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Bina's Step 2 CK Flascards > Psych Qbank (on Anki) > Flashcards

Psych Qbank (on Anki) Flashcards

1
Q

What is liftetime risk of developing bipolar?

A

1% for general population, 5-10% for 1st degree relative

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2
Q

What is the psychotic disorder where one person’s delusion is transferred to another?

A

Folie a deux (madness shared by two)

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3
Q

What is required to diagnose MDD?

A

4 of SIGECAPS + depressed mood or loss of interest

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4
Q

What is required to diagnose adjustment d/o w/ depressive features?

A

Sx occur w/in 3 mo of identifiable stressor (non life-threatening, otherwise PTSD), and end w/in 6 mo

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5
Q

Difference btw panic and anxiety d/o?

A

Panic d/o characterized by recurrent, unexpected panic attacks. And concern about additional attacks (not necessarily trigger)

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6
Q

Length of sx required for ADHD dx?

A

6 mo of intattention, short attenttion span, or hyperactivity in 2 settings

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7
Q

Why do stimulants work in ADHD (2 pathways)?

A
  1. NE and 2. dopaminergic pathways of attention
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8
Q

First and second line for ADHD?

A
  1. Dextroamphetamine, methylphenidate
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9
Q

Patient with depression and neuropathic pain?

A

Use duloxetin (approved for both) rather than SSRI

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10
Q

Length of sx for MDD?

A

2 weeks (5 total sx)

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11
Q

What is Zolpidem (category)

A

Hypnotic = sedative

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12
Q

Tx for patient w/ depression and insomnia?

A

Mirtazepine

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13
Q

Dx of dysthymia?

A

Persistent depressive sx for >2 years

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14
Q

Rx for OCD other than SSRIs?

A

Clomipramine (TCA) - used second given side effects

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15
Q

Psychotic symptoms occur exclusively during mood episodes in (2)?

A

MDD w/ psychotic featurs, bipolar I

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16
Q

Significant mood episode w/ concurrent psychotic sx in addition to a period of psychosis w/o mood sx for at least 2 weeks - dx?

A

Schizoaffective

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17
Q

Schizophreniform - a form of schizophrenia

A

Lasting >1 to

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18
Q

What is typical duration of bereavement?

A

No longer than 2 months

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19
Q

What is the rx for NMS?

A

Dantrolene

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20
Q

What is the neurotic defense mechanism?

A

Substitute behavior/feelings tat are exact opposite of feelings

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21
Q

In addition to epilepsy, what’s another contraindication to buproprion?

A

Hx of anorexia/bulemia or current EtOH or benzo use (electrolyte abnormality)

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22
Q

Difference between repression and denial defense mechanism?

A

Repression - block inner states - block upsetting ideas/impulses from entering consciousness. Denial - block external sensory data (ie. Refuse to acknowledge the presence of a mass)

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23
Q

What is time frame for adjustment disorder?

A

Within 3-6 months after stressor

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24
Q

Rx of amphetamine w/drawal?

A

Buproprion and/or bromocriptine

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25
Q

Who are good candidates for LAI (long-acting injectable) antipsychotic

A

Patients w/ unstable illness,live alone, poor social support, poor insight, frequent medication noncompliance

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26
Q

Personality d/o: patients who like being alone

A

Schizoid (I in zoid for me myself and I)

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27
Q

Feelings of borderline patients?

A

Anger, chronic emptiness (parttern of instability in relationships, marked impulsivity)

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28
Q

What side effect is most commonly seen with Olanzapine?

A

Weight gain (in addition to clozapine)

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29
Q

MOA of olanzapine?

A

Primarily a serotonin-dopamine antagonist. Also affinity for histamine, alpha-1 adrenergic, muscarinic. Antagnism of histamine and 5HT –> weight gain. Histamine –> sedation

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30
Q

Rx for anxiety in adjustment d/o?

A

Buspirone and clonazepam

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31
Q

Rx for depression + insomnia?

A

Trazodone

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32
Q

Rx for acute dystonia?

A

Anticholinergics (benztropine) or antihistamines (diphenhydramine)

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33
Q

Avoid Li in what?

A

Renal dz

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34
Q

Aviod Valproate in what?

A

Liver dz

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35
Q

When to use adjunctive benzos?

A

Insomnia, agitation

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36
Q

Difference btw normal stress response vs. adjustment d/o w/ depression

A

Significant functional impairment

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37
Q

What is d/o characterized by inability to resist impulse to steal objects of low monetary value/not needed for personal use, and rx?

A

Kleptomania (not premeditated, and patient normally feels guilt/shame) –> CBT

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38
Q

Which antipsychotic associated w/ cataracts?

A

Quetiapine

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39
Q

Conversion disorder vs. somatic symptom d/o?

A

Conversion - sudden onset neuro sx incompatible w/ nl neuro exam (aka functional neuro sx d/o) triggered by stressor

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40
Q

What is factitious d/o?

A

Intentional production of physical or psychological sx w/ the goal of assuming sick role

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41
Q

What is malingering?

A

Intentional production of FALSE or exagerated physical or psychological sx w/ the motivation of 2ndary gain

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42
Q

What are comorbidities commonly associated w/ panic d/o (4)?

A

Major depression, bipolar, agoraphobia, substance abuse

43
Q

Patients who have been sexually assaulted at higher risk of (3)?

A

PTSD, MDD, suicide contemplation/attempts (NOT necessarily substance abuse)

44
Q

What neurotransmitter associated w/ psychosis?

A

Increased dopaminergic activity

45
Q

What neurotransmitter reduces likelihood of EPS?

A

Serotonin receptor binding

46
Q

Review #38 - presentation of NMS

A

(Sx of fever, rigidity, AMS, autnomic instability)

47
Q

Organic causes of neurocog deficits?

A

Autoimmune, heavy metals, Wilson’s, carcinoid, pheo

48
Q

Rx for social phobia (2 kinds)?

A

If generalized: SSRI/SNRI and CBT. If performance-only: benzo/BB 30-60” before event and CBT

49
Q

Serotonin syndrome sx?

A

Tachycard, bp

50
Q

What can eating cheese with MAO-I cause?

A

Hypertensive crisis

51
Q

Dissociative disorders

A
  1. Dissociative identity d/o = multiple personality d/o. 2. D amnesia = 1+ more episodes of inability to recall important personal info. 3. D fugue = sudden travel. 4. Derealization d/o = state of experiencing familiar persons/surroundings as if strange/unreal
52
Q

In addition to excessive anxiety about multiple events, what additional sx needed for 6 mo for GAD?

A

3 of: impaired sleep, poor concentration, fatigue, irritability, musc tension, restlessness

53
Q

Dx of bipolar

A

Elevated/irritable mood + increased energy + 3 of the DIGFAST sx

54
Q

Timeframe for dystonia?

A

4 hrs to 4 days after receiving antipsychotic - muscle spasms/stiffness, tongue protrustion/twisting, etc

55
Q

What labs should be monitored with Li?

A

Kidney, TFT

56
Q

How long to wait before switching SSRI when starting one?

57
Q

Tree in a dark forest is a monster

A

Example of illusion

58
Q

God has given me a mission

A

Grandiose delusion

59
Q

The radio has a special implicated message for me

A

Ideas of reference

60
Q

What are treatment options for narcolepsy?

A

Modafinil first line. Amphetamine stimulants. Sodium oxybate (Xyrem) reduces the cataplexy

61
Q

Sx of narcolepsy?

A

Daytime drowsiness, cataplexy (sudden loss of muscle tone with strong emotions)

62
Q

Contraindication for lithium?

A

Elevated Cr

63
Q

What are neuroimaging findings of autism?

A

Increased total brain volume

64
Q

What are neuroimaging findings of OCD?

A

Abnormal Orbitofrontal cortex & striatum

65
Q

What are neuroimaging findings of panic d/o?

A

Decreased volume of amygdala

66
Q

What are neuroimaging findings of PTSD?

A

Decreased hippocampus

67
Q

What are neuroimaging findings of schizophrnia?

A

Enlargement of cerebral ventricles

68
Q

What is projection?

A

Putting internal thoughts on others

69
Q

What is denial?

A

Block acceptance of external seonsory data

70
Q

What is repression?

A

Blocking upsetting ideas/impulses from entering consciousness

71
Q

What is dissociation?

A

Disruptions/alterations in memory, identity, consciousness, perception

72
Q

Psychosis characterized by one or more of_

A

Delusions, hallucinations, and d/o speech/behavior

73
Q

Psych med whose use can cause seizures

A

Buproprion (dose-dep)

74
Q

Psych med whose d/c can cause seizures

A

Short-acting benzo

75
Q

Elevated prolactin caused by antipsychotic vs. prolactinoma?

A

Meds cause mildly elevated prolactin, vs. prolactinoma causes very high levels >200

76
Q

First line treatment for specific therapy?

A

Behavioral therapy

77
Q

What is displacement?

A

Transferring emotions to a safer alternate object or person

78
Q

Sx of persistent depressive disorder

A

Chronic depressed mood 2+ years, no sx-free period for >2 mo, w/ 2 of the sx: SECA, low self-esteem, hopelessness

79
Q

GAD anxiety about -

A

Multiple issues for >= 6 mo

80
Q

Defense mech: attributing inner feelings to others

A

Projection

81
Q

Defense mech: returning to earlier stage of development

A

Regression

82
Q

Defense mech: source stays the same but target changes (mom yells at child b/c husband yelled at her)

A

Displacement

83
Q

Defense mech: forgetting it so it’s nonretrievable

A

Repression

84
Q

Defense mech: the unacceptable is transformed into its opposite (man who has libidinous thoughts enters monastery)

A

Reaction formation

85
Q

Defense mech: moving an unacceptable impulse into acceptable channel

A

Sublimation

86
Q

Defense mech: forgetting it but it’s still retrievable (don’t worry about it now)

A

Suppression

87
Q

Timing of bipolar I?

88
Q

Timing of bipolar II?

89
Q

L frontal lobe lesion mimics this psych condition

A

Depression

90
Q

Temporal lobe epilepsy mimics this psych condition

91
Q

R frontal lobe lesion mimics this psych condition

92
Q

Cushing’s dz mimics this psych condition

93
Q

Lewy body dementia mimics this psych condition

94
Q

Neurofibrillary tangles and plaques

95
Q

Bilateral caudate atrophy

96
Q

Ventricular enlargement

A

Schizophrenia

97
Q

Timing of dx of anorexia or bullemia

98
Q

Rx for PTSD nightmares

99
Q

Rx for catatonia

100
Q

Tangentiality is seen in

101
Q

Thought blocking is seen in

A

Depression, psychosis

102
Q

These antipsychotics associated w/ EPS

A

Haloperidol, Risperidone

103
Q

This antipsychotic associated w/ akathesia

A

Aripiprazole

104
Q

This antipsychotic associated w/ orthostatic hypotension

A

Quetiapine

Bina's Step 2 CK Flascards (3 decks)

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