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WP CLUES > Psychiatry > Flashcards

Psychiatry Flashcards

1
Q

What is Autism?

A

Poor eye contact, repetitive movements, lack of verbal skills and bonding, symptoms since birth
Tx: Behavioral modification, use antipsychotic if have aggressive behavior

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2
Q

What is Asperger’s?

A

Good communication skills, impaired relationships, no mental retardation

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3
Q

What is Rett’s

A

Only in girls, decreased head growth, lose motor skills, hand-wringing, they are normal until 5 months of age
Tx: Behavioral therapy and physiotherapy

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4
Q

What is Childhood Disintegrative Disorder?

A

Kid stops talking and walking. (They lose all their milestones)

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5
Q

What is Selective Mutism?

A

Kid talks sometimes

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6
Q

What is Separation Anxiety Disorder?

A

Kid screams when mom leaves

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7
Q

What is Conduct Disorder?

A

Younger than 18 y/o with traits of antisocial disorder: aggressive, disregard for authority/rules, no sense of guilt/remorse, harms animals, illegal activity “bite is worse than bark”. Behavioral therapy and antipsychotic

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8
Q

What is Oppositional Defiant Disorder?

A

Breaking the rules, defiant, noncompliant, resists authority, “bark is worse than bite”. Teach appropriate child management skills

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9
Q

What is ADHD?

A

Over activity, short attention span, difficulty in school, must be identified in two different locations (home and school).
Tx: First line- methylphenidate and dectroamphetamine; Second line- Atomoxetine (SNRI)

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10
Q

How is Major Depression diagnosed?

A 
Need 5 of 8 "SIGECAPS" for over 2 weeks
Sleep disturbance: wake in early or wake up late
Interest/ libido loss
Guilt
Energy Loss
Concentration Loss
Appetite Loss
Psychomotor Agitation
Suicidal Ideation (hopelessness)
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11
Q

What is Dysthymia?

A

Low level sadness >2 years, looks like depression

Tx: Psychotherapy and SSRI (example: fluoxetine, fluvoxamine, paroxetine, sertraline, citalopram)

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12
Q

What is cyclothymia?

A

Dysthymia with hypomania for more than 2 years

Tx: Lithium, Valproic Acid or Carbamazepine and psychotherapy

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13
Q

What is Double Depression?

A

Depression followed by dysthymia

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14
Q

What is Bipolar I?

A

Mania with or without depression for at least 1 week, as well as period of normal mood

Tx: First line - Lithium, Lamotrigine or Risperidone
Second line - Aripripezole, Divalproex, Quetiapine, Olanzapine, Psychotherapy and cognitive behavioral

Acute Mania: Hospitalize, mood stabilizer (Lithium), acute antipsychotic (Risperidone) and IM phenothiazine - if non-compliant

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15
Q

What is Bipolar II?

A

Depression and Hypomania (no psychosis)

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16
Q

What are Loose Associations?

A

Ideas switch subjects, incoherent

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17
Q

What is Tangentiality?

A

Wanders off the point

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18
Q

What is Circumstantiality?

A

Digresses but finally gets back to the point

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19
Q

What is Clanging?

A

Words that sound alike

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20
Q

What is Word Salad?

A

Unrelated combinations of words

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21
Q

What is Perseveration?

A

Keeps repeating the same words

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22
Q

What is Neologisms?

A

New words

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23
Q

What is Delusion?

A

Fixed false belief for more than one month and no effect to his normal living
Tx: Atypical antipsychotic and psychotherapy

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24
Q

What is Illusion?

A

Misinterprets stimulus

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25
Q

What are Hallucinations?

A

False sensory perception with absence of external stimuli, seen commonly in ETOH(alcohol) withdrawal and cocaine intoxication

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26
Q

What is Nihilism?

A

Feeling of “life is meaningless”

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27
Q

What is Loss of Ego Boundaries?

A

Where we lose sight and sense of our mind and body and its influences

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28
Q

What are Ideas of Reference?

A

Believes the media is monitoring you

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29
Q

What is Thought Blocking?

A

Stops mid-sentence

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30
Q

What is Thought Broadcasting?

A

Believes that everyone can read his thoughts

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31
Q

What is Thought Insertion?

A

Believes that others are putting thoughts into his head

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32
Q

What is Thought Withdrawal?

A

Believes that others are taking thoughts out of his head

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33
Q

What is Concrete Thinking?

A

Can’t interpret abstract proverbs, only sees the facts

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34
Q

What is Synesthesia?

A

Smells colors

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35
Q

What is Cataplexy?

A

Loss of muscle tone due to strong emotions

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36
Q

What is a Paranoid Personality Disorder?

A

Suspicious about everything, they use projection as defense mechanism

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37
Q

What is Schizotypal Personality Disorder?

A

“Magical Thinking”, odd/bizarre behavior, people leave them alone because they are weird but they will interact if approached. Brief psychotic episode

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38
Q

What is Antisocial Personality Disorder?

A

Lie, cheat, steal, destroy property, impulsive without remorse, illegal activity, aggressive towards others. Must be over 18 y/o

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39
Q

What is Schizoid Personality Disorder?

A

Recluse, they don’t want to interact with others, emotional coldness

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40
Q

What is Conduct Disorder Personality Disorder?

A

Younger than 15 years old who have Antisocial personality disorder

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41
Q

What is Histrionic Personality Disorder?

A

Theatrical, sexually provocative, use repression

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42
Q

What is Borderline Personality Disorder?

A

“Perpetual Teenager”, splitting (love/hate), projection, acting out, self-mutiliation, unstable relationships, impulsive

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43
Q

What is Narcissistic Personality Disorder?

A

Pompous, no empathy, thinks they deserve everything

44
Q

What is Dependent Personality Disorder?

A

Clingy, submissive, low self-confidence, uses regression

45
Q

What is Obsessive-Compulsive Personality Disorder?

A

Perfectionist, doesn’t show feelings, detail oriented, uses isolation

46
Q

What is Avoidant Personality Disorder?

A

Socially withdrawn, afraid of rejection but wants to fit in

47
Q

What is Kleptomania?

A

Steals for the fun of it

Tx: Psychotherapy

48
Q

What is Pyromania?

A

Sets fires for the fun of it

49
Q

What is Intermittent Explosive Disorder?

A

Loses self-control, disproportional to circumstances?

50
Q

What is Pathological Gambling?

A

Can’t stop gambling, affects others

51
Q

What is Trichotillomania?

A

They pull out their own hair and eat it

52
Q

What is Lewy Body Dementia?

A

Stiff with visual hallucinations

53
Q

What is Normal Pressure Hydrocephalus?

A

Incontinence, ataxia “magnetic gait” dementia

54
Q

What is Korsakoff Psychosis?

A

Alcoholic Thiamine deficiency. Presents with confusion, Opthalmoplegia, ataxia, memory loss, confabulation and personality change
Tx: Vit B1

55
Q

What is Vascular “multi-infarct” dementia?

A

Sudden onset, uneven progression of deficits, “stair step” decline

56
Q

What is Huntington’s?

A

Occurs in the caudate/putamen, Trinucleotide repeat disorder (Chromosome 4, CAG), choreiform movements, changes in personality, anticipation

57
Q

What is Creutzfeldt-Jakob?

A

Prion induced disease, death within 1 year, post cornea transplant

58
Q

What is Pick’s Disease?

A

Frontal lobe atrophy, disinhibition

59
Q

What is Alzheimer’s disease?

A

Decreased Ach in nucleus basalis of Meynert,
bad Apo-E4,
Amyloid Plaques,
Neurofibrillary Tangles of Tau proteins

60
Q

What is Parkinson’s disease?

A

Located in the Substantia Nigra (lack of dopamine)
bradykinesia (slowness of movement)
pill rolling tremor,
shuffling gait,
Lewy Bodies (abnormal protein deposits in the brain)

61
Q

What is Somatization?

A

Psychological trigger gets them sick, but no medical finding (Pain in 4 parts, 2 GI problems)
(Recurrent and multiple medical symptoms with no discernible organic cause)
Tx: Psychotherapy

62
Q

What is Hypochondriasis?

A

They worry about having a serious illness (specific disease) they seek medical attention. For constant reassurance
Tx: Psychotherapy

63
Q

What is Body Dysmorphic Disorder?

A

Imagined physical defect, causing impaired function in a social or occupational activity
Tx: SSRI

64
Q

What is Pain Disorder?

A

Prolonged pain not explained by physical causes

65
Q

What is Conversion?

A

Neurological manifestations of internal conflict, indifferent to disability, blindness/mutism triggered by a stressor. Patient is unconcerned about his impairment
Tx: Psychotherapy

66
Q

What is Malingering?

A

Fake illness for monetary gain or getting out of jail, avoids medical treatment
Tx: Supportive Psychotherapy

67
Q

What is Factitious?

A

Fake illness to get attention, seeks medical treatment, have a lot of medical knowledge.
Tx: Supportive psychotherapy

68
Q

What is Ficticious Disorder by Proxy?

A

Mom makes the child or another person ill for emotional support, noted to move frequently

69
Q

What is Amnesia?

A

Can’t recall important facts

70
Q

What is Dissociative Fugue?

A

No past memory at all, even if they see someone from the past - they have no idea
Travel to a new place, usually due to trauma

71
Q

What is Multiple Personality Disorder?

A

They have 5-10 alters, usually associated with incest

72
Q

What is Depersonalization Disorder?

A

“Out of Body” experiences, Deja Vu

73
Q

What is Sublimation?

A

Where socially unacceptable impulses or idealizations are unconsciously transformed into socially acceptable actions or behavior

74
Q

What is Imitation?

A

Replicating another’s behavior

75
Q

What is Identification?

A

To be like or to become like another (aspect, property or attribute of another)

76
Q

What is Displacement?

A

Take anger out on an object or someone else. Not related with situation

77
Q

What is Idealization?

A

They see only the good in someone despite evidence to the contrary

78
Q

What is Transference?

A

Patient views doctor as parent

79
Q

What is Countertransference?

A

Doctor views patient as child

80
Q

What is Acting out?

A

expression of impulse, “Temper Tantrums”

81
Q

What is Regression?

A

Immature behavior, go back in development

82
Q

What is Reaction Formation?

A

Unconsciously act opposite to how you feel, “Tears on a clown”

83
Q

What is Rationalization?

A

Make excuses for behavior in advance, (because of…)

84
Q

What is Intellectualization?

A

Act like a “know it all” to avoid feeling situational emotions, gets all information available to be over-informed

85
Q

What is Isolation of Affect?

A

Isolate feelings to keep on functioning

86
Q

What is Suppression?

A

Consciously block memory

87
Q

What is Repression?

A

Subconsciously block memory

88
Q

What is Undoing?

A

Doing exact opposite of what you used to do to fix a wrong

89
Q

What is Compensation?

A

Doing something different of what you used to do

90
Q

What is Sadism?

A

Gives physical and psychological pain

91
Q

What is Masochism?

A

Receives pain (Humiliation)

92
Q

What is Exhibitionism?

A

Exposure to others

93
Q

What is Voyeurism?

A

Watching other people without their permission

94
Q

What is Telephone Scatologia?

A

Phone Sex

95
Q

What is Frotteurism?

A

Rubs penis against fully clothed women

96
Q

What is a Transvestite?

A

Dress up as opposite sex, no identity crisis

97
Q

What is a Transsexual?

A

Gender Identity crisis

98
Q

What is a fetish?

A

High attraction for inanimate objects

99
Q

What is a Pedophile?

A

Attracted to children sexually, watching child pornography

100
Q

What is a Necrophile?

A

Someone who has sex with corpses

101
Q

What is a Beastophile?

A

Someone who has sex with animals, women prefer dogs, they can smell their estrogen

102
Q

What is Justification?

A

Making excuses for behavior afterwards

103
Q

Can you die during ETOH withdrawal?

A

Yes

104
Q

Can you die during Opiod Withdrawal?

A

No, just very painful

105
Q

What is Isocarboxazid?

A

Atypical depression: Hypersomnia, anxiety, sensitivity to rejection, hypochondriasis

WP CLUES (22 decks)

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