Psychiatry Flashcards
List the 5 qualities of social anxiety disorder
Marked anxiety about social situations, fear of scrutiny and embarassment, avoiding social situations or feeling very distressed, marked impairment
How long does one have to be anxious about >1 social situation to be dxed with social anxiety disorder
> 6 months
Treatment for Social anxiety disorder
SSRI, beta blockers or benzodiazepine for performance-only subtype
Duration for ADHD diagnosis
> 6 months
Inattentive symptoms of ADHD
difficulty focusing, does not listen or follow directions, distracted, disorganized, forgetful
Hyperactive/impulsive symptoms of ADHD
unable to sit still, fidgety, hyper-talkative, interrupts, blurts out answers
Age for ADHD
before age 12
Behavior significant of conduct disorder
Child that consistently violets major social norms or rights of others (aggression, theft, lies, rule violations, property destruction)
List 5 DSM-5 criteria for Generalized Anxiety Disorderr
Insomnia (sleep disturbance), excessive worry, muscle tension, irritability, fatigue
First -line tx for GAD
CBT, SSRIs or SNRIs
Second-line treatment for GAD
Buspirone or Benzodiazepines
Left-sided brain lesions are associated with which behaviorsa
apathy and depression
Right-sided brain lesions are associated with which behaviors
disinhibited behavior
List 3 key features of paranoid personality disorder
suspicious, distrustful, hypervigilant
List 3 features of Schizoid personality disorder
Prefers to be a loner, detached, unemotional
List 3 features of Schizotypal personality disorder
Eccentric, odd thoughts, perceptions and behavior
List the major features of Antisocial Disorder
Adult with disregard and violation of rights of others
List key features of Borderline Perosnality Disorder
Chaotic relationships, sensitivity to abandonment, labile mood, impulsivity, inner emptiness, self-harm**
List three features of Histrionic personality disorder
Dramatic, superficial, attention-seeking
List 2 major features of Narcissistic personality disorder
Grandiosity, lack of empathy
List major feature of Avoidant Personality disorder
Avoidance due to fears of criticism and rejection
Submissive, clingy, needs to be taken care of
Dependent personality disorder
Rigid, controlling, perfectionistic
Obsessive-compulsive
A pregnant woman eating ice and losing weight should be suspicious for
Pica
Key feature of somatic symptom disorder
Excessive anxiety and preoccupation with >1 unexplained symptoms
Fear of having serious illness despite few or no symptoms and consistently negative evaluations
Illness anxiety disorder
Neurologic symptoms incompatible with any neurologic disease, often acute onset associated with stress
Conversion disorder
Intentional falsification or inducement of symptoms with goal to assume sick role
Factitious disorder
Maliingering
Falsification of symptoms to obtain external incentives
Why should all patients with major depression be screened for a past history of manic episodes
Differentiate between MDD and bipolar disorder
Lifetime history of delusions or hallucinations for >2 weeks in absence of major depressive or manic episodes is suggestive of
Schizoaffective disorder
In bipolar disorder and major depression with psychotic disorder, when doe psychotic symptoms occur
During manic or depressive episodes
Normal development until 5-18 months, followed by loss of motor and language skills and development of hand-wringing movements in a little girl suggest
Rett syndrome (X-linked mutation of MECP2)
Which immune cells are increased in COPD?
Macrophages, neutrophils and CD8+ T lymphocytes
Which cells lead to mucus hypersecretion in COPD
Neutrophils
Which immune cells lead to alveoli destruction in COPD
CD8 T cells
Tardive dyskinesia is associated with
long-term treatment with dopamine antagonist mechanisms (schizophrenia medicine)
Minimum duration for dx of major depressive disorder
2 weeks
Best treatment to reduce alcohol craving
mu-opioid receptor antagonist (Naltrexone)
