Psychiatry Flashcards
1
Q
Projection opposite
A
displacement
2
Q
suppression opposite
A
repression
3
Q
sublimation opposite
A
reaction formation
4
Q
fixation opposite
A
regression
5
Q
duration of schizophreniform
A
1-6 months
6
Q
munchausen syndrome is a
A
factisious disorder (conscious): primary gain
7
Q
opium toxicity pupil and gut
A
pin point (constipation)
8
Q
conjuctival injection and tachycardia: drug abuse
A
marijuana (cannbinoid)
9
Q
which receptor blocked by anti-psychotics
A
D2 (more D2 blocking, more M1 in nigrostriatal pathway)
10
Q
clozapine: watch closely for
A
agranulocytosis (weekly WBC)
11
Q
Rx for serotonin syndrome
A
cyproheptadine
12
Q
cause of death in TCA toxicity
A
arrythmia
13
Q
Name atypical anti-depressants
A
bupropion, mirtazapine and trazodone
14
Q
classes of anti-depressants
A
SSRI, SNRI, TCA, MAO-I and atypical
15
Q
tourette syndrome characteristic feature
A
motor and vocal tics
16
Q
rett syndrome characteristic feature
A
girl with regression and stereotyped hand wringing
17
Q
dysthymia is
A
persisitent depressive disorder
18
Q
cyclothymic disorder
A
dysthymia and hypomania
19
Q
mood stabilizers names
A
lithium, valproate, carbamazapine
20
Q
PTSD duration
A
more than a month
21
Q
conversion disorder
A
loss of sight, speech after acute stress
22
Q
other name for hypochondriasis
A
illness anxiety disorder
23
Q
resmy is
A
schizoid
24
Q
shajo is
A
avoidant
25
treatment for narcolepsy
amphetamines and modafinil
26
chemical invoved in narcolepsy and where is it from
orexin (hypocretin)
| lateral hypothalamus
27
three hallucinogens and key feature
PCP (violence, nystagmus)
LSD (visual hallucination)
marijuana (conjuctival injection)
28
ADHD doc
methylphenidate (and amphetamines)
29
antipsychotics: high and low potency drugs names
high: Try to Fly High (EPS side effects)
trifluoperazine, fluphenazine, haloperidol
low: cheating thieves are low
chlorpromazine, thioridazine
30
drugs that can cause lithium toxicity
thiazides
| NSAIDs, ACE I
31
name 4 SSRI
fluoxetine, paroxetine, sertraline, citalopram
32
name two SNRI
venlafaxine, duloxetin
33
name 4 MAO inhibitors
tranylcypromine phenelzine, isocarboxazid, selegiline
34
cause of death in TCA overdose and antidote
arrythmia and NaHCO3
35
cocaine
cardiotoxic, nasal perforation
| caine for pain (chest), seizures
36
nicotine drugs
bupropion, varenicline
37
conditioning of voluntary response
operant conditioning
38
negative reinforcement response
removal of negative stimuli
39
counter transferance- who
physician
40
displacement
dispalces/transfer
41
multiple personality disorder in
dissociation
42
reaction formation
every action has an equal
43
suppression is mature and
conscious
44
sublime in
sports
45
irreversible infant deprivation
weak, wordless, wanting and wary 6 months
46
brain change in ADHD
decreased frontal lobe volume
47
tratment for ADHD
methylphenidate (atomoxtine)
| increase catecholamines
48
childhood of antisocial
conduct disorder
49
tourette syndrome
motor and vocal tics (coprolalia)
50
regression and stereotyped hand wringing
rett syndrome (only in females)
males die in utero
rett for regression and wringing
51
depression vs anxiety
nor epinephrine
52
confabulation and anterograde seen in
korsakoffs synd
53
delirium treatment
haloperidol and TADA
54
delirium EEG
abnormal
55
pseudodementia causes
depression and hypothyroidism
56
olfactory and gustatory
epilepsy
57
tactile
alcohol withdrawal
| cocaine abuse
58
schizophrenia pathology
increased dopamine and decreased dendritic branching
59
4 positive schizophrenia
delusion, hallucination, disorganised speech and behaviour
60
duration of schizophrenia
6 months- schizophrenia
61
schizoaffective define and duration
schizo part predominant
| mood change only with psychosis >2 weeks
62
DOC for schizo
risperidone (atypical)
63
delusion duration
more than 1 month
64
manic and hypomanic episode duration
7 days and 4 days
65
bipolar 1 and 11
1- only mania needed
| 11- hypomania and real depression
66
cyclothymia
2 yrs
| hypomania and light depression
67
what sleep is increased in depression
REM
68
dysthymia
2 yrs of light depression
69
major depressive duration
6-12 months
70
atypical findings in atypical depression
elevated mood and increased sleep
| leaden paralysis and interpersonal rejection sensitvity
71
PP blues- cut off
2 weeks (usually in 10 days)
72
mania treatment
mood stabilizers (L,V,C)
73
thoughts of harming baby
PP psychosis (atypical)
74
duration of pathological grief
6 months
75
after effect of panic attack lasts
more than 1 month
76
treatment for panic attacks in acute setting
benzodiazepines
77
agarophobia and social anxiety duration
>6 months
78
generalized anxiety disorder
>6 months and other symptoms
79
adjustment disorder duration
80
OCD and PTSD
SSRI
81
malingering vs factitious
lie vs munchausen synd
82
factitious aka
```
munchausen synd (primary gain is medical attention)
consciouslt creating
```
83
conversion disorder
loss of sensory /motor function
84
defense mechanism of paranoid
projection (distrust)
85
defense mech of borderline
splitting
86
treatment for borderline
dialectical BT
87
suicidal ideation seen in
borderline
88
unstable interpersonal relation
borderline
89
bulimia nervosa (2 factors)
compensatory behaviour adn normal weight
90
excessive exercise
bullimia nervosa
91
treatment for anorexia
psychotherapy and nutritional rehab
92
re-feeding syndrome
hypophosphatemai
93
nightmare
REM sleep
94
narcolepsy like depression
decreased REM latency
95
narcolepsy gene
decreased hypocretin or orexin in lateral hypothalamus
96
narcolepsy treatment
modafinil, amphetamine, night time sodium oxybate
97
overcoming addiction
pre-contemplation adn contemplation
| pre- paration and action/will power
98
cold turkey (piloerction) and yawningq
opiod withdrawal
99
rhinorrhea and lacrimation
opiod withdrawal
100
seizure and diazepam
diazepam is a seizure drug
diazepam withdrawal- seizure
flumazenil= seizure
101
name stimulants
amphetamine, cocaine, caffeine, nicotine
102
common problem with stimulatns
post use crash
103
2 imp feature cocaine
nasal perforation
cocaine crowlies
pupillary dilation
104
cause of death in cocaine
sudden cardiac death (inhibit uptake, vasospam,sympathetic)
105
treatment for nicotine withdrawal
bupropion and varenicline (nicotine partial agonsit)
106
PCP
most common cause of violent behaviour
| nystagmus, forget behaviour
107
name hallucinogens
PCP,LSD,cannabis
108
perceptual distortion and visual hallucination
LSD
109
marijuana features
increased appetite
conjunctival injection
tachycardia
110
dronabinol indication
chemotehrapy (antiemetic)
| AIDS9appetite stimulant)
111
buprenorphine is paired with
naloxone
112
naloxone and naltrexone which receptor
mu receptor
113
treatment for alcohol dependence
naltrexone
114
alcoholic halluciantions when
1-2 days (same treatment)
| DT 2-4 days
115
bulimia treatment
SSRI
116
tourette syndrome treatment
anti psychotics
117
name high potency antipsychotics
try to fly high
| trifluperazine, fluphenazine, haloperidol
118
name low potency
cheating thieves are low
| chlorpromazine,thioridazine
119
SE of low potency
non- neurologic
orthostatic hypotension (a1)
sedation (anti histamine)
anticholinergic (dry mouth, constipation)
120
EPS treatment
M1 antagonist
| benztropine, trihexyphenidyl adn diphenhydramine
121
antipsychotic and eye
chlorpromazine - corneal deposits
| thioridazine- retinal deposits
122
EPS evolution
4hr- acute dystonia
4 days- akathisia
4 wk- parkinsonism
4mont- tardive dyskinesia (stereotyped and facial movements)
123
name atypicals
it is atypical for old closets to risper quietly from A to Z
124
clozapine SE
agranulocytosis
125
treatment for lithium toxicity
dialysis
126
thiazide how lithium
reduce Na,absorb more lithium in PCT
127
DI and lithium
acts as ADH antagonist
128
buspirone MOA and indication
5 HT !a stimulator
| G.A. disorder (takes 2 weeks)
129
SSRI names
flashback paralysis senior citizens
130
SSRI SE
sexual dysfunction
131
myoclonus, flushing, diarrhea, seizures
serotonin syndrome
132
treatment for serotonin synd
cyproheptadine (5 HT2 antagonist)
133
SNRI SE
increase BP (non selective, ie,NE)
134
TCA overdose mimic
atropine poisoning
135
mechanism of arrythmia in TCA
inhibit fast Na+channels
136
old age TCA
nortriptline
| no= no SE
137
ANS and PCA
a1 blocking- hypotension
| anticholinergic
138
MAO inhibitors
MAO takes pride in shangai
139
MAO transmitters
all 3(5 HT, NE and dopamine)
140
tyramine in wine and cheese
hypertensive crisis
141
alternative to SSRI
bupropion (no sexual SE)
| actually treatment for hypoactive sex life
142
mirtazapine toxicity
weight gain and sedation
143
trazadone
priapism
| mainly for insomnia
144
2 antipsychotic with seizure SE
bupropion
clozapine
diazepam
