Psychiatry Flashcards
Most common perpetrator of elder abuse?
Family member
Physical sexual or emotional mistreatment or neglect of a child?
Child abuse
Treatment for Lithium overdose?
Dialysis
Long term treatment for alcohol withdrawal?
Librium
Treatment for benzodiazepine overdose AND hypertension?
Labetalol
Antidote for pyrexia?
Dantrolene
Calcium channel blocker antidote?
Calcium chloride
Benzodiazepine antidote?
Flumazenil
Tricyclics antidote?
Sodium bicarbonate
Digoxin antidote?
Digoxin immune Fab (AKA: Digibind)
Amphetamine antidote?
Benzodiazapines
Warfarin antidote?
Vitamin K - Fresh frozen plasma
Heparin antidote?
Protamine sulfate
Tylenol antidote?
N-acetylcysteine
Opiate antidote?
Naloxone
Beta-blocker antidote?
Glucagon
Cocaine antidote?
Benzodiazepines
Treatment for psychosis related to drug overdose?
Haloperidol
Treatment for acute seizures?
Benzodiazepines
Taking these drugs causes constricted pupils?
Opiates (Heroin morphine etc.) - Depressants
Taking these drugs causes dilated pupils?
Stimulants - Alcohol - Hallucinogens
Loss of control over urges to take a drug even though consequences are known?
Addiction
Using a substance to maintain normal functioning?
Dependence
Exaggerated feeling of a defect in physical condition?
Body dysmorphic disorder
Sudden onset of an severe condition such as blindness or paralysis which on evaluation is clinically impossible?
Converstion Disorder
Excessive worry of having a serious disease?
Hypochondriac
Faking symptoms to assume the sick role?
Factitious disorder
Faking sickness to miss work?
Malingering
List five common Selective serotonin reuptake inhibitors (SSRIs)
Fluoxetine - Escitalopram - Sertraline -Paroxetine - Citalopram
Treatment for somatoform disorders?
Selective serotonin reuptake inhibitors and psychotherapy
Treatment for delusional disorders?
Psychotherapy
Medical treatment for Schizophrenia?
Antipsychotics (e.g. olanzapine risperidone quetiapine)
Major psychosis for greater than 6 months difficulty functioning?
Schizophrenia
Otherwise normally functioning person with a belief in something that does not exist?
Delusional disorder
Focus on obsessions repetition of compulsive behaviors?
Obsessive compulsive disorder
Sociopath lack of morals, empathy or remorse?
Antisocial personality disorder
Concerned what others think of them and need admiration?
Narcissistic personality disorder
Black and white perception unstable interpersonal relationships?
Borderline personality disorder
Odd eccentric behavior and discomfort with social relationships?
Schizotypal personality disorder
Attention seeking dramatic seductive behaviors?
Histrionic personality disorder
Subclinical bipolar mania and depression in a patient who is functional?
Cyclothymia
At least 2 years of chronically depressed mood less severe depression than major depression?
Dysthymic disorder
Depression with a change from previous functioning difficult to perform daily activities?
Major depression
Medical treatment for Bipolar II?
Antipsychotics (e.g. olanzapine risperidone quetiapine)
Class of medication you never give to Bipolar I?
Antidepressants
Medical treatment for Bipolar I?
Lithium
Hypomania with more depression?
Bipolar II
More manic with some depression?
Bipolar I
Symptoms due to extreme sorrow or loss which resolve in a few weeks?
Grief reaction
Significant depression due to inability to adjust to recent stressor?
Adjustment disorder
Episodes of eating large amounts of food for at least 2 days a week for 6 months in an overweight patient?
Binge eating disorder
Binging followed by vomiting laxative use or extreme exercise in a normal weight patient?
Bulimia nervosa
Fear of gaining weight and patient weighs less than 85% of normal?
Anorexia nervosa
Disruption of social interaction and language at age 3 or earlier?
Autism
Multiple motor and vocal tics?
Tourette Syndrome
Treatment for ADHD in preschool kids?
Behavior therapy
Treatment for Attention deficit hyperactivity disorder (ADHD) in school aged children?
Amphetamines
Symptoms of inattention and hyperactivity for at least 6 months that are present at home and in school?
Attention deficit hyperactivity disorder (ADHD)
Aggressive destructive behavior that causes impairment in social or academic functioning?
Conduct Disorder
Children that are disobedient and show resistance to authority?
Oppositional Defiance Disorder
Treatment for nightmares related to post traumatic stress disorder (PTSD)?
Prazosin
Intense fear of a specific situation?
Phobia
Treatment for panic disorder?
Selective serotonin reuptake inhibitors and cognitive behavioral therapy
Abrupt onset of fear with symptoms peaking in 10 minutes?
Panic Disorder
First line Treatment for GAD?
Selective serotonin reuptake inhibitors and cognitive behavioral therapy
Excessive anxiety and worry for at least 6 months?
Generalized Anxiety Disorder
Most common psychiatric disorder?
Anxiety disorder
Which patient, a man or woman, is more likely to have a somatoform disorder?
Women are more likely to have a somatoform disorder
List five tricyclic antidepressants (TCAs)
Amitriptyline - Doxepin - Imipramine - Nortriptyline - Amoxapine
List five SSRIs (Selective Serotonin Reuptake Inhibitors).
Fluoxetine - Sertraline - Escitalopram - Citalopram -Paroxetine
What is the treatment of choice for a patient with factitious disorder?
SSRI (Selective Serotonin Reuptake Inhibitor) or tricyclics with psychotherapy
Define Munchausen syndrome?
“Munchausen syndrome is a factitious disorder in which the patient fakes a disease to get repeated procedures such as surgeries, etc.
What is the difference between conversion disorder and somatoform delusional disorder?
Conversion disorder patients focus on one symptom. Somatoform delusional disorder patients believe they have an entire medical condition
A 34 year old male that fakes an injury to get out of work or to get narcotics has what condition?
Malingering
A A person that likes being the “sick” person all the time has what disorder?
Factitious disorder
A beautiful woman is noted to complain that her hands are too big, yet they appear well formed and appropriate. What do you suspect?
Body dysmorphic syndrome
While studying, a PA student begins to think they have all the illnesses they are studying. What is your suspicion?
Hypochondria
A young female presents to the ER with seizures. During a seizure episode, she is talking to you and can drink from a soda can. What is your suspected diagnosis?
Conversion disorder
True or false: Patients with schizophrenia commonly have no facial expressions and poor hygiene.
“True - Negative symptoms such as no facial expression
True or false: Patients with schizophrenia hear voices?
True - Positive symptoms such as hallucinations and hearing voices are commonly associated with schizophrenia
What is the treatment of choice for patients with schizophrenia?
Antipsychotics such as olanzapine, risperidone or quetiapine
What differentiates schizophrenia from schizophreniform?
If the condition is less than six months it is schizophreniform, over six months it is schizophrenia
What is the treatment of choice for delusional disorder?
Psychotherapy
What functional capacity does a patient with a delusional disorder have?
They function normal in life but have a delusion about one specific part of it
A man who thinks his wife is being unfaithful even though it’s not true is considered to have what disorder?
Jealousy delusional disorder
A female stalker of a famous movie star is considered to have what disorder?
Erotomanic delusional disorder
What is the difference between delusional disorder and narcissistic personality?
Both are grandiose, but the delusional disorder patient thinks that they are famous like a movie star
Patients with OCD (Obsessive Compulsive Disorder) perform repetitive behaviors in an effort to do what?
The repetitive behavior is aimed at reducing stress or preventing a dreadful event
What personality disorder is associated with eccentric behavior and discomfort with social and interpersonal relationships?
Schizotypal
What personality disorder is associated with perfectionism and performance of compulsions that impede their daily functioning?
Obsessive compulsive personality disorder
What personality disorder is associated with a lack of remorse and no concern for others?
Antisocial personality
What personality disorder is associated with grandiose thoughts, the need for admiration and heightened concern about what others think?
Narcissistic personality
What personality disorder is associated with poor self-image, unstable interpersonal relationships and poor impulse control?
Borderline personality
What personality disorder is associated with patients who are overly emotional and attention seeking?
Histrionic personality
How can the side effects of antidepressants be minimized?
By starting with low doses titrating up slowly
What does the term double depression mean?
A patient who has dysthymic disorder and also has a major depressive episode at the same time
What medication is used to treat cyclothymia?
Lithium
What condition manifests as a chronically depressed mood for more than a 2 year period?
Dysthymic disorder
What is the subclinical form of bipolar disorder that manifests in a functioning individual as hypomania and periods of mild depression?
Cyclothymia
Bipolar II is described as what combination of mania and depression?
Mostly depression with short episodes of mania
A patient with bipolar I is in a depressive stage and his parents are requesting an antidepressant to help him. What is your recommendation?
Antidepressants should not be given to patients with Bipolar I as it will worsen their mania
A 15 year old boy is noted to be in a depressed mood one week after moving to a new city. What is your diagnosis?
Adjustment disorder
What is the treatment of choice for binge eating?
Psychotherapy
Which eating disorder is commonly associated with mitral valve prolapse, pericardial effusion, and myocardial atrophy?
Anorexia nervosa
Of the three eating disorders, which is commonly treated with SSRIs (Selective Serotonin Reuptake Inhibitors)?
Bulimia
Which of the eating disorders is often associated with erosion of the tooth enamel?
Bulimia due to the frequent self-induced vomiting
Which of the three eating disorders has the highest suicide rate?
Anorexia nervosa
What is the key difference between binge eating and bulimia nervosa?
There is no weight loss effort in the binge eater
hat condition do you suspect in a patient who has episodes of mass eating and is overweight?
Binge eating disorder
What condition do you suspect in a patient who has episodes of mass eating followed by self-induced vomiting or intense exercise?
Bulimia
What condition do you suspect in a patient who refuses to eat due to fear of being overweight?
Anorexia nervosa
A child has normal cognitive development, poor relationships and does not spontaneously seek activities with others. What condition do you suspect?
Asperger syndrome
A 16 month old girl had been developing normally but now is losing her ability to speak and hand functions. You suspect what underlying condition?
Rett disorder
What is the class of medication used to treat the bothersome tics associated with Tourette syndrome?
Antipsychotics such as fluphenazine
What is the drug of choice for children requiring medication for the treatment of ADHD?
Methylphenidate
A 2 year old does not play with other children, has a two word vocabulary and is unimaginative. What is your suspected diagnosis?
Autism
A child is found to back talk and resist following instruction from parents or authorities. What is your suspected diagnosis?
Oppositional defiance disorder
A child is referred to your office for unusual animal cruelty and bullying at school. What disorder should you suspect?
Conduct disorder
A child with ADHD undergoing CBT (cognitive behavioral therapy) is found to have many verbal outbursts and nonverbal tics. What associated condition is suspected?
Tourette syndrome
A 4 year old is diagnosed with ADHD. What is the recommended treatment?
Cognitive behavioral therapy
What medication used in the therapy of panic disorder is of an abusive potential?
Benzodiazepines
A patient with generalized anxiety disorder is having difficulty sleeping. What medication is effective in helping him sleep?
Hydroxyzine
What is the medication of choice for an acute panic attack?
Benzodiazepine such as diazempam (Valium) or alprazolam (Xanax)
Most patients with phobias are treated with exposure therapy as first line treatment. What is the best treatment for agoraphobia?
Cognitive behavioral therapy and SSRI (Selective Serotonin Reuptake Inhibitor)
What medication can be added to the regimen of a patient with PTSD to reduce or stop their nightmares?
Prazosin
One week after military combat, a soldier is acting withdrawn and appears to be having flashbacks. What is his diagnosis?
Acute stress disorder (Post traumatic stress disorder can not be considered until one month after the event)
A 23 year old man is found to be afraid of flying. What is the recommended treatment?
Exposure therapy
A young female presents because she “freaks out” and panics in different situations without a specific trigger. What is the treatment of choice?
SSRI (Selective Serotonin Reuptake Inhibitor) - Benzodiazepine if needed while waiting for SSRI to work (up to 6weeks)
A patient is constantly worried about everything and that the worst will happen despite it being an unlikely occurrence. What is your diagnosis?
GAD (Generalized Anxiety Disorder)
