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USMLE step2 > psychiatry > Flashcards

psychiatry Flashcards

1
Q

fractgure type associated with child abuse

A

spiral fracture

REPORT TO CHILD SUPPORT

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2
Q

oppositional defienat evoluction

A

oppositional defiant–>conduct disorder–>antisocial personality disorder.

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3
Q

ADHD realtionship

A

decreased frontal lobe volume/metabolism

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4
Q

tourette syndrome

A

associated with OCD and ADHD

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5
Q

tactile hallucination types associaition

A

cociane crawlies

alcohol withdrawal

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6
Q

manic episode

A

more than 1 week(DIG FAST)

  • distractibility
  • irresponsability
  • grandiosity
  • flight of ideas-racing thoughts
  • increase in goal directed Activity/psychomotor Agitation
  • no Sleep
  • Talkativeness or pressured speech
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7
Q

cyclothymic

A

dysthumia and hypomania; lasting at least 2 years.

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8
Q

depression criteria

SIG E CAPS

A
  • Sleep distrubance
  • loss of Interest(anhedonia)
  • Guilt or feelings of worthlessness
  • Energy loss and fatigue
  • Concentration problems
  • Appetite/weight changes
  • Psychomotor retardation or agitation
  • Suicidal indeations
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9
Q

Sleep disturbance in depression

A
  • decrease REM latency
  • increase REM early in sleep cycle
  • increase total REM sleep
  • repeated nighttime awakenings
  • early morning awakening
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10
Q

GAD

A

uncontrollable anxiety for at least 6 months that is unrelated to anything

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11
Q

Obsessive-compulsive disorder

A

Ego dystonic

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12
Q

acute stress disorder

A

last between 3 days and 1 month

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13
Q

post-traumatic stress disorder

A

more than 1 month

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14
Q

paranoid mechanism of ego protection

A

projection

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15
Q

cluster A personality association

A

Schizophrenia

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16
Q

border line mechanism of defence

A

splittting

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17
Q

screaming during sleep (NON-REM)

A

sleep terror disoerder

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18
Q

narcolepsy

A

orexin=hypocretin deficciency

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19
Q

korsakoff psychosis

A

mammillary bodies (necrosis or hemorrhage) due to thiamine defficiency

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20
Q

substances that increase lithium in blood

A

NSAIDS, Thiazides and ACEIs

21
Q

TCA tox:

A

-convulcions
-coma
-Cardiotoxicity(due to fast Na channel blockage)
GIVE BICARB

22
Q

TCA

A 
amoxapine
clomipramine
desipramine
doxepine
imipramine
nortriptiline
amiotryptiline
23
Q

MAO Inhibitors

A

tranylcypromine,Phenelzine,Isocarboxazid,Selegiline

24
Q

depression and neuropathic pain

A

give duloxetine

25
Q

depression fearful of weigh gain and sexual disabiliti

A

give bupropion

26
Q

depression and insomnia

A

give Mirtazapine

27
Q

acute mania treatmetn

A
  • LITHIUM
  • valproic acid
  • atypical antipsycotics
28
Q

bipolar depression treatment

A
  • LITHIUM( need OK Kidney)
  • quetiapine
  • lurasione(OK IN PREGNANCY)
  • lamotrigine
29
Q

bereavement treatment

A

psychotherapy

30
Q

bupropion tox

A

seizures

31
Q

sigle most effective tratment for depression

A

electroconvulsive therapy

32
Q

serotonin syndrome treatment

A

stop SSRI

cyproheptadine( serotonin antagonist)

33
Q

schizophrenia first line treatment

A

ATYPICAL ANTIPSYCHIOTIC

  • lurasidone(ok in pregnancy)
  • asenapine
  • iloperidone
  • risperidone & paliperidone(FOR NOT COMPLIANT)
  • olanzapine(diabetes and weight gain)
  • quetiapine
  • ziprazidone(prolong QT)
  • Clozapine(agranulocytosis)
  • risperidone(movement disorders)
  • aripiprazole
34
Q

panic disorder treatment:
ATTACK:
AT OFFICE:

A

ATTACK:benzodiazepine

AT OFFICE: SSRI

35
Q

Hoarding disorder

A

give SSRI

36
Q

OCD treatmetn

A

SSRI

if TCA choose CLOMIPRAMINE

37
Q

postraumatic disorder treatment

A

paroxetine and sertraline

38
Q

GAD treatmetn

A

SSRI

venlafaxine and buspirone also efective

39
Q

benzos for liver problem

A

lorazepam and oxazepam

40
Q

adjustment disorder treatment

A

psychotherapy

41
Q

binge eating disorder

A

give topiramate

42
Q

risperidone

A

increases prolactin

PROLACTIMOMAS alos but more than 200

43
Q

panic disorder assoaciation

A
  • agoraphobia
  • depression
  • bipolar
  • suicide
  • substance abuses
44
Q

pAnic disorder neuroimagin

A

decreased volume Amigdala

45
Q

OCD neuroimaging

A

abnormalities in orbitofrontal cortex

46
Q

post-traumatic stress disorder

A

decreased hippocampal volume

47
Q

schizophrenia

A

enlarment of cerebral ventricles

48
Q

delirium tremens

A

DESORITATION is the hallmark

USMLE step2 (21 decks)

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