Psych Qbank (on Anki) Flashcards by Bina C

What is liftetime risk of developing bipolar?

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

How well did you know this?

Not at all

Perfectly

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

Folie a deux (madness shared by two)

How well did you know this?

Not at all

Perfectly

What is required to diagnose MDD?

4 of SIGECAPS + depressed mood or loss of interest

How well did you know this?

Not at all

Perfectly

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

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

How well did you know this?

Not at all

Perfectly

Difference btw panic and anxiety d/o?

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

How well did you know this?

Not at all

Perfectly

Length of sx required for ADHD dx?

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

How well did you know this?

Not at all

Perfectly

Why do stimulants work in ADHD (2 pathways)?

NE and 2. dopaminergic pathways of attention

How well did you know this?

Not at all

Perfectly

First and second line for ADHD?

Dextroamphetamine, methylphenidate

How well did you know this?

Not at all

Perfectly

Patient with depression and neuropathic pain?

Use duloxetin (approved for both) rather than SSRI

How well did you know this?

Not at all

Perfectly

Length of sx for MDD?

2 weeks (5 total sx)

How well did you know this?

Not at all

Perfectly

What is Zolpidem (category)

Hypnotic = sedative

How well did you know this?

Not at all

Perfectly

Tx for patient w/ depression and insomnia?

Mirtazepine

How well did you know this?

Not at all

Perfectly

Dx of dysthymia?

Persistent depressive sx for >2 years

How well did you know this?

Not at all

Perfectly

Rx for OCD other than SSRIs?

Clomipramine (TCA) - used second given side effects

How well did you know this?

Not at all

Perfectly

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

MDD w/ psychotic featurs, bipolar I

How well did you know this?

Not at all

Perfectly

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

Schizoaffective

How well did you know this?

Not at all

Perfectly

Schizophreniform - a form of schizophrenia

Lasting >1 to

How well did you know this?

Not at all

Perfectly

What is typical duration of bereavement?

No longer than 2 months

How well did you know this?

Not at all

Perfectly

What is the rx for NMS?

Dantrolene

How well did you know this?

Not at all

Perfectly

What is the neurotic defense mechanism?

Substitute behavior/feelings tat are exact opposite of feelings

How well did you know this?

Not at all

Perfectly

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

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

How well did you know this?

Not at all

Perfectly

Difference between repression and denial defense mechanism?

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)

How well did you know this?

Not at all

Perfectly

What is time frame for adjustment disorder?

Within 3-6 months after stressor

How well did you know this?

Not at all

Perfectly

Rx of amphetamine w/drawal?

Buproprion and/or bromocriptine

How well did you know this?

Not at all

Perfectly

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

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

Personality d/o: patients who like being alone

Schizoid (I in zoid for me myself and I)

Feelings of borderline patients?

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

What side effect is most commonly seen with Olanzapine?

Weight gain (in addition to clozapine)

MOA of olanzapine?

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

Rx for anxiety in adjustment d/o?

Buspirone and clonazepam

Rx for depression + insomnia?

Trazodone

Rx for acute dystonia?

Anticholinergics (benztropine) or antihistamines (diphenhydramine)

Avoid Li in what?

Renal dz

Aviod Valproate in what?

Liver dz

When to use adjunctive benzos?

Insomnia, agitation

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

Significant functional impairment

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

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

Which antipsychotic associated w/ cataracts?

Quetiapine

Conversion disorder vs. somatic symptom d/o?

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

What is factitious d/o?

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

What is malingering?

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

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

Major depression, bipolar, agoraphobia, substance abuse

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

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

What neurotransmitter associated w/ psychosis?

Increased dopaminergic activity

What neurotransmitter reduces likelihood of EPS?

Serotonin receptor binding

Review #38 - presentation of NMS

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

Organic causes of neurocog deficits?

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

Rx for social phobia (2 kinds)?

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

Serotonin syndrome sx?

Tachycard, bp

What can eating cheese with MAO-I cause?

Hypertensive crisis

Dissociative disorders

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

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

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

Dx of bipolar

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

Timeframe for dystonia?

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

What labs should be monitored with Li?

Kidney, TFT

How long to wait before switching SSRI when starting one?

4-6 weeks

Tree in a dark forest is a monster

Example of illusion

God has given me a mission

Grandiose delusion

The radio has a special implicated message for me

Ideas of reference

What are treatment options for narcolepsy?

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

Sx of narcolepsy?

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

Contraindication for lithium?

Elevated Cr

What are neuroimaging findings of autism?

Increased total brain volume

What are neuroimaging findings of OCD?

Abnormal Orbitofrontal cortex & striatum

What are neuroimaging findings of panic d/o?

Decreased volume of amygdala

What are neuroimaging findings of PTSD?

Decreased hippocampus

What are neuroimaging findings of schizophrnia?

Enlargement of cerebral ventricles

What is projection?

Putting internal thoughts on others

What is denial?

Block acceptance of external seonsory data

What is repression?

Blocking upsetting ideas/impulses from entering consciousness

What is dissociation?

Disruptions/alterations in memory, identity, consciousness, perception

Psychosis characterized by one or more of_

Delusions, hallucinations, and d/o speech/behavior

Psych med whose use can cause seizures

Buproprion (dose-dep)

Psych med whose d/c can cause seizures

Short-acting benzo

Elevated prolactin caused by antipsychotic vs. prolactinoma?

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

First line treatment for specific therapy?

Behavioral therapy

What is displacement?

Transferring emotions to a safer alternate object or person

Sx of persistent depressive disorder

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

GAD anxiety about -

Multiple issues for >= 6 mo

Defense mech: attributing inner feelings to others

Projection

Defense mech: returning to earlier stage of development

Regression

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

Displacement

Defense mech: forgetting it so it's nonretrievable

Repression

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

Reaction formation

Defense mech: moving an unacceptable impulse into acceptable channel

Sublimation

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

Suppression

Timing of bipolar I?

7 days

Timing of bipolar II?

4 days

L frontal lobe lesion mimics this psych condition

Depression

Temporal lobe epilepsy mimics this psych condition

Psychosis

R frontal lobe lesion mimics this psych condition

Mania

Cushing's dz mimics this psych condition

Mania

Lewy body dementia mimics this psych condition

Psychosis

Neurofibrillary tangles and plaques

Bilateral caudate atrophy

Ventricular enlargement

Schizophrenia

Timing of dx of anorexia or bullemia

3 mo

Rx for PTSD nightmares

Prazosin

Rx for catatonia

Benzo

Tangentiality is seen in

Mania

Thought blocking is seen in

Depression, psychosis

These antipsychotics associated w/ EPS

Haloperidol, Risperidone

This antipsychotic associated w/ akathesia

Aripiprazole

This antipsychotic associated w/ orthostatic hypotension

Quetiapine