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psych final Flashcards

1
Q

who can get conduct disorder

A

kids under 18 who show personality disorder sxs

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2
Q

very introverted voluntary withdrawal from social interactions, little pleasure in activity

A

schizoid

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3
Q

schizoid sxs (withdrawal) plus magical thinking and odd behavior, ideas of reference

A

schizotypal (willy wonka)

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4
Q

begins as withdrawal from close friends and social activities, then delusions, catatonia, flat or inappropriate affect, apathy, anhedonia (marijuana increases your risk of this disease 6x)

A

schizophrenia

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5
Q

schizo criteria are met for at least 2 wks plus either depressive or manic episode

A

schizoaffective disorder

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6
Q

what is the difference between OCD and OCPD

A

OCD knows they have a problem

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7
Q

what is best treatment for bulimia nervosa

A

CBT, fluoxetine (and maybe naltrexone which decreases endorphins with purging)

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8
Q

medical conditions that can present as psych sxs

A

lupus, DM, hyponatremia, thyroid dysfunction, IBD, MS, asthma, COPD, pheochromocytoma, B12 deficiency

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9
Q

medications for dementia

A

donepezil (AChE inh), memantine(NMDA inh)

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10
Q

timeframe for diagnosing schizophrenia

A

6 mo

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11
Q

fast speech and lots of jumping topic to topic

A

flight of ideas

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12
Q

which mental illnesses have high rates of suicide

A

schizophrenia!, bulemia, anorexia, borderline, depression in rural elderly white males

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13
Q

how can you tell the difference in geriatrics: demetia versus depression

A

depressed people have insight, dementia people don’t know that anything is wrong

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14
Q

off label use for this med which is indicated for depression in elderly: mirtazepine

A

increase apetite

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15
Q

off label use for this med which is indicated for depression in elderly: SNRI’s

A

pain

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16
Q

off label use for this med which is indicated for depression in elderly: trazodone

A

promotes sleep

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17
Q

this is a feature of schizophrenia where pt is talking and suddenly doc can’t follow patients train of thought

A

loose associations

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18
Q

this is a feature of schizophrenia where pt is talking and suddenly stops because they can’t talk as fast as they think

A

poverty of speech

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19
Q

schizophrenic sxs must be present for how long before dx

20
Q

sxs that meet schizophrenia criteria that last from 1-6 mos

A

schizophreniform

21
Q

nonbizzare ideas that a person fixates on (like being followed poisoned infected)

A

delusional disorder

22
Q

how long do you need nonbizzare sxs to dx delusional disorder

23
Q

how long do you need nonbizzare sxs to dx delusional disorder

24
Q

sympathetics fire in response to stressful stimuli and what is released

A

catecholamines, serotonin, glucocorticoids, dopamine, immune system is inhibited

25
Q

how is CAD related to psychiatric illness

A

depression is a risk factors for CAD and MI

26
Q

pt presents with acute abdominal pain and psychosis

A

acute intermittent porphyria

27
Q

cluster b disorder with no regard for law or rights of others

A

antisocial

28
Q

cluster b disorder with black and white thinking

A

borderline

29
Q

cluster b disorder with attention seeking behavior

A

histrionic

30
Q

cluster b disorder with grandiosity and need for admiration

A

narcisitic

31
Q

cluster b disorder with no regard for law or rights of others, lack remorse

A

antisocial (men, the joker from dark night)

32
Q

cluster b disorder with black and white thinking, fear abandonment

A

borderline (tweety bird shirt sign)

33
Q

cluster b disorder with attention seeking behavior

A

histrionic (lady gaga)

34
Q

cluster b disorder with grandiosity and need for admiration

A

narcisitic (trump)

35
Q

cluster c disorder with sensitivity to negative evaluation, still desire relationships

A

avoidant (michael jackson)

36
Q

cluster c disorder where pt doesn’t want to make decisions on their own, lack confidence

37
Q

cluster c disorder with rigid rule conformity, orderliness

A

obsesive compulsive

38
Q

cluster b disorders are especially scary because they increase risk of what

A

suicide, substance abuse, impulsivity

39
Q

what separates the timeline of cluster c from a and b

A

c tends to get worse later in life

40
Q

what separates the timeline of cluster c from a and b

A

c tends to get worse later in life

41
Q

criteria for major depressive episode

A

5 criteria for 2 wk

42
Q

timeline to call it a manic episode

43
Q

timeline to call it a hypomanic episode

44
Q

timeline to call it a dysthymia/persistent depressive disorder

A

1 year kids, 2 yr adult (no gaps that last 2 mo)

45
Q

bipolar I versus II

A

I- at least one manic episode

II- one major depressive episode and one hypomanic

46
Q

timeline to call it generalized anxiety disorder

A

majority of days for 6 months

#MedSchool (17 decks)

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