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Psych Shelf Flashcards

1
Q

Neuro malignant Syndrome

A

Dantrolene

2nd Line: bromocriptine

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2
Q

Serotonin Syndrome Trx

A

Benzos

Cyproheptidine

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3
Q

Mao hypertensive crisis trx

A

Nitroprusside
Or
Phentolamine

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4
Q

Acute dystonia trx

A

Benztropine
Or
Diphenhydramine

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5
Q

TCA toxicity trx

A

Sodium bicarbonate
Activated charcoal
Cathartics (sodium sulfate, mag hydroxide)

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6
Q

DSM criteria for schizo

A

1 month: 2+ of….
Must haves ( Delusions, Hallucinations, Disorganized Speech)
Disorganized behavior or catatonia,
Negative symptoms

Illness must be 6m or more including prodromal phases

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7
Q

Schizo- disorder timeframes

A

Brief psychotic: <1m
Schizophreniform: 1-6m
Schizophrenia: 6m+

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8
Q

Schizophrenia pathophys

A

Increased dopamine in mesolimbic: Positive symp

Decreased dopamine in prefrontal: Negative symp

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9
Q

Dystonia and parkinsonism side effect trx

A

Benztropine diphenhydramine

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10
Q

akathisia trx

A

beta blockers or benzos

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11
Q

Tardive dyskinesia trx

A

valbenazine, benzos, vit E or botox

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12
Q

Schizoaffective disorder dx

A

2 weeks of schizophrenic symptoms while there is no mood component (mania or MDD)

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13
Q

Koro

A

Southeast asian psychoses fear of penis receding into body.

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14
Q

Amok

A

Malaysian psychosis of sudden violence and then suicide

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15
Q

Brain Fag

A

african psychosis consisting of constitutional sinus symptoms in a male student

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16
Q

Early SSRI Side effects

A

Increased anxiety (start a very low dose to treat anxiety), nausea, diarrhea and somnolence or insomnia

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17
Q

HIV neurocognitive dysfunction vs PMNL

A

PMNL shows patchy white matter changes and has non normal neuro exam. Neurocognitive dysfunction the white matter changes are diffuse

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18
Q

Antidepressant discontinuation syndrome

A

Comes from abruptly stopping a shorter acting antidepressant like paroxetine or venlafaxine. Tremor, GI symp, Flu like symp, neurosensory disturbances

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19
Q

Dhat syndrome

A

Culture specific. Somatic symptoms due to losing semen

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20
Q

Tourette syndrome trx

A

Behavior therapy

1) Tetrabenazine
2) antipsychotics
3) alpha two blockers

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21
Q

Acute stress disorder vs PTSD

A

ASD requires 3 days of symptoms occurring less than a month after incident. PTSD requires a month of symptoms

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22
Q

Metoclopramide side effects

A

acute dystonia, akathisia or parkinsonism

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23
Q

Clozapine side effect

A

neutropenia

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24
Q

Factitious vs malingering vs conversion

A

malingering seek a secondary gain. Factitious just want to assume sick role. Conversion is specifically related to a neurological issue

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25
MDE criteria
2 weeks 5 of sigecaps must include feeling depressed most of the time and loss of interest
26
Mania vs hypomania timeframe?
Mania: 7 days Hypomania: 4 days
27
Mixed features disorder?
manic or hypomanic episode with 3 symp of depression for 1week or more
28
TRX for MDD with psychotic symptoms
ECT or SSRI and antipsychotic
29
Biggest genetic link of major Disorders
Bipolar I
30
Bipolar treatment that decreases suicide
Long term on Lithium
31
Bipolar treatment for rapid cyclers (4 or more mood episodes in a year)
carbamazepine or valproic acid
32
Mania treatments
atypical antipsychotics
33
Meds that can cause psychosis
antihistamines and alpha adrenergic agents
34
Carbamazepine side effects
SIADH or aplastic anemia
35
OCD first line treatment
SSRI and CBT
36
MDD physiologic changes
increased cortisol Decreased time to REM Decreased slow wave sleep
37
ADHD non stimulant treatment in adults
atomoxetine an SNRI
38
How long of no symptoms before dc of SSRI
8months
39
Dysthymia Time
2 years depressed mood majority of the time (1 year in kids) no more than two months are happy
40
Cyclothymic disorder
2 years of fluctuating depressive symptoms and hypomanic like symptoms that do not fit either disorder fully. Never symptom free over two months
41
OCD treatments
1. SSRI + CBT 2. SNRI or the TCA clomipramine 3. add atypical antipsychotic 4. cingulotomy or ECT
42
First Line treatment for Panic Disorder
SSRI and SNRI | TCA's are third line
43
Selective mutism
Failure to speak in select situations. Must extend beyond 1 month (usually first month of school)
44
GAD Dx
6months of worry With 3 or more of: Restlessness, fatigue, impaired concentration, irritability, tension, insomnia
45
OCD genetic risk factors
First degree relative with OCD or Tourette's
46
OCD treatments
1. SSRI 2. SNRI or the TCA clomipramine 3. add atypical antipsychotic 4. cingulotomy or ECT
47
Somatic symptom disorder vs Illness anxiety
Somatic symptom- preoccupation with few particular symptoms that cause 6m distress. Illness anxiety obsess over particular disease w/o symptoms
48
DSWPD vs ASWPD
DSWPD extreme night owls | ASWPD extreme morning larks
49
Tardive dyskinesia trx
switch to atypical anti-psych. Taper off if possible. valbenazine or deutetrabenazine
50
FDA approved smoking cessation drugs
Bupropion- cant use in seizure or bulimia Varenicline- dont use if pt has CVD Nicotine replacement
51
Treatment for stopping nightmares in PTSD
PrazoSiN
52
Personality Cluster hallmarks
A- abnormal aardvarks B- braggy bears C- Cowardly cats
53
Schizoid vs schizotypal
Schizoid wants to be alone | Schizotypal magical thinking
54
What reduces rehospitalization in Schizoprenia?
Family therapy
55
PCP intoxication treatment
Benzos
56
methanol or ethylene glycol intoxication treatment
Fomepizole
57
Moderate to severe alcohol use disorder treatment
naltrexone or acamprosate (more used to maintain abstinence)
58
buprenorphine use
opiate use disorder and pain management
59
bupropion use
smoking cessation
60
When ECT in depression
Psychotic features not eating or drinking extreme treatment resistance actively suicidal
61
pseudocyesis
false symptoms of early pregnancy in a pt who believes they are pregnant
62
Drug induced Parkinson's treatment
Benztropine or amantadine
63
First line for somatic symptom disorder?
SSRI
64
Histrionic personality disorder defence mechanism
regression to childhood behaviors.
65
TCA overdose symptoms
AMS, seizures, tachy, hypotension, QT prolongation, anticholinergic effects
66
Dialectical behavior therapy use
Borderline personality disorder
67
Catatonia
Purposeless, mutism, resistant or waxy movement. Echolalia also possible Treat with benzos
68
nightmare disorder vs night terrors
nightmares you wake up and are consolable. | Night terrors you don't remember a dream are half awake and inconsolable
69
Benzos of choice for alcohol withdrawal
Chlordiazepoxide and lorazepam
70
barbiturate treatment
alkalinize urine with sodium bicarb
71
Benzo overdose trx
Flumazenil- has lots of side effects
72
Tourettes dx
multiple motor tics and one vocal tic for at least a year
73
Tourettes pharmacological trx
1st: Guanfacine 2nd: Clonidine (more sedating alpha 2 agonist) 3rd: atypicals or pimozide
74
social anxiety disorder trx
SSRI +CBT
75
most studient trx for intermittent explosive disorder
fluoxitine
76
paroxetine and pregnancy
Can't use class D
77
most activating and sedating SSRI
activating- Fluoxetine | Least activating- Paroxetine
78
mirtazapine side effects
very sedating and causes weight gain (good for frail old)
79
venlafaxine uses and side effect
good for hot flashes, can cause HTN (due to NE)
80
Breastfeeding SSRI
Sertraline or nortriptyline
81
false positive meth on tox
bupropion, phenylephrine, beta blockers
82
false pcp on tox
dextromethorphan
83
ETOH benzo therapy
No liver issue-chlordiazepoxide | Liver issue- OTL's
84
highest risk of akathisia
Aripiprazole (A for A)
85
High risk for cataracts
quetiapine
86
risk of hypothermia
Fluphenazine
87
Antipsychotics in elderly
Never atypical
88
testing panic attack
Lactate injection
89
Nocturnal enuresis trx
Desmopressin imipramine
90
transference vs Countertransference
Patients transference | CliniCians Countertransfer
91
cataplexy treatment
sodium oxybate or pitolisant or TCA
92
Narcolepsy dx
3 months of excessive sleepiness and inappropriate falling asleep Decreased CSF orexin (hypocretin) Or Decreased REM latency
93
Bezos in old ppl or TBI?
No, paradoxical agitation
94
MDD polysomnography
Decreased Rem latency | decreased slow wave sleep
95
Psych test LBD caveat
must have dementia even if hallucinations are present. Parkinson's does not require dementia and can have hallucinations as well.
96
adjustment disorder treatment
psychotherapy
97
acute stress disorder trx
CBT
98
Fear of public speaking due to ridicule or judgement? SAD or specific phobia
Social anxiety disorder
99
Stranger and separation anxiety ages
Stranger 6m | Separation 9m
100
B3 (niacin) def
Dermatitis, Diarrhea, Dementia, Death,
101
Lithium toxicity mnemonic
Leukocytosis Insipidus Tremor Hypothyroid Nystagmus also possible
102
bipolar pt with weight gain, myalgia, bradycardia, and constipation?
Think Lithium induced hyperthyroidism
103
Young person getting psychosis on test?
Think medical cause
104
Examples of synthetic and semisynthetic opiates that don't show up on UDS
Oxy and hydro___ Fentanyl, meperidine, methadone, tramadol
105
Best SSRI in Bulimia, Binge eating, PMD
Fluoxetine
106
Jimson Weed abuse
West Virginia, anticholinergic properties trx is physostigmine if seizures or arrhythmia
107
Body Dysmorphic disorder trx
SSRI often high dose
108
Where is orexin produced
lateral thalamus
109
carcinoid tumor treatment
octreotide

Psychiatry (2 decks)

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