Psychiatry Flashcards
Binge eating disorder is characterized by _____________
episodes of binge eating associated with distress and a sense of loss of control.
________ is a first kind pharmacotherapy for alcohol use disorder that decreases craving abs heavy drinking
Naltrexone
________ is an evidence-based treatment for major depression that carries a low risk for complications
Electroconvulsive therapy
______________ is indicated for the treatment of acute mania and for maintenance therapy in bipolar disorder.
Lithium
Long-term side effects include : (5)
Hyperparathyroidism with hypercalcemia
Nephrogenic diabetes insipidus
Chronic kidney disease
Thyroid dysfunction
The most reliable and predictive sign of _____________ is decreased respiratory rate
Opioid intoxication
______________ are the first-line medication treatment for obsessive-compulsive disorder.
Serotonergic antidepressants (eg, selective serotonin reuptake inhibitors)
Patients who experience sexual assault are at high risk for developing ______, ________ and __________
post-traumatic stress disorder, depression, and suicidality.
Treatment options for Akathisia
Decrease dosage
Change to antipsychotic meds with less extrapyrimidal side effects
Use propanolol / benztropine / benzodiazepine
Prefers to be alone and are socially detached. Diagnosis
Schizoid personality disorder
Major depression with delusions or hallucinations (have depressive themes). Diagnosis
Major depression with psychotic features
Major depression with delusions or hallucinations (have depressive themes). Treatment
Antipsychotic & ; Antidepressant or ECT
Attention seeking, dramatic emotions and actions, inappropriately provocative behavior. Diagnosis?
Histrionic personality disorder
Treatment of post stroke depression
Early treatment with SSRIs
Management of a teenager with suicidal plans
Inform parents and hospitalize for close monitoring and suicide precautions.
Neuropsychiatric side effects of glucocorticoids includes
Euphoria, depression, psychosis, hypomania or mania
Evaluation of new onset mood symptoms include
Ruling out of medical or substance-induced causes
The most frequently used standard urine drug screens (UDS) test for ______, _______, _________, ________ and _______
Amphetamine, cocaine, opioid, cannabis and phencyclidine
Management of a patient with major depression who fails to respond to an initial SSRI trial?
Use another first line antidepressant
- a different SSRI
- bupropion
- mirtazapine
- serotonin modulators
First-line medication treatment for OCD
SSRIs
Delusions, hallucinations and disorganized thoughts or behavior often accompanied by mood symptoms in a post partum mother.
Diagnosis?
Postpartum psychosis
Delusions, hallucinations and disorganized thoughts or behavior often accompanied by mood symptoms in a post partum mother.
Management?
Antipsychotics
If necessary involuntary hospitalization
Indications for hospitalization of an anoxeric patient
- Bradycardia (<40/min), dysrhythmia
- Hypotension (<80/60mmHg), orthostasis
- Hypothermia (<35C)
- Electrolyte disturbance
- Marked dehydration
- Organ compromise (renal, hepatic, cardiac)
- BMI < 15kg/m2
Sudden onset of neurological symptoms with clinical findings that are incompatible with recognized neurological conditions.
Diagnosis?
Conversion disorder
