Psychiatry Flashcards
1
Q
What is transference?
A
patient projects feelings onto provider
2
Q
What is counter transference?
A
doctor projects feelings onto patient
3
Q
What is displacement?
A
transferring avoided ideas/feelings toward a neutral object
4
Q
What is identification?
A
modeling behavior after another person
5
Q
What is projection?
A
attributing an unacceptable internal impulse to an external source
6
Q
What is reaction formation?
A
replacing an unwanted feeling with its opposite
7
Q
What are the four mature ego defenses?
A
sublimation
altruism
suppression
humor
8
Q
What is sublimation?
A
replacing unacceptable feelings with more acceptable thoughts
9
Q
What part of the brain can be defective during ADHD?
A
frontal lobe
10
Q
Does oppositional defiant disorder have violations of social norms?
A
no
11
Q
Do dopamine levels increase or decrease during Huntingtons?
A
increases
12
Q
Do serotonin levels increase or decrease during Parkinsons?
A
increase
13
Q
What is the order of loss in orientation?
A
time > place > person
14
Q
What is dissociative fugue?
A
abrupt travel/wandering during dissociative amnesia
15
Q
Does delirium have a normal or abnormal EEG?
A
abnormal
16
Q
What drug is used for delirium?
A
Haloperidol
17
Q
Drugs that antagonize what may precipitate delirium?
A
cholinergics
18
Q
Absence of what B vitamina can cause dementia?
A
1/3/12
19
Q
Do drugs or psychiatric illnesses more often cause visual hallucinations?
A
drugs
20
Q
In what two situations do olfactory hallucinations arise?
A
seizure
brain tumor
21
Q
What are the two situations in which tactile hallucinations occur?
A
cocaine
alcohol withdrawl
22
Q
How long does schizophrenia have to last in order for the diagnosis to be made?
A
> 6 months
23
Q
Is there an increase or decrease in dendritic branching during schizophrenia?
A
decrease
24
Q
How long does schizophreniform last?
A
1-6 months
25
What is the minimum amount of time schizoaffective disorder lasts?
two weeks
26
Which two symptoms have to be present to diagnose schizoaffective?
depressive or bipolar
27
How long do delusional symptoms have to last for diagnosis?
one month
28
What is it called if a person is detached from their own body?
depersonalization
29
What is it called if a person is detached from their own environment?
derealization
30
How long does an episode need to last to be diagnosed as manic?
at least one week
31
What is bipolar one?
one manic episode with or without a depressive or hypomanic disorder
32
What is bipolar two?
hypomaniac and depressive
33
What is dysthymia?
less severe depression
34
What is a cyclothymic disorder?
dysthymia and hypomania
35
How long does a cyclothymic disorder need to last?
two years
36
How long does a persistent depressive disorder last?
at least two years
37
What is an important screening question for depression regarding sleep?
early morning awakenings
38
Do depressed patients have an increase or decrease in their REM sleep?
increase
39
How quickly should post-partum blues resolve?
ten days
40
Pathological grief should resolve within how many months?
6-12 months
41
What other drug can be used for panic, other than SSRIs?
venlefaxine
42
What is the treatment for Specific Phobia?
systematic desensitization
43
What is buspirone used to treat?
general anxiety
44
How long must a disorder last to be considered a general anxiety disorder?
at least 6 months
45
What tricyclic is used for OCD?
clomipramine
46
How long must a disorder last to be considered PTSD?
one month
47
Treatment of choice for PTSD?
SSRIs
48
What is the MOA of PCP?
NMDA antagonist
49
Does PCP lead to increase or decrease in excitatory neurotransmitter release?
increase
50
What is the mnemonic to remember the three types of cluster disorders?
Weird
wild
worried
51
Whats the difference between avoidant and schizoid?
avoidant desires relationship
52
What is schizotypical?
schizoid and odd thinking
53
What is schizoaffective?
schizophrenic plus bipolar or depression
54
Where can anorexics get stress fractures?
metatarsals
55
Is lanugo found during anorexia or bulimia?
anorexia
56
What is the reason for stress fractures in anorexics?
decreased estrogen
57
What type of waves are seen during sleep terrors?
slow wave
58
Do sleep terrors occur during REM or non-REM?
non-REM
59
Do nightmares occur during REM or non-REM?
REM
60
Does malingering or factitious syndrome present with wanting to play the sick role?
factitious
61
Where in the hypothalamus is orexin produced?
lateral
62
What type of sleep do narcoleptics start in?
REM
63
What drug do narcoleptics use at night?
sodium oxybate
64
What is the specific lab indicator of alcohol use?
GGT
65
Do amphetamines dilate or constrict the pupil?
dilate
66
What are the two drugs used for quitting smoking?
bupropion
varenicline
67
What two drugs are used to treat PCP overdose?
benzo
anti-psychotics
68
What is the prescriptio cannabinoid?
dronabinol
69
Is methadone short acting or long acting?
long
70
What are the two uses of methadone?
detox
long-term maintenance
71
What is the MOA of buprenorphine?
partial agonist
72
What is the MOA of naltrexone?
long-acting opioid antagonist
73
When is naltrexone used?
once detoxed
74
Is buprenorphine long or short acting?
long
75
What two drugs are contained within suboxnone?
naltrexone
buprenorphine
76
What are the two drugs used to treat alcohol dependence?
disulfarim
naltrexone
77
How many hours does it take for DTs to manifest after the last drink?
48 hours
78
Is bupropion used to treat depression or anxiety?
depression
79
Depression with what other symptom is a good use of mirtazapine?
depression and insomnia
80
What two drugs are used for panic disorder to bridge the gap to the use of SSRIs?
venlafaxine and benzos
81
Which two anti-psychotics are used for Tourettes?
haloperidol and risperidone
82
What drug can be used to treat the excessive sympathetic activity during alchohol withdrawl?
clonidine
83
What is the time frame for dystonia regarding neuroleptic use?
4 hours
84
What two body regions are affected by acute dystonia?
head and neck
85
What is the time frame for akathisia regarding neuroleptic use?
four days
86
What is akathisia?
physical restlessness
87
What two drugs are used to treat tachycardia and HTN during neuroleptic malignant syndrome?
dantrolene and bromocriptine
88
Do antipsychotics increase or decrease cAMP within cells?
increase
89
What are the high potentcy neuroleptics?
Trifluoperazine
Fluophenazine
Haloperidol
90
What are the low potentcy neuroleptics?
Chlorpromazine
Thioridazine
91
What are the main side effects of high potentcy neuroleptics?
EPS symptoms
92
What are the main side effects of low potentcy neuroleptics?
anti-cholineric
anti-α1
anti-histaminergic
93
Do typical antipsychotics treat the positive or negative effects?
positive
94
Are neuroleptics fat or water soluble?
fat
95
What two drugs are used to treat the EPS side effects of neuroleptics?
benztropine
diphenhydramine
96
Where does chlorpromazine deposit?
cornea
97
Where does thioridazine deposit?
retina
98
What is the time frame for bradykinesia regarding neuroleptic use?
four weeks
99
What is the time frame for tardive dyskinesia regarding neuroleptic use?
four months
100
What could be found in the urine during NMS?
myoglobin
101
What are the six atypical antipsychotics?
Olanzapine
Clonazpine
Quietapine
Risperidone
Aripiprazole
Ziprasidone
102
Which symptoms of schizophrenia do atypicals treat?
positive and negative
103
Which two atypical anti-psychotics can cause weight gain?
clonzapine and olanzapine
104
Which atypical antipsychotic can cause agranulocytosis?
Clozapine
105
Which atypical antipsychotic can prolong QT?
Ziprasidone
106
Which atypical is used for severe, refractory Schizophrenia?
Clozapine
107
What is the proposed mechanism of lithium?
inhibit phosphoinositol pathway
108
What hormone does lithium antagonize?
ADH
109
What does lithium do to the heart rate?
heart block
110
What two heart defects does lithium cause?
Ebsteins
Transposition
111
What part of the nephron reabsorbs lithium?
PCT
112
What ion does lithium follow?
sodium
113
Which receptor does buspirone work at? Antagonize or agonize?
5HT-1A
agonize
114
What is the one drawback of buspirone?
takes 1-2 weeks to work
115
Which receptor does mirtazapine work on? Antagonize or agonize?
α2
antagonize
116
What are the four SSRIs?
Fluoxetine
Paroxetine
Citalopram
Sertraline
117
How many weeks does it take SSRIs to begin to function?
4-8 weeks
118
Which receptor does cyproheptadine antagonize?
5HT2
119
Does NMS present with muscle rigidity or shivering?
rigidity
120
Does serotonin syndrome present with muscle rigidity or shivering?
shivering
121
What six drugs can precipitate serotonin syndrome?
Meperidine
Ondansetron
Phenelzine
tramadol
triptans
linezolid
122
What are the two oddly named tricyclics?
doxepin
amozapine
123
Which two neurotransmitters do tricyclics block the re-uptake of?
5HT and NE
124
What are two common side-effects of tricyclics?
anti-α1
anti-cholinergic
125
Which tricyclic is associated with seizures?
Desipramine
126
Which drug is more anti-cholinergic, amitriptyline or nortriptyline?
amitriptyline
127
Which drug is used to treat the toxicity of TCAs?
sodium bicarb
128
Which class of anti-depressants can cause respiratory depression?
TCAs
129
What are the four MAOIs?
Tranylcypromine
Phenelzine
Isocarboxazid
Selegeline
130
Which neurotransmitters are increased by MAOIs?
NE
5HT
dopamine
131
What are the three atypical antidepressants?
Mirtazapine
Tramadol
Bupropion
132
Does bupropion have sexual side effects?
no
133
Which atypical antidepressant can cause seizures? In what type of patients?
bupropion
bulimics
134
Does bupropion have a stimulant or sedative effect when at toxic levels?
Stimulant
135
Which serotonin receptors does mirtazapine block?
5HT2 and 5HT3
136
Which two receptors does trazadone block?
5HT2 and α1
137
What is the MAO of varenicline?
partial agonist at CNS nicotnic receptors
138
Anxiety concerning a weak subject would be indicative of what?
learning disorder
139
What is the MOA of atomexitine?
NE reuptake inhibitor
140
What condition is atomexitine used to treat?
ADHD
141
How many symptoms are needed to diagnose a major depressive disorder? For how long?
5/9
two weeks
142
In malingering, does a patient fake or create symptoms?
fake
143
In a factitious disorder, does a patient fake or create symptoms?
create
144
What two things are lost during a conversion disorder?
sensory or motor
145
What is the best treatment for somatic symptom disorder?
recurrent office visits
146
What is not a good way to treat somatic symptom disorder?
recurrent tests or procedures
147
What type of thinking does schizotypical have?
magical thinking
148
What type of drug is phentermine?
stimulant
149
What are the three clinical uses of venlafaxine?
depression
generalized anxiety
panic
150
What are the two uses of duloxetine?
depression
diabetic nerve pain
151
What two analgesics are contraindicated with MAOIs?
meperidine
dextromethorphan
152
What elicits classical conditioning?
learned behavior
153
What elicits operant conditioning?
punishment or reward
154
What is Isolation of Effect?
separating feelings from ideas and events
155
Is Repression voluntary or Involuntary?
involuntary
156
Is Supression voluntary or Involuntary?
voluntary
157
What is Altruism?
unsolicited generosity
158
At what age range is the peak incidence of child abuse?
9-12
159
How long does tourette have to last for a diagnosis?
one year
160
What age range is common for separation anxiety disorder to manifest?
7-9 years
161
What class of drug can be used to terminate acute mania?
anti-psychotics
162
Treat Restless Leg Syndrome with which two drugs?
Ropinorole
Pramipexole
163
How long does an Acute Stress Disorder last?
3 days to one month
164
Do Malingerers have good or poor compliance?
poor
165
Does benzo OD have normal or abnormal vital signs?
normal
166
What is the best drug for Bulimia?
Fluoxetine
167
Do Low Potentcy Anti-Psychotics cause more anti-muscarnic or extra-pyramidal?
anti-muscarnic
168
Do High Potentcy Anti-Psychotics cause more anti-muscarnic or extra-pyramidal?
extra-pyramidal
169
Which three drugs can cause lithium toxicity?
NSAIDS
ACEI
HCTZ
170
Which class of anti-depressants can cause hyperpyrexia depression?
TCAs
171
Which two neurotransmitters does Bupropion increase level of?
norepinepinephrine and dopamine
172
Which atypical antidepressant can cause headache?
bupropion
