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PNCE > Psych JB > Flashcards

Psych JB Flashcards

1
Q

ADHD sx

A

sx before age 12 and present for at least 6mo
sx occur in 2 settings

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2
Q

ADHD tx

A

behavior modification
stimulants TOC (Ritalin, adrenal, Focalin)
non stimulants: Strattera, SNRI

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3
Q

Electroconvulsive therapy AE

A

short term memory loss
increased HR and BP during procedure
HA, N, muscle aches, disorientation, confusion, fatigue

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4
Q

agoraphobia tx

A

SSRI
SNRI
psychotherapy: combo of exposure therapy, relaxation, and breathing training

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5
Q

alcohol withdrawal tx

A

IV benzo, IV fluids
IV thiamine and mg (before glucose)
multivitamin (+ B12 and folate)
dextrose
avoid meds that decrease seizure threshold (buproprion, haloperidol, anticonvulsants, clonidine, BB)

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6
Q

anorexia nervosa dx and labs

A

BMI <17.5 or body weight <85 the ideal weight
labs: leukopenia, leukocytosis, anemia, hypoK, increased BUN (dehydration), hypothyroidism, osteopenia, osteoporosis

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7
Q

anorexia nervosa tx

A

hospitalization for <75 expected weight or complications
psychotherapy: CBT, supervised meals, weight monitoring

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8
Q

anorexia nervosa tx

A

depression: SSRI, atypical antipsychotics
no buproprion w/ eating disorders or seizures
calcium, vit D, estrogen

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9
Q

antisocial personality disorder sx

A

> 18yo
may commit criminal acts without regard to laws
lack of empathy

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10
Q

bipolar disorder I criteria

A

> 1 manic (1w) or mixed episode with often cycles depressive episodes.

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11
Q

bipolar disorder II criteria

A

> 1 hypomanic episode (4d) + >1 major depressive episode. mania or mixed episodes absent

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12
Q

strongest risk factor in bipolar disorder

A

family hx, first degree relative

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13
Q

bipolar disorder tx

A

mood stabilizer: lithium 1st line
valpropc acid, carbamazepine, olanzapine,
haloperidol, benzo for psychosis or agitation
ECT

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14
Q

brief psychotic disorder

A

> 1 psychotic sx w/ onset and remission <1mo

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15
Q

bulimia nervosa labs

A

hypoK
hypoMg
normal/overweight
metabolic alkalosis (from vomiting)

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16
Q

bulimia nervosa PE

A

Russel’s sign: calluses on dorsum of hands
teeth pitting/enamel erosion

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17
Q

bulimia nervosa tx

A

CBT and fluoxetine

18
Q

cocaine abuse tx

A

benzo +/- antipsychotics (halperidol) for agitation

19
Q

dissociative fugue tx

A

psychotherapy

20
Q

analgesics overdose sx

A

respiratory depression, miosis
stupor, hepatic injury, hypoxemia

21
Q

illness anxiety disorder sx

A

hypochondriasis
fear or belief that one has or will contract a serious undiagnosed disease
>6mo sx, somatic sx not present

22
Q

Major depressive disorder sx

A

> 5 almost every day for most days for at least 2 weeks
Sleep disturbances
Interests
Guilt
Energy
Concentration
Appetite
Psychomotor
Suicide

23
Q

major depressive disorder tx

A

CBT
SSRI

24
Q

nicotine dependence tx

A

CBT + OTC gum, nasal spray, patch
buproprion
varencicline

25
Q

OCD sx

A

obsessions: recurrent and persistent thoughts and images
compulsions: repetitive behaviors that they feel driven to perform

26
Q

OCD tx

A

CBT
SSRI (fluoxetine), SNRI (venlafaxine)

27
Q

panic disorder sx

A

recurrent unexpected panic attacks + 1mo of persistent worry for another panic attack

28
Q

panic disorder tx

A

long term: SSRI 1st line, CBT
Acute attack: benzo

29
Q

postoperative psychosis sx

A

patient w/ recent hx of surgery that needed anesthesia

30
Q

postpartum depression tx

A

SSRI
brexanolone (FDA approved)

31
Q

psychogenic polydipsia labs

A

urine specific gravity 1.005
low sodium

32
Q

psychosis tx

A

2nd gen antipsychotics 1st line (risperidone, olanzapine, quetiapine)
clozapine for refractory cases
1st gen antipsychotics for + sx but associated with extrapyramidal sx

33
Q

schizoaffective disorder sx

A

schizophrenia + mood disturbance (MMD/manic episode)

34
Q

schizophrenia criteria

A

> 6mo w/ 1mo of acute sx along with functional decline

35
Q

schizophrenia tx

A

hospital for acute psychotic episodes
2nd gen antipsychotics 1st line (risperidone, olanzapine, quetiapine)
clozapine for refractory cases
1st gen antipsychotics better for + sx

36
Q

schizophreniform disorder sx

A

criteria for schizophrenia but <6mo

37
Q

shaken baby syndrome sx

A

bilateral retinal hemorrhage, failure to thrive
diffuse brain injury, poor feeding
blunt head trauma
seizure

38
Q

somatic symptom disorder sx

A

patient has physical symptoms involving >1 part of the body but no physical cause can be found

39
Q

ecstasy abuse sx

A

HTN, tachycardia, hyperthermia, hyponatriemia (increased fluid intake)
neuro sx (confusion, seizure, cerebral edema)
hepatotoxicity (jaundice, abd pain, N/V, increased bill, increased AST/ALT)

40
Q

nicotine substance disorder sx

A

yellowing of fingers/nails
smell of nicotine on hair and clothes
agitation to withdraw
weight gain if attempting to stop

41
Q

tardive dyskinesia tx

A

switch to 2nd gen antipsychotic
deutetrabenazine
valbenazine

PNCE (33 decks)

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