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Step 2 CK > psychiatry > Flashcards

psychiatry Flashcards

1
Q

bipolar 1 vs 2

A

1 - manic

2 = hypomanic (not as severe; not interfereing w/life)

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2
Q

perseveration

A

repetition of thoughts or ideas during conversation

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3
Q

tangentiality

A

an abrupt deviation of thought/ideas and never returns to original idea

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4
Q

circumstantial thought process

A

drift away from current topic, then come back to it

common in schizophrenia

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5
Q

definition somatic symptom disorder

A

obsession about one or more somatic symptoms (worked up and -) for 6 or more months

(formerly hypochondriasis)

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6
Q

drug class for tx of dystonia from antipsychotics

A

anticholinergics (benztropine or benadryl)

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7
Q

tx of neuroleptic malignant syndrome

A

a dopamine agonist like dantrolene, amantadine, or bromocriptine

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8
Q

head CT finding in schizophrenia

A

enlargement of the ventricles

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9
Q

head CT finding in OCD (2) (where are abnormalities fount)

A

orbitofrontal cortex

basal ganglia

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10
Q

timeline after initial SSRI start to increase dose

A

4-6 weeks

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11
Q

timeline for GAD

A

over 6 mos

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12
Q

trihexyphenidyl, class and use

A

anticholinergic for Parkinson’s

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13
Q

difference between schizoaffective disorder and MDD or bipolar with psychotic features

A

in schizoaffective, psychosis is present MOST of the time, and also in the absence of mood disorders

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14
Q

side effect ziprasidone

A

prolongs QT

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15
Q

tx of serotonin syndrome

A

cyproheptadine

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16
Q

MDD timeline (sx present for how long before dx)

A

2 weeks

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17
Q

kleptomania associations (2)

A

OCD

bulimia

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18
Q

time for dysthymia

A

At least 2 years

this is Eore

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19
Q

cyclothymia (s)

A

hypomania
dysthymia

No loss of function

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20
Q

tx of cyclothymia

A

mood stabilizers

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21
Q

normal bereavement

time and function

A

6-12 mos. no loss of function

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22
Q

following death:
adjustment disorder vs persistent complex bereavement disorder

timing and function

A

both have mild loss of function

adjustment 6-12 months
PCBD greater than 1 yr

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23
Q

psychosis for:
less than 1 mo.
1-6 months

A

acute psychotic disorder

schizophreniform disorder

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24
Q

psychosis with mood disorders

A

schizoaffective disorder

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25
Q

antidepressant absolutely contraindicated in bulimia

A

buproprion

-increased seizures

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26
Q

dissociative fugue

dx?

A

amnesia of an “old life” - usually move and start new life

amital interview

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27
Q

tx of cocaine OD htn

A

Phentolamine, alpha blockade

If beta blocker only later!!!!!!THEN beta blockade

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28
Q

length of time for SSRI washout

A

3 weeks

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29
Q

venlafaxine side effect

A

diastolic htn

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30
Q

mandatory test prior to TCA rx

A

ECG

due to QT elongation of TCAs

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31
Q

B52 (3)

A

lorazepam
haloperidol
benadryl

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32
Q

tx of Neuroleptic malignant syndrome

A

dantrolene

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33
Q

class to tx acute dystonia

A

anticholinergics

for example, benztopine or benadryl

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34
Q

neuroleptic malignant syndrome test (if suspected)

A

CK

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35
Q

Clang associations

A

Come out in rhyming pattern

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36
Q

Jarvis hearing

A

Court order for neuroleptic Meds

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37
Q

Price sheppard

A

Court order for ect

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38
Q

Tarasoff decision

A

Duty to warn

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39
Q

Derealization

A

Sense environment not real.

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40
Q

dementia with little people

A

lewy body dementia

lillepucian hallucinations

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41
Q

dementia with Personality changes in 50s

oral/sexual fixation

A

fronto-temporal dementia

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42
Q

dementia with depression symptoms

A

pseudodementia

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43
Q

8 yo who falls off growth chart.

Picky eater

A

Arfid

Avoidant/restrictive food intake disorder

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44
Q

Phenelzine class

A

MAOI

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45
Q

Dementia pugilistica

A

Punchdrunk syndrome

Dementia following chronic trauma like boxing.

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46
Q

Delusions in delusional disorder vs a psychotic disorder

A

In delusional, they are believable

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47
Q

Ideal target receptor for antipsychotics

A

D2

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48
Q

2 receptors affected less by atypical antipsychotics

A

Less d1

Antagonism 5ht against negative sx

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49
Q

Ziprasidone side effect

A

Qt prolongation

Eat with fat!

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50
Q

Aripriprazole MOA

A

Agonist antagonist d2

Can tx gynecomastia

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51
Q

Receptor that clozapine blocks

A

D4

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52
Q

Feelings by a clinician that the patient provoked

A

Countertransferance

53
Q

Fluvoxamine class (Luvox)

A

Ssri

54
Q

3 month mortality of a delirium pt

A

33%

55
Q

Response rate of ssri

A

70%

56
Q

Frotteurism

A

Sexually rubbing up against nonconsenting others

57
Q

Masochism

A

Being sexually dominated

58
Q

Sadism

A

Dominating others sexually

59
Q

PMDD vs PMS

A

PMDD disrupts life more

60
Q

Duration of mdd with tx

A

3 months

61
Q

Indication for EMDR therapy

A

PTSD

62
Q

Class of antidepressants most likely to induce mania

A

Tc a

63
Q

Idea of reference

A

Idea that something relates to you but it doesn’t.

Example of someone who thinks the tv is talking to them

64
Q

Mesolimbic pathway

A

Positive symptoms

65
Q

Mesocortical pathway

A

Negative sx

66
Q

formication

A

tactile hallucination of bugs crawling on skin. Cocaine intox, ETOH w/d

67
Q

synesthesia

A

secondary sensation of a perception.

ex: tasting a “color” while using LSD

68
Q

scanning speech

A

irregular pauses in speech

69
Q

palinopsia

A

persistence of visual image after the stimulus has been removed

70
Q

circumlocution

A

substitution of descriptors for words. common in Alzheimer’s

71
Q

projection

A

one’s unacceptable ideas are seen as coming from another

ex: a cheating husband blames accuses his wife of cheating

72
Q

projective identification

A

someone’s thoughts become true in a defence mechanism

ex: a person thinks “all people hate me”
and does stuff to make people break off relationships with her.

73
Q

3 benzoes not metabolized by liver (good for DTs)

A

LOT
lorazepam
oxazepam
temazepam

74
Q

tx for neuroleptic-induced akathisia

A

propanolol or other beta blocker

75
Q

tx for neuroleptic induced dystonia or parkinsonism

A

anticholinergic (ex: benztropine)

76
Q

tx for an acute dystonia

A

antihistamine like benadryl

77
Q

classic side effect of thioridazine

A

retinal pigmentation

78
Q

most potent benzo

A

clonazepam (klonopin)

79
Q

mood stabilizer that IS NOT anti-manic

A

lamotrigine

80
Q

Eps (3)

A

Akathisia
Parkinsonism
Dystonia

81
Q

2 Meds that reduce si

A

Clozapine, lithium

82
Q

Asenapine unique (2)

A

Sublingual

Rapid onset

83
Q

Ssri with shortest half life

A

Paroxetine

84
Q

Teratogenic ssri

A

Paroxetine. Heart effects

85
Q

Duloxetine also treats

A

Pain

86
Q

Desipramine unique

A

Bed wetting

87
Q

1st line tx of bulimia

A

Ssri

88
Q

2nd line tx bulimia

A

Topirimate

89
Q

Most common side effect transcranial magnetic stimulation (rTMS)

A

HA

90
Q

Mood stabilizer that causes pancreatitis

A

Valproic acid

91
Q

Tx for sialorrhea

A

Clonidine

92
Q

Zaleplon unique

A

Short half life for middle insomnia

93
Q

Opisthotonos

A

Arching forward. Spasm of back and neck, a type of Dystonia

94
Q

Topirimate side effect

A

Renal stones

95
Q

Rate of dementia in 65+

A

1 in9

96
Q

Timeline for mania

A

Greater than 1 week

97
Q

Timeline for hypomania

A

4 days, greater than

98
Q

Antipsychotic that also treats bipolar depression

A

Queitiapin

99
Q

Capgras syndrome

A

Humans have been replaced by imposters

100
Q

abreaction

A

a pt relives an emotional experience to get rid of megative emotions and move on.

101
Q

probabability of sibling getting schizophrenia

A

10%

102
Q

anti-psychotic where person gets purple-grey metallic rash over sun-exposed areas and jaundice

A

chlorpromazine

103
Q

anti-psychotic that gives prolonged QT and pigmentary retinopathy

A

thioridazine

104
Q

1st line tx Tourette

A

Clonidine

105
Q

Most common PD associated with somatization disorder. Females? Males?

A

Females histrionic

Males antisocial

106
Q

Tx of hypertensive crisis

A

Phentolamine (alpha blocker)

107
Q

Classic side effect of clozapine besides agranulocytosis

A

Seizure

108
Q

atypical antipsychotic that causes cataracts and orthostasis

A

quietiapine

109
Q

classic side effect aripriprazole

A

akathisia (A,A)

110
Q

2 changes in depressed polysomnogram

A

less REM latency

more REM

111
Q

SSRI with most drug-drug interactions

A

paroxetine

112
Q

serotonin discontinuation classic with

A

sertraline

113
Q

possible psychiatric sx of R MCA stroke

A

mania

114
Q

possible psychiatric sx of L MCA stroke

A

depression

115
Q

meds that precipitate lithium toxicity

A

NSAIDS

116
Q

“gold standard” drug for OCD

A

clomipramine

117
Q

Gander syndrome

A

Giving approximate or ridiculous answers. Most common in prisoners

118
Q

Catalepsy

A

Maintaining an immobile position. A type of catatonia

119
Q

tx narcolepsy (2)

A

naps

modafinil

120
Q

EEG in delirium vs psychosis

A

slow waves in delirium

normal in psychosis

121
Q

contraindicated class in Lewy Body Dementia

A

anti-psychotics (paradoxical effect)

122
Q

EEG of Creutzfeld-Jakob

A

triphasic bursts

123
Q

tx for autonomic sx (htn, etc) from heroin w/d

A

clonidine

124
Q

1st line tx (2 classes) vs most effective tx tourette’s

A

1st line = Clonidine or atypical antipsychotic

most effective = haloperidol

125
Q

Risk of recurrent mdd

A

50%

126
Q

2 agents for bipolar depression

A

Quietiapine

Lamotrigine

127
Q

Timeline of normal development in pdd vs rett

A

Pdd is normal fist two years

Rett is normal first 5 mos

128
Q

Ssri that is the most anticholinergic and should be avoided in old people

A

Paroxetine

Step 2 CK (12 decks)

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