psych uworld

Question 1

acute stress disorder

Answer 1

3 days to 1 month

Question 2

adjustment disorder

Answer 2

1 - 3 months

Question 3

generalized anxiety disorder

Answer 3

> 6 months

Question 4

Schizophrenia like Hearing voices and thinking there’s poisonous gas being released

Answer 4

Increased dopamine in the mesolimbic pathway

Question 5

stimulant withdrawal

Answer 5

hyperphagia, hypersomnia, vivid dreams, dysphoric mood, fatigue

ex dextroamphetamine. cocaine

Question 6

somatic symptom disoder

Answer 6

patient is preoccupied with one or more somatic symptoms such that it interferes with their quality of life

Question 7

paranoid personality disorder

Answer 7

pervasive pattern of distrust of others beginning in adulthood

Question 8

brief psychotic disorder timeline

Answer 8

1 day to 1 month

Question 9

schizophreniform disorder timeline

Answer 9

> 1 month to 6 months

Question 10

Depression signs

Answer 10

Sleep
Interest loss
Guilt
Energy
Concentration
Appetite
Psychomotor agitation
Suicidal ideation

Question 11

Post partum blues resolves

Answer 11

Within 2 weeks, then it’s post partum depression

Question 12

Wernicke’s encephalopathy

Answer 12

• thiamine deficiency
• chronic alcohol use
• impaired glucose metabolism and ATP production
• decrease erythrocyte transketolase activity
• particularly affects mamillary bodies

Question 13

opiod withdrawal symptoms

Answer 13

• diarrhea, nausea, vomiting, abdominal cramping, muscle aches
• lacrimation, dilated pupils, piloerection, hyperactive bowel sounds

Question 14

used to treat opioid disorder

Answer 14

methadone - full agonist

Question 15

drug given when beta blocker overdose

Answer 15

glucagon

Question 16

action of glucagon on the heart

Answer 16

-adrenergic independent
-activates cAMP leading to increased heart rate and contractility -> increased calcium release and SA nodal firing

Question 17

Normal post partum blues time frame

Answer 17

Up to 2 weeks

Question 18

action of stimulants

Answer 18

block reuptake of dopamine and norepinephrine in prefrontal cortex

Question 19

first line for ADHD

Answer 19

stimulants

Question 20

anti social personality disorder

Answer 20

a pattern of violating the rights of others, engaging in unlawful behaviors, and lacking remorse for transgressions

ex - dog fighting, physical aggression

Question 21

timeline for PTSD

Answer 21

> 1 month

Question 22

acute stress disorder

Answer 22

basically PTSD but not yet… lasts from 3 days to 1 month, then it becomes PTSD

Question 23

tricyclics

Answer 23

inhibit reuptake of norepinephrine and serotonin, inhibit fast sodium channel conduction

Question 24

ethosuximde

Answer 24

decreases calcium current in the thalamic nucleus

Question 25

dementia with prominent behavioral changes

Answer 25

frontotemporal dementia

Question 26

frontotemporal dementia

Answer 26

early 50s and 60s, disinhibition, early personality changes, hyperorality, compulsive behaviors, degeneration of the prefrontal cortex, aggregation of phosphorylated tau and neurofibrillary tangles and ubiquitinated TDP43

Question 27

Clozapine side effect

Answer 27

Agranulocytosis

Question 28

anorexia vs bulimia

Answer 28

look at the BMI, even if compensated behaviors, if low BMI then anorexia because bulimia has an increased or normal BMI

Question 29

reaction formation

Answer 29

transforming unacceptable feelings/impulses into the opposite. ex patient mad at molesting step father but acts loving to them

Question 30

sublimation

Answer 30

mature defense mechanism, in which a person channels unacceptable thoughts or impulses into socially acceptable behavior (being angry so playing sports)