Psych quick associations

Question 1

Venlafaxine class

Answer 1

SNRI

Question 2

Sertraline class

Answer 2

SSRI

Question 3

Imipramine class

Answer 3

TCA

Question 4

Mirtazapine class

Answer 4

alpha 2 adrenergic antagonist

Question 5

Buproprion class

Answer 5

NDRI

Question 6

Fluoxetine class

Answer 6

SSRI

Question 7

Duloxetineclass

Answer 7

SNRI

Question 8

antidepressant with s/e of priapism

Answer 8

trazodone

Question 9

antidepressant that lowers the seizure threshold and can be used for smoking cessation

Answer 9

buproprion

Question 10

antidepressant that is an appetite stimulant that is likely to resolve in weight gain

Answer 10

mirtazapine

Question 11

antidepressant that works well with SSRIs and increases REM sleep

Answer 11

trazodone

Question 12

at least one manic episode

may or may not have major depressive or hypomanic episodes

Answer 12

Bipolar I

Question 13

at least one hypomanic episode

at least one major depressive episode

Answer 13

Bipolar II

Question 14

Patient exhibits two or more distinct identities/personalities

Answer 14

Dissociative identity disorder

Question 15

Persistent feelings of detachment from own body or thoughts

Answer 15

depersonalization

Question 16

persistent feelings that people and things around the patient aren’t real

Answer 16

derealization

Question 17

Amnesia for a very specific event, or generalized amnesia of the patient’s identity or personal life history
+/- wandering off

Answer 17

Dissociative amnesia

+/- dissociative fugue

Question 18

At least 3 symptoms of "DIG FAST"
lasts at least 1 week
impairs functioning 
OR requires hospitalization
OR includes psychotic features

Answer 18

manic episode

Question 19

At least 3 symptoms of “DIG FAST”
lasts at least 4 days
No impairment in functioning, hospitalization, or psychosis

Answer 19

hypomanic episode

Question 20

Patient avoids giving friends a ride to the airport because of excessive fear of flying

Answer 20

specific phobia

Question 21

Excessive fear and worry all the time, associated with irritability, insomnia, and edginess

Answer 21

Generalized anxiety disorder

Question 22

Anxiety about being scrutinized and critiqued when meeting new people

Answer 22

social anxiety

Question 23

Patient avoids all exercise because she had a panic attack at the gym two months ago

Answer 23

panic disorder

Question 24

Excessive fear of being outside the home alone, using public transportation, and being in a crowd

Answer 24

agoraphobia

Question 25

Irrational belief that cannot be changed by proof or rational arguments

Answer 25

delusion

Question 26

sensory perception in the absence of external stimulus

Answer 26

hallucination

Question 27

answers diverge from the question asked but eventually return to the original topic

Answer 27

circumstantiality

Question 28

answers diverge from question asked and do not return to original topic, can see how topic changes and can follow

Answer 28

Tangentiality

Question 29

no clear sequence to the thoughts presented

Answer 29

loose associations

Question 30

words are strung together incoherently

Answer 30

word salad

Question 31

patient makes up new words

Answer 31

neologism

Question 32

Odd thoughts, behavior, appearance | Discomfort with interpersonal relationships

Answer 32

Schizotypal personality disorder

Question 33

Voluntary social isolation - hermit

Answer 33

Schizoid personality disorder

Question 34

Psychosis + intermittent mood disorder

Answer 34

Schizoaffective disorder

Question 35

Psychosis lasting 6 or more months

Answer 35

Schizophrenia

Question 36

Psychosis lasting longer than 1 mo but less than 6 mo

Answer 36

Schizophreniform disorder

Question 37

psychosis lasting less than 1 mo

Answer 37

brief psychotic disorder

Question 38

suspiciousness and general distrust of others, always looking for conspiracies

Answer 38

Paranoid personality disorder - Cluster A

Question 39

voluntary social withdrawal, limited emotional expressions, prefer isolation

Answer 39

Schizoid personality disorder - cluster A

Question 40

Eccentric appearance, odd beliefs, magical thinking, odd appearance

Answer 40

Schizotypal personality disorder - Cluster A

Question 41

disregard for and violation of rights of others, violence, no empathy

Answer 41

Antisocial personality disorder - Cluster B

Question 42

unusual variability and depth of moods, unstable interpersonal relationships, manipulative, impulsive, self-mutilating, splitting, high rate of suicide

Answer 42

Borderline personality disorder - Cluster B

Question 43

attention seeking, display seductive behavior, concerned with appearance

Answer 43

Histrionic personality disorder - Cluster B

Question 44

preoccupied with personality prestige/power/vanity, lack empathy, demand the best

Answer 44

Narcissistic personality disorder - Cluster B

Question 45

hypersensitive to rejection, socially inhibited, timid, feelings of inadequacy, desire relationships

Answer 45

Avoidant personality disorder - Cluster C

Question 46

preoccupation with order, perfectionism, and control

Answer 46

Obsessive-compulsive personality disorder - Cluster C

Question 47

psychologically dependent on other people, low self-esteem, submissive, clinging, excessive need to be taken care of

Answer 47

Dependent personality disorder - Cluster C

Question 48

Use/toxicity: CNS depression, euphoria, N/V/C, miosis, seizures, respiratory depression

Answer 48

Opioids | Reversal - Naloxone or naltrexone

Question 49

Use/toxicity: CNS depression, decreased anxiety, disinhibition, respiratory depression, severe -> coma

Answer 49

Benzodiazepines | Reversal - flumazenil - risk major withdrawal and seizure

Question 50

Use/toxicity: euphoria, agitation, anxiety, insomnia, elevated BP, tachycardia, cardiac arrest, stroke, mydriasis, promote attention, decrease appetite

Answer 50

Cocaine - +/- erosions in nose Amphetamines Tx: benzos, haloperidol, phentolamine NO beta blockers

Question 51

Use/toxicity: stimulation, excitability, restlessness, calming effect, relaxation, suppress appetite

Answer 51

Nicotine

Question 52

Use/toxicity: euphoria, anxiety, paranoia, delusions, impaired judgment, social withdrawal with prolonged use, increased appetite, dry mouth, hallucinations, eye redness, possible link to future schizophrenia

Answer 52

Marijuana

Question 53

Use/toxicity: hallucinations, delusions, anxiety, paranoia, tachycardia, mydriasis, flashbacks

Answer 53

Hallucinogens - LSD, mescaline, ketamine Tx: calm environment, antipsychotics, benzos

Question 54

Use/toxicity: belligerence, impulsiveness, agitation, horizontal/vertical nystagmus, homicidal ideation, violence, psychosis, delirium

Answer 54

PCP Tx: benzodiazepines, antipsychotics

Question 55

Withdrawal: sweating, mydriasis, piloerection, yawning, rhinorrhea, flu-like sxs

Answer 55

Opioids

Question 56

Withdrawal: agitation, anxiety, seizures

Answer 56

Benzos

Question 57

Withdrawal: depression, lethargy, wt gain, headache

Answer 57

amphetamines, cocaine

Question 58

Withdrawal: irritability, anxiety, craving

Answer 58

Nicotine

Question 59

Withdrawal: irritability, insomnia, nausea

Answer 59

marijuana

Question 60

Use/toxicity: mood elevation, disinhibition, decreased anxiety, sedation, severe mental impairment, somnolence, respiratory depression

Answer 60

Alcohol | Tx: supportive

Question 61

Withdrawal: agitation, anxiety, insomnia, and tremor

Answer 61

Alcohol Tx: benzos