Psych Psychoses and stuff

Question 1

Basilar artery stroke symptoms?

Answer 1

Pons ischemia. Think CN defects and altered mental status or coma

Can have contralateral full body weakness
Vertigo

Question 2

Irrational belief that can’t be changed by proof or rational arguments

Answer 2

Delusion

Question 3

Hallucination is what? how different than illusion?

Answer 3

Hallucination is sense something not there.

Illusion is misinterpret a stimulus that is there

Question 4

Circumstantiality

Tangentiality

Loose associations

Answer 4

Diverge from questions asked but returned. GET THERE EVENTUALLY

Tangentiality doesn’t ever get there. CAN FOLLOW THOUGH

Loose associations can’t follow the thoughts.

Question 5

Neologism

Word salad

Answer 5

Making up new words

words that don’t make sense who strung together

Question 6

Schizophrenia is what?

Answer 6

lasting 6 months. Dysfunction in work and social

must have 2 of the following

Delusions, hallucination, disorganized speech, catatonic behavior
NEGATIVE symptoms

Question 7

Schizo risk factor of birth time is what?

Answer 7

Uterine exposure to flu. So born in late winter/early spring

Question 8

Neuroimagining of schizo?

Answer 8

Enlargement of lateral and third ventricle

Cortical thinning

Question 9

Schizotypal personality?

Answer 9

Just do weird things. Weird behavior/appearance and discomfort with relationships

Question 10

Schizoid personality disorder

Answer 10

voluntary isolation AVOID

Question 11

Schizoaffective?

Answer 11

Psychosis with intermittent mood disorder

Question 12

Schizophrenia is how long? what if shorter?

Answer 12

Psychosis of 6 months

Schizophreniform is less than 6 months

Brief is less than a month

Question 13

What is delusional disorder?

Answer 13

Delusions for month (So can’t be convinced otherwise)

Hallucinations can be present and if so, they are related to the delusions (like patient hearing voices of kids stealing electricity and living in the attack)

FUNCITONING is not impaired!!

Question 14

Glucocorticoids and anabolic steroids can cause psychosis

Answer 14

DUH!

Question 15

Crazy thoughts that are delusional but able to hold down a job or function in society?

Answer 15

Delusional disorder

Question 16

Schizoaffective is what?

Answer 16

Psychosis with intermittent mood disorder

Question 17

Side effects of low potency antipsychotics?

Answer 17

Anticholinergic

Chlorpromazine
Thioridazine

CHEATING THIEVES!

Question 18

Side effect of high potency antipsychotics?

Answer 18

Less anticholinergic
Extrapyramidal
Tardive dyskinesia
NMS

Question 19

What are high potency antipsychotics?

Answer 19

Haloperidol
Fluphenazine
Loxapine
Thiothixene
Trifluoperazine

Question 20

Atypical side effects? They block D2 and 5HT2

Special monitoring

Answer 20

Ol Cl Quie Risper

Weight gain
Diabetes
CLO is agranulocytosis so check CBC ONCE PER WEEK

Question 21

What causes extrapyramidal side effects? What are they?

Answer 21

High potency like fluphanazine, haloperidol loxapine, thiothixene, trifluoperazine

Acute dystonia
Parkinsonian
Akathisia (compulsion to move)

Question 22

Treatment for acute dystonia from antipsychotic? (meaning patient can’t relax muscle)

Answer 22

Benztropine or diphenhydramine

They are anticholinergics

Question 23

Tardive dyskenesia tx?

Answer 23

try to switch to atypical, but may be permanent

Question 24

Neuromalignant syndrome looks like what? How is it different than other disease that is similar?

Answer 24

Mental status change: agitated
Muscle rigidity
Rhabdo

Question 25

NMS tx?

Answer 25

DANTROLENE is a big one.

IVF, cooling blankets
Clonidine or nitroprusside to vasodilate and treat HTN
DVT prevention
Benzos for agitation

Question 26

Antipsychotic causing DM?

Answer 26

Olanzapine makes you super FAT like a big round O