Psychiatry Flashcards
1 month history of delusions; otherwise high-functioning, normal behavior.
Delusional disorder.
Schizophrenic symptoms lasting >1 month but
Schizophreniform disorder.
Schizophrenic symptoms lasting >1 day but
Brief psychotic disorder.
Schizophrenic symptoms lasting >6 months.
Schizophrenia.
Sx of amphetamine intoxication
Agitation, irritability, paranoia, delerium, chest pain, palpitations, tachcardia, hypotension, mydriasis, arrhythmias, seizures, hyperthermia, intracerebral hemorrhage.
Sx of PCP intoxication
Physical aggression, severe agitation, impulsivity, psychosis, paranoia, nystagmus, hypertension, tachycardia, ataxia, dysarthria, muscle rigidity, seizures, coma.
Differences between LSD and PCP intoxication
LSD: visual hallucinations and intensified perceptions.
PCP: agitation and aggression.
Shyness, feelings of inferiority, and a desire to make friends that is overridden by an intense fear of embarrassment or rejection.
Avoidant personality disorder.
First-line treatments for OCD are _ or _.
SSRIs; clomipramine (tricyclic).
Definition of “magical thinking”
The belief that one’s thoughts can control events in a manner not explained by natural cause and effect. It also includes the attribution of casual incidents to supernatural forces.
Definition of perseveration
The repetition of words or ideas during a conversation.
Major risk factors for suicide
SADPERSONS: Sex, Age, Depression, Previous attempts, EtOH (or other substance) use, Rational though loss, Social support (lack of), Organized plan, No spouse or significant other, Sickness or injury.
This atypical antipsychotic is less likely to cause the movement disorders commonly associated with the use of other antipsychotic medications.
Clozapine.
A major side effect of clozapine is _, which means one must _.
Agranulocytosis; monitor WBC count.
Besides agranulocytosis, another major side effect of clozapine is _.
a lowered seizure threshold.
Sx of heroin withdrawal
Muscle spasms, joint pain, nausea and vomiting, diarrhea, abdominal cramps, rhinorrhea, lacrimation, sweating, mydriasis, irritability, autonomic instability (hypotension).
How do antipsychotic medications (risperidone) cause hyperprolactinemia?
Antipsychotics cause dopamine blockade, and dopamine is a prolactin-inhibiting factor. Therefore, they can cause gynecomastia, galactorrhea, menstrual dysfunction, and decreased libido.
Indications for ECT
Severe depression, depression in pregnancy, refractory mania, neuroleptic malignant syndrome, catatonic schizophrenia.
Adverse reactions of ECT
Amnesia (anterograde or retrograde), prolonged seizures, delirium, headache, nausea, skin burns.
These two second generation antipsychotics cause the most weight gain.
Olanzapine and clozapine.
Disorder characterized by a significant mood episode (depressive or manic) with concurrent psychotic symptoms in addition to a period of psychosis without mood symptoms of at least 2 weeks.
Schizoaffective disorder.
_ is a dopamine and serotonin antagonist that can cause weight gain and hyperprolactinemia, the latter of which can lead to amenorrhea and galactorrhea.
Risperidone.
This disorder is characterized by excessive anxiety about multiple events, in conjunction with 3 or more of the following symptoms for at least 6 months: impaired sleep, poor concentration, easy fatigability, irritability, muscle tension, and restlessness.
Generalized anxiety disorder.
A history of _ or _ are absolute contraindications for buproprion.
Seizures; anorexia nervosa/bulimia (due to electrolyte abnormalities).