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PANCE Review > Psychiatric Medicine > Flashcards

Psychiatric Medicine Flashcards

1
Q

Most Common Cause of Dementia

A

Alzheimer’s Disease

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2
Q

Dementia

A

Insidious onset, slowly progressive cognitive deficients, usually beginning with language function and visuospacial skills

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3
Q

Panic Disorder

A

Panic Attack: 4+ symptoms that develop abruptly and peak within 10 minutes (Trembling, Choking, SOB, Diaphoresis, hot flashes, derealization, fear of dying, abdominal pain, chest pain, palpitations, ext.)
Panic Disorder: h/o panic attack with intense fear of having another x 1 month

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4
Q

Panic Disorder Treatment

A

Acute: Benzodiazepines
Long Term: CBT + Pharm
1st line - SSRI, SNRI
2nd line - benzo’s only

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5
Q

Post Traumatic Stress Disorder (PTSD) Criteria

A

Diagnosed clinically by presence of criteria at least one month after traumatic event has passed:

  • experienced a traumatic event that was potentially harmful or fatal and initial reaction was intense fear or horror
  • Persistent re-experiencing of the event through dreams, flashbacks, or recollections
  • Avoidance of stimuli associated with the trauma
  • Numbing of responsiveness, limited affect, feelings of detachment or estrangement
  • Persistent symptoms of increase arousal: difficulty sleeping, anger, exaggerated startle response, difficulty concentrating
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6
Q

PTSD Management

A

1st Line: CBT

2nd Line: SSRI or SNRI

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7
Q

Acute Stress Disorder

A

PTSD, but only lasting for 2 days to 4 weeks.

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8
Q

Obsession

A

Recurrent and intrusive thought, feeling, or idea

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9
Q

Compulsion

A

A conscious repetitive behavior linked to an obsession that functions to relieve anxiety caused by the obsession

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10
Q

Obsessive-Compulsive Disorder Criteria

A
  • Obsessions and/or compulsions
  • Person is aware that the obsessions and compulsions are unreasonably and excessive
  • Obsessions cause marked distress are time consuming, or significantly interfere with daily functioning
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11
Q

OCD Management

A

1st Line: CBT using exposure and response prevention and/or SSRI

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12
Q

Phobia Criteria

A
  • Persistent, excessive fear brought on by a specific situation or object
  • Exposure to the situation brings about an immediate anxiety response
  • Patient recognizes that this fear is excessive
  • Situation is avoided when possible or tolerate with intense anxiety
  • Duration must be >6 months in >18 years old
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13
Q

What is the most common mental disorder in the US?

A

Phobia

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14
Q

Phobia Management

A

Systematic desensitization, possibly with benzo’s during the session

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15
Q

Anorexia Nervosa Types

A

Restrictive Type: Eat little, exercise vigorously, withdrawn

Binge eating & purging type: binges followed by purging, laxatives, excessive exercise, diuretics

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16
Q

Anorexia Nervosa Criteria

A
  • Body weight at least 15% below normal
  • Intense fear of gaining weight or becoming fat
  • Disturbed body image
  • Amenorrhea
17
Q

BMI Ranges

A

30 obese

18
Q

Anorexia Nervose Management

A

Inpatient needed if

19
Q

Bulimia Nervosa Types

A

Purging Type: Use vomiting, laxatives, or diuretics to counteract binge
Non-purging Type: Excessive exercise or fasting to counteract binge

20
Q

Bulimia Nervosa Criteria

A
  • Recurrent episodes of binge eating
  • Recurrent inappropriate attempts to compensate for overeating to prevent weight gain
  • Binge eating and compensatory behaviors occurs at least twice a week for 3 months
  • Perception of self worth is excessively influenced by body weight/ shape
21
Q

What abnormal lab would you expect to see in Bulimia Nervosa

A

Hypochloremic Hypokalemic Alkalosis

22
Q

Bulimia Nervosa Management

A

Psychotherapy, SSRI, TCA

23
Q

Binge - Eating Disorder Criteria

A

Recurrent episodes of binge eating, severe distress over binge eating, binging occurs 2 days a week for 6 months, and not associated with compensatory behaviors

24
Q

Binge - Eating Disorder Criteria

A

Recurrent episodes of binge eating, severe distress over binge eating, binging occurs 2 days a week for 6 months, and not associated with compensatory behaviors

25
Q

Major Depressive Episode Criteria

A

5 + of the following symptoms present nearing every day for a minimum of 2 weeks (at least one symptoms must be depressed mood or loss of interest or pleasure) (Depressed Mood, Loss of interest or pleasure, insomnia, hypersomnia, change in appetite, weight gain, psychomotor retardation,

PANCE Review (13 decks)

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