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First Aid > Psychiatry > Flashcards

Psychiatry Flashcards

1
Q

What is transference?

A

patient projects feelings onto provider

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2
Q

What is counter transference?

A

doctor projects feelings onto patient

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3
Q

What is displacement?

A

transferring avoided ideas/feelings toward a neutral object

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4
Q

What is identification?

A

modeling behavior after another person

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5
Q

What is projection?

A

attributing an unacceptable internal impulse to an external source

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6
Q

What is reaction formation?

A

replacing an unwanted feeling with its opposite

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7
Q

What are the four mature ego defenses?

A

sublimation

altruism

suppression

humor

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8
Q

What is sublimation?

A

replacing unacceptable feelings with more acceptable thoughts

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9
Q

What part of the brain can be defective during ADHD?

A

frontal lobe

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10
Q

Does oppositional defiant disorder have violations of social norms?

A

no

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11
Q

Do dopamine levels increase or decrease during Huntingtons?

A

increases

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12
Q

Do serotonin levels increase or decrease during Parkinsons?

A

increase

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13
Q

What is the order of loss in orientation?

A

time > place > person

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14
Q

What is dissociative fugue?

A

abrupt travel/wandering during dissociative amnesia

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15
Q

Does delirium have a normal or abnormal EEG?

A

abnormal

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16
Q

What drug is used for delirium?

A

Haloperidol

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17
Q

Drugs that antagonize what may precipitate delirium?

A

cholinergics

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18
Q

Absence of what B vitamina can cause dementia?

A

1/3/12

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19
Q

Do drugs or psychiatric illnesses more often cause visual hallucinations?

A

drugs

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20
Q

In what two situations do olfactory hallucinations arise?

A

seizure

brain tumor

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21
Q

What are the two situations in which tactile hallucinations occur?

A

cocaine

alcohol withdrawl

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22
Q

How long does schizophrenia have to last in order for the diagnosis to be made?

A

> 6 months

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23
Q

Is there an increase or decrease in dendritic branching during schizophrenia?

A

decrease

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24
Q

How long does schizophreniform last?

A

1-6 months

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25
Q

What is the minimum amount of time schizoaffective disorder lasts?

A

two weeks

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26
Q

Which two symptoms have to be present to diagnose schizoaffective?

A

depressive or bipolar

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27
Q

How long do delusional symptoms have to last for diagnosis?

A

one month

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28
Q

What is it called if a person is detached from their own body?

A

depersonalization

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29
Q

What is it called if a person is detached from their own environment?

A

derealization

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30
Q

How long does an episode need to last to be diagnosed as manic?

A

at least one week

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31
Q

What is bipolar one?

A

one manic episode with or without a depressive or hypomanic disorder

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32
Q

What is bipolar two?

A

hypomaniac and depressive

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33
Q

What is dysthymia?

A

less severe depression

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34
Q

What is a cyclothymic disorder?

A

dysthymia and hypomania

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35
Q

How long does a cyclothymic disorder need to last?

A

two years

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36
Q

How long does a persistent depressive disorder last?

A

at least two years

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37
Q

What is an important screening question for depression regarding sleep?

A

early morning awakenings

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38
Q

Do depressed patients have an increase or decrease in their REM sleep?

A

increase

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39
Q

How quickly should post-partum blues resolve?

A

ten days

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40
Q

Pathological grief should resolve within how many months?

A

6-12 months

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41
Q

What other drug can be used for panic, other than SSRIs?

A

venlefaxine

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42
Q

What is the treatment for Specific Phobia?

A

systematic desensitization

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43
Q

What is buspirone used to treat?

A

general anxiety

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44
Q

How long must a disorder last to be considered a general anxiety disorder?

A

at least 6 months

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45
Q

What tricyclic is used for OCD?

A

clomipramine

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46
Q

How long must a disorder last to be considered PTSD?

A

one month

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47
Q

Treatment of choice for PTSD?

A

SSRIs

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48
Q

What is the MOA of PCP?

A

NMDA antagonist

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49
Q

Does PCP lead to increase or decrease in excitatory neurotransmitter release?

A

increase

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50
Q

What is the mnemonic to remember the three types of cluster disorders?

A

Weird

wild

worried

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51
Q

Whats the difference between avoidant and schizoid?

A

avoidant desires relationship

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52
Q

What is schizotypical?

A

schizoid and odd thinking

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53
Q

What is schizoaffective?

A

schizophrenic plus bipolar or depression

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54
Q

Where can anorexics get stress fractures?

A

metatarsals

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55
Q

Is lanugo found during anorexia or bulimia?

A

anorexia

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56
Q

What is the reason for stress fractures in anorexics?

A

decreased estrogen

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57
Q

What type of waves are seen during sleep terrors?

A

slow wave

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58
Q

Do sleep terrors occur during REM or non-REM?

A

non-REM

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59
Q

Do nightmares occur during REM or non-REM?

A

REM

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60
Q

Does malingering or factitious syndrome present with wanting to play the sick role?

A

factitious

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61
Q

Where in the hypothalamus is orexin produced?

A

lateral

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62
Q

What type of sleep do narcoleptics start in?

A

REM

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63
Q

What drug do narcoleptics use at night?

A

sodium oxybate

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64
Q

What is the specific lab indicator of alcohol use?

A

GGT

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65
Q

Do amphetamines dilate or constrict the pupil?

A

dilate

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66
Q

What are the two drugs used for quitting smoking?

A

bupropion

varenicline

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67
Q

What two drugs are used to treat PCP overdose?

A

benzo

anti-psychotics

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68
Q

What is the prescriptio cannabinoid?

A

dronabinol

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69
Q

Is methadone short acting or long acting?

A

long

70
Q

What are the two uses of methadone?

A

detox

long-term maintenance

71
Q

What is the MOA of buprenorphine?

A

partial agonist

72
Q

What is the MOA of naltrexone?

A

long-acting opioid antagonist

73
Q

When is naltrexone used?

A

once detoxed

74
Q

Is buprenorphine long or short acting?

A

long

75
Q

What two drugs are contained within suboxnone?

A

naltrexone

buprenorphine

76
Q

What are the two drugs used to treat alcohol dependence?

A

disulfarim

naltrexone

77
Q

How many hours does it take for DTs to manifest after the last drink?

A

48 hours

78
Q

Is bupropion used to treat depression or anxiety?

A

depression

79
Q

Depression with what other symptom is a good use of mirtazapine?

A

depression and insomnia

80
Q

What two drugs are used for panic disorder to bridge the gap to the use of SSRIs?

A

venlafaxine and benzos

81
Q

Which two anti-psychotics are used for Tourettes?

A

haloperidol and risperidone

82
Q

What drug can be used to treat the excessive sympathetic activity during alchohol withdrawl?

A

clonidine

83
Q

What is the time frame for dystonia regarding neuroleptic use?

A

4 hours

84
Q

What two body regions are affected by acute dystonia?

A

head and neck

85
Q

What is the time frame for akathisia regarding neuroleptic use?

A

four days

86
Q

What is akathisia?

A

physical restlessness

87
Q

What two drugs are used to treat tachycardia and HTN during neuroleptic malignant syndrome?

A

dantrolene and bromocriptine

88
Q

Do antipsychotics increase or decrease cAMP within cells?

A

increase

89
Q

What are the high potentcy neuroleptics?

A

Trifluoperazine

Fluophenazine

Haloperidol

90
Q

What are the low potentcy neuroleptics?

A

Chlorpromazine

Thioridazine

91
Q

What are the main side effects of high potentcy neuroleptics?

A

EPS symptoms

92
Q

What are the main side effects of low potentcy neuroleptics?

A

anti-cholineric

anti-α1

anti-histaminergic

93
Q

Do typical antipsychotics treat the positive or negative effects?

A

positive

94
Q

Are neuroleptics fat or water soluble?

A

fat

95
Q

What two drugs are used to treat the EPS side effects of neuroleptics?

A

benztropine

diphenhydramine

96
Q

Where does chlorpromazine deposit?

A

cornea

97
Q

Where does thioridazine deposit?

A

retina

98
Q

What is the time frame for bradykinesia regarding neuroleptic use?

A

four weeks

99
Q

What is the time frame for tardive dyskinesia regarding neuroleptic use?

A

four months

100
Q

What could be found in the urine during NMS?

A

myoglobin

101
Q

What are the six atypical antipsychotics?

A

Olanzapine

Clonazpine

Quietapine

Risperidone

Aripiprazole

Ziprasidone

102
Q

Which symptoms of schizophrenia do atypicals treat?

A

positive and negative

103
Q

Which two atypical anti-psychotics can cause weight gain?

A

clonzapine and olanzapine

104
Q

Which atypical antipsychotic can cause agranulocytosis?

A

Clozapine

105
Q

Which atypical antipsychotic can prolong QT?

A

Ziprasidone

106
Q

Which atypical is used for severe, refractory Schizophrenia?

A

Clozapine

107
Q

What is the proposed mechanism of lithium?

A

inhibit phosphoinositol pathway

108
Q

What hormone does lithium antagonize?

A

ADH

109
Q

What does lithium do to the heart rate?

A

heart block

110
Q

What two heart defects does lithium cause?

A

Ebsteins

Transposition

111
Q

What part of the nephron reabsorbs lithium?

A

PCT

112
Q

What ion does lithium follow?

A

sodium

113
Q

Which receptor does buspirone work at? Antagonize or agonize?

A

5HT-1A

agonize

114
Q

What is the one drawback of buspirone?

A

takes 1-2 weeks to work

115
Q

Which receptor does mirtazapine work on? Antagonize or agonize?

A

α2

antagonize

116
Q

What are the four SSRIs?

A

Fluoxetine

Paroxetine

Citalopram

Sertraline

117
Q

How many weeks does it take SSRIs to begin to function?

A

4-8 weeks

118
Q

Which receptor does cyproheptadine antagonize?

A

5HT2

119
Q

Does NMS present with muscle rigidity or shivering?

A

rigidity

120
Q

Does serotonin syndrome present with muscle rigidity or shivering?

A

shivering

121
Q

What six drugs can precipitate serotonin syndrome?

A

Meperidine

Ondansetron

Phenelzine

tramadol

triptans

linezolid

122
Q

What are the two oddly named tricyclics?

A

doxepin

amozapine

123
Q

Which two neurotransmitters do tricyclics block the re-uptake of?

A

5HT and NE

124
Q

What are two common side-effects of tricyclics?

A

anti-α1

anti-cholinergic

125
Q

Which tricyclic is associated with seizures?

A

Desipramine

126
Q

Which drug is more anti-cholinergic, amitriptyline or nortriptyline?

A

amitriptyline

127
Q

Which drug is used to treat the toxicity of TCAs?

A

sodium bicarb

128
Q

Which class of anti-depressants can cause respiratory depression?

A

TCAs

129
Q

What are the four MAOIs?

A

Tranylcypromine

Phenelzine

Isocarboxazid

Selegeline

130
Q

Which neurotransmitters are increased by MAOIs?

A

NE

5HT

dopamine

131
Q

What are the three atypical antidepressants?

A

Mirtazapine

Tramadol

Bupropion

132
Q

Does bupropion have sexual side effects?

A

no

133
Q

Which atypical antidepressant can cause seizures? In what type of patients?

A

bupropion

bulimics

134
Q

Does bupropion have a stimulant or sedative effect when at toxic levels?

A

Stimulant

135
Q

Which serotonin receptors does mirtazapine block?

A

5HT2 and 5HT3

136
Q

Which two receptors does trazadone block?

A

5HT2 and α1

137
Q

What is the MAO of varenicline?

A

partial agonist at CNS nicotnic receptors

138
Q

Anxiety concerning a weak subject would be indicative of what?

A

learning disorder

139
Q

What is the MOA of atomexitine?

A

NE reuptake inhibitor

140
Q

What condition is atomexitine used to treat?

A

ADHD

141
Q

How many symptoms are needed to diagnose a major depressive disorder? For how long?

A

5/9

two weeks

142
Q

In malingering, does a patient fake or create symptoms?

A

fake

143
Q

In a factitious disorder, does a patient fake or create symptoms?

A

create

144
Q

What two things are lost during a conversion disorder?

A

sensory or motor

145
Q

What is the best treatment for somatic symptom disorder?

A

recurrent office visits

146
Q

What is not a good way to treat somatic symptom disorder?

A

recurrent tests or procedures

147
Q

What type of thinking does schizotypical have?

A

magical thinking

148
Q

What type of drug is phentermine?

A

stimulant

149
Q

What are the three clinical uses of venlafaxine?

A

depression

generalized anxiety

panic

150
Q

What are the two uses of duloxetine?

A

depression

diabetic nerve pain

151
Q

What two analgesics are contraindicated with MAOIs?

A

meperidine

dextromethorphan

152
Q

What elicits classical conditioning?

A

learned behavior

153
Q

What elicits operant conditioning?

A

punishment or reward

154
Q

What is Isolation of Effect?

A

separating feelings from ideas and events

155
Q

Is Repression voluntary or Involuntary?

A

involuntary

156
Q

Is Supression voluntary or Involuntary?

A

voluntary

157
Q

What is Altruism?

A

unsolicited generosity

158
Q

At what age range is the peak incidence of child abuse?

A

9-12

159
Q

How long does tourette have to last for a diagnosis?

A

one year

160
Q

What age range is common for separation anxiety disorder to manifest?

A

7-9 years

161
Q

What class of drug can be used to terminate acute mania?

A

anti-psychotics

162
Q

Treat Restless Leg Syndrome with which two drugs?

A

Ropinorole

Pramipexole

163
Q

How long does an Acute Stress Disorder last?

A

3 days to one month

164
Q

Do Malingerers have good or poor compliance?

A

poor

165
Q

Does benzo OD have normal or abnormal vital signs?

A

normal

166
Q

What is the best drug for Bulimia?

A

Fluoxetine

167
Q

Do Low Potentcy Anti-Psychotics cause more anti-muscarnic or extra-pyramidal?

A

anti-muscarnic

168
Q

Do High Potentcy Anti-Psychotics cause more anti-muscarnic or extra-pyramidal?

A

extra-pyramidal

169
Q

Which three drugs can cause lithium toxicity?

A

NSAIDS

ACEI

HCTZ

170
Q

Which class of anti-depressants can cause hyperpyrexia depression?

A

TCAs

171
Q

Which two neurotransmitters does Bupropion increase level of?

A

norepinepinephrine and dopamine

172
Q

Which atypical antidepressant can cause headache?

A

bupropion

First Aid (21 decks)

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