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1st Year Med School (Random) > Psych Review Dx > Flashcards

Psych Review Dx Flashcards

1
Q

Diagnosis

A 
Mood Disorders
Psychotic Disorders
Substance Disorders
Personality Disorders
Anxiety Disorders
Childhood Disorders
Dementias
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2
Q

Mood Disorders

A

Major Depressive Disorder (MDD)

Bipolar Disorder

Adjustment Disorder

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3
Q

Major Depressive Disorder Dx

A

SIG E CAPS (+Depressed mood)

MUST have either depressed mood or anhedonia

MUST last for longer than two weeks

MUST have at least 5/9 symptoms

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4
Q

Major Depressive Disorder Treatment

A

Antidepressant (usually SSRI)

Therapy (CBT)

Electroconvulsive Therapy (ECT)

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5
Q

Atypical Depression

A

Mood Reactivity (can become temporarily happy but short lived)

Increased sleep and appetite

“Leaden” Paralysis

TRAP!!: Treatment is still the same, MAOI can be used but are generally avoided because of side effects

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6
Q

Bipolar Disorder

A

Bipolar I or Bipolar II

Difference is Manic vs. Hypo (almost) manic

Bipolar II must have a depressive episode also

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7
Q

Manic Episode

A

DIG FAST lasting at least a week (unless hospitalized)

Causes impairment

Can have psychotic features

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8
Q

Hypomanic

A

No impairment, hospitalization or psychotic features

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9
Q

Bipolar DisorderTreatment

A

Mood Stabilizer

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10
Q

Adjustment Disorders

A

With Depression

Related to a very specific trigger (divorce, termination, etc).

Symptoms disappear with resolution of trigger

Does not meet criteria for MDD

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11
Q

Psychotic Disorders

A

Schizophrenia

Schizophreniform

Brief Psychotic Disorder

Schizoaffective Disorder

Delusional Disorder

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12
Q

Schizophrenia Diagnosis

A

MUST last 6 months

MUST have 2/5 symptoms

MUST have Delusions or Hallucinations or Disorganized Speech

Cannot be do to other problems (depression, drugs, bipolar etc.)

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13
Q

Schizophrenia Symptoms

A

Delusions
Fixed false belief outside cultural norm

Hallucinations
False sensory (i.e. auditory, visual) perception

Disorganized Speech

Disorganized Behavior

Negative Symptoms
Flattened affect, avolition, anhedonia, asociality, alogia

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14
Q

Psychotic DisordersTimeframe

A

1 month - Brief Psychotic Disorder

2-6 months - Schizophreniform

6 months of longer - Schizophrenia

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15
Q

Delusional Disorder

A

Delusion lasting > 1 month

No other impairment

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16
Q

Substance Disorders

A

Intoxication

Withdrawal

Dependence

17
Q

Substance Withdrawal

A

Deadly:
Alcohol, Benzos and Barbiturates
Same mechanism (GABA and Glutamate dysregulation)
Seizures and autonomic instability (HTN, Tachycardia, fever, diaphoresis)

Not Deadly
Everything else (opiates!!)
Opiate Withdrawal
Dilated pupils
N/V/Diarrhea
Piloerection
Yawning
18
Q

Substance Dependence

A

Diagnosis usually involves details of long term pattern of misuse:
Legal, social and occupational problems
Withdrawal
Tolerance

19
Q

Substances Categories

A

Uppers

Downers

Hallucinogens

20
Q

Uppers

A

Amphetamines

Cocaine

Caffeine

Nicotine

21
Q

Downers

A

Alcohol

Opiates

Benzodiazepines

Barbiturates

22
Q

Hallucinogens

A

Phencyclidine (PCP)

Lysergic Acid Diethylamide (LSD)

Marijuana (THC)

Ecstasy (MDMA)

23
Q

Substance Intoxication

A

Alcohol
Ataxia
Slurred Speech

Opiates
CNS depression
Pinpoint Pupils

Cocaine
Pupillary dilation

PCP
Crazy Violent

24
Q

Personality Disorders Categories

A

Cluster A “Wacky”

Cluster B “Weird”

Cluster C “Worried”

25
Q

Personality DisordersCluster A

A

Paranoid Personality Disorder
Mistrust, likely NOT Delusional

Schizoid
Loner and likes it

Schizotypal
Magical thinker

26
Q

Personality Disorders Cluster B

A

Borderline Personality Disorder
Cutters!!! Intense interpersonal relationships

Antisocial Personality Disorder
Must have evidence of conduct disorder
Pervasive pattern of violating societal norms

Narcissistic Personality Disorder
Name dropping
Demanding

Histrionic Personality Disorder
Attention Seeking

27
Q

Personality Disorders Cluster C

A

Avoidant Personality Disorder
Loner…doesn’t like it

Obsessive Compulsive Personality Disorder
Obessed with order, not bothered by it but bothers everyone else

Dependent Personality Disorder
Submissive

28
Q

Anxiety Disorders

A

Generalized Anxiety Disorder
-“Worry Wort”, MULTIPLE areas of worry

Specific Phobia
-Anxiety about just one thing

Social Anxiety Disorder
-Anxiety being in public because of fear of public scrutiny

Panic Disorder
-Panic attack with NO TRIGGER “out of the blue”

Separation Anxiety

Selective Mutism

29
Q

Posttraumatic Stress Disorder

A 
Nightmares
Recurrent intrusive memories
Hypervigelence
Flashbacks
Related to a traumatic experience
MUST last longer than 1 month
3 days to 1 month is Acute Stress Disorder
30
Q

Obsessive Compulsive Disorder

A

Obsessions
Recurrent intrusive thoughts
“Germs are everywhere”

Compulsions
Repetitive act to relieve anxiety
Hand washing

Bothers patient (compare to OCPD)

31
Q

Childhood Disorders

A

Autism
No Eye Contact, preoccupation on one thing

Oppositional Defiant Disorder
Temper Tantrums

Conduct Disorder
Rule breaker

ADHD

32
Q

Dementia

A

All Dementia’s must have memory loss and change in executive functioning

Alzheimer’s Dementia

  • Slow progressive decline
  • Most Common
  • Neurofibrillary tangles and amyloid plaque

Vascular Dementia

Frontotemporal or “Pick’s Disease”
-Behavior changes, inhibition, socially inappropriate

Lewy Body Dementia
-Visual hallucinations

Huntington’s Disease

HIV Dementia

1st Year Med School (Random) (20 decks)

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