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PANCE > Psychiatry > Flashcards

Psychiatry Flashcards

1
Q

Most common perpetrator of elder abuse?

A

Family member

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2
Q

Physical sexual or emotional mistreatment or neglect of a child?

A

Child abuse

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3
Q

Treatment for Lithium overdose?

A

Dialysis

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4
Q

Long term treatment for alcohol withdrawal?

A

Librium

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5
Q

Treatment for benzodiazepine overdose AND hypertension?

A

Labetalol

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6
Q

Antidote for pyrexia?

A

Dantrolene

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7
Q

Calcium channel blocker antidote?

A

Calcium chloride

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8
Q

Benzodiazepine antidote?

A

Flumazenil

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9
Q

Tricyclics antidote?

A

Sodium bicarbonate

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10
Q

Digoxin antidote?

A

Digoxin immune Fab (AKA: Digibind)

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11
Q

Amphetamine antidote?

A

Benzodiazapines

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12
Q

Warfarin antidote?

A

Vitamin K - Fresh frozen plasma

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13
Q

Heparin antidote?

A

Protamine sulfate

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14
Q

Tylenol antidote?

A

N-acetylcysteine

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15
Q

Opiate antidote?

A

Naloxone

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16
Q

Beta-blocker antidote?

A

Glucagon

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17
Q

Cocaine antidote?

A

Benzodiazepines

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18
Q

Treatment for psychosis related to drug overdose?

A

Haloperidol

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19
Q

Treatment for acute seizures?

A

Benzodiazepines

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20
Q

Taking these drugs causes constricted pupils?

A

Opiates (Heroin morphine etc.) - Depressants

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21
Q

Taking these drugs causes dilated pupils?

A

Stimulants - Alcohol - Hallucinogens

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22
Q

Loss of control over urges to take a drug even though consequences are known?

A

Addiction

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23
Q

Using a substance to maintain normal functioning?

A

Dependence

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24
Q

Exaggerated feeling of a defect in physical condition?

A

Body dysmorphic disorder

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25
Q

Sudden onset of an severe condition such as blindness or paralysis which on evaluation is clinically impossible?

A

Converstion Disorder

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26
Q

Excessive worry of having a serious disease?

A

Hypochondriac

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27
Q

Faking symptoms to assume the sick role?

A

Factitious disorder

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28
Q

Faking sickness to miss work?

A

Malingering

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29
Q

List five common Selective serotonin reuptake inhibitors (SSRIs)

A

Fluoxetine - Escitalopram - Sertraline -Paroxetine - Citalopram

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30
Q

Treatment for somatoform disorders?

A

Selective serotonin reuptake inhibitors and psychotherapy

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31
Q

Treatment for delusional disorders?

A

Psychotherapy

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32
Q

Medical treatment for Schizophrenia?

A

Antipsychotics (e.g. olanzapine risperidone quetiapine)

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33
Q

Major psychosis for greater than 6 months difficulty functioning?

A

Schizophrenia

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34
Q

Otherwise normally functioning person with a belief in something that does not exist?

A

Delusional disorder

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35
Q

Focus on obsessions repetition of compulsive behaviors?

A

Obsessive compulsive disorder

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36
Q

Sociopath lack of morals, empathy or remorse?

A

Antisocial personality disorder

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37
Q

Concerned what others think of them and need admiration?

A

Narcissistic personality disorder

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38
Q

Black and white perception unstable interpersonal relationships?

A

Borderline personality disorder

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39
Q

Odd eccentric behavior and discomfort with social relationships?

A

Schizotypal personality disorder

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40
Q

Attention seeking dramatic seductive behaviors?

A

Histrionic personality disorder

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41
Q

Subclinical bipolar mania and depression in a patient who is functional?

A

Cyclothymia

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42
Q

At least 2 years of chronically depressed mood less severe depression than major depression?

A

Dysthymic disorder

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43
Q

Depression with a change from previous functioning difficult to perform daily activities?

A

Major depression

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44
Q

Medical treatment for Bipolar II?

A

Antipsychotics (e.g. olanzapine risperidone quetiapine)

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45
Q

Class of medication you never give to Bipolar I?

A

Antidepressants

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46
Q

Medical treatment for Bipolar I?

A

Lithium

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47
Q

Hypomania with more depression?

A

Bipolar II

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48
Q

More manic with some depression?

A

Bipolar I

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49
Q

Symptoms due to extreme sorrow or loss which resolve in a few weeks?

A

Grief reaction

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50
Q

Significant depression due to inability to adjust to recent stressor?

A

Adjustment disorder

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51
Q

Episodes of eating large amounts of food for at least 2 days a week for 6 months in an overweight patient?

A

Binge eating disorder

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52
Q

Binging followed by vomiting laxative use or extreme exercise in a normal weight patient?

A

Bulimia nervosa

53
Q

Fear of gaining weight and patient weighs less than 85% of normal?

A

Anorexia nervosa

54
Q

Disruption of social interaction and language at age 3 or earlier?

A

Autism

55
Q

Multiple motor and vocal tics?

A

Tourette Syndrome

56
Q

Treatment for ADHD in preschool kids?

A

Behavior therapy

57
Q

Treatment for Attention deficit hyperactivity disorder (ADHD) in school aged children?

A

Amphetamines

58
Q

Symptoms of inattention and hyperactivity for at least 6 months that are present at home and in school?

A

Attention deficit hyperactivity disorder (ADHD)

59
Q

Aggressive destructive behavior that causes impairment in social or academic functioning?

A

Conduct Disorder

60
Q

Children that are disobedient and show resistance to authority?

A

Oppositional Defiance Disorder

61
Q

Treatment for nightmares related to post traumatic stress disorder (PTSD)?

A

Prazosin

62
Q

Intense fear of a specific situation?

A

Phobia

63
Q

Treatment for panic disorder?

A

Selective serotonin reuptake inhibitors and cognitive behavioral therapy

64
Q

Abrupt onset of fear with symptoms peaking in 10 minutes?

A

Panic Disorder

65
Q

First line Treatment for GAD?

A

Selective serotonin reuptake inhibitors and cognitive behavioral therapy

66
Q

Excessive anxiety and worry for at least 6 months?

A

Generalized Anxiety Disorder

67
Q

Most common psychiatric disorder?

A

Anxiety disorder

68
Q

Which patient, a man or woman, is more likely to have a somatoform disorder?

A

Women are more likely to have a somatoform disorder

69
Q

List five tricyclic antidepressants (TCAs)

A

Amitriptyline - Doxepin - Imipramine - Nortriptyline - Amoxapine

70
Q

List five SSRIs (Selective Serotonin Reuptake Inhibitors).

A

Fluoxetine - Sertraline - Escitalopram - Citalopram -Paroxetine

71
Q

What is the treatment of choice for a patient with factitious disorder?

A

SSRI (Selective Serotonin Reuptake Inhibitor) or tricyclics with psychotherapy

72
Q

Define Munchausen syndrome?

A

“Munchausen syndrome is a factitious disorder in which the patient fakes a disease to get repeated procedures such as surgeries, etc.

73
Q

What is the difference between conversion disorder and somatoform delusional disorder?

A

Conversion disorder patients focus on one symptom. Somatoform delusional disorder patients believe they have an entire medical condition

74
Q

A 34 year old male that fakes an injury to get out of work or to get narcotics has what condition?

A

Malingering

75
Q

A A person that likes being the “sick” person all the time has what disorder?

A

Factitious disorder

76
Q

A beautiful woman is noted to complain that her hands are too big, yet they appear well formed and appropriate. What do you suspect?

A

Body dysmorphic syndrome

77
Q

While studying, a PA student begins to think they have all the illnesses they are studying. What is your suspicion?

A

Hypochondria

78
Q

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?

A

Conversion disorder

79
Q

True or false: Patients with schizophrenia commonly have no facial expressions and poor hygiene.

A

“True - Negative symptoms such as no facial expression

80
Q

True or false: Patients with schizophrenia hear voices?

A

True - Positive symptoms such as hallucinations and hearing voices are commonly associated with schizophrenia

81
Q

What is the treatment of choice for patients with schizophrenia?

A

Antipsychotics such as olanzapine, risperidone or quetiapine

82
Q

What differentiates schizophrenia from schizophreniform?

A

If the condition is less than six months it is schizophreniform, over six months it is schizophrenia

83
Q

What is the treatment of choice for delusional disorder?

A

Psychotherapy

84
Q

What functional capacity does a patient with a delusional disorder have?

A

They function normal in life but have a delusion about one specific part of it

85
Q

A man who thinks his wife is being unfaithful even though it’s not true is considered to have what disorder?

A

Jealousy delusional disorder

86
Q

A female stalker of a famous movie star is considered to have what disorder?

A

Erotomanic delusional disorder

87
Q

What is the difference between delusional disorder and narcissistic personality?

A

Both are grandiose, but the delusional disorder patient thinks that they are famous like a movie star

88
Q

Patients with OCD (Obsessive Compulsive Disorder) perform repetitive behaviors in an effort to do what?

A

The repetitive behavior is aimed at reducing stress or preventing a dreadful event

89
Q

What personality disorder is associated with eccentric behavior and discomfort with social and interpersonal relationships?

A

Schizotypal

90
Q

What personality disorder is associated with perfectionism and performance of compulsions that impede their daily functioning?

A

Obsessive compulsive personality disorder

91
Q

What personality disorder is associated with a lack of remorse and no concern for others?

A

Antisocial personality

92
Q

What personality disorder is associated with grandiose thoughts, the need for admiration and heightened concern about what others think?

A

Narcissistic personality

93
Q

What personality disorder is associated with poor self-image, unstable interpersonal relationships and poor impulse control?

A

Borderline personality

94
Q

What personality disorder is associated with patients who are overly emotional and attention seeking?

A

Histrionic personality

95
Q

How can the side effects of antidepressants be minimized?

A

By starting with low doses titrating up slowly

96
Q

What does the term double depression mean?

A

A patient who has dysthymic disorder and also has a major depressive episode at the same time

97
Q

What medication is used to treat cyclothymia?

A

Lithium

98
Q

What condition manifests as a chronically depressed mood for more than a 2 year period?

A

Dysthymic disorder

99
Q

What is the subclinical form of bipolar disorder that manifests in a functioning individual as hypomania and periods of mild depression?

A

Cyclothymia

100
Q

Bipolar II is described as what combination of mania and depression?

A

Mostly depression with short episodes of mania

101
Q

A patient with bipolar I is in a depressive stage and his parents are requesting an antidepressant to help him. What is your recommendation?

A

Antidepressants should not be given to patients with Bipolar I as it will worsen their mania

102
Q

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?

A

Adjustment disorder

103
Q

What is the treatment of choice for binge eating?

A

Psychotherapy

104
Q

Which eating disorder is commonly associated with mitral valve prolapse, pericardial effusion, and myocardial atrophy?

A

Anorexia nervosa

105
Q

Of the three eating disorders, which is commonly treated with SSRIs (Selective Serotonin Reuptake Inhibitors)?

A

Bulimia

106
Q

Which of the eating disorders is often associated with erosion of the tooth enamel?

A

Bulimia due to the frequent self-induced vomiting

107
Q

Which of the three eating disorders has the highest suicide rate?

A

Anorexia nervosa

108
Q

What is the key difference between binge eating and bulimia nervosa?

A

There is no weight loss effort in the binge eater

109
Q

hat condition do you suspect in a patient who has episodes of mass eating and is overweight?

A

Binge eating disorder

110
Q

What condition do you suspect in a patient who has episodes of mass eating followed by self-induced vomiting or intense exercise?

A

Bulimia

111
Q

What condition do you suspect in a patient who refuses to eat due to fear of being overweight?

A

Anorexia nervosa

112
Q

A child has normal cognitive development, poor relationships and does not spontaneously seek activities with others. What condition do you suspect?

A

Asperger syndrome

113
Q

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?

A

Rett disorder

114
Q

What is the class of medication used to treat the bothersome tics associated with Tourette syndrome?

A

Antipsychotics such as fluphenazine

115
Q

What is the drug of choice for children requiring medication for the treatment of ADHD?

A

Methylphenidate

116
Q

A 2 year old does not play with other children, has a two word vocabulary and is unimaginative. What is your suspected diagnosis?

A

Autism

117
Q

A child is found to back talk and resist following instruction from parents or authorities. What is your suspected diagnosis?

A

Oppositional defiance disorder

118
Q

A child is referred to your office for unusual animal cruelty and bullying at school. What disorder should you suspect?

A

Conduct disorder

119
Q

A child with ADHD undergoing CBT (cognitive behavioral therapy) is found to have many verbal outbursts and nonverbal tics. What associated condition is suspected?

A

Tourette syndrome

120
Q

A 4 year old is diagnosed with ADHD. What is the recommended treatment?

A

Cognitive behavioral therapy

121
Q

What medication used in the therapy of panic disorder is of an abusive potential?

A

Benzodiazepines

122
Q

A patient with generalized anxiety disorder is having difficulty sleeping. What medication is effective in helping him sleep?

A

Hydroxyzine

123
Q

What is the medication of choice for an acute panic attack?

A

Benzodiazepine such as diazempam (Valium) or alprazolam (Xanax)

124
Q

Most patients with phobias are treated with exposure therapy as first line treatment. What is the best treatment for agoraphobia?

A

Cognitive behavioral therapy and SSRI (Selective Serotonin Reuptake Inhibitor)

125
Q

What medication can be added to the regimen of a patient with PTSD to reduce or stop their nightmares?

A

Prazosin

126
Q

One week after military combat, a soldier is acting withdrawn and appears to be having flashbacks. What is his diagnosis?

A

Acute stress disorder (Post traumatic stress disorder can not be considered until one month after the event)

127
Q

A 23 year old man is found to be afraid of flying. What is the recommended treatment?

A

Exposure therapy

128
Q

A young female presents because she “freaks out” and panics in different situations without a specific trigger. What is the treatment of choice?

A

SSRI (Selective Serotonin Reuptake Inhibitor) - Benzodiazepine if needed while waiting for SSRI to work (up to 6weeks)

129
Q

A patient is constantly worried about everything and that the worst will happen despite it being an unlikely occurrence. What is your diagnosis?

A

GAD (Generalized Anxiety Disorder)

PANCE (9 decks)

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