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DIT Step 2 > Psych personality disorders and more > Flashcards

Psych personality disorders and more Flashcards

1
Q

Todds paralysis?

A

Postictal hemiparesis lasting 15 hours but no longer than 24

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2
Q

Personality trait vs disorder?

A

Trait, means you still work well in society and able to function

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3
Q

Cluster A?

A

NO PSYCHOSES!

Paranoid, Schizoid, Schizotypal

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4
Q

Schizotypal?

A

Schizotypal goes to work dressed like a pickle

Eccentric odd beliefs/magical thinking

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5
Q

Avoidant vs schizoid?

A

Avoidant want to relate to others but don’t know how.

Schizoid don’t care

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6
Q

Cluster A tx?

A

Low dose antipsychotics if psychotherapy

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7
Q

Treatment of personality disorder?

A

Psychotherapy

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8
Q

DT symptoms?

A

Nihgtmares, agitation, disorientation, hallucinations, fever, htn…. EVENTUALLY SEIZURES or AUTONOMIC HYPERACTIVITY

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9
Q

Wernicke korsakoff from what?

A

B1 thiamine deficiency. alcoholics. Mammallary bodies

Wernicke: confusion, ataxia and coma and DEATH

Korsakoff: Amnesia. Confabulation. Hallucinations

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10
Q

How many do you need in CAGE questionnaire?

A

more than 1

Cut down. Annoyance. Guilt. Eye opener

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11
Q

Intoxication of amp or cocaine intoxication?

WHAT DONT YOU GIVE?

A

Benzo and haloperidol if psychosis

Phentolamine is alpha 1 blocker can be used for htn.

DO NOT GIVE BETA BLOCKERS b/c beta 2 actually vasodilator a bit and beta blockers cause unopposed Alpha constriction

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12
Q

Patient with nystagmus who is super violent is on what?

A

PCP

CALM THEN DOWN!!! bento and haloperidol

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13
Q

Phentolamine is what?

A

Alpha blocker for cocaine

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14
Q

Anorexia tx?

What is contraindicated?

A

Psychotherapy is tx

If depressed give SSRI, NO BUPRORPRIONe

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15
Q

OCD tx?

A

CBT and ssri

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16
Q

PTSD dirsturbance must last how long?

A

1 month!

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17
Q

Tx of ptsd?

Nightmares?

A

PSYCHOTHERAPY and SSRI is only to work for it!!!

prazosin may improve sleep (alpha antagonist)

Bezos are abused! so don’t give them

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18
Q

Acute stress disorder is different than PTSD how?

A

less than one month!

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19
Q

What is adjustment disorder? Timeline?

A

emotional response to stressor.

MUST BEGIN WITHIN 3 months then must resolve within 6 months

Must be start within 3 months of stressor and gone after 6 months of the disappearance of the stressor

20
Q

Conversion disorder?

A

V for Voltage

Motor symptoms or sensory symptoms without neuro or medical cause

21
Q

What is somatic symptom disorder?

A

Some symptoms possible but SUPER WORRIED ABOUT IT AND WAYYYY PREOCCUPIED about it

patients bring detailed notes

22
Q

factitious vs malingering

A

factitcious may be hurting themselves!

malingering is for a reward!

23
Q

ADHD dx

A

6 inattention or 6 hyperactivity before age 12 with questionnaires from parents and 2 other people

24
Q

Tx if stimulants failed in ADHD?

A

TCA Bupropion or CLONIDINE alpha 2 antagonist

25
Q

Stimulants for ADHD effect on height?

A

Growth delayed, but adult height not affected

26
Q

Risk with atomoxetine?

A

Risk of suicidality

27
Q

Tx for tourette?

A

Counseling to adjust

fluphenazine, pimozide, tetrabenazine (dopa antagonists, haloperidol not tolerated well)

SSRI or clonidine helps impulses

28
Q

learning disability is different than intellectual disability

A

Intellectual is with all, learning is specific things

29
Q

Autism signs early on?

A

“Living in their own world. Lack of responsiveness to others with poor eye contact and absence of social smile…)

repititions

30
Q

DT is what vitally?

A

vital signs unstable!!!

Alcoholic hallucination is vitally stable

31
Q

How do you remember DPP4 inhibitors?

A

Only ones with p’s in them consistently

GLIPTINS!

32
Q

Other Metformin mechanism?

A

Increased sensitivity to insulin kinda!

33
Q

KUSSMAUL breathing associated with DKA

A

Deep labored breathing to blow off CO2

34
Q

Potassium status in DKA?

A

Serum level measured high, but total level is actually low (dehydrated and extracellular shift)

K and H+ shift b/c acidosis

35
Q

DKA tx?

What do you do about KCl?

A 
ICU
IV fluids! Lots of it, 2 X IV amount
IV insulin
KCl
IV glucose if needed

DO NOT STOP just b/c glucose is normal

36
Q

When do you stop insulin drip in DKA?

A

When anion gap back to 10-12

37
Q

HHNS is what?

A

Hyperosmolar hyperglycemic nonketotic state. from not enough insulin, but enough to prevent ketoacidosis

Hyperosmolar and dehydrated

38
Q

Workup for cause of DKA includes what?

A

Infectin: Culture, UA, CXR
To screen
Pancreatitis: amylase or lipase
Evaluate for MI

39
Q

TCA overdose symptoms?

A

Cardiotox: wide QRS or tacky
CNS toxicity
Anticholinergic

40
Q

Anterior 2/3 of tongue taste?

Monitors chemo and baroreceptors?

A

VII

CN IX

41
Q

2 types of diabetic retinopathy.

Findings? Which is worse.

A

Nonprolif has cotton wool spots/exudates. (MORE COMMON, LESS SEVERE)

Proliferative has proliferation of vascularization. Can see hemmorhages which causes blindness

42
Q

Tx for proliferative retinopathy?

A

Laser photocoag to stop hemorrhage of neovascularture

43
Q

Diabetic nephropathy is what? WHAT IS ON biopsy?

How do you screen?

A

glomerular sclerosis b/c expansion of mesangial matrix

See kimmelstiel wilson nodules

Screen for microablumin in urine

44
Q

Most common neuropathies with DM?

A

Sensory, then motor and then autonomic

45
Q

Charcot joint?

A

Arthropathy from chronic repetitive trauma. Think DM or tabes dorsalis

DIT Step 2 (77 decks)

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