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Role 3 > psychiatry > Flashcards

psychiatry Flashcards

1
Q

SIGECAPS stands for?

A 
Sleep disorder (increased or decreased)
Interest deficit (anhedonia)
Guilt (worthlessness, hopelessness, regret)
Energy deficit
Concentration deficit
Appetite disorder (increased or decreased) 
Psychomotor retardation or agitation 
Suicidality
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2
Q

sigecaps is used to screen for

A

major depression and persistent depressive disorder

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3
Q

Dysthymic disorder -how long is depression present for?

A

daily for 2 years

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4
Q

When do symptoms of Adjustment disorder occur and resolve?

A

within 3 months of the stressor and lasts <6 months after the stressor disappears

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5
Q

acute phase of suicide treatment last how many weeks

A

6-12 weeks

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6
Q

full remission of suicide treatment is considered how long?

A

2 month period free of depression symptoms

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7
Q

Serotonin syndrome symptoms

A

ABD pain, diarrhea, flushing, sweating, hyperthermia, lethargy, mental status change, tremor, rhabdomyolysis, renal failure, CV shock and potentially death

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8
Q

sexual dysfunction usually occurs with which drug class?

A

SSRIS

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9
Q

TCAS should be used cautiously in which type of patients?

A

heart problems

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10
Q

Atypical Antipsychotics put people at risk for which problems?

A

diabetes, obesity, metabolic syndrome, hyperlipidemia and hypothyroidism

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11
Q

Atypical Antipsychotics include?

A

quetiapine( Seroquel), aripiprazole(abilify) and combination of olanzapine (Zyprexa) in combo with prozac

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12
Q

what med class can pregnant people take?

A

SSRIs

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13
Q

what med class should you start an elderly patient on with severe depression?

A

TCA, nortriptyline

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14
Q

drugs for postpartum depression

A

zoloft (SSRI), Paxil (SSRI), or nortriptyline (TCA)

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15
Q

what screen should we use for pregnant patients?

A

Edinburgh Postnatal Depression Scale (EPDS)

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16
Q

1st episode (major depression, single episode) treatment duration

A

Continue medication treatment for 4-9 months once remission is reached.
Total = approximately 6-12 months

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17
Q 
2nd episode (major depression, recurrent)
treatment duration
A

Continue medication treatment for 2-3 years once remission is reached. Withdraw gradually.

18
Q

if patient doesnt have a response to an antidepressant after 3 weeks what should you do

A

change to different med

19
Q

hallmark differences between Generalized anxiety disorder and Panic disorder?

A

GAD is excessive, out-of-control worry

PD is recurrent and unexpected panic attacks.

20
Q

Bipolar I (How many manic/hypomanic episodes and how long does it last)

A

manic episodes that last at least 7 days, or by manic symptoms that are so severe that the person needs immediate hospital care. Usually, depressive episodes occur as well, typically lasting at least 2 weeks.

21
Q

Bipolar II (How many manic/hypomanic episodes and how long does it last)

A

pattern of depressive episodes and hypomanic episodes, but not the full-blown manic episodes

22
Q

Cyclothymic Disorder (How many manic/hypomanic episodes and how long does it last)

A

numerous periods of hypomanic symptoms as well numerous periods of depressive symptoms lasting for at least 2 years

23
Q

examples of SSRIs

A

Celexa, Lexapro, Paxil, Prozac, Zoloft

24
Q

examples of SNRIs

A

Effexor, Cymbaltal, Pristiq

25
Q

Pristiq is good for which problem and what drug class is it?

A

bipolar, SNRI

26
Q

Bipolar mood stabiling meds

A

depakote, lamictal, lithiu, tegretol

27
Q

antipsychotics used for bipolar

A

abilify, latuda, zylprexa, seroquel, geodon

28
Q

aide effects of SSRI

A

headache, nervousness, insomnia, sexual dysfunction

29
Q

how long do anti-depressants take to work

A

3-4 weeks

30
Q

what meds do SSRIs interact with?

A

triptans

31
Q

risk factors for GAD and panic disorder

A

female, unmarried, poor physical health, low education level

32
Q

common age for GAD and panic disorder

A

30

33
Q

diagnostic criteria for GAD are associated with 3 or more of the 6 symptoms (but not more for the last 6 months

A

1.)restlessness or feeling up or on edge
2.) Being early fatigued
3,) Difficulty concentrating
4.) Irritability
5.) Muscle tension
6.) Sleep disturbances

34
Q

GAD-7 screening tool

A

21

35
Q

What is the PHQ-9 goal?

A

<5

36
Q

PHQ-9 is out of

A

27

37
Q

PHQ-2 is out of

A

6

38
Q

How often should Psychotherapy be preformed

A

weekly for at least 8 weeks

39
Q

what is psychotherapy used for

A

GAD and PD

40
Q

Do rebound symptoms occur less with psychotherapy than with use of meds?

A

yes

41
Q

What types of psychotherapy are beneficial for bipolar

A

cognitive behavior therapy, family focused therapy, interpersonal and social therapy, psychoeducation

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