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Psychiatry Shelf Exam > Psychiatry > Flashcards

Psychiatry Flashcards

1
Q

DIGFAST is for…

A

mania

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2
Q

DIGFAST stands for…

A

D - distractability
I - irritable mood/insomnia
G - grandiosity
F - flight of ideas
A - agitation/increase in goal-directed activity
S - speedy thoughts/speech
T - thoughtlessness (seek pleasure w/out regard to consequences)

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3
Q

SAD PERSONS is for…

A

suicide risk

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4
Q

SAD PERSONS stands for…

A 
S - sex (male)
A - >60 years
D - depression
P - previous attempt
E - ethanol/drug abuse
R - rational thinking loss
S - suicide in family
O - organized plan/access
N - no support
S - sickness
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5
Q

SIGECAPS is for…

A

depression

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6
Q

SIGECAPS stands for…

A 
S - sleep
I - interest
G - guilt
E - energy
C - concentration
A - appetite
P - psychomotor changes
S - suicidal ideation
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7
Q

Delirium Tremens - timeframe

A

2-4 days post cessation of EtOH

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8
Q

Delirium Tremens - symptoms

A

delirium, agitation, fever, autonomic hyperactivity, auditory and visual hallucinations

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9
Q

Delirium Tremens - treatment

A

benzodiazepines, hydration

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10
Q

Neuroleptic Malignant Syndrome - symptoms

A

fever, rigidity, autonomic instability, clouding of consciousness, elevated WBC/CPK

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11
Q

Neuroleptic Malignant Syndrome - treatment

A

withhold neuroleptics, hydrate, consider dantrolene/bromocriptine

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12
Q

Serotonin Syndrome - pathophys.

A

precipitated by use of 2+ with serotonin-enhancing properties (MAOI + SSRI)

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13
Q

Serotonin Syndrome - symptoms

A

AMS, fever, agitation, tremor, myoclonus, hyperreflexia, ataxia, incoordination, diaphoresis, shivering, diarrhea

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14
Q

Serotonin Syndrome - treatment

A

d/c offending agents, consider cyproheptadine

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15
Q

Tyramine Reaction/Hypertensive Crisis - pathophys.

A

precipitated by ingestion of tyramine containing foods while on MAOIs

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16
Q

Tyramine Reaction/Hypertensive Crisis - symptoms

A

HTN, HA, neck stiffness, sweating, N/V, visual problems, stroke, death

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17
Q

Tyramine Reaction/Hypertensive Crisis - treatment

A

nitroprusside or phentolamine!!!

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18
Q

Acute Dystonia - symptoms

A

early, sudden onset of muscle spasm: eyes, tongue, jaw, neck

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19
Q

Acute Dystonia - treatment

A

benztropine or diphenhydramine

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20
Q

Lithium Toxicity - symptoms

A

N/V, slurred speech, ataxia, incoordination, myoclonus, hyperreflexia, seizures, nephrogenic diabetes insipidus, delirium, coma

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21
Q

Lithium Toxicity - treatment

A

d/c Li, hydrate aggressively, consider hemodialysis

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22
Q

Tricyclic Antidepressant Toxicity - symptoms

A

anticholinergic effects, cardiac conduction disturbances, hypotension, respiratory depression, agitation, hallucinations, CNS stimulation, depression, seizures

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23
Q

Tricyclic Antidepressant Toxicity - treatment

A

monitor EKG, activated charcoal, cathartics, supportive treatment

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24
Q

Fixed, false beliefs that are not shared by the person’s culture and cannot be changed by reasoning; bizarre or nonbizarre

A

delusions

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25
Q

persistent, irrational fear

A

phobia

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26
Q

repetitive, intrusive thought

A

obsession

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27
Q

repetitive behavior

A

compulsion

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28
Q

sensory perceptions that occur in the absence of an actual stimulus

A

hallucinations

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29
Q

inaccurate perception of existing sensory stimuli

A

illusion

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30
Q

experience of feeling detached from one’s surroundings/mental processes

A

derealization/depersonalization

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31
Q

hallucinations (usually auditory) during or just after heavy alcohol consumption; patients are aware that they are not real

A

alcoholic hallucinosis

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32
Q

teenager’s aggression with father is redirected to perform well in sports…

A

sublimation (mature defense)

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33
Q

a patient with sexual thoughts enters a monastery…

A

reaction formation (immature)

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34
Q

3 available FDA-approved first-line pharmacological treatments for smoking cessation

A
  1. nicotine replacement therapy
  2. varenicline
  3. bupropion
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35
Q

Contraindications for using bupropion for smoking cessation

A
  1. patients with seizures

2. patients with history of bulimia

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36
Q

Tx for smoking cessation

A

nicotine replacement therapy + counseling + supportive therapy

37
Q

Most effective Rx for pediatric depression

A

SSRI (fluoxetine)

38
Q

There is some evidence that in patient < ____ y/o, there can be an ______ in suicidal thoughts when starting

A

25, increase

39
Q

Selective Mutism - Definition

A

refusal to speak in a specific social situation in contrast to normal communication in situations in which they feel comfortable (school vs. home)

40
Q

Selective Mutism - Treatment

A

CBT, SSRIs

41
Q

Psych symptoms + Neuro Symptoms + abnormal liver function tests in a child think…

A

Wilson Disease

42
Q

Neuro findings in Wilson Disease

A

slurred speech, drooling, hand tremor

43
Q

Characterized by abnormal social development and extreme behavioral rigidity; usually diagnosed in early development but can be masked by intelligence

A

ASD (autism spectrum disorder)

44
Q

Non-stimulant treatment for ADHD

A

atamoxetine

45
Q

A diagnosis of ______ should be considered in a patient who demonstrates symptoms of inattention, impulsivity, and hyperactivity in >2 settings.

A

ADHD

46
Q

redirection of emotions/impulses to a neutral person

A

displacement (immature defense); teacher gets yelled at by principal, teacher then yells at husband for dinner choices

47
Q

Cluster A, B, C

A

Weird, Wild, Worried

48
Q

Timeline: Depression

A

> 2 weeks

49
Q

Timeline: Adjustment D/O

A

w/in 3 months

50
Q

Timeline: Acute Stress D/O

A

b/w 3 days - 1 month

51
Q

Timeline: PTSD

A

> 1 month

52
Q

Greatest Risk for Completed Homicide

A

Firearm in the house

53
Q

First step in treatment for PP psychosis

A

Hospitalization

54
Q

Patients with >3 lifetime depressive episodes, severe episodes, or episodes lasting for >2 years should have…

A

indefinite antidepressant therapy

55
Q

High yield therapy interventions in schizophrenia

A

family therapy and psychoeducation

56
Q

Lose semen through urine

A

Dhat Syndrome – ask them what they think is wrong

57
Q

SSRI that is bad for patients with recent MI

A

citalopram

58
Q

Class of antidepressant that is bad for patient with cardiac history

A

TCAs

59
Q

Brief psychotic disorder is schizo sx that last for…

A

1 day - 1 month

60
Q

Mood stabilizer for patient’s with kidney disease…

A

Valproate

61
Q

2nd line Rx for alcohol cessation; causes unpleasant s/e when patient drinks

A

disulfiram

62
Q

Fatigue, constipation, myalgias, hypotension with mood stabilizer…

A

lithium induced hypothyroidism

63
Q

Vomit induced (bulimia) metabolic disturbance and lab finding…

A

metabolic alkalosis and hypokalemia

64
Q

Anticholinergic S/E

A 
Mad as a hatter
Blind as a bat
Red as a beet
Hot as a hare
Dry as a bone
65
Q

OD + QT interval changes think…

A

TCAs

66
Q

SSRI of choice for pediatric patients

A

fluoxetine

67
Q

1st line for Tourette’s

A

a2 adrenergic – guanfacine

68
Q

Prior to lithium therapy, check (labs)…

A

thyroid and renal function

69
Q

Mood stabilizer associated with elevated LFTs

A

valproate

70
Q

Rx treatments (2) for patients with suicidal intentions

A

lithium, clozapine

71
Q

Adjustment disorder tx…

A

psychotherapy

72
Q

Despiramine

A

TCA; 2nd line for cataplexy

73
Q

Phenylzine

A

MAOI

74
Q

NMS is caused by…

A

antipsychotics

75
Q

Increased amylase levels think…

A

bulimia

76
Q

Fentanyl can cause…

A

Parkinsonism

77
Q

Location: acetylcholine

A

nucleus basalis of Meynert

78
Q

Location: dopamine

A

substantia nigra

79
Q

Location: GABA

A

nucleus accumbens

80
Q

Location: norepinephrine

A

locus ceruleus

81
Q

Location: serotonin

A

Raphe nucleus

82
Q

Bipolar: depressed

A

quetiapene/lamotrigene; olazapene + fluoxetine

83
Q

Bipolar: mania

A

valproic acid

84
Q

1st line for Panic D/O

A

SSRI + CBT

85
Q

Tx: acute dystonia

A

benztropine, diphenhydramine (4 hours)

86
Q

Tx: akathisia

A

benztropine, benzos, beta blockers (4 days)

87
Q

Tx: Parkinsonism by Rx

A

benztropine, amantidine (4 weeks)

88
Q

Tx: Tardive Dyskinesia

A

valbenazine (4 years)

Psychiatry Shelf Exam (1 decks)

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