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Psychiatry Flashcards

1
Q

Transference is when

A

Patient projects feelings about formative or other important person onto physician

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2
Q

Displacement is

A

Transferring avoided ideas and feelings to some neutral person or object

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3
Q

Mother yells at her child because husband yelled at her.

Example of

A

Displacement

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4
Q

Projection is

A

Attributing an unacceptable internal impulse to an external source

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5
Q

A man who wants another woman thinks his wife is cheating on him. Example of

A

Projection

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6
Q

Reaction formation is

A
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7
Q

A patient with libidinous thoughts enters a monastery.

Example of

A

Reaction formation

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8
Q

Mature defenses

A
  1. Altruism
  2. Humor
  3. Sublimation
  4. Suppression
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9
Q

Altruism is

A

Alleviating guilty feelings by unsolicited generosity toward others

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10
Q

Mafia boss makes large donation to charity.

Example of

A

Altruism

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11
Q

ADHD associated with

A

Decrease frontal lobe volume/metabolism

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12
Q

ADHD treatment (3)

A
  1. Methylphenidate
  2. Amphetamines
  3. Atomoxetine
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13
Q

Rett disorder is

A

X-linked disorder seen in Girls (males die)

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14
Q

Rett disorder symptoms (5)

A
  1. Loss of development
  2. Loss of verbal abilities
  3. Intellectual disability
  4. Ataxia
  5. Hand wringing
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15
Q

Delirium is (5)

A
  1. Waxing and waning level of consciousness with acute onset
  2. Rapid decrease in attention span and level of arousal
  3. Disorganized thinking
  4. Hallucinations
  5. Illusion
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16
Q

Dementia is (7)

A
  1. Gradual decrease in intellectual ability or cognition without affecting level of consciousness
  2. Memory deficits
  3. Aphasia
  4. Apraxia
  5. Agnosia
  6. Loss of abstract thought
  7. Impaired judgment
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17
Q

Irreversible causes of Dementia (5)

A
  1. Alzheimer
  2. Lewy body
  3. Huntington
  4. Pick
  5. Creutzfeldt-Jakob
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18
Q

Reversible causes of Dementia (5)

A
  1. NPH
  2. Vit B12 deficiency
  3. Hypothyroidism
  4. Neurosyphilis
  5. HIV
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19
Q

Visual hallucinations seen in

A

Medical illness due to drug intoxication

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20
Q

Auditory hallucinations seen in

A

Psychiatric illness

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21
Q

Olfactory hallucinations seen in

A

Psychomotor epilepsy and Brain tumors

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22
Q

Brief psychotic disorder occurs in

A

Less than 1 month due to stress

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23
Q

Schizophreniform disorders identified by

A

occuring 1-6 month

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24
Q

Schizoaffective disorders identified by

A

At least 2 wks of stable mood with psychotic symptoms PLUS:

Major depressive, manic, or mixed episodes

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25
Q

Manics DIG FAST

A
  • Distractibility
  • Irresponsibility
  • Grandiosity
  • Flight of ideas
  • Agitation
  • Sleep is decreased
  • Talkative
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26
Q

Bipolar 1 defined as

A

Presence of at least 1 manic episode with/without a hypomanic or depressive episode

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27
Q

Bipolar 2 defined as

A

Presence of hypomanic and depressive episode

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28
Q

Dysthymia is

A

Persistent depressive disorder lasting at least 2 yrs

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29
Q

SAD PERSONS are at risk for suicide

A
  • Sex (male)
  • Age (teens and elderly)
  • Depression
  • Previous attempts
  • Ethanol or drug use
  • Rational thinking lost
  • Sickness
  • Organized plan
  • No spouse
  • Social support lacking
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30
Q

Treat panic disorder with (3)

A
  1. SSRIs
  2. Venlafaxine
  3. BZ
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31
Q

Generalized anxiety characterized by

A

Pattern of uncontrolled anxiety for at least 6 months

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32
Q

Treatment for GAD (3)

A
  1. SSRIs
  2. SNRIs
  3. Buspirone
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33
Q

Treatment for OCD (2)

A
  1. SSRIs
  2. Clomipramine
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34
Q

Factitious disorders

A

Patient consciously creat physical and/or physchological symptoms in order to assume sick role

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35
Q

Somatoform disorders

A

Non conscious attempt to deceive unexplained symptoms or complaints

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36
Q

Malingering disorder

A

Councious attempt to deceive with a chief goal being external

37
Q

Conversion disorder

A

Sudden loss of sensory or motor function following an acute stressor

38
Q

Cluster A personalities are Werid: (3)

A
  1. Paranoid
  2. Schizoid
  3. Schizotypal
39
Q

Paranoid personality is

A

Pervasive distrust and suspiciousness

Projection is the major defense mechanism

40
Q

Schizoid is

A

Voluntary social withdrawal with limited emotional expression

Content with Social isolation

41
Q

Schizotypal is

A

Eccentric appearance

Odd beliefs or magical thinking

42
Q

Cluster B personality disorder is WILD: (4)

A
  1. Antisocial
  2. Borderline
  3. Histrionic
  4. Narcissistic
43
Q

Antisocial is

A
  1. Disregard for violation of rights of others
  2. Ciminality
  3. Impulsivity
44
Q

Cluster C personality disorders are WORRIED (3)

A
  1. Avoidant
  2. Obsessive-compulsive
  3. Dependent
45
Q

Alcohol intoxication (5)

A
  1. Emotional lability
  2. Slurred speech
  3. Ataxia
  4. Coma
  5. Blackout
46
Q

Opioid intoxication (5)

A
  1. Euphoria
  2. Resp and CNS depression
  3. Decrease gag reflex
  4. Pupillary constriction
  5. Seizures
47
Q

Treatment for Opioid intoxication

A
  1. Naloxone
  2. Naltrexone
48
Q

Opioid withdrawal (5)

A
  1. Sweating
  2. Dilated pupils
  3. Piloerection
  4. Yawning
  5. Stomach cramps
49
Q

Amphetamines intoxicity (7)

A
  1. Euphoria
  2. Grandiosity
  3. Pupillary dilation
  4. Wakefullness
  5. Tachcardia
  6. Anorexia
  7. Paranoia
50
Q

Cocaine intoxication (4)

A
  1. Impaired judgment
  2. Pupillary dilation
  3. Hallucinations
  4. Paranoid
51
Q

Treat ADHD with

A

Methylphenidate

52
Q

Treat alcohol withdrawal with

53
Q

Treat anxiety with (3)

A
  1. SSRIs
  2. SNRIs
  3. Buspirone
54
Q

Treat Bipolar disorder with (2)

A
  1. Mood stabilzers:
    1. Lithium
    2. Valproic
    3. Carbamazepine
  2. Atypical antipsychotics
55
Q

Treat Bulimia with

56
Q

Treat Depression with

A
  1. SSRIs
  2. SNRIs
  3. TCAs
  4. Bupropion
  5. Mirtazapine (especially with insomnia)
57
Q

Treat OCD with (2)

A
  1. SSRIs
  2. Clomipramine
58
Q

Treat panic disorders with (3)

A
  1. SSRIs
  2. Venlafaxine
  3. BZ
59
Q

Treat PTSD with

60
Q

Treat schizophrenia with

A

Antipsychotics

61
Q

Treat Social phobias with (2)

A
  1. SSRIs
  2. β-blockers
62
Q

Treat tourette syndrome with

A
  1. Antipsychotics:
    1. Haloperidol
    2. Risperidone
63
Q

CNS stimulants (4)

A
  1. Methylphenidate
  2. Dextroamphetamine
  3. Methamphetamine
  4. Phenermine
64
Q

Haoperidol and -azines are

A

Antipsychotics

65
Q

Antipsychotics MOA

A

Block D2 receptors there for increasing cAMP

66
Q

High potency Antipsychotics:

Try to Fly High

A
  • Trifluoperazine
  • Fluphenazine
  • Haleperidol
67
Q

LOW potency antipsychotics:

Cheating Thieves are LOW

A

Chlorpromazine

Thioridazine

68
Q

Side effects of Low potency Antipsychotics (3)

A
  1. Anticholinergic
  2. Antihistamine
  3. α1-blockade effects
69
Q

Treat extrapyramidal side effects of Antipsychotics with

A

Benztropine or Diphenhydramine

70
Q

Neuroleptic malignant syndrome (NMS) presentation:

FEVER

A
  • Fever
  • Encephalopathy
  • Vitals unstable
  • Enzymes increase
  • Rigidity of muscles
71
Q

Atypical antipsychotics (6)

A
  1. Olanzapine
  2. Cloxapine
  3. Quetiapine
  4. Risperidone
  5. Aripiprazole
  6. Ziprasidone
72
Q

Atypical antipsychotics MOA

A

Varied effects on:

  1. Seratonin
  2. Dopamine
  3. α and H1 receptors
73
Q

Watch Clozapine closely due to

A

Agranulocytosis

74
Q

Lithium side effects:

MNOP

A
  • Movement (tremor)
  • Nephrogenic DI
  • HypOthyroidism
  • Pregnancy problems
75
Q

Buspirone MOA

A

Stimulates 5-HT1A

76
Q

Buspirone clincial use

77
Q

SSRIs (4)

A
  1. Fluoxetine
  2. Paroxetine
  3. Sertraline
  4. Citalopram
78
Q

SSRIs MOA

A

Seratonin specific reuptake inhibitor

79
Q

SNRIs (2)

A
  1. Venlafaxine
  2. Duloxetine
80
Q

SNRIs MOA

A

Inhibit seratonin and NE reuptake

81
Q

TCAs (2)

A
  • iptyline
  • ipramine
82
Q

TCA toxicity (4)

A
  1. Sedation
  2. α1-blocking
  3. Postural Hypotension
  4. Atropine-like
83
Q

TCA Tri-C’s

A
  1. Convulsions
  2. Coma
  3. Cardiotoxicity
84
Q

MAOi: (4)

A
  1. Tranylcypromine
  2. Phenelzine
  3. Isocarboxazid
  4. Selegiline
85
Q

Atypical antidepressants (3)

A
  1. Bupropion
  2. Mirtazapine
  3. Trazodone
86
Q

Mirtazapine MOA

A

α2-antagonist and potent 5-HT2 and 5-HT3 receptor antagonist

87
Q

Trazodone MOA

A

Blocks 5-HT2 and α1-adrenergic receptors

88
Q

Trazodone toxicity

A
  1. Sedation
  2. Nausea
  3. Priapism
  4. Postural Hypotension

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