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Psychiatry > Psychiatry > Flashcards

Psychiatry Flashcards

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1
Q

Schizoaffective disorder?

A

Mood disorder + Schizophrenia; but not all components of either must be met

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2
Q

Disease associated with smaller frontal lobe, but not decreased IQ

A

ADHD

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3
Q

Schizophrenia treatment that lacks the side effects associated with increased prolactin; however, it does result in drooling and a droopy face

A

Clozapine

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4
Q

Trx of intractable hiccups

A

Chlorpromazine

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5
Q

Most common comorbidity of schizophrenia

A

Nicotine addiction

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6
Q

Wernicke encephalopathy vs Korsakoff psychosis

A

Wernicke’s: ataxia, encephalopathy, opthalmoglegia

Korsakoff’s: Late stage Wernicke’s marked amnesia and nystagmus as well as PSYCHOSIS

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7
Q

Delirium vs Psychosis

A

Delirium- old and inattentive

Psychosis- loss of touch with reality

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8
Q

Cluster A personality Disorders

A

odd and eccentric

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9
Q

Cluster C personality Disorders

A

Fear of rejection and social shyness

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10
Q

Best therapy for night terrors

A

Behavioral Psychotherapy

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11
Q

Impulse control disorders

A

Pyromania, kleptomania, intermittent explosive disorder

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12
Q

Hallucination brain area in schizophrenia

A

mesolimbic

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13
Q

Encoptesis

A

rare elimination disorder characterized by the involuntary or voluntary loss of normal bowel control in children who have usually already been toilet trained.

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14
Q

Borderline personality disorder symptoms

A

unstable and have intense interpersonal relationships, frantic efforts to avoid abandonment, unstable self-image, impulsivity that leads to self-damaging behavior, such as sexual promiscuity or substance abuse, suicidal behavior, rapidly shifting affect, intense anger, or psychotic features.

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15
Q

Bipolar 1 vs 2

A

Bipolar 1 has manic episode while Bipolar 2 has hypomanic episodes

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16
Q

Delusional disorder

A

Delusions in the absence of diagnostic criteria for Schizophrenia

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17
Q

Schizophreniform disorder

A

Schizophrenia that is shorter duration with symptoms lasting 1-5 months

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18
Q

Old Antipsychotic med with horrible side effects that includes extreme photosensitivity and can even turn skin blue

A

Chlorpromazine aka Thorazine

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19
Q

EtOH abstinence drugs that are not metabolized by the liver

A

Chlordiazepoxide. Lorazepam

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20
Q

ECT most common side effect and drug to treat it

A

Headache. Ketorolac is a non-steroidal anti-inflammatory drug indicated for short-term management of moderate to severe pain.

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21
Q

Cyclothymic disorder

A

mild form of bipolar disorder in which a person has mood swings over a period of at least 2 years that go from mild depression to emotional highs.

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22
Q

Creutzfeldt–Jakob disease diagnosis

A

14- 3- 3 protein in CSF

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23
Q

Creutzfeldt–Jakob disease symptoms

A

rapidly progressing dementia, myoclonus, visual or cerebellar dysfunction, pyramidal or extrapyramidal signs, and akinetic mutism.

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24
Q

Athetosis and common assoc.

A

hyperkinetic movement with involuntary slow writhing movements: Cerebral palsy and Huntington’s

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25
Q

Anti-cholinergic overdose vs cocaine/amphetamine overdose

A

Hyperthermia, dilated pupils, tachycardia, delirium are common to both, but anti-cholinergic overdose is dry and cocaine/amphetamine sweat

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26
Q

Neuroleptic malignant syndrome symptoms

A

extrapyramidal symptoms, hyperprolactinemia, seizures, and tardive dyskinesia usually within a few months of starting an antipsychotic

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27
Q

Cholinergic toxicity symptoms

A

DUMBBELLS - Diarrhea, Urination, Miosis, Bradycardia, Bronchospasm, Emesis, Lacrimation, Lethargy and Salivation and seizures.

28
Q

Cholinergic toxicity trx in peds

A

glycopyrrolate per IV

29
Q

Pt who fail two SSRI’s should try what meds?

A

atypical antidepressants like mirtazipine

30
Q

TRX for night terrors

A

Diazapam

31
Q

Pseudobulbar affect

A

Uncontrollable crying or laughing. Is usually caused by neurological disorder or TBI

32
Q

transference vs counter transference

A

paTient transfers physiCian counter transfers

33
Q

Defense mech. displacement

A

displacing unacceptable emotions to a less threatening person.

34
Q

reaction formation

A

doing the opposite thought or feeling toward someone

35
Q

features of atypical depression

A

mproved mood in reaction to positive events, hyperphagia, sleeping at least two hours more when depressed

36
Q

Antidepressent contraindicated in Pregnancy

A

paroxetine

37
Q

Treatment for OCD?

A

Sertraline or Fluoxetine

38
Q

NSAIDs and Lithium?

A

NSAIDs like ibuprofen increase effective dose. Asprin avoids this

39
Q

ETOH withdrawal prophylaxis (no symptoms)

A

Valium or Chlordiazepoxide

40
Q

How long to try each SSRI?

A

6 weeks

41
Q

Why do you get galactorrhea and amenorrhea with antipsychotics?

A

Decreased dopamine in Tuberoinfundibular tract

42
Q

Benzo or ETOH withdraw can cause what?

A

Seizures

43
Q

What labs are checked before Starting Lithium

A

TSH and Creatine

44
Q

Post partum depression

A

Depressive symptoms onset within 4 weeks that do not get better on their own.

45
Q

1st and 2nd line trx for enusesis after 7 that does not improve with positive reinforcement and pee alarms?

A

1st line: Desmopressin

2nd line: TCA’s

46
Q

OSA dx?

A

polysomnography

47
Q

First Line therapy for GAD

A

CBT

48
Q

First Line treatment for catatonia

A

Benzos

49
Q

Insomnia medication that may lead to dangerous priapism

A

Trazodone

50
Q

Tourettes is associated with what other disorders

A

OCD disorders

51
Q

How many settings must hyperactive and inattentive behaviors take place in for ADHD diagnosis?

A

2 settings for at least 6 months

52
Q

Trx for anorexia with BMI over 15

A

Psychotherapy. Under 15 hospitalization

53
Q

Other name for Korsakoff’s amnesia?

A

amnesic-confabulatory syndrome

54
Q

amnesic-confabulatory syndrome

A

amnesia, anterograde amnesia, and confabulation (False memories).

55
Q

Wernicke’s encephalopathy pathophys

A

reversible cerebellar lesion caused by thiamine deficiency. Produces clinical picture similar to acute intoxication

56
Q

Sleep Stages

A

Stage 1: Theta waves
Stage 2: K complexes and Spindles
Stage 3: Delta waves, Night terrors
REM: restful sleep, dreams nightmares, eye movement

57
Q

Tourrettes pharm trx?

A

dopamine antagonists like atypical antipsychotics

58
Q

Opioid withdrawal medical therapy

A

Buprenorphine + methadone and clonidine as adjunct for lacrimation symptoms

59
Q

Tyramine Reaction and agents and TRX

A

MAOI’s + tyramine rich foods trx with nitroprusside and phentolamine

60
Q

SSRI with longest half life

A

Fluoxetine

61
Q

atypical antipsychotic for refractory schizo associated with agranulocytosis

A

clozapine

62
Q

Schizophrenia vs schizophreniform vs brief psychotic disorder

A

> 6 months, 1-6 months, < 1 month

63
Q

mixed features mood disorder?

A

manic or hypomanic episode with at least 3 symptoms of sigecaps also met during the episode

64
Q

MDD timeframe

A

at least 2 weeks

65
Q

treatment for muscle tension from high dose antipsychotics

A

diphenhydramine.. if not malignant hyperthermia.

Psychiatry (2 decks)

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