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First Aid > psychiatry > Flashcards

psychiatry Flashcards

1
Q

indication of bblocker in psychiatry(2)

A

performance anxiety

PTSD

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2
Q

antodote of benzodiazepine intox

A

flumazenil

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3
Q

cuases of dementia(DEMMENTIAS)

A 
Degenerative diseases
Endocrine 
Metabolic 
Exogenous 
Neoplasia
Trauma 
Infection 
Affective disorders
Stroke/Structure
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4
Q

denerative disease causing dementia(2)

A

Parkinson’s,

Huntington’s

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5
Q

Endocrine causing dementia(4)

A

thyroid,
parathyroid
pituitary
adrenal

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6
Q

Metabolic causing dementia(7)

A 
alcohol,
electrolytes
 vitaminB12 deficiency,
glucose
 hepatic,
renal,
Wilson’s disease
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7
Q

Exogenous causing dementia(3)

A

heavy metals
carbon monoxide
drugs

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8
Q

trauma causing dementia

A

subdural hematoma

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9
Q

infectious disease causing dementia(7)

A 
meningitis,
encephalitis,
endocarditis
 syphilis,
HIV, 
prion diseases,
Lyme diseas
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10
Q

Affective disorder causing dementia

A

pseudodementia

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11
Q

Stroke/Structure problem in dementias(5)

A 
vascular dementia
ischemia
vasculitis
normal pressure
hydrocephalu
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12
Q

causes of delirium (I watch death)

A 
Infection
Withdrawal
Acute metabolic
Trauma
CNS pathology
Hypoxia
Deficiencies
Endocrine
Acute vascular/MI
Toxins/drugs
Heavy metals
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13
Q

food to avoid when taking MAOI

A

Cheese

red wine

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14
Q

why avoid cheese and wine when taking MAOI

A

precipitate a hypertensive

crisis

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15
Q

best rx for depression

A

psychoterapy +++

medication

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16
Q

quid of Serotonin syndrome

A

fever,
myoclonus
mental status changes
cardiovascular collapse

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17
Q

drugs causing serotonin syndrome

A

SSRI

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18
Q

condition to have serotonin syndrome with SSRI

A

when used with MAOI

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19
Q

quid of atypical antidepressors(5)

A 
bupropion
venlafaxine
mirtazapine
nefazodone
trazodone
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20
Q

side efect of bupropion

A

↓ seizure threshold

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21
Q

first line rx for depression

A

SSRI

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22
Q

Venlafaxine side effect

A

Diastolic hypertension

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23
Q

Mirtazapine side effect(2)

A

Weight gain

sedation.

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24
Q

Nefazodone side effect(3)

A

Sedation
headache
dry mouth

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25
Q

Trazodone side effect(2)

A

Highly sedating

priapism

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26
Q

MAOI(2)

A

phenelzine

tranylcipromine

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27
Q

major side effect of TCA(2)

A

anticholinergic

cardiac arythmia

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28
Q

TCA toxicity 3C

A

convulsion
coma
cardiac arythmia

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29
Q

Chronic lithium use side effect(2)

A

Nephrotoxicity

hypothyroidism

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30
Q

Lamotrigine

A

life-threatening skin

rash.

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31
Q

5 meds ued in depression

A

SSRI
Atypicals
TCA
MAOI

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32
Q

quid of TCA(4)

A

Nortriptyline
Desipramine
Amitriptyline
Imipramin

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33
Q

indication of typical antipsychotics(2)

A

psychosis

acute agitation

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34
Q

typical antipsychotics(5)

A 
haloperidol
droperidol
fluphenazine
chlorpromazine 
tioridazine
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35
Q

side effect of typical antipsychotics

A

Extrapyramidal symptoms
Hyperprolactinemia.
Anticholinergic effects
NMS

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36
Q

quid Neuroleptic malignant syndrome(4)

A

Fever,
muscle rigidity
autonomic instability
clouded consciousness

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37
Q

first line rx of schizophrenia

A

atypical antipsychotics

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38
Q

indication of clozapine(2)

A

treatment resistance schizophrenia

severe tardive dyskinesia

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39
Q

atypical antipsychotics(6)

A 
Clozapine 
Risperidone 
Quetiapine
Olanzapine
Ziprasidone
Aripiprazole
40
Q

side effect of clozapine

A

agranulocytosis

41
Q

Mood stabilizers(4)

A

lithium
carbamazepine
lamotrigine
valproic acid

42
Q

personality disorder cluster A weird(3)

A

paranoid
schizoid
schizotypal

43
Q

personality disorder cluster B wild

A

bordeerline
histrionic
narcissistic
antisocial

44
Q

clue for histrionic

A

manipulate staff and doctor

45
Q

cluster c personality disorder wimpy and worried

A

OCD
avoidant
dependent

46
Q

4 A of schizophrenia

A 
Associations (loose)
Affect (flat)
Autism (selfpreoccupation,
noncommunication)
Ambivalence
47
Q

Evolution of EPS

A 
4 hours: Acute dystonia
4 days: Akinesia
4 weeks: Akathisia
4 months: Tardive
dyskinesia
48
Q

quid of acute dystonia

A

Involuntary muscle contraction or spasm

torticolis/oculogyric crisis).

49
Q

rx of acute dystonia(2)

A

benztropine

diphenidramine

50
Q

quid of akathisia

A

Subjective/objective restlessness

51
Q

rx of akathisia(2)

A

↓ neuroleptic

try β-blockers

52
Q

quid of dyskinesia

A

Pseudoparkinsonism

53
Q

quid of Pseudoparkinsonism(2)

A

shuffling gait
cogwheel rigidity
\

54
Q

rx of dyskinesia

A

anticholinergic /benztropine or

dopamine agonist /amantadine

55
Q

quid of tardive dyskinesia

A

Stereotypic oral-facial movements

56
Q

causes of tardive dyskinesia

A

dopamine receptor sensitization

57
Q

rx of tardive dyskinesia

A

change with
clozapine
risperidone

58
Q

what to not do in tardive dyskinesia

A

Giving
anticholinergics or decreasing neuroleptic
may initially worsen tardive dyskinesia

59
Q

quid of tourette (4)

A

ADHD
earning disorders
OCD
multiple motor and vocal tics

60
Q

rx of tourette(3)

A

haloperidol
pimozide
clonidine

61
Q

alcohol intoxication(6)

A 
disinhibition
hypoglycemia
slurred speech
coma
blackouts
ataxia
62
Q

quid of balckouts

A

retrograde amnesia

63
Q

withdrawal of alcohol(6)

A 
HTA
tachycardie
agitationhaluccinations
seizures
tremor
Delirium tremens
64
Q

clue for opioids intoxication(5)

A 
everything is depressed
CNS
constipation
pupillary constriction
respiratory depression
65
Q

clue for opiods withdrawal(7)

A 
dilated pupils
stomach cramps
diarrhea
anxiete
diaphoresis
insomnia
fever
piloerection
66
Q

action of naloxone

A

blocks opioids receptors

67
Q

clue for amphetamines intox(7)

A 
pupillary  dilation
hta
impairment jugment
halucinations
fever
arythmia
delusionpsychomotor agitation
68
Q

withdrawal of amphetamines

A 
post use cratch with anxiety
stomach cramps
sleep disturbance
hunger
depression
69
Q

severe agitation in amphetamines intox

A

haloperidol

70
Q

cocaine intox clue(7)

A 
HTA
pupillary dilation
hallucinations
psychomotor agitation
angina
sudden death
euphoria
71
Q

cocaine withdrawal(5)

A 
post use crash with hypersomnolence
craving
suicidability
depression
malaise
72
Q

phenilcyclidine intox

A 
belligerance
violence
impulsivity
fever
vertical et horizontal nystagmus
psychomotor agitation
73
Q

rx of phenilcyclidine intox

A

benzodiazepines

74
Q

phenicyclidine withdrawal(2)

A

recurrence of intox symptoms

severe violence

75
Q

LSD intoxication(5)

A 
anxiety and depression
hallucinations
pupillary dilation
flashbacks
delusion
76
Q

rx for LSD

A

beenzodiazepines
or
antipsychotics

77
Q

Marijuana intox(9)

A 
euphoria
slow sense of time
increased appetite
dry mouth
conjunctival injection
halucination
amotivationnal syndrome
anxiety 
paranoia
78
Q

intox in barbiturates(2)

A

respiratory depression

low safety margin(feeling of non secure)

79
Q

barbiturates withdrawal(5)

A 
seizures
tremor
insomnia
HTA
tachycardia
80
Q

Caffeine intox(4)

A

restlessness
diuresis
arrythmias
muscle twiching

81
Q

caffeine withdrawal(4)

A

headache
lethargy
weight gain
depression

82
Q

Nicotine intox(4)

A

restlessness
insomnia
anxiety
arrythmias

83
Q

nicotine withdrawal(6)

A 
irritability
headache
anxiety
weight gain
craving 
tachycardia
84
Q

exhibitionism

A

exposing genitals to stranger

85
Q

Pedophilia

A

sexual activity with children

86
Q

voyeurism

A

observing unsuspecting people unclothed or involved in sex

87
Q

fetichism

A

use non sexual objects for sexual arousal

88
Q

most common used in fetichism

A

clothes

89
Q

transvestic fetichism

A

cross dressing for sexual arousal

90
Q

frotteurism

A

touching or rubbing against a non consenting person

91
Q

sexual sadism

A

sexual arousal from inflicting suffering

92
Q

sexual masochism

A

sexual arousal from being hurt humiliated or threatened

93
Q

quid of paraphilia

A

abnormal expression of sexuality

see the list above

94
Q

ration male female for somatisation

A

1/20

95
Q

risk factor for suicide(SAD PERSONS)

A 
SAD PERSONS
Sex
Age (older)
Depression
Previous attempt
Ethanol/substance abuse
Rational thought
Sickness
organised plan
No spouse
Social support lacking

First Aid (19 decks)

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