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Step 2 CK > Psychiatry 2 > Flashcards

Psychiatry 2 Flashcards

1
Q

At least once episode of of inability to recall important personal information and can have large periods of time that are forgotten. Patients are able to retain new information and can have large periods of time that are forgotten. They can experience periods of flashbacks, nightmares and behavioral reenactments. TThey are aware of their amnesia. Dx?

A

Dissociated Amnesia.

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2
Q

Amnesia about personal identity after sudden, unexpected travel away from home. This occurs after experiencing overwhelming stress or traumatic loss. They are unaware of their amnesia and new identity. Dx?

A

Dissociative fuge.

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3
Q

Pts with this disorder have 2 or more personality disorders that control their behaviors and thoughts. They have inability to recall personal information of one personality when the other is dominant. Dx?

A

Dissociative Identity Disorder. (Mutiple personality disorder) symptoms are similar in boderline personality disorder, psychosis and malingering.

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4
Q

Persistent or recurrent experiences of being detached from one’s body or mental process. This in common in normal ppl during times of stress. Dx?

A

Depersonalization Disorder.

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5
Q

Pt believe they are ill and do not intentionally produce or feign symptoms. Dx?

A

Somatoform disorders.

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6
Q

Pts intentionally produce symptoms of real illness because of desire to assume sick role and not for external rewards. Dx?

A

Factitious Disorders.

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7
Q

Pts intentionally produce or feign symptoms for external rewards. Dx?

A

Malingering.

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8
Q

Hypersomnia?

A

Too sleepy/Excessive Tiredness.

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9
Q

They are night owls, have chronic problems going to sleep at a societally accepted time (prior to midnight). Sleep is normal when they are allowed to set their own schedule.

A

Delayed Sleep disorder.

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10
Q

Inability to stay awake in the evening usually after 7pm making social functioning difficult which leads to early-morning insomnia due to early bedtime.

A

Advanced sleep phase disorder.

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11
Q

Hallucinations + delusions in absence of mood changes for at least 2 weeks. Dx?

A

Schizoaffective Disorder.

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12
Q

Caused by a non life threatening event. Symptoms occur within 3 months of the life changing event and resolve within 6 months after the cessation of the stresser.

A

Adjustment Disorder

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13
Q

Event that occurred with in the last month and symptoms only last for < 1 month. The event can be life threatening like witnessing a car crash of a friend.

A

Acute Stress Disorder.

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14
Q

Anxiety about everything, money, cars, food, people, school. Dx? Rx?

A

Generalized Anxiety Disorder. SSRIs: Venlafaxine and buspirone.

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15
Q

Personality Disorder: Suspicious, mistrustful, secretive, isolated.

A

Paranoid

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16
Q

Personality Disorder: Choice of solitary activities, lack of close friends, emotional coldness, no desire for close relationships.

A

Schizoid

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17
Q

Personality Disorder: Magical thinking, odd thinking, eccentric behavior.

A

Schizotypal

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18
Q

Personality Disorder: Must be the center of attention, inappropriate sexual behavior, drama queen, uses physical experience to draw attention.

A

Histrionic

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19
Q

Personality Disorder: Failure to conform to social rules, deceitful, lack of remorse, impulsive, aggressive towards under. Must be over 18 years of age. What would be the disorder if the pt was under 18 years of age?

A

Anti-social. Conduct Disorder.

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20
Q

Personality Disorder: Unstable relationships, impulsive, recurrent suicidal behaviors, chronic feelings of emptiness, inappropriate anger.

A

Borderline.

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21
Q

Personality Disorder: Grandiose sense of self, belief that they are special, lack of empathy, sense of entitlement.

A

Narcissistic.

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22
Q

Personality Disorder: Unwilling to get involved with people. want to have friends but cant. Feels inadequate.

A

Avoidant.

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23
Q

Personality Disorder: Difficulty making day to day decisions, unable to assume responsibility. Fear of being alone. Depends on spouse.

A

Dependent.

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24
Q

Personality Disorder: Preoccupied with details, rigid, orderly, perfectionist, excessively devoted to work, inflexible.

A

Obsessive compulsive.

25
Q

Rx for Personality Disorders?

A

Psychotherapy.

26
Q

Episodes of irresistible sleepiness and feeling of refreshed upon awakening. Dx? Rx?

A

Sleep attacks. Modafinil

27
Q

Sudden loss of muscle tone that can be precipitated by noise or emotions. Dx? Rx?

A

Cataplexy. Modafinil

28
Q

Hallucinations that occur as the patient is going to sleep and waking up. Dx?

A

Hypogogic and Hypnopompic hallucinations.

29
Q

Patient awake but unable to move when waking up. Dx?

A

Sleep paralysis.

30
Q

Inability to initiate or maintain sleep. Dx? Rx?

A

Insomnia. Zolpidem, Eszopiclone, Zaleplon.

31
Q

Persistent or recurrent inability to attain or maintain an erection until completion of sexual act. Dx? Rx?

A

Impotence. Rule out other medical causes and medications. Psychotherapy, Couples Sexucal therapy.

32
Q

Ejaculation before penetration or just after penetration usually due to anxiety. Dx? Rx?

A

Premature ejaculation. Psychotherapy, Behvaioral modification, Stop, go and squeeze method.

33
Q

Pain associated with sexual intercourse, not diagnosed if due to medical condition (ie endometriosis) Dx? Rx?

A

Dyspareunia. Psychotherapy.

34
Q

Involuntary constriction of the outer third of the vagina preventing penile insertion. Dx? Rx?

A

Vaginismus. Psychotherapy. Dilator Therapy.

35
Q

Persistent discomfort and sense of inappropriateness regarding patients assigned sex. Wearing opposite gender’s clothes, using toys assigned to opposite sex, playing with opposite sex children when young.

A

Gender Identity Disorder. Sexual reassignment surgery if approved. Psychotherapy.

36
Q

Name that drug: Dry mouth, conjunctival injection, hysteria and increased appetite.

A

Cannabis.

37
Q

Which medication is safe to use after stroke and causes significant sedation. Dx?

A

Trazodone.

38
Q

A disorder that occurs within 3 months of a stressful life event and ends within 6 months of cessation of stressor.

A

Adjustment disorder. Supportive therapy. Group therapy. SSRI for depression or anxiety that is associated with it.

39
Q

A disorder that occurs due to a stressful event that occurred within the last month and the disorder last for only < 1 month.

A

Acute Stress Disorder (being involved in a MVA last month.) SSRI. Therapy: Cognitive, Supportive, Family. - same as PTSD.

40
Q

Stressful event that occurred at any time in the past and the symptoms last > 1 month. Dx? Rx?

A

Post-traumatic stress disorder (Rape that happened when you where younger affects you in your teens) . SSRI. Therapy: Cognitive, Supportive, Family, Supportive.

41
Q

Name 4 drugs that are given to schizo who are noncompliant with there meds.

A

Fluphenazine deconate, haloperidol deconate, Risperidone and palliperidone

42
Q

Therapy for OCD?

A

SSRI, CBT and Patient education

43
Q

Difference btw OCD and OCPD?

A
  1. OCD is obesssions and compulsions and recognize this as distressful and want to get rid of them. 2.OCPD are ecessively conscientous and inflexible and do not recognize this nor want to get rid of them.
44
Q

Therapy for Specific Phobia and Social phobia?

A
  1. CBT and desensitization 2. CBT, SSRI, low dose benzo or beta blockers for performance anxiety.
45
Q

Give the differences btw Delirium and Dementia in terms of : 1. Level of attention 2. Onset 3. Course 4. Consciousness 5. Hallucinations 6. Reversibility 7. Treatment.

A
  1. Impaired, Alert 2. Acute, Gradual 3. Fluctuates, Progressive deterioration 4. Present in both 6. Reversible, Non reversible 7. Treat + underlying cause +Low-dose antipsychotics + enivornmental changes, anticholinergics + low dose antipsyhcotics + enivronmental changes.
46
Q

A young weight lifter receives IV haloperidol and complains that his eyes are deviated sideways. Dx? Rx?

A

Acute dystonia. Benztropine or diphendyramine.

47
Q

A violent patient has vertical and horizontal nystagmus. Dx?

A

PCP intoxication.

48
Q

Name the steps of alochol with drawal 1. First 6 hrs 2. 12-48 3. 12-24 hrs 4. 48-96

A
  1. Alcohol withdrawal 2. Withdrawal seizures can progress to DT 3. Alcohol Hallucinosis (Auditory, visual and tactile hallucinatins w/o Unstable vital signs) 3. DT (fever, tachy, tremors, Hallucinations)
49
Q

Management of Anorexia? Management of Bulemia?

A

Anorexia (Purging or restricting type) 1. CBT 2. Nutrional counseling 3. Olanzapine Bulemia: 1. CBT 2. Nutrional counseling 3. SSRI

50
Q

Name that therapy: Current relationships and conflict.

A

Interpersonal Therapy.

51
Q

Name that therapy: Therapist as a guide. Reinforce coping skills. Listen foster and understand. Build up adaptive defense mechanisms.

A

Supportive Therapy.

52
Q

Name that therapy: Unconscious conflicts cause symptoms. Explore past relationships and conflicts. Utilize transference. Breakdown defense mechanisms.

A

Psychodynamic Therapy.

53
Q

Name that therapy: Address Ambivalence to change. Non judgemental. Enhance motivation to change. Acknowledge resistance.

A

Motivational interviewing.

54
Q

Name that therapy: Identifiy and challenge maladaptive thoughts. Change emotions and behavior coming from thoughts. Behavioral techniguqes (breathing, exposure, goal-setting.

A

Cognitive Behavioral Therapy.

55
Q

Name that therapy: Acceptance and change. Improve emotion, regulation, mindful awareness, distress tolerance, manage self harm, group therapy component.

A

Dilaectical behavioral therapy for boderline personality disorder.

56
Q

Name that therapy: Improve awareness and control over physiological reactions, lower stress levels, integrate mind and body.

A

Biofeedback.

57
Q

Criteria for Tourette. Rx?

A

Multiple motor tics and at least 1 vocal tic during the onset of childhood for at least one year. Haloperidol, Risperidone, Clonidine.

58
Q

A common side effect of Alprazolam?

A

Seizure.

Step 2 CK (33 decks)

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