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USMLE Step1 > Psychiatry > Flashcards

Psychiatry Flashcards

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USMLE® Step 1 flashcards
1
Q

Projection opposite

A

displacement

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2
Q

suppression opposite

A

repression

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3
Q

sublimation opposite

A

reaction formation

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4
Q

fixation opposite

A

regression

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5
Q

duration of schizophreniform

A

1-6 months

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6
Q

munchausen syndrome is a

A

factisious disorder (conscious): primary gain

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7
Q

opium toxicity pupil and gut

A

pin point (constipation)

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8
Q

conjuctival injection and tachycardia: drug abuse

A

marijuana (cannbinoid)

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9
Q

which receptor blocked by anti-psychotics

A

D2 (more D2 blocking, more M1 in nigrostriatal pathway)

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10
Q

clozapine: watch closely for

A

agranulocytosis (weekly WBC)

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11
Q

Rx for serotonin syndrome

A

cyproheptadine

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12
Q

cause of death in TCA toxicity

A

arrythmia

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13
Q

Name atypical anti-depressants

A

bupropion, mirtazapine and trazodone

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14
Q

classes of anti-depressants

A

SSRI, SNRI, TCA, MAO-I and atypical

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15
Q

tourette syndrome characteristic feature

A

motor and vocal tics

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16
Q

rett syndrome characteristic feature

A

girl with regression and stereotyped hand wringing

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17
Q

dysthymia is

A

persisitent depressive disorder

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18
Q

cyclothymic disorder

A

dysthymia and hypomania

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19
Q

mood stabilizers names

A

lithium, valproate, carbamazapine

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20
Q

PTSD duration

A

more than a month

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21
Q

conversion disorder

A

loss of sight, speech after acute stress

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22
Q

other name for hypochondriasis

A

illness anxiety disorder

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23
Q

resmy is

A

schizoid

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24
Q

shajo is

A

avoidant

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25
Q

treatment for narcolepsy

A

amphetamines and modafinil

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26
Q

chemical invoved in narcolepsy and where is it from

A

orexin (hypocretin)

lateral hypothalamus

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27
Q

three hallucinogens and key feature

A

PCP (violence, nystagmus)
LSD (visual hallucination)
marijuana (conjuctival injection)

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28
Q

ADHD doc

A

methylphenidate (and amphetamines)

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29
Q

antipsychotics: high and low potency drugs names

A

high: Try to Fly High (EPS side effects)
trifluoperazine, fluphenazine, haloperidol
low: cheating thieves are low
chlorpromazine, thioridazine

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30
Q

drugs that can cause lithium toxicity

A

thiazides

NSAIDs, ACE I

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31
Q

name 4 SSRI

A

fluoxetine, paroxetine, sertraline, citalopram

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32
Q

name two SNRI

A

venlafaxine, duloxetin

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33
Q

name 4 MAO inhibitors

A

tranylcypromine phenelzine, isocarboxazid, selegiline

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34
Q

cause of death in TCA overdose and antidote

A

arrythmia and NaHCO3

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35
Q

cocaine

A

cardiotoxic, nasal perforation

caine for pain (chest), seizures

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36
Q

nicotine drugs

A

bupropion, varenicline

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37
Q

conditioning of voluntary response

A

operant conditioning

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38
Q

negative reinforcement response

A

removal of negative stimuli

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39
Q

counter transferance- who

A

physician

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40
Q

displacement

A

dispalces/transfer

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41
Q

multiple personality disorder in

A

dissociation

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42
Q

reaction formation

A

every action has an equal

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43
Q

suppression is mature and

A

conscious

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44
Q

sublime in

A

sports

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45
Q

irreversible infant deprivation

A

weak, wordless, wanting and wary 6 months

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46
Q

brain change in ADHD

A

decreased frontal lobe volume

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47
Q

tratment for ADHD

A

methylphenidate (atomoxtine)

increase catecholamines

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48
Q

childhood of antisocial

A

conduct disorder

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49
Q

tourette syndrome

A

motor and vocal tics (coprolalia)

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50
Q

regression and stereotyped hand wringing

A

rett syndrome (only in females)
males die in utero
rett for regression and wringing

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51
Q

depression vs anxiety

A

nor epinephrine

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52
Q

confabulation and anterograde seen in

A

korsakoffs synd

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53
Q

delirium treatment

A

haloperidol and TADA

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54
Q

delirium EEG

A

abnormal

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55
Q

pseudodementia causes

A

depression and hypothyroidism

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56
Q

olfactory and gustatory

A

epilepsy

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57
Q

tactile

A

alcohol withdrawal

cocaine abuse

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58
Q

schizophrenia pathology

A

increased dopamine and decreased dendritic branching

59
Q

4 positive schizophrenia

A

delusion, hallucination, disorganised speech and behaviour

60
Q

duration of schizophrenia

A

6 months- schizophrenia

61
Q

schizoaffective define and duration

A

schizo part predominant

mood change only with psychosis >2 weeks

62
Q

DOC for schizo

A

risperidone (atypical)

63
Q

delusion duration

A

more than 1 month

64
Q

manic and hypomanic episode duration

A

7 days and 4 days

65
Q

bipolar 1 and 11

A

1- only mania needed

11- hypomania and real depression

66
Q

cyclothymia

A

2 yrs

hypomania and light depression

67
Q

what sleep is increased in depression

A

REM

68
Q

dysthymia

A

2 yrs of light depression

69
Q

major depressive duration

A

6-12 months

70
Q

atypical findings in atypical depression

A

elevated mood and increased sleep

leaden paralysis and interpersonal rejection sensitvity

71
Q

PP blues- cut off

A

2 weeks (usually in 10 days)

72
Q

mania treatment

A

mood stabilizers (L,V,C)

73
Q

thoughts of harming baby

A

PP psychosis (atypical)

74
Q

duration of pathological grief

A

6 months

75
Q

after effect of panic attack lasts

A

more than 1 month

76
Q

treatment for panic attacks in acute setting

A

benzodiazepines

77
Q

agarophobia and social anxiety duration

A

> 6 months

78
Q

generalized anxiety disorder

A

> 6 months and other symptoms

79
Q

adjustment disorder duration

A
80
Q

OCD and PTSD

A

SSRI

81
Q

malingering vs factitious

A

lie vs munchausen synd

82
Q

factitious aka

A 
munchausen synd (primary gain is medical attention)
consciouslt creating
83
Q

conversion disorder

A

loss of sensory /motor function

84
Q

defense mechanism of paranoid

A

projection (distrust)

85
Q

defense mech of borderline

A

splitting

86
Q

treatment for borderline

A

dialectical BT

87
Q

suicidal ideation seen in

A

borderline

88
Q

unstable interpersonal relation

A

borderline

89
Q

bulimia nervosa (2 factors)

A

compensatory behaviour adn normal weight

90
Q

excessive exercise

A

bullimia nervosa

91
Q

treatment for anorexia

A

psychotherapy and nutritional rehab

92
Q

re-feeding syndrome

A

hypophosphatemai

93
Q

nightmare

A

REM sleep

94
Q

narcolepsy like depression

A

decreased REM latency

95
Q

narcolepsy gene

A

decreased hypocretin or orexin in lateral hypothalamus

96
Q

narcolepsy treatment

A

modafinil, amphetamine, night time sodium oxybate

97
Q

overcoming addiction

A

pre-contemplation adn contemplation

pre- paration and action/will power

98
Q

cold turkey (piloerction) and yawningq

A

opiod withdrawal

99
Q

rhinorrhea and lacrimation

A

opiod withdrawal

100
Q

seizure and diazepam

A

diazepam is a seizure drug
diazepam withdrawal- seizure
flumazenil= seizure

101
Q

name stimulants

A

amphetamine, cocaine, caffeine, nicotine

102
Q

common problem with stimulatns

A

post use crash

103
Q

2 imp feature cocaine

A

nasal perforation
cocaine crowlies
pupillary dilation

104
Q

cause of death in cocaine

A

sudden cardiac death (inhibit uptake, vasospam,sympathetic)

105
Q

treatment for nicotine withdrawal

A

bupropion and varenicline (nicotine partial agonsit)

106
Q

PCP

A

most common cause of violent behaviour

nystagmus, forget behaviour

107
Q

name hallucinogens

A

PCP,LSD,cannabis

108
Q

perceptual distortion and visual hallucination

A

LSD

109
Q

marijuana features

A

increased appetite
conjunctival injection
tachycardia

110
Q

dronabinol indication

A

chemotehrapy (antiemetic)

AIDS9appetite stimulant)

111
Q

buprenorphine is paired with

A

naloxone

112
Q

naloxone and naltrexone which receptor

A

mu receptor

113
Q

treatment for alcohol dependence

A

naltrexone

114
Q

alcoholic halluciantions when

A

1-2 days (same treatment)

DT 2-4 days

115
Q

bulimia treatment

A

SSRI

116
Q

tourette syndrome treatment

A

anti psychotics

117
Q

name high potency antipsychotics

A

try to fly high

trifluperazine, fluphenazine, haloperidol

118
Q

name low potency

A

cheating thieves are low

chlorpromazine,thioridazine

119
Q

SE of low potency

A

non- neurologic
orthostatic hypotension (a1)
sedation (anti histamine)
anticholinergic (dry mouth, constipation)

120
Q

EPS treatment

A

M1 antagonist

benztropine, trihexyphenidyl adn diphenhydramine

121
Q

antipsychotic and eye

A

chlorpromazine - corneal deposits

thioridazine- retinal deposits

122
Q

EPS evolution

A

4hr- acute dystonia
4 days- akathisia
4 wk- parkinsonism
4mont- tardive dyskinesia (stereotyped and facial movements)

123
Q

name atypicals

A

it is atypical for old closets to risper quietly from A to Z

124
Q

clozapine SE

A

agranulocytosis

125
Q

treatment for lithium toxicity

A

dialysis

126
Q

thiazide how lithium

A

reduce Na,absorb more lithium in PCT

127
Q

DI and lithium

A

acts as ADH antagonist

128
Q

buspirone MOA and indication

A

5 HT !a stimulator

G.A. disorder (takes 2 weeks)

129
Q

SSRI names

A

flashback paralysis senior citizens

130
Q

SSRI SE

A

sexual dysfunction

131
Q

myoclonus, flushing, diarrhea, seizures

A

serotonin syndrome

132
Q

treatment for serotonin synd

A

cyproheptadine (5 HT2 antagonist)

133
Q

SNRI SE

A

increase BP (non selective, ie,NE)

134
Q

TCA overdose mimic

A

atropine poisoning

135
Q

mechanism of arrythmia in TCA

A

inhibit fast Na+channels

136
Q

old age TCA

A

nortriptline

no= no SE

137
Q

ANS and PCA

A

a1 blocking- hypotension

anticholinergic

138
Q

MAO inhibitors

A

MAO takes pride in shangai

139
Q

MAO transmitters

A

all 3(5 HT, NE and dopamine)

140
Q

tyramine in wine and cheese

A

hypertensive crisis

141
Q

alternative to SSRI

A

bupropion (no sexual SE)

actually treatment for hypoactive sex life

142
Q

mirtazapine toxicity

A

weight gain and sedation

143
Q

trazadone

A

priapism

mainly for insomnia

144
Q

2 antipsychotic with seizure SE

A

bupropion
clozapine
diazepam

USMLE Step1 (19 decks)

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