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First Aid > Psychiatry > Flashcards

Psychiatry Flashcards

1
Q

mother yells at her child, because husband yells at her

A

displacement - transferring avoided ideas and feelings to a neutral person or object (vs. projection)

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2
Q

abused child later becomes a child abuser

A

identification - modeling behavior after another person who is more powerful

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3
Q

a man who wants to cheat on his wife accuses his wife of being unfaithful

A

projection-attributing an unacceptable internal impulse to an external source (vs. displacement)

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4
Q

after getting fired, claiming the job was not imporatant anyway

A

rationalization - proclaiming logical reasons for actions actually performed for other reasons

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5
Q

a patient with libidinous thoughts enters a monaster

A

reaction formation - replacing a warded-off idea or feeling by an (unconciously derived) emphasis on its opposite (vs. sublimation)

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6
Q

teenager’s aggression toward father is redirected to perform well in sports

A

sublimation (mature) - replacing an unacceptable wish with a course of action that is similar to the wish but does not conflict with one’s value system

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7
Q

mature ego defenses

A

sublimation (vs. reaction formation), altruism, suppression (vs. repression), humor

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8
Q

guanfacine class of drugs and use

A

alpha 2 agonist for ADHD and Tourette

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9
Q

guaifenesin class of drugs and use

A

expectorant

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10
Q

Rett syndrome

A

XD in girls exclusively. Regression, loss of verbal abilities, ataxia, sterotyped handwringing at early age

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11
Q

length for dx of Tourette

A

> 1 year

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12
Q

which components of orientation are lost first

A

first time, then place, then person

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13
Q

EEG changes in delirium

A

diffuse slowing

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14
Q

dx time for schizophrenia

A

> 6 months

see brief psychotic disorder and schizophreniform disorder

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15
Q

dx time for brief psychotic disorder

A

less than 1 month

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16
Q

dx time for schizophreniform disorder

A

1-6 months

see schizophrenia and brief psychotic disorder

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17
Q

dx time delusional disorder

A

> 1 month

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18
Q

dx time manic episode

A

> 1 week

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19
Q

DIG FAST

A

distractibility, irresponsibility, grandiosity, flight of ideas, agitation, decreased need for sleep, talkativeness

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20
Q

dx time hypomanic

A

> 4 consecutive days. not as severe as manic

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21
Q

dx time schizoaffective disorder

A

> 2 weeks with concurrent mood disorder

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22
Q

dx time cyclothymic disorder

A

> 2 years

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23
Q

dx time MDD

A

> 2 weeks

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24
Q

SIGECAPS

A

sleep disturbance, loss of interest, guilt, energy, concentration, appetite, psychomotor, suicidality

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25
Q

changes in sleep during depression

A

more REM sleep overall, and closer to the beginning of night. also repeated awakening and terminal insomnia

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26
Q

dx time persistent depressive disorder (dysthymia)

A

> 2 years

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27
Q

dx time panic disorder

A

attack + > 1 month of distress about future attacks

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28
Q

dx time for general anxiety disorder

A

> 6 months

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29
Q

dx time adjustment disorder

A

less than 6 month

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30
Q

dx time PTSD

A

> 1 month

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31
Q

dx time acute stress disorder

A

3 days to 1 month

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32
Q

cluster A personality disorders

A

“weird”: paranoid, schizoid (loner), schizotypal (eccentric)

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33
Q

cluster B personality disorders

A

“wild”: antisocial (criminal), borderline, histrionic (dramatic), narcissistic

34
Q

cluster C personality disorders

A

“worried”: avoidant (wants to be with others but can’t), obsessive-compulsive, dependent

35
Q

pathogenesis of refeeding syndrome

A

seen in anorexia. increased insulin causes hypophosphatemia which can lead to cardiac complications

36
Q

dx time bulimia nervosa

A

3 months

37
Q

Russell sign

A

calluses on hands from induced vomiting

38
Q

cause of narcolepsy

A

decreased hypocretin (orexin) production in lateral hypothalamus

39
Q

tx of narcolepsy

A

day time stimulants (amphetamines, modafinil) and nighttime sodium oxybate (GHB)

40
Q

tx PCP overdose

A

benzo

41
Q

tx cocaine overdose

A

alpha blockers

note that beta-blockers are contraindicated

42
Q

recreational drug that can cause hyperthermia, hyponatremia, and serotonin syndrome

A

MDMA

43
Q

CNS pathology in alcohol abuse

A

periventricular hemorrhage/necrosis of mammillary bodies

44
Q

preferred drugs for ADHD

A

stimulants

45
Q

preferred drugs for alcohol withdrawal

A

benzos

46
Q

preferred drugs for bipolar disorder tx

A

lithium, valproic acid, atypical antipsychotics

47
Q

preferred drugs for bulimia

A

SSRIs

48
Q

preferred drugs for GAD

A

SSRIs, SNRIs

49
Q

preferred drugs for OCD

A

SSRIs, venlafaxine (SNRI) clomipramine (TCA)

50
Q

preferred drugs for panic disorer

A

SSRIs, venlafaxine (SNRI), benzos

51
Q

preferred drugs for PTSD

A

SSRIs, venlafaxine (SNRI)

52
Q

preferred drugs for schizophrenia

A

atypical antipsychotics

53
Q

preferred drugs for social anxiety disorder

A

SSRIs, venlafaxine (SNRI)

performance only: beta-blockers, benzos

54
Q

preferred drugs for tourette

A

antipsychotics, tetrabenzine

55
Q

MOA amphetamines

A

increase catecholamines in synaptic cleft

56
Q

class of drugs: trifluoperazine, fluphenazine, haloperidol

A

high potency antipsychotics (typical)

57
Q

class of drugs: chlorpromazine, thioridazine

A

low potency antipsychotics (typical)

58
Q

which antipsychotic causes corneal deposits

A

chlorpormazine

59
Q

which antipsychotic causes retinal deposits

A

thiordazine

60
Q

which antipsychotic causes neuroleptic malignant syndrome

A

haloperidol

treat with dantroline and D2 agonists (e.g. bromocriptine)

61
Q

which antipsychotic causes tardive dyskinesia

A

haloperidol

62
Q

class of drugs: clozapine, olanzapine, risperidone

A

atypical antipsychotics

others included on another card

63
Q

class of drugs: aripiprazole, ziprasidone, quetiapine

A

atypical antipsychotics

others included on another card

64
Q

which atypical antipsychotic causes granulocytosis

A

clozapine

65
Q

which atypical antipsychotic causes hyperprolactinemia

A

risperidone

66
Q

which diuretic class increases risk of lithium toxicity

A

thiazide

67
Q

MOA and use buspirone

A

5HT-1A agonist for GAD. takes 1-2 weeks to work

68
Q

class of drugs: sertraline, citalopram

A

SSRI

69
Q

class of drugs: desvenlafaxine, duloxetine, levomilnacipran

A

SNRI

70
Q

which class of psychiatric drugs can cause SIADH

A

SSRI

71
Q

class of drugs amitriptyline, nortriptyline

A

TCAs

72
Q

class of drugs: imipramine, desipramine, clomipramine

A

TCAs

73
Q

class of drugs: doxepin, amoxapine

A

TCAs

74
Q

AE TCAs

A

3 C’s: convulsions, coma, cardiotoxicity

75
Q

what can you use to prevent TCA-induced arrhythmia

A

NaHCO3

76
Q

class of drugs: tranylcypromine, phenelzine, isocarboxazid

A

MAOI. others include selegiline

77
Q

what are the atypical atnidepressants

A

bupropion, mirtazapine, trazodone, varenicline

78
Q

MOA and use bupropion

A

increases nore and dopamine. atypical antidepressant, also for smoking cessation

79
Q

MOA and use mirtazapine

A

alpha 2 antagonist (increases NE and 5HT), potent 5HT2 and 5HT3 antagonists.
atypical antidepressant

80
Q

MOA and use trazodone

A

blocks 5HT2, alpha 1, and H1

technically an antidepressant, but used primarily for insomnia because high doses are need for antidepressant effect.

81
Q

MOA and use verenicline

A

nicotinic ACh receptor partial agonist. atypical antidepressant and also used for smoking cessation

First Aid (18 decks)

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