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COMLEX Level 1 > Psych > Flashcards

Psych Flashcards

1
Q

Schizophrenia

A

2 symptoms (1 positive)

  1. Delusions (+)
  2. Hallucinations (+)
  3. Disorganized speech (+)
  4. Catatonic behavior
  5. negative symptoms

↑ dopamine and serotonin

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2
Q

Manic episode

A

Hospitalization, 1 week, 3 symptoms

DIG FAST
Distractibility
Impulsivity
Grandiosity (inflated self esteem)
Flight of ideas
Agitation/Activity
Sleepless
Talkativeness
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3
Q

Hypomanic epidsode

A

Not severe enough to limit social/occupational function

less than 4 days

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4
Q

Bipolar I

Bipolar II

A

Bipolar I → 1 manic episode +/- depressive episode

Bipolar II → hypomanic episode + depressive episode, high suicide risk

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5
Q

Cyclothymic disorder

A

2 years of symptoms present half the time

hypomanic episodes and mild depressive episodes

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6
Q

Major depressive episode

A

2 weeks of 5 symptoms

d SIG E CAPS
depressed mood
Sleep disturbance
Interest loss (anhedonia)
Guilt

Energy loss

Concentration problems
Appetite/weight changes
Psychomotor retardation or agitation
Suicidal ideation

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7
Q

Dysthymia

A

aka persistent depressive disorder

milder, 2 symptoms for 2 years, less than 2 months remission

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8
Q

Cluster A personality disorders

A

Aloof, Accusatory, Awkward

Schizoid → Aloof, limited emotional expression, content with isolation
Schizotypal → Eccentric appearance, odd beliefs or magical thinking, socially awkward

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9
Q

Cluster B personality disorders

A

Bad, Borderline, flamBoyant, Best

Antisocial/sociopath
Borderline
Histrionic
Narcissistic

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10
Q

Borderline

A 
cluster B
unstable mood
fear of abandonment
impulsive
suicidal and self mutilating
splitting defense mechanism (people are all good or all bad)
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11
Q

Histrionic

A 
Cluster B
flamBoyant
attentions-seeking
dramatic speech and emotional expression
shallow emotions
sexually provacative
use physical appearance to draw attention
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12
Q

Antisocial/sociopath

A

must be over 18 for diagnosis

if under 18 → conduct disorder

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13
Q

Cluster C personality disorders

A

Cowardly, obsessive Compulsive, Clingy

Avoidant
Obsessive-compulsive
Dependent

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14
Q

Avoidant

A 
Cluster C, Cowardly
hypersensitive to rejection, criticism
Timid
Feelings of inadequacy
Desires relationships with others
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15
Q

dependent

A

Cluster C, Clingy
Excessive need for support
low self confidence

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16
Q

Serotonin syndrome

A

3 A’s
↑ Activity (seizure, tremor, hypereflexia)
Autonomic Instability (hyperthemia, diaphoresis, diarrhea)
Altered mental status

tx: cyproheptadine

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17
Q

TCA overdose

A

3 C’s
Convulsions
Coma (respiratory depression)
Cardiotoxicity (prolonged QT)

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18
Q

Alcohol withdrawl tx

A

Bezodiaepines

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19
Q

Bipolar tx

A

Lithium → manic and depressive
valproic acid → manic
carbamezepine → manic
lamotrigine → depressive

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20
Q

Bulimia tx

A

SSRI

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21
Q

Depressions tx

A

SSRI

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22
Q

Gen anxiety disorder tx

A

SSRI, SNRI

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23
Q

OCD tx

A

SSRI, venlafaxine, clomipramine

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24
Q

Panic disorder tx

A

SSRI, venlafaxine, benzos

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25
Q

PTSD tx

A

SSRI, venlafaxine

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26
Q

Schizophrenia tx

A

atypical antipsychotics

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27
Q

CNS stimulants

A

↑ catecholamines at the synaptic cleft

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28
Q

Typical antipsychotics

A

Halperidol
pimozide
-azines
block Dopamine (D2) receptor

stored in fat (slow to remove from body)
Tardive dyskinesia (chorea, orofacial especially)
QT prolongation
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29
Q

High potency antipsychotics

A

Haloperidol, Trifluoperzine, Fluphenazine

Hal Tries to Fly HIGH

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30
Q

Low potency antipsychotics

A

Chlorpromazine, Thioridazine

Cheating Thieves are LOW

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31
Q

Atypical antipsychotics

A

Aripiprazole

  • apine
  • idone

prolonged QT
-apines → metabolic syndrome
clozapine → bone marrow suppression
Risperidone → hyperprolactinemia

32
Q

Lithium

A

mechanism not understood
mood stabilizer

LiTHIUM
Low Thyroid (hypothyroidism)
Heart (ebstein anomaly)
Insipidus (nephrogenic diabetes insipidus)
Unwanted Movements (tremor)
33
Q

Buspirone

A

stimulates 5-HT1A receptors
GAD
Does not cause sedation, tolerance, or addiction

34
Q

SSRI

A

Fluoxetine, fluvoxamine, paroxetine, sertraline, escitalopram, citalopram
inhibit 5-HT reuptake
used for everything

AA: 
sexual dysfunction
serotonin syndrome
GI
SIADH
35
Q

fluoxetine

A

SSRI

36
Q

fluvoxamine

A

SSRI

37
Q

Paroxetine

A

SSRI

38
Q

Sertraline

A

SSRI

39
Q

Escitalopram

A

SSRI

40
Q

citalopram

A

SSRI

41
Q

SNRI

A

venlafaxine, desvenlafaxine, duloxetine, levomilnacipran, milnacipran
inhibit 5-HT and NE reuptake
Depression, GAD, diabetic neuropathy,

AA: 
↑ BP
stimulant
sedation
nausea
42
Q

venlafaxine

A

SNRI

social anxiety, panic disorder, PTSD, OCD

43
Q

desvenlafaxine

A

SNRI

44
Q

duloxetine

A

SNRI

45
Q

levomilnacipran

A

SNRI

46
Q

milnacipran

A

SNRI

47
Q

TCAs

A

Amitriptyline, nortriptyline, imipramine, despramine, clomipramine, doxepin, amoxapine
inhibit 5-HT and NE reuptake

convulsions, coma, cardiotoxicity

48
Q

Monoamine oxidase inhibitors

A

Tranylcyproamine, phenelzine, isocarboxazid, selegine
↑ levels of NE, 5-HT, and Dopamine

atypical depression, anxiety,

AA:
HTN crisis after tyramine ingestion
contraindicated with St. John’s wort

49
Q

Amitriptyline

A

TCA

50
Q

nortriptyline

A

TCA

51
Q

imipramine

A

TCA

52
Q

despramine

A

TCA

53
Q

clomipramine

A

TCA

54
Q

doxepin

A

TCA

55
Q

amoxapine

A

TCA

56
Q

Tranylcyproamine

A

MAO inhibitor

57
Q

phenelzine

A

MAO inhibitor

58
Q

isocarboxazid

A

MAO inhibitor

59
Q

selegine

A

MAO inhibitor

60
Q

Buproprion

A

inhibits NE and DA reuptake

atypical antidepressant

61
Q

Mirtazapine

A

α2 antagonist
↑ NE and 5-HT
atypical antidepressant

62
Q

Trazodone

A

inhibits 5-HT2, α1-adrenergic, and H1 receptors
used for insomnia

AA:
priapism (TrazzzzaBONE)

63
Q

Varenicline

A

Smoking cessation

nicotinic ACh receptor agonist

64
Q

Vilazodone

A

inhibits 5-HT reuptake

used for Major depression disorder

65
Q

Methadone

A

opiate used for heroine detoxification

66
Q

Buprenorphine

A

opiate (sublingual form) partial agonist to prevent relapse

67
Q

naloxone

A

opioid antagonist that treats OD

68
Q

Naltrexone

A

opioid antagonist
long acting oral
prevents relapse

69
Q

Modafinil

A

narcolepsy tx

70
Q

Ramelteon

A

Melatonin agonist

low risk tx for insomnia

71
Q

Schizophreniform disorder

A

schizophrenia but only for 1-6 months

symptoms longer than 6 months is schizophrenia

72
Q

Schizoaffective disorder

A

Psychotic symptoms (at least 2 weeks) without mania or depression

73
Q

Alcohol withdrawl

A

tremors, seizures, tachycardia

74
Q

Benzodiazepine withdrawl

A

tremors, seizures, tachycardia

75
Q

heroine withdrawl

A

lacrimation, overactive bowel sounds

yawning, dilated pupils

COMLEX Level 1 (13 decks)

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