Psychiatric Conditions

Question 1

What are the 3 main types of psychiatric conditions?

Answer 1

PTSD
Substance Use Disorders
Suicide

Question 2

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

Answer 2

Psychiatry

Question 3

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

Answer 3

Psychopathology

Question 4

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

Answer 4

Psychosis

Question 5

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

Answer 5

Schizophrenia

Question 6

What are the 4 main positive symptoms?

Answer 6

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

Question 7

What are the 6 negative symptoms?

Answer 7

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)

Question 8

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

Answer 8

Brief Psychotic Disorder/Schizophreniform disorder

Question 9

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

Answer 9

Schizoaffect disorder

Question 10

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

Answer 10

Delusional disorder

Question 11

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

Answer 11

Antipsychotics - takes weeks to work

Question 12

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

Answer 12

25-50%

Question 13

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

Answer 13

• dopamine D2 blockers

- helps w/ positive symptoms

Question 14

What type of antipsychotics will you give to elderly patients?

Answer 14

High potency antipsychotics

Question 15

What is the most potent high potency antipsychotic?

Answer 15

Haloperidol (haldol)

Question 16

Which high potency antipsychotic will give you eye pigment changes?

Answer 16

Thiothixene (Navane)

Question 17

What is the least potent low potency antipsychotic?

Answer 17

Chloropromazine (Thorazine)

Question 18

Which low potency antipsychotic will give you retinal pigmentation?

Answer 18

Thioridazine (Mellaril)

Question 19

What is the tx for anticholinergic syndrome?

Answer 19

1. Discontinue med

2. Physostigmine

Question 20

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

Answer 20

Agranulocytosis, huge potential for metabolic syndrome

Question 21

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

Answer 21

1. Ziprasidone (Geodon)

2. Aripiprazole (Ambilify)

Question 22

What are the receptors for EPS and hyperprolactinemia?

Answer 22

D2 blockade

Question 23

What receptors are blocked for hypotension?

Answer 23

alpha 1 adrenergic blockade

Question 24

What receptors are blocked for weight gain?

Answer 24

Histaminergic 1 and Serotonergic blockade

Question 25

What receptors are blocked for anticholinergic?

Answer 25

Muscarinic 1 blockade

Question 26

What receptors are blocked for sexual side effects?

Answer 26

1. Serotonergic 2. Muscarinic 3. Noradrenergic 4. D2

Question 27

Atypical antipsychotics are associated with what 3 things?

Answer 27

1. weight gain 2. T2DM 3. Hyperlipidemia (i.e. Metabolic syndrome)

Question 28

What 3 antipsychotics cause metabolic syndrome?

Answer 28

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

Question 29

What are the 2 types of mood disorders?

Answer 29

Bipolar | Major depressive disorder

Question 30

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

Answer 30

Major Depressive Disorder

Question 31

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

Answer 31

SIG E Caps | Sleep, Interest, Guilt, Energy, Concentration, Appetite, Psychomotor, Suicidal

Question 32

What's the most common treatment for mood disorders?

Answer 32

SSRI's

Question 33

What's the main side effect to SSRIs?

Answer 33

Sexual dysfunction

Question 34

What are SSRI's used for?

Answer 34

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

Question 35

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

Answer 35

Blurred vision

Question 36

MAOI's cause what main side effect?

Answer 36

Tyramine induced hypertensive crisis | - patient has strict diet

Question 37

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

Answer 37

Bipolar I

Question 38

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

Answer 38

Bipolar II

Question 39

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

Answer 39

Cyclothymic

Question 40

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

Answer 40

Normal to Depressed to Mania to Hypomania to Mixed episode

Question 41

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

Answer 41

Mania

Question 42

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

Answer 42

Mood stabilizers 1. Lithium 2. Valproic Acid 3. Carbamazepine

Question 43

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

Answer 43

Patient's with renal disease

Question 44

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

Answer 44

Patients with liver issues

Question 45

This patient is depressed for more than 2 years

Answer 45

Dysthymia

Question 46

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

Answer 46

Normal Anxiety

Question 47

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

Answer 47

Generalized Anxiety disorder

Question 48

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

Answer 48

Panic disorder

Question 49

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

Answer 49

1. SSRIS (main one) 2. Benzodiazepines 3. TCA's 4. MAOIs

Question 50

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

Answer 50

PTSD

Question 51

What are the types of substance-induced disorders?

Answer 51

1. Intoxication | 2. Withdrawal

Question 52

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

Answer 52

Intoxication

Question 53

What are the 4 criteria for substance use disorder?

Answer 53

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

Question 54

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

Answer 54

1. Miosis 2. Respiratory Depression 3. Coma - Naloxone

Question 55

PCP is a horrible drug that has what behavioral characteristics?

Answer 55

1. Belligerence 2. Assaultiveness 3. Impusliveness

Question 56

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

Answer 56

True

Question 57

What are the main ocular symptoms of conversion disorder?

Answer 57

Double vision | blindness