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USMLE Step 3 MN > Psychiatry > Flashcards

Psychiatry Flashcards

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USMLE® Step 1 flashcards
1
Q
  • delusions (mostly bizarre)
  • disorganized speech/behavior
  • hallucinations
A

positive symptoms

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2
Q
  • flattened affect
  • social withdrawal
  • anhedonia
  • apathy
  • poverty of thought
A

negative symptoms

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3
Q

schizophrenia

A

more than 6 months

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4
Q

schizophreniform d/o

A

more than 1 month, less than 6 months

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5
Q
  • occurs in the first week
  • muscle spasms (e.g. torticollis)
  • difficulty swallowing
A

acute dystonia

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6
Q
  • w/i weeks
  • bradykinesia
  • tremors
  • rigidity
A

parkinson’s

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7
Q
  • weeks to chronic use
  • motor restlessness
  • do not mistake for anxiety or agitation
A

akathisia

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8
Q
  • months to years
  • choreoathetosis
  • often irreversible
A

tardive dyskinesia

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9
Q
  • anytime
  • muscle rigidity
  • hyperthermia
  • volatile vital signs
  • altered LOC
  • increased WBC and CK
A

neuroleptic malignant syndrome

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10
Q

normal psychological reaction to profound changes in person’s life (divorce, migration, birth of handicapped child)

A

adjustment d/o

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11
Q
  • brief attacks of intense anxiety w/ autonomic symptoms

- occur regularly

A

panic d/o

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12
Q

treatment for adjustment d/o

A

COUNSELING

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13
Q

treatment for panic d/o

A

cognitive-behavioral therapy and/or relaxation training and desensitization

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14
Q

fear or avoidance of places d/t anxiety about not being able to escape

A

agoraphobia

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15
Q

fear or avoidance of objects or situations

A

social anxiety d/o

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16
Q

excessive, poorly controlled DAILY anxiety for more than 6 months

A

generalized anxiety d/o (GAD)

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17
Q
  • recurrent obsessions or compulsions

- individual recognizes that the behavior is unreasonable and excessive

A

obsessive-compulsive d/o (OCD)

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18
Q
  • severe anxiety symptoms that follow a life-threatening event
  • symptoms less than 1 month w/i 1 month of stressor
A

acute stress d/o

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19
Q
  • severe anxiety symptoms that follow a life-threatening event
  • symptoms last longer than 1 month
A

posttraumatic stress d/o (PTSD)

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20
Q
  • depressed mood, or anhedonia

- last at least 2 weeks

A

major depressive d/o

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21
Q
  • low-level depression symptoms

- present on most days for at least 2 years

A

dysthymic d/o

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22
Q

depressive symptoms in the winter months

A

seasonal affective d/o

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23
Q
  • depression
  • mania
  • mixed symptoms for at least 1 week
A

BP d/o

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24
Q

rapid cycling BP

A

more than 4 episodes of mania per year

25
Q

management of acute mania

A
  1. hospitalize
  2. mood stabilizers
  3. antipsychotics
  4. phenothiazine IM depot (noncompliant, severely manic patients)
  5. antidepressants ONLY in patients w/ recurrent episodes of depression
26
Q

recurrent episodes of depressed mood and hypomanic mood for at least 2 years?
Tx:

A
  • Cyclothymia

- Psychotherapy 1st line; functioning is impaired = Divalproex

27
Q
  • elderly taking lithium
  • renal failure
  • hyponatremia
A

lithium toxicity

28
Q
  • recently started taking antipsychotics
  • recently stopped levodopa
  • high fever
  • tachycardia
  • muscle rigidity
  • altered consciousness
  • elevated CPK
  • autonomic dysfunction
A

neuroleptic malignant syndrome (NMS)

29
Q
  • h/o SSRI use AND use of triptans (migraine medication) or a MAOI
  • agitation
  • hyperreflexia
  • hyperthermia
  • muscle rigidity w/ volume contraction
A

serotonin syndrome

30
Q
  • acute HTN

- h/o MAOI use and either antihistamines, nasal decongestants, or tyramine-rich foods

A

MAOI-induced hypertensive crisis

31
Q

one or more neurologic symptom(s) that CANNOT be explained by any medical or neurological d/o

A

conversion d/o

32
Q
  • see many doctors
  • visit many hospitals
  • large amount of medical knowledge
A

factitious d/o

33
Q

signs and symptoms faked by another person

A

factitious d/o by proxy

34
Q
  • when there’s obvious gain from feigned symptoms

- preoccupied w/ rewards or gain

A

malingering

35
Q
  • distrust and suspiciousness
  • often confused w/ paranoid schizophrenia
  • main defense mechanism is projection
A

paranoid PD

36
Q
  • detachment and restricted emotionally

- main defense mechanism is projection

A

schizoid PD

37
Q
  • discomfort w/ social relationships, thought distortion, eccentricity
  • symptoms aren’t severe enough for classification of schizophrenia
A

schizotypal PD

38
Q
  • colorful, exaggerated behavior and excitable, shallow expression of emotions
  • use of physical appearance to draw attention to self
  • sexually seductive
A

histrionic PD

39
Q
  • unstable affect, mood swings, marked impulsivity, unstable relationships, recurrent suicidal behaviors, chronic feelings of emptiness, identity disturbance, and inappropriate anger
  • main defense mechanism is splitting
A

borderline PD

40
Q
  • criminal acts
  • inability to conform to social rules
  • disregard for the rights of others
  • aggressiveness
A

antisocial PD

41
Q
  • sense of self-importance, grandiosity, and preoccupation with fantasies of success
A

narcissistic PD

42
Q
  • social inhibition
  • feelings of inadequacy
  • hypersensitivity to criticism
A

avoidant PD

43
Q

submissive and clinging behavior related to a need to be taken care of

A

dependent PD

44
Q
  • individuals are preoccupied w/ orderliness, perfectionism, and control
  • differentiated from obsessive-compulsive d/o
A

obsessive-compulsive PD

45
Q

frequent use of alcohol resulting in tolerance and physical and psychological dependence

A

alcohol dependence

46
Q

when episodes of alcohol use result in failure to fulfill obligations, craving or strong urge to use a substance, or exposure to physically dangerous situations

A

alcohol abuse

47
Q

onset after last drink if: minor withdrawal symptoms

A

6 hours

48
Q

onset after last drink if: alcoholic hallucinosis

A

12-24 hours

49
Q

onset after last drink if: withdrawal seizure

A

48 hours

50
Q

onset after last drink if: delirium tremens

A

48-96 hours

51
Q

substance of abuse

  • talkative
  • sullen
  • gregarious
  • moody
A

alcohol

52
Q

substance of abuse

  • euphoria
  • hypervigilance
  • autonomic hyperactivity
  • weight loss
  • pupil dilation
  • disturbed perception
  • stroke
  • MI
A
  • amphetamines

- cocaine

53
Q

substance of abuse

  • impaired motor coordination
  • impaired time perception
  • increased appetite
  • dry mouth
  • conjunctival redness
A

cannabis

54
Q

substance of abuse

  • hallucinations
  • impaired judgement
  • pupil dilation
  • panic
  • tremors
  • incoordination
A

hallucinogens (e.g. LSD)

55
Q

substance of abuse

  • belligerence
  • apathy
  • assaultiveness
  • blurred vision
  • stupor
  • coma
A

inhalants

56
Q

substance of abuse

  • apathy
  • dysphoria
  • constricted pupils
  • drowsiness
  • slurred speech
  • impaired memory
  • coma
  • death
A

opiates

57
Q

substance of abuse

  • panic reactions
  • assaultiveness
  • agitation
  • NYSTAGMUS
  • HTN
  • seizures
  • coma
  • hyperacusis
A

PCP

58
Q

substance of abuse

  • inappropriate sexual or aggressive behavior
  • impaired memory or concentration
A

barbiturates/benzodiazepines

USMLE Step 3 MN (33 decks)

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