Psychiatry Flashcards
Lacks peer relationships, poor eye contact and social smile, stacks cans, repeats behaviors, bangs head. Dx? Rx?
Austic disorder. Behavior Therapy.
Greater incidence in girls. Progressive encepholopathy, microcephaly, hand wringing, loss of speech, ataxia, psychomotor retardation. Dx? Rx?
Rett disorder. Behavior therapy for self-injurious behavior. Physiotherapy for muscular dysfunction.
Problems with social interaction and behavior but no language issues. Dx? Rx?
Aspergers Dz. Behavior Therapy.
Inattention, short attention span, can’t sit still in class, normal intelligence but can complete task. Problems home AND School. Dx? Rx for pre-school children? Rx for school age?
Attention Deficit Hyperactivity Disorder. Symptoms are present at home and school. 1. Parent child behavior therapy 2. Amphetamines, methylphenidate, atomoxetine, clonidine (alpha 2 agonist.)
Anhedonia, weight loss, sleep changes, poor concentration, worthlessness, thoughts of death, fatigue. Dx? Rx?
Major depressive disorder (at least 5 SIGE CAPS.) SSRI is first line. (fluoxetine, paroxetine, citalopram, escitalopram, setraline)
First line treatment for neuropathic pain and depression?
Duloxetine (SNRI)
First line of treatment for depression when person has fear of weight gain and sexual dysfunction?
Bupropion ( No sexual side effects)
Mania and depression? Hypomania and depression? Rx?
Bipolar type I(mania > 1 week and affects functioning.) and Bipolar type II (Hypomania < 1 week and does not affect functioning). Acute mania give lithium or valproic acid.
Depressed mood and mild sadness that last for more than 2 years. Dx? Rx?
Dysthymia. Psychotherapy.
Hypomania and mild depression for more than 2 years. Dx? Rx?
Cylothymia. Lithium or Valproate.
Increased sleep, weight gain and increase appetite. (Couch potato) Dx? Ex?
Atypical depression SSRIs or MAOIs.
Weight gain, increase sleep, depressed mood during the winter months. Dx? Rx?
SAD Seasonal Affective Disorder. Light therapy (Phototherapy)
Name the drug: Hypotension, dry mouth, constipation, confusion, arrhythmias.
TCA (amitryptyline, nortriptyline, imipramine)
Name the drug: Monitor diet, given food rich in tyramine will produce HTN. Safe foods include white wine and processed cheese.
MOA-I (Phenelzine, Isocaroxazid, Tranylcypromine)
Name the drug: HA, weight gain, sexual side effects and GI upset.
SSRI (Fluoxetine, Paroxetine, Citalopram, Escitalopram, Setraline)
Name the drug: 1. Increase risk of seizure activity. 2. Priaprism. 3. Sedation and weight gain, increased appetite.
- Bupropion 2. Trazodone 3. Mirtazapine
Name the drug: Alopecia, teratogenic, hepatotoxic.
Valproic Acid
Name the drug: Stevens-Johnson Syndrome
Lamotrigine
Name the drug: Transient memory loss
Electric convulsive therapy.
Name the drug: Agranulocytosis.
Clozapine and Carbamezapine.
Name the disorder: Delusions and hallucinations for <1month?
Brief psychotic disorder.
Name the disorder: Delusions and hallucinations for 1 to 6 months?
Schizophreniform disorder.
Name the disorder: Delusions and hallucinations for > 6 months.
Schizophrenia.
Name the type of schizo: Psychomotor disturbances ranging from retardation to excitation. Stupor, posturing, mutism, rigidity. Dx?
Catatonic
Pt has correct interpretation of reality but thinks stuff is still going on in the background (extreme conspiracy theorist) Still obeys, goes to work and pays bills. Dx?
Delusional Disorder.
Pt presents with sweating, CP, trembling, chills, fear of dying and doom. Symptoms come on quickly and go away quickly. Dx? Rx?
Panic Disorder. Acute: Benzo Chronic: SSRI
Thoughts that are intrusive, senselessness, distressing to the patient. Dx? Rx?
Obsessions. SSRI.
Rituals, such as counting and check that are done to neutralize thoughts. Dx? Rx?
Compulsions. SSRI.
Anxiety about everything, money, cars, food, people, school. Dx? Rx?
Generalized Anxiety Disorder. SSRIs: Venlafaxine and buspirone.
Pts have at least 4 pain, 2 GI, 1 sexual and 1 pseudoneurological problem.
Somatization disorder
Affects voluntary motor and sensory functions that are indicative of medical condition but caused by psychological factors. Pt is unconcerned about his or her impairment (label indiffernce)
Conversion
First line rx for tourette syndrome?
2nd generation antipsychotic: risperidal, abilify
Delirium, agitation, diaphoresis, tachycardia myoclonus and hypperreflexia w/ SSRI and MAO-I?
Serotonin Syndrome
Rx for Catatonia related scihozphrenia?
Benzo.
First line rx for bipolar mania?
Lithium. May need lamotrigene in addition atypical antipsychotic.
