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Family Shelf > Psychiatry > Flashcards

Psychiatry Flashcards

1
Q

How do we best define generalized anxiety disorder and criteria?

A

Chronic, insidious low level anxiety all the time

Constant state of worry for at least 6 months and at least 3 somatic changes (sleep, weight, concentration)

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2
Q

Best treatment for GAD?

Treatment for a panic attack, not the disorder?

A

Psychotherapy much more effective than meds, but if you do get to meds, SSRIs.
Benzo

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3
Q

What to use for a panic attack acutely to abort it?

What to use for chronic panic disorder?

A

Benzo

SSRI +- CBT

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4
Q

Best treatment for phobias?

A

CBT - desensitization under benzo

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5
Q

What med to give for public speaking social phobia?

A

Non selective beta blocker

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6
Q

Best treatment for depression?

Next?

A

ECT

SSRI and therapy

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7
Q

When would you hospitalize a pt for suicide?

A

Idea and plan

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8
Q

First line treatment for mania/bi polar type 1?
Second?
Third?

A

Lithium
Valproic acid
Carbamazepine

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9
Q

Stages of sleep and what they show on EEG?

1,2,3 and REM

A

1: theta waves
2: K complexes
3: Delta waves
Rem: awake brain Rapid eye movements and Antonia

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10
Q

Define sleep latency?

REM latency?

A

Bed to stage 1

Stage 1 to REM

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11
Q

Increase serotonin has what affect on sleep?
Increase Ach has what affect on sleep?
NE and Dopamine has affect on sleep?
GABA has what affect on sleep?

A

Increase sleep
Increase dreaming
Increase arousal and awake
Decrease sleep latency

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12
Q

3 6s of depression treatment?

A

Try drug for 6 weeks
Treat for 6 months
Wash out for 6 weeks

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13
Q

Side effect for SSRIs to know?

A

Sexual dysfunction

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14
Q

What are the 3 c’s of TCAs?

A

Convulsions (seizures), cardio toxicity, and coma

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15
Q

What is another indication of TCAs besides antidepressants?

A

Neuropathic pain, especially diabetic neuropathy

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16
Q

When to only use selegiline or phenylzine?

A

Hypertensive crisis

17
Q

2 first line mood disorder drugs?

2 second line mood disorder drugs?

A

Lithium and valproate

Quetiopine and lamotrigine

18
Q

Positive psychotics symptoms are what receptor?

Negative psychotic symptoms are what receptor?

A

Dopamine 2 mesolimbic

Serotonin

19
Q

Very potent first generation med usually used in hospital?

A

Haloperidol

20
Q

Side effect for quetiapine second generation?
Side effect for clonzapine second generation?
Side effect for risperidone second generation?

A

Sleepiness, so treat insomnia
Weight gain and diabetes
EPS

21
Q

What second generation is the best but why don’t we use it?

A

Clozapine

Agranulocytosis

22
Q

What is the best, most effective contraception?

A

LARC
Non IUD
IUD, hormone or copper

23
Q

Triad for DVT Risk involving contraception?

A

Estrogen, smoking and over 35

24
Q

What contraception form has the highest risk for DVT?

A

Patches

25
Q

What med to give for hot flashes of menopause?
Vaginal atrophy?
What to screen menopause women for, 2 things?

A

Venlafaxine
Estrogen cream
heart disease, so check LDL and put on statin
Osteoporosis, do dexa screen at 65, bisphosphonates, vitamin d and calcium

26
Q

2 ways to diagnose PCOS with the history already there?

A

LH to FSH ratio

US the ovaries and see all the cysts

27
Q

What med to give for PCOS to help her ovulate?

A

Clomiphene

28
Q

How to treat CAH?

A

Give her cortisol and

29
Q

What kind of bleeding has previa with it during 3rd trimester?
What about not previa diseases?

A

Painless, that is coming from the placenta that is baby’s blood
Painful that is coming from moms blood from uterus

30
Q

When does placenta previa present?

How to treat?

A

3rd trimester with painless bleeding. Basically when contractions start and cervical dilates it tears placenta and baby’s blood comes out.
C section

31
Q

In what 2 settings do we have uterine rupture?
Clinical identifier?
Treatment?

A

Attempting to deliver vaginally after previous c section
Oxytocin

Painful bleeding and loss of fetal station
Crash section, get it out

32
Q

3 causes of placenta abruption?

A

HTN, cocaine use, MVA

33
Q

How to diagnose diabetes in pregnancy?

Treatment?

A 
Do a 1 hour glucose tolerance and if its over 140 do a 3 hour
If 1 hour over 180
2 hour over 155 
3 hour over 140
Fasting over 90 
Insulin
34
Q

When do you screen for pregnancy anemia?
How to diagnose?
Cause?
Treat?

A

28 weeks
HgB less than 10, hct less than 30
Iron deficiency
Give iron

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