > Flashcards

Psych Flashcards

1
Q

Treatment for acute dystonia following new antipsychotic (haloperidol)?

A

Anti-cholinergic medications such as diphenhydramine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Dissociative disorders

A

Dissociative Identity Disorder- Childhood trauma, neglect, blackouts, multiple personalities

Dissociative Amnesia- Stressor, loss of memory of stressor

Dissociative Fugue- Stressor, loss of memory of stressor AND TRAVEL

Depersonalization- Teenager, mild stressor, out-of-body experience

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is the difference between kleptomania and petty theft?

A

Kleptomania- urge to steal something with little value, person will feel guilty afterwards, usually will be same thing each time (fork)

Petty theft- different things each time and the things will be things the person uses

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Stage I of Sleep

A

Theta Waves

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Stage II of Sleep

A

K-complexes and sleep spindles.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Stage III and 4 of Sleep

A

Delta waves

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

How long should depression be treated for even if symptoms remove?

A

6 months then taper off meds (need a few months for brain plasticity and not to return to depression)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Treatment for Post-partum depression

A

Post-partum depression is diagnosed by depressive symptoms with onset within 4 weeks that do not resolve on their own, and are often accompanied by neglect or abandonment of the child (opposed to actively trying to harm it). It is treated with SSRIs.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Treatment for catatonia

A

Catatonia is associated with mood disorders (bipolar/depression) and can present with mutism, catalepsy/waxy flexibility, echolalia, echopraxia, and stupor. Treat with Lorazepam.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Treatment for adjustment disorder?

A

emotional/behavioral response to a recent stressor that is in excess of what you would expect. The symptoms have to start within 3 months, end before 6 months, and cause some form of impairment in the patient’s life.

Tx: reassurance or short term supportive psychotherapy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Side effect of Olanzapine

A

weight gain and diabetes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Before starting an atypical antipsychotic, what tests must be done?

A

All atypical antipsychotics require body mass index at baseline then monthly

Fasting glucose and lipid panel at baseline, 3 months, and annually.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Side effect of resperidone

A

extrapyramidal side effects and galactorrhea/amenorrhea.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Side effect of Ziprasidone

A

Ziprasidone has been linked to QT prolongation.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Schizo diseases and duration

A

When evaluating psychotic episodes, duration is key. Less than one month? Brief psychotic disorder. 1 month to 6 months? Schizophreniform. More than 6 months? Schizophrenia.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Diagnosing narcolepsy

A

Narcolepsy presents as periods of cataplexy, response to loud noises, and awakening refreshed.

Diagnosed w/ polysomnography (sleep study)

It is treated with scheduled naps and amphetamines.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Treatment for Generalized Anxiety Disorder

A

Psychotherapy (CBT) and SSRI. Start with therapy for mild cases (limited to no functional impairment), meds when function is impaired (fatigued, low productivity, maladaptive behaviors, concurrent depression or substance use)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

First psychotic episode management:

A

An acute psychotic disorder without a clear stressor should be ruled out for acute drug intoxication with a urine drug screen.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What is the treatment for enuresis (bed wetting)?

A

Life style modification (decrease water intake at night, wet alarms etc)

Desmopressin is the preferred, first line therapy for enuresis that is refractory to life-style modifications and enuresis alarms

2nd line- tricyclic antidepressants (imipramine)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Management of prophylaxis of alcohol withdrawal

A

Prevent alcohol withdrawal with medium- acting benzo (chlordiazepoxide). Diazepam (valium) is also appropriate

Alcohol withdrawal is treated with benzodiazepines (lorazepam)

21
Q

Treatment for severe depression during pregnancy.

A

ECT is safe in pregnancy. Usually reserved for severe, refractory cases of depression. Pregnant woman + severe depression needing hospitalization = ECT.

22
Q

How long should you wait before adjusting meds for depression and antipsychotics?

A

Wait 6 weeks before changing depression meds then washout

Wait 24 hrs before changing psychotics, no washout needed

23
Q

Lithium side effects

A

Lithium causes hypothyroidism, nephrogenic diabetes insipidus, and Ebstein’s anomaly in utero. It also has a narrow therapeutic index and is metabolized by the kidneys.

Get pregnancy test, creatinine and TSH levels before starting lithium.

24
Q

Which medication causes seizures upon withdrawal?

A

Benzodiazepines and alcohol

25
Q

Treatment for opioid withdrawal?

A

Opiate withdrawal is NOT a life threatening condition, but it is a painful process to get through.

First line treatments are buprenorphine OR methadone.

Clonidine is helpful adjunctively for autonomic symptoms.

26
Q

Treatment for body dysmorphic Disorder?

A

Cognitive behavioral therapy and SSRIs are appropriate therapeutic options for BDD

27
Q

What is delusional disorder?

A

fixed false belief - one that is reasonable, but likely not true.

Besides that delusion, person is totally normal.

28
Q

Treatment for post-partum psychosis?

A

Active hallucinations and delusions indicate post-partum psychosis, treated with hospitalization, anti-psychotics, and supervised visits with the child until well. This is more about protecting the baby than treating mom

29
Q

Treatment for PTSD?

A

psychotherapy + SSRI. Both is better than either one alone.

30
Q

Avoidant personality disorder

A

Avoidance of social situations due to underlying feelings of personal inadequacy and social ineptness.

The treatment of choice for any personality disorder is psychotherapy.

Selective serotonin reuptake inhibitors (SSRI) or serotonin-norepinephrine reuptake inhibitors (SNRI) may also be a helpful

31
Q

Risk factors for aortic dissection

A

Most common risk factor is hypertension

Other risk factors- smoking, hypercholesterolemia, structural abnormalities such as bicuspid aortic valve, aortic coarctation, connective tissue disorders (Ehler-Danlos syndrome, Marfan syndrome), and Turner syndrome

32
Q

Treatment of Haemophilus ducreyi chancroid

A

Single dose of oral azithromycin

Single dose of IM ceftriaxone

Erythromycin 3 times daily for 7 days

Ciprofloxacin twice daily for 3 days

33
Q

Sex cord stromal tumors

A

Sertoli cell tumor-

34
Q

Treatment for Bulimia nervosa

A

Episodes of binging and purging occurring at least once weekly for 3 months

First-line pharmacological treatment option includes fluoxetine, which has a longer half-life than most antidepressants

Second-line pharmacological treatment options include sertraline, escitalopram, and fluvoxamine

35
Q

OCD vs OCD personality

A

Obsessive compulsive personality disorder is characterized by rigidity and preoccupation with details that interfere with functioning, however the person does not find this distressing.

In Obsessive-Compulsive Disorder thoughts and behaviors are intrusive and distressing

36
Q

Avoidant restrictive food intake disorder (ARFID)

A

Eating disorder characterized by a disturbance of feeding or eating that leads to significant weight loss, nutritional deficiency, and dependence on enteral supplements

Associated with anxiety disorders, learning disabilities, and pervasive developmental disorders.

37
Q

Exhibitionistic disorder

A

Exposing one’s genitalia to others

38
Q

Fetishistic disorder

A

Focusing on inanimate objects or specific nongenital body parts

39
Q

Frotteuristic disorder

A

Touching or rubbing against an unwilling person

40
Q

Sexual masochism disorder

A

Receiving humiliation, bondage, or suffering

41
Q

Sexual sadism disorder

A

Inflicting humiliation, bondage, or suffering

42
Q

Transvestic disorder

A

Displaying a sexual fetish involving cross-dressing

43
Q

Voyeuristic disorder

A

Secretly watching others while naked/undressing or in sexual activity

44
Q

Neuroleptic malignant syndrome

A

“Lead pipe” rigidity, tremor, altered mental status, unstable vital signs

Tx: Remove offending agent, supportive care, bromocriptine or dantrolene

45
Q

Akathisia

A

Extreme restlessness

Tx: Propranolol

46
Q

Acute dystonia

A

Intermittent muscle spasms (eg, torticollis, laryngospasm, oculogyric crisis)

Tx: Diphenhydramine or benztropine

47
Q

Anti-thyroid stimulating hormone antibodies

A

Graves’ disease

48
Q

Anti-thyroid peroxidase antibodies

A

Hashimoto’s thyroiditis

OME Cards (20 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions