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Clinical Medicine 2 > Psychiatric Conditions > Flashcards

Psychiatric Conditions Flashcards

1
Q

What are the 3 main types of psychiatric conditions?

A

PTSD
Substance Use Disorders
Suicide

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2
Q

This is known as the medical specialty concerned with the prevention, diagnosis and treatment of mental illness

A

Psychiatry

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3
Q

This is known as the study of the causes, processes and manifestations of mental disorders

A

Psychopathology

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4
Q

This is known as a symptom of a major mental disorder in which someone’s function to perform daily activities is impaired.

A

Psychosis

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5
Q

This is known as going 6 months or longer with the characteristic negative or positive symptoms

A

Schizophrenia

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6
Q

What are the 4 main positive symptoms?

A
  1. Delusions
  2. Hallucinations
  3. Disorganized Speech
  4. Disorganized or catatonic behavior
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7
Q

What are the 6 negative symptoms?

A
  1. Anhedonia (lack of pleasure)
  2. Alogia (lack of speech)
  3. Flat affect
  4. Apathy (lack of emotion)
  5. Avolition (decreased motivation)
  6. Asociality (not social)
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8
Q

This is just like schizophrenia, but symptoms have been present for less than 1 month

A

Brief Psychotic Disorder/Schizophreniform disorder

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9
Q

This has mood and psychotic symptoms coexisting together, but not bipolar disorder; about 1-5 months

A

Schizoaffect disorder

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10
Q

This is when a patient’s delusion is credible, specific delusion

A

Delusional disorder

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11
Q

What’s the effective treatment of choice for acute psychosis and schizophrenia?

A

Antipsychotics - takes weeks to work

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12
Q

What % of people will still have symptoms, despite being on an antipsychotic?

A

25-50%

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13
Q

The typical antipsychotics block what? What main symptom does it help with?

A
  • dopamine D2 blockers

- helps w/ positive symptoms

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14
Q

What type of antipsychotics will you give to elderly patients?

A

High potency antipsychotics

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15
Q

What is the most potent high potency antipsychotic?

A

Haloperidol (haldol)

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16
Q

Which high potency antipsychotic will give you eye pigment changes?

A

Thiothixene (Navane)

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17
Q

What is the least potent low potency antipsychotic?

A

Chloropromazine (Thorazine)

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18
Q

Which low potency antipsychotic will give you retinal pigmentation?

A

Thioridazine (Mellaril)

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19
Q

What is the tx for anticholinergic syndrome?

A
  1. Discontinue med

2. Physostigmine

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20
Q

Clozapine is the best atypical antipsychotic, but it causes what terrible side effect?

A

Agranulocytosis, huge potential for metabolic syndrome

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21
Q

What are the 2 atypical antipsychotics that don’t cause metabolic syndrome?

A
  1. Ziprasidone (Geodon)

2. Aripiprazole (Ambilify)

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22
Q

What are the receptors for EPS and hyperprolactinemia?

A

D2 blockade

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23
Q

What receptors are blocked for hypotension?

A

alpha 1 adrenergic blockade

24
Q

What receptors are blocked for weight gain?

A

Histaminergic 1 and Serotonergic blockade

25
Q

What receptors are blocked for anticholinergic?

A

Muscarinic 1 blockade

26
Q

What receptors are blocked for sexual side effects?

A
  1. Serotonergic
  2. Muscarinic
  3. Noradrenergic
  4. D2
27
Q

Atypical antipsychotics are associated with what 3 things?

A
  1. weight gain
  2. T2DM
  3. Hyperlipidemia

(i.e. Metabolic syndrome)

28
Q

What 3 antipsychotics cause metabolic syndrome?

A
  1. Clozapine (Clozaril)
  2. Olanzapine (Zyprexa)
  3. Quetiapine (Seroquel)
29
Q

What are the 2 types of mood disorders?

A

Bipolar

Major depressive disorder

30
Q

This is known as depressed mood and anhedonia (can’t expreience pleasure) for at least 2 weeks

A

Major Depressive Disorder

31
Q

What symptoms do you look for when dx major depressive disorder?

A

SIG E Caps

Sleep, Interest, Guilt, Energy, Concentration, Appetite, Psychomotor, Suicidal

32
Q

What’s the most common treatment for mood disorders?

A

SSRI’s

33
Q

What’s the main side effect to SSRIs?

A

Sexual dysfunction

34
Q

What are SSRI’s used for?

A
  1. Depression
  2. Panic Attacks
  3. Obsessive Compulsive Disorder (OCD)
  4. Social Anxiety Disorder
  5. Post-traumatic Stress Disorder (PTSD)
  6. Generalized Anxiety Disorder (GAD
35
Q

Tricyclic antidepressants (-tylines) has what common ocular side effect?

A

Blurred vision

36
Q

MAOI’s cause what main side effect?

A

Tyramine induced hypertensive crisis

- patient has strict diet

37
Q

This is classified as “Mania”. Pt has delusions, trouble functioning, are hospitalized, can’t sleep for more than 5 days

A

Bipolar I

38
Q

This is “Hypomania”. Pt has no delusions, can function, not hospitalied, sleeps well.

A

Bipolar II

39
Q

This is hypomania + minor depression. At least 2 years of numerous periods of hypomaniac and depressive sxs.

A

Cyclothymic

40
Q

The main issue of depression/bipolar disorder is cycling. What’s the cycle?

A

Normal to Depressed to Mania to Hypomania to Mixed episode

41
Q

This is abnormally and persistently elevated, expansive or irritable mood for at least 1 week.

A

Mania

42
Q

What’s the main treatment for Mania? What are the 3 types?

A

Mood stabilizers

  1. Lithium
  2. Valproic Acid
  3. Carbamazepine
43
Q

Lithium is not metabolized by the kidney and should not be given to who?

A

Patient’s with renal disease

44
Q

Valproic and Carbamazepine increase liver function, so don’t give it to who?

A

Patients with liver issues

45
Q

This patient is depressed for more than 2 years

A

Dysthymia

46
Q

This is a diffuse, unpleasant, vague sense of apprehension, often accompanied by autonomic symptoms

A

Normal Anxiety

47
Q

This is excessive worry or anxiety about several events or activities for most of the days during a 6 month period.

A

Generalized Anxiety disorder

48
Q

This is recurrent, unexpected panic attacks. Presence of absence of agoraphobia (fear of leaving the house).

A

Panic disorder

49
Q

What is the tx of choice for anxiety and panic disorder?

A
  1. SSRIS (main one)
  2. Benzodiazepines
  3. TCA’s
  4. MAOIs
50
Q

This is exposure to actual or threatened death, serious injury, or sexual violence by Direct experience, witnessing, learning of a violent traumatic event or death in a friend or family member

A

PTSD

51
Q

What are the types of substance-induced disorders?

A
  1. Intoxication

2. Withdrawal

52
Q

This is thendevelopment of a reversible substance-specific syndrome due to the recent ingestion of a substance.

A

Intoxication

53
Q

What are the 4 criteria for substance use disorder?

A
  1. Impaired control over substance use
  2. Social impairment
  3. Risky use of substance
  4. Tolerance + Withdrawl
54
Q

What is the classic triad of an overdose? What’s the treatment?

A
  1. Miosis
  2. Respiratory Depression
  3. Coma
    - Naloxone
55
Q

PCP is a horrible drug that has what behavioral characteristics?

A
  1. Belligerence
  2. Assaultiveness
  3. Impusliveness
56
Q

T/F: Asking about suicide will not increase the chance that patients commit suicide.

A

True

57
Q

What are the main ocular symptoms of conversion disorder?

A

Double vision

blindness

Clinical Medicine 2 (12 decks)

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