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EOR"S > Psych > Flashcards

Psych Flashcards

1
Q
  • Fixed, false belief Persecutory most common Schizophrenia
  • bipolar beliefs lasting >1 month
A

Delusions

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2
Q

Delusions treatment:

A

Atypical Antipsychotic Agents

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3
Q
  • Cluster B personality disorder
  • F > M
  • Splitting Unstable mood and relationships Self-mutilation
  • Increased suicide risk

Treatment

  • Psychotherapy
A

Borderline Personality Disorder (BPD)

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4
Q
  • Sx duration > 1 month
  • Persistent re-experiencing of event
  • Persistently ↑ arousal
  • Avoidance of stimuli
  • ↑ Risk for suicide, substance abuse
A

Post-Traumatic Stress Disorder (PTSD)

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5
Q
  • history of taking typical (1st generation) antipsychotic medication

PE will show:

  • repetitive facial movements (chewing, lip smacking)

Treatment:

  • stopping the offending drug
A

Tardive Dyskinesia

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6
Q

What are first-line treatment options for a patient with acute mania?

A
  • Mood stabilizer (e.g., lithium, valproic acid)

or

  • atypical antipsychotic medication (e.g., olanzapine, quetiapine).
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7
Q

treatment for patients with debilitating anxiety related to performance situations?

A

Propranolol.

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8
Q

Pediatric version of antisocial personality disorder Violating human rights of others

A

Conduct Disorder

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9
Q

Depression Symptoms SIG E CAPS

A
  • Sleep (insomnia/hypersomnia)
  • Interest (anhedonia)
  • Guilt (worthlessness)
  • Energy (fatigue)
  • lack Cognition/Concentration
  • Appetite (wt. loss); usually declined, occasionally increased
  • Psychomotor retardation or agitation (restlessness or slowness)
  • Suicidality (thoughts of death)
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10
Q

Excessive/unreasonable fear interfering with normal function for > 6 months Focused, detailed history Provocation: specific feared object/situation exposure Leads to avoidance behavior Not better explained by another disorder Management includes medications, behavioral modification, and desensitization therapy

A

Phobia

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11
Q

PE will show respiratory depression, sedation, miosis, hyporeflexia, bradycardia, hypotension, hypothermia Diagnostics may show prolonged QTc interval

A

Opioid Toxicity

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12
Q

Opioid Toxicity management:

A

stabilization naloxone

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13
Q

treatment for delusional dissorder:

A

aripripazole

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14
Q

When taking olazanpine you must monitor:

A

Lipid Profile

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15
Q

___________is contraindicated to use in patients with a history of bullimia nervosa becyase it can cause seizures

A

Bupropion

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16
Q

Patient with a history of binge eating followed by purging via forced vomiting, purging via laxative abuse, driven exercise or fasting

A

Bulimia Nervosa

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17
Q

PE will show dental erosions and calloused knuckles

A

Bulimia Nervosa

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18
Q

Diagnosis is made by one episode of binge eating with inappropriate compensatory behavior per week for a minimum of three months in a patient whose self-evaluation is unduly influenced by body shape or weight

A

Bulimia Nervosa

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19
Q

Bulimia Nervosa treatment

A

psychotherapy, cognitive behavioral therapy, and antidepressants

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20
Q

Lifelong, recurrent mood episodes of either mood pole Mania, hypomania Inflated self esteem Decreased need for sleep Pressured speech Flight of ideas Excessive pleasurable activity

A

Bipolar disorder

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21
Q

Excessive worry Persistent symptoms Difficult to control feelings Symptoms last over six months Treat with CBT, SSRI

A

Generalized Anxiety Disorder (GAD)

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22
Q

≥ 2 symptoms: Delusions, hallucinations, disorganized speech, grossly disorganized or catatonic behavior, negative symptoms

A

Schizophrenia

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23
Q

Duration: Brief psychotic disorder:

A

< 1 month

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24
Q

Duration Schizophrenia:

A

> 6 months

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25
Q

Duration Schizophreniform disorder:

A

1–6 months

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26
Q

psychosis + mania or depression=

A

Schizoaffective disorder

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27
Q

History of excessive dieting, purging, body image disturbance, and fear of weight gain Complaining of amenorrhea PE will show > 15% below ideal body weight, lanugo, osteoporosis Treatment is behavioral therapy Comments: Patient will be in denial of illness

A

Anorexia Nervosa

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28
Q

Abnormal ejaculation Erectile dysfunction Low libido Take a thorough history Review medication list Manage medical co-morbidities Weight loss, quitting smoking, exercise

A

Male Sexual Dysfunction

29
Q

Alpha adrenergic receptors such as __________help reduce nightmares and imporve sleep in patients with PTDS

A

Prazosin

30
Q

Besides schizoid personality disorder, what are the other cluster A personality disorders?

A

Paranoid and schizotypal.

31
Q

Few friends Odd attire, behavior and beliefs Social anxiety Treatment: psychotherapy, anti-psychotics

A

Schizotypal Personality

32
Q

Schizotypal Personality treatment:

A

Treatment: psychotherapy, anti-psychotics

33
Q

Recurrent thoughts (obsessions), behaviors (compulsions) Difficult to control Disruption of daily living Need to perform rituals Yale-Brown Obsessive Compulsive Scale Treat with medications and therapy

A

Obsessive-Compulsive Disorder

34
Q

Arrogant Entitlement Lack empathy Self-importance Superiority

A

Narcissistic Personality Disorder

35
Q

Narcissistic Personality Disorder treatment:

A

Psychotherapy Addition of mood stabilizers or antipsychotics if pt poses threat to self/others

36
Q

Inattention + impulsivity + hyperactivity

A

Attention-Deficit/Hyperactivity Disorder (ADHD)

37
Q

Most common childhood behavioral disorder Inattention + impulsivity + hyperactivity Dx criteria: Sx present in 2 areas of interaction Sx must present before 12 years Sx > 6 months Sx maladaptive/inappropriate for child’s developmental stage

A

Attention-Deficit/Hyperactivity Disorder (ADHD)

38
Q

Deficits in interpersonal relationships Speech and language delay, poor eye contact, stereotypic behaviors Not linked to vaccinations

A

Autism

39
Q

What is the correct term to describe a person sexually excited by inflicting psychological or physical harm on a sexual partner?

A

Sexual sadism.

40
Q

Fantasies/urges about children Person is greater than age 16 and age gap is greater than 5 years Use of pornography

A

Pedophilic Disorder

41
Q

Pedophilic Disorder management:

A

Psychotherapy Medical management: medroxyprogesterone IM

42
Q

Formerly Munchausen Syndrome Desires “sick role” Hx of multiple hospital admissions Willingness to undergo procedures

A

Factitious Disorder

43
Q

first line threatment for patients with factitous disorder?

A

psychotherapy

44
Q

most effective medication for patients with conduct disorder?

A

stimulatns: methylphenidate dextroamphetamine

45
Q

Pediatric version of antisocial personality disorder Violating human rights of others

A

Conduct Disorder

46
Q

Early symptoms: anxiety, nausea, restlessness Risk of seizure Delirium tremens may start after 48 hours Correct nutritional deficiencies Offer alcohol cessation support /resources

A

Alcohol Withdrawal Syndrome

47
Q

Alcohol Withdrawal Syndrome treatment:

A

Treat with benzodiazepines

48
Q

Patient will be a man With a history of using smokeless tobacco products PE will show a thickened, white plaque with an irregular outline Diagnosis is made by biopsy Most commonly caused by precancerous hyperplasia of the squamous epithelium Treatment is close observation or surgical excision Comments: CAUTION! NOT the same as Oral Hairy Leukoplakia

A

Oral Leukoplakia

49
Q

At least six months of symptoms in a child Angry, argumentative, defiant behavior Vindictiveness Evaluate for other co-morbidities

A

Oppositional Defiant Disorder (ODD)

50
Q

Oppositional Defiant Disorder (ODD) treatment

A

Treat with psychotherapy

51
Q

Flu-like illness Abdominal cramps Diarrhea Mydriasis Piloerection Yawning

A

Opioid Withdrawal

52
Q

Opioid Withdrawal treatment:

A

Rx: methadone, buprenorphine, clonidine for iatrogenic, other nonopioid adjuncts

53
Q

Concerned with appearance and flaws May seek out cosmetic procedures Evaluate for other mental health conditions

A

Body Dysmorphic Disorder (BDD)

54
Q

Body Dysmorphic Disorder (BDD) treatment:

A

Treat with SSRI, CBT

55
Q

Schizophrenia is characterized by which two symptoms?

A

Hallucinations and delusions.

56
Q

Cluster B personality disorder F > M Splitting Unstable mood and relationships Self-mutilation, increased suicide risk

A

Borderline Personality Disorder (BPD)

57
Q

Borderline Personality Disorder (BPD) treatment:

A

Psychotherapy

58
Q

Attention seeking, want to be center of attention Dramatic Flamboyant Seductive behavior Sexually inappropriate

A

Histrionic Personality Disorder

59
Q

Histrionic Personality Disorder treatment:

A

Psychotherapy

60
Q

Genuine sx with no identifiable cause Precipitating emotional event often precedes somatic symptoms F > M Management involves a combination of behavior modification, and psychological and social therapy

A

Somatic Symptom Disorder (formerly Somatoform Disorder)

61
Q

Hypochondriasis Preoccupied with serious illness, despite negative exam/testing Evaluate for other medical diagnosis Management is CBT, psychotherapy, anti-depressants

A

Illness Anxiety Disorder

62
Q

What does anosognosia mean?

A

Poor insight.

63
Q

HTN, tachycardia, hyperthermia Vertical, horizontal, or rotatory nystagmus Variable pupil size Combative behavior Complications: rhabdomyolysis, seizures

A

Phencyclidine (PCP) Intoxication

64
Q

Phencyclidine (PCP) Intoxication treatment:

A

BZDs, cooling, IVF, charcoal

65
Q

What class of medication is most effective in treating a patient with somatic symptom disorder that has not improved with therapy?

A

Antidepressants.

66
Q

Which is the most common mood episode specifier associated with cyclothymic disorder?

A

Anxious distress.

67
Q

Milder form of bipolar Symptoms for at least 2 years (for children, a full year) Both hypomania and depressive periods Never fulling the criteria for an episode of mania, hypomania, or major depression

A

Cyclothymic Disorder

68
Q

DSM 5 criteria ≥ 1 symptom(s) of altered sensory function or altered voluntary motor function Not consistent with recognized neurological or medical conditions Patient’s symptoms are not better explained by another medical condition or medical disorder Symptoms causes significant distress impairment in functioning a need for medical evaluation

A

Conversion Disorder (Functional Neurologic Symptom Disorder)

EOR"S (3 decks)

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