Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

PANCE > Psychiatry > Flashcards

Psychiatry Flashcards

1
Q

disordered thought content and thought processes, perceptual disturbances, illusions or hallucinations, delusions, impaired reality orientation

A

psychotic disorders

-memory and consciousness not impaired

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

hallucinations, bizarre behavior, delusions

A

positive symptoms

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

flat affect, poor grooming, social withdrawal, anhedonia, poor eye contact

A

negative symptoms

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

persecutory or grandiose delusions or auditory hallucinations; MOST COMMON

A

paranoid schizo

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

disorganized speech or behavior, flat or inappropriate affect

A

disorganized schizo

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

delusions and hallucinations; ABSENT: paranoid, disorganized, catatonic symptoms

A

undifferentiated schizo

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

no longer have prominent psychotic symptoms but have blunted affect/odd behavior

A

residual schizo

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

schizo phases:

  • subtle behavior changes, functional decline, social withdrawal, irritability
  • delusions, hallucinations, disorganized speech, bizarre behavior
  • blunted affect, other negative symptoms
A
  • prodromal
  • psychotic
  • residual
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

rare type of schizo- needs two of following: motor immobility, excess motor activity w/o purpose, extreme negativism or mutism, echolalia, echopraxia

A

catatonic schizo

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

schizo- two of the five following symptoms present for a 1 month pd, persisting for 6 months ?

A

delusions, hallucinations, disorganized speech, grossly disorganized behavior, negative symptoms

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

DOC for schizo?

A

dopamine and serotonin antagonists- atypical antipsychotics

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

schizo:
best Tx for positive Sx?
negative Sx?

A

typical antipsychotics

atypical antipsychotics

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

mixture of psychotic and mood symptoms i.e. depressive/manic/mixed episode during which criteria for schizo also met

A

schizo affective d/o

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

char. by non-bizarre delusions (realistic) that occur for at least 1 month

A

delusional d/o

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

common after catastrophic event, sx for 1 day to 1 month

A

brief psychotic d/o

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

same sx as schizophrenia but sx last 1-6 months

A

schizophreniform d/o

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

physical complaints involving many organ systems, no medical explanation

A

somatization d/o

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

most common concerns are facial flaws, imagined defect in physical appearance or exaggeration of minor flaw? Tx?

A

body dysmorphic d/o, SSRI

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

one or more neuro complaints that can’t be explained clinically; MC sx: shifting paralysis, blindness, and mutism

A

conversion d/o

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

fake signs and Sx, assume the sick role

A

factitious d/o

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

production of physical/psych sx for external gain

A

malingering

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

pain in one or more area w/o identifiable cause, significant distress and impaired functioning; 1st line?

A

pain d/o; SSRI/TCAs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

major depressive episode- five or more depressive signs and sx during the same ?; at least one of Sx must be ? or ?

A

2 week period; depressed mood or anhedonia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

manic episode- lasts at least? needs at least three manic sx

A

one week

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

SAD treatment?

A

light therapy, buproprion, SSRIs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

char. by anhedonia, psychomotor retardation/agitation, anorexia, weight loss, depressed mood, feelings of guilt, sleep disturbance, may have suicidal ideation

A

melancholia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

char. by overeating/weight gain, oversleeping, reactive mood, leaden paralysis, oversensitivity to interpersonal rejection

A

atypical depression

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

char. by motor immobility or stupor, blurred affect, purposeless motor activity, extreme withdrawal, negativism, bizarre mannerisms or posturing, echolalia, echopraxia, or ‘waxy flexibility’

A

catatonic depression

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

PP depression occurs within ? Tx ?

A

4 weeks of delivery, SSRIs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

side effects include GI upset, headache, sexual dysfunction

A

SSRIs s/e

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

s/e include weight gain, OH, antichol. effects, somnolence

A

TCAs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

MAOIs and SSRIs can results in?

A

serotonin syndrome (acute MS changes, restlessness, diaphoresis, tremor, hyperthermia, seizures, muscle rigidity, coma/death (rare)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

ECT safe in preggo and elderly; biggest concern?

A

memory loss

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

lithium- narrow therapeutic window- check levels ?

A

every 4-8 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

char. by 1+ major depressive episodes and at least one hypomanic episode

A

BPII

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

chronic mild depression; no psychotic or manic/hypomanic features

A

dysthymic d/o

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

less severe version of BPII, mild depressive and hypomanic episodes

A

cyclothymic d/o

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
38
Q

maladaptive behavioral or emotional Sx that develop w/i 3 months and end within 6 months

A

adjustment d/o

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
39
Q

schizoid, schizotypal, and paranoid personality d/o; weird/peculiar, associated with PSYCHOTIC d/o

A

Cluster A (mad)

40
Q

antisocial, borderline, histrionic, narcissistic personality d/o; emotional, inconsistent, associated with MOOD d/o

A

Cluster B (bad)

41
Q

avoidant, dependent, OCD personality d/o; fearful, anxious, associated with ANXIETY d/o

A

Cluster C (sad)

42
Q

pervasive distrust and suspicion of other beginning by early adulthood; hostile and angry

A

paranoid personality d/o (PDO)

43
Q

voluntary social withdrawal; eccentric and reclusive; no desire for close relationships

A

schizoid PDO

44
Q

pervasive and eccentric behavior; most likely to progress to schizo

A

schizotypal PDO

45
Q

magical thinking, special personal significance, belief in clairvoyance or telepathy, belief in superstitions or the occult

A

schizotypal PDO

46
Q

inability to conform to social norms, strong tendency to commit unlawful acts

A

antisocial PDO

47
Q

manipulative, deceitful, impulsive, and totally lacking empathy/remorse

A

antisocial PDO

48
Q

may begin in childhood as conduct d/o, child may have Hx of physical and/or sexual abuse, starting fires, harming animals

A

antisocial PDO

49
Q

poorly set self-image, mood swings, impulsivity, self-mutilation and manipulative suicide attempts

A

borderline PDO

50
Q

Tx for borderline PDO includes?

A

dialectal behavior therapy (DBT)

51
Q

overly emotional, dramatic, and seductive, excitable, attention seeking behavior

A

histrionic PDO

52
Q

inflated self-image, pattern of grandiosity, arrogant, haughty attitude, self-esteem is fragile

A

narcissistic PDO

53
Q

extreme sensitivity to rejection (inferiority complex), see themselves as unappealing, feelings of inadequacy, social phobia? Tx?

A

avoidant PDO; BB or SSRIs

54
Q

submissive behavior, cannot make their own decisions, dislike being alone

A

dependent PDO

55
Q

orderliness, perfectionism, and inflexibility, rigid, stubborn, and emotionally constricted; may develop MDD or schizo

A

O-C PDO

56
Q

these pts have awareness of their PDO; egoSYNtonic

A

O-C PDO

57
Q

pts who don’t meet the full criteria for a specific PDO but have traits from many diff ones

A

personality d/o NOS (not otherwise specified)

58
Q

excessive amounts of heightened arousal that impede daily function and interpersonal relationships

A

anxiety

59
Q

physiologic sx include dizziness, palpitations, perspiration, loss of appetite, nausea, trembling

A

anxiety

60
Q

anxiety DOC

A

SSRIs, SNRIs, or buspirone

61
Q

recurrent thoughts, images, or impulses, no realistic connection to the events the patient avoids, egoDYStonic

A

OCD

62
Q

MC obsessive compulsion

A

contamination

63
Q

1st line for OCD?

A

SSRIs

64
Q

sensations of helplessness, fear, and horror from a traumatic even that is out of range of normal human experience; Sx persist for more than 1 mo.; DOC?

A

PTSD; SSRIs

65
Q

sx occuring w/i one month of an event lasting 2 days to 4 weeks, including sense of numbing or detachment, reduced awareness of surrounding, derealization, depersonalization, or dissociative amnesia, excessive anxiety or arousal

A

acute stress d/o

66
Q

most common mental d/o in US

A

phobias

67
Q

? phobias more common than social phobias

A

specific

68
Q

fear of situations where embarrassment or humiliation in front of other people may occur

A

social phobia i.e. public speaking, using pubic BR, eating in public

69
Q

fear of being in public places where escape may be difficult, may be unwilling/unable to leave home? 50-70% have coexisting ?

A

agoraphobia, panic d/o

70
Q

anorexia less than ? expected weight for height; BMI?

A

85%, 17.5kg/m2

71
Q

? CI in ED because it lowers the seizure threshold

A

Bupropion

72
Q

electrolyte abnormalities in bulimia

A

hypomagnesemia, hypochloremic hypokalemic metabolic alkalosis

73
Q

first treatment in ED?

A

restore nutritional state

74
Q

obesity (binge eating d/o) ? over ideal body weight or BMI greater than ?; recurrent episodes at least ?

A

20%, 30; 2days/week x 6 months

75
Q

Tx for BED- MC? appetite suppressant? pancreatic lipase inhibitor?

A

SSRIs, sympathomimetics, Orlistat (Xenical)

76
Q

craving or desire for substance independent of physiologic w/drawal Sx

A

psychological dependence

77
Q

substance use that has not met criteria for dependence but resulted in impairment w/in a 12-month period

A

substance abuse

78
Q

elevated ? is a early sign of alc abuse

A

gamma glutamyl transpeptidase

79
Q

w/drawal Sx include lacrimation, rhinorrhea, sweating, yawning, anxiety, hypertension, tachycardia, N/V, abdominal cramps, and muscle/joint pain

A

opioid use/abuse

80
Q

constricted pupils w/ ? use

A

opioid

81
Q

disruptive behavior may result in peer rejection and deflated self image; requests can become explosive and irritable; MC in firstborn son

A

ADD/ADHD

82
Q

ADD/ADHD diagnosed w/ ? scales

A

Conners’

83
Q

s/e of stimulants i.e. amphetamine/dextroamphetamine used to treat ADD/ADHD include?

A

growth retardation, weight loss

84
Q

violation of the basic right of others or of social norms with at least three acts

A

conduct d/o

85
Q

may progress to conduct d/o; at least 6 mo of negativistic, hostile, and defiant behavior

A

oppositional defiant d/o

86
Q

impaired social interaction and restricted or stereotyped behavior, interests, or activities

A

asperger d/o

87
Q

decreasing head circumference, loss of previously learned behaviors, social interactions, and motor and language development; almost exclusively seen in girls

A

Rett d/o

88
Q

multiple motor and one or more vocal tics greater than 1 year

A

Tourette d/o

89
Q

onset of Tourette syndrome after group A streptococcal infx ?

A

pediatric autoimmune neuropsychiatric disorder associated with streptococcal infections (PANDAS)

90
Q

retinal hemorrhages or hyphema in an infant?

A

shaken baby syndrome

91
Q

abuse perpetrated by the mother; symptoms fabricated or clinical signs induced in child to receive attention as being an attentive or suffering mother

A

Munchausen syndrome by proxy

92
Q

includes w/holding of food, meds, clothing, health care, etc. in elderly

A

neglect

93
Q

forced acts of fellatio and anal penetration are considered?

A

sodomy

94
Q

normal response to a major loss? Tx?

A

uncomplicated bereavement; social contact & reassurance

95
Q

normal grief Sx resolve w/i ?

A

1 year

PANCE (6 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions