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FA organs HY > Psychiatry > Flashcards

Psychiatry Flashcards

1
Q

Positive vs negativ reinforcement vs punishment?

A 
Positive = Reward produces action (press button get food)
Negative= Target behavior removes averse stimulus (press button Loud noise off)
punishment= Repeated averse stimulus to stop unwanted behavior
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2
Q

Transferance vs countertransferance?

A 
Transferance= Patient projects someone onto Doctor 
Countertransferance= Doctor projects onto pts
**Counter = doCtor
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3
Q

Avoided feelings and ideas are transferred to neutral person or object?

A

Displacement

Mother yells @ child cause husband yelled at her

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4
Q

Partially remaining at more childish level of development?

A

Fixation

Men fixating on sports

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5
Q

Unacceptable impulse is attributed to external source?

A

Projection

I want to cheat so i think my wife is cheating

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6
Q

Unwanted feelings or thoughts are replaced by the opposite ?

A

Reaction formation

Pt mad at the doctor for making her wait complements his shoes.

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7
Q

Going back to earlier modes of dealing with the world?

A

Regression

“under stress, illness, or punishment a previously toilet trained kid wets the bed”

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8
Q

Involuntary withholding of ideas or feelings from conscious awareness?

A

Repression

“Not remembering traumatic event”

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9
Q

Replacing unacceptable wishes with a course of action similar to the wish that does NOT conflict with values?

A

Sublimation

“i mad @ father so i play hard sport”

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10
Q

Voluntary withholding of ideas or feelings from conscious awareness?

A

Suppression

“Choosing to not think about USMLE step 1”

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11
Q

Conduct disorder vs Oppositional defiant disorder?

A

Conduct = violating rights of other & breaking rules
ODD= hostile, defiant toward authority but NOT violating social rules/ or others rights
**White boys vs Kurds

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12
Q

What is the treatment for a recurrent nonrhythmic stereotyped motor and vocal tic persistent for >1yr?

A

Tourettes = Haloperidol (antipsychotics)

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13
Q

child with poor social interactions, language difficulties, and repetitive behavior?

A

Autistic

**Asperger= Normal intellect and language

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14
Q

X-linked disorder that causes girls from 1-4 yo to regress and lose all developed abilities (language, mental retardation, ataxia) stereotype hand wringing?

A 
Rhett syndrome (males die in utero) 
**Child disintegrative disorder= Male version
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15
Q 
Neurotransmitter changes associated with:
Anxiety 
Depression
Alzheimers 
Huntingtons
Schizophrenia
Parkinsons
A 
Anxiety = Inc NE + Dec GABA/5HT
Depression= dec NE/ DA / 5HT 
Alzh = Dec ACh
Hunt = dec GABA/ ACh + inc DA 
Schizo = inc DA 
PD = dec DA + dec ACh/ 5HT
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16
Q

Dementia vs Delirium vs pseudodementia?

A 
Delirium= Acute, abnormal consciousness, altered mental status, abnormal EEG, Reversible
Dementia= Gradual, normal consciousness, memory loss, Irreversible, EEG normal 
Pseudodementia= Depression in elderly presenting as dementia
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17
Q 
Defining characteristics of: 
Brief psychotic do
Schizophreniform
Schizophrenia
Schizoaffective
A 
Brief = Stress induced, 6mo,  +/- symptoms, Inc DA/ dec dendrites 
Schizoaffective= psychotic + unstable mood (@ least 2wks of stable mood)
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18
Q 
5 subtypes of schizophrenia:
Paranoid
Disorganized
Catatonic
Undifferentiated
Residual
A 
Paranoid= delusions
Disorganized = weird behavior/speech/hygiene 
Catatonic= Automatisms 
Undifferentiated = ALL of them
Residual = negative symptoms
19
Q

Dissociative disorders:
Identity
depersonalization
fugue

A 
identity = Multiple personality 
depersonalization = detachment from body (out looking in)
fugue = Abrupt change in geography, inability to recall past/ has new identity
20
Q

Manic disorder characteristics?

A 
> 1 wk
Talkative
Racing thoughts and ideas
NO need for sleep 
Buy shit
Inflated self-esteem (smartest women in the world)
21
Q

Bipolar disorders ? 1 & 2

A

Bipolar 1 = @ least 1 manic episode
Bipolar 2= hypomania + depression
*Anti-depressant meds can bring out Mania

22
Q

Pt with 3 yr history mild depression and mild mania?

A

Cyclothymic = >2yrs (dysthymia + hypomania)

23
Q

Characteristics of major depressive disorder?

A

6-12 months

SIG E CAPS

24
Q

What are characteristics of Atypical depression? Rx?

A 
Mood reactivity = improve with + events
Hypersomnia 
Wght gain
Leaden paralysis (heavy arms/ legs)
Rejection sensitivity 
Rx: MAOi + (normal SSRIs)
25
Q

Electroconvulsive therapy is the treatment of choice for depression in what scenarios?

A

MDD that is refractory to other treatments
Pregnant women with MDD
Immediate action for MDD in suicidal pt

26
Q

What are risk factors for going through suicide?

A 
Sex= male 
Age = teenagers/ elderly
Depression
Previous attempt
Ethanol
Sickness (medical condition)
No spouse
Organized plan
No social support
27
Q

Panic disorder characteristic and treatment?

A

Intense fear/ discomfort peaking @ 10min
Associated w/ Agoraphobia
Rx: SSRIs, venlafaxine

28
Q

What is the treatment for exaggerated fear of embarrassment in social situations?

A

Social phobia

Rx: Beta blocker or SSRIs

29
Q

pt with recurring intrusive thoughts that must be acted upon to relieve. Intrusive thoughts are not controlled and are Inconsistent with pts beliefs. What is the treatment for this condition?

A

OCD ==> Not “OC personality disorder”

Rx: SSRIs, Clomipramine (TCA)

30
Q

Difference btwn PTSD and acute stress disorder?

A

Acute stress disorder = 2days - 1 mo

PTSD= >1 month in duration

31
Q

What is the treatment of choice of generalized anxiety disorder?

A

GAD > 6months => ass w. sleep disturbance, fatigue, GI
Adjustment do=> <6months
Rx: SSRIs or SNRIs

32
Q

Pt that consciously fakes disorders/ complaints to get out of work or obtain drugs and then does not follow instruction nor take meds?

A

Malingering

33
Q

Pt consciously creates symptoms to assume sick role in order to gain attention?

A

Factitious disorder

  • Munchausen= severe/ long hx of hopitalizations
  • by proxy = do it to child/ elderly
34
Q

21 yo female with many symptoms in many organs that Do not seem to have physical cause and are not intentionally created?

A

Somatization

35
Q

Conversion disorder is?

A

Sudden loss loss of sensory or motor function after acute stressful event

36
Q

Schizoid vs Schizotypal?

A 
Schizoid= distant, not social, no desire for others
Schizotypal = Magical thinking, awkward, with no psychosis
37
Q

Pt with very unstable mood, impulsive, self-mutailation, and all or nothing attitude?

A

Borderline

38
Q

Pt that is very sensitive to rejection and but desires relationships?

A

Avoidant

39
Q

Stages of overcoming substance abuse?

A 
Pre-conteplation
Contemplation
Preparation/ determination
Action
Maintenance
Relapse
40
Q

Sign and symptoms of Opioid withdrawal?

A 
Pilo-erection
fever
rhinorhea
diarrhea
Rx: Methadone, Buprenorphine
41
Q

What are symptoms of Bezo withdrawal?

A

Depression
Rebound anxiety
SEIZURES

42
Q

What are SS of cocaine intoxication? Rx?

A 
Mydriasis
Hallucinations (tactile)
paranoid
Angina=> sudden cardiac death
Rx: Benzos
43
Q

SS of PCP intoxication and withdrawal?

A

Intoxication= belligerent, Vertical/horizontal nystagmus, Homicidality
Rx: Benzo, Haloperidol
Withdrawal= Depression, anergia, restless

44
Q

Alcoholic 2-5 days after his last alcoholic drink will experience?

A

DT= Rx with BENZO
ANS instability
Psychotic
Confusion

FA organs HY (11 decks)

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