Psychiatry CQ Flashcards
1
Q
fainting without palor or sweating
A
conversion symptom
2
Q
drug seeking
A
will refuse NON-narcotic alternatives
3
Q
somatization criteria
A
age> 30yo pain symptoms 2+ GI 1 repro/sexual 1 pseudoneuro
4
Q
de clerambaults described as
A
MORE than just sexual attraction
5
Q
smoking stats canada
A
55% of population mesolimbic reinforcement more common in people with depression persistence a/w genetic influence 2-3% successful in quitting
6
Q
alcoholic– deciding if in patient or out patient
A
URINE toxicology
7
Q
Hemineglect
A
R parietal lobe
8
Q
suicide epidemiology
A
more likely when depressed patient recovering
2/3 successful in first attempt
MEN OLDER THAN 75yo= HIGHEST rate
9
Q
suicide timing for adolescents
A
WINTER (girls attempt more, boys more successful)
10
Q
depression and REM
A
decrease in REM latency
11
Q
does warfarin cause depression
A
NOOOO
12
Q
HSES = cause of postpartum depression
A
NOOOOO
13
Q
depression a/w DM diagnosis
A
initial adjustment disorder, going onto
MAJOR DEPRESSION
DYSTHMIA
14
Q
is clonazepam panicogenic
A
NOOOO, calms you down
15
Q
trichotilomania
A
OCD, and conversion
16
Q
pulse with barbiturate withdrawal
A
HIGH, not low
17
Q
% monozygotic twin concordance for schizo
A
40%
18
Q
do hallucinogens cause miosis
A
NOOOOO
19
Q
males or females more at risk for tardive dyskinesia
A
FEMALES
20
Q
tx for tardive dyskinesia
A
- STOP typical antipsychotic
- tetrabenazine
- quetiapine
NOT haloperidol
21
Q
tx for neurloeptic malignant syndrome
A
STOP all antipsychotics; DAB Dantrolene Amantadine Bromocriptine NOT valproic acid
22
Q
adjunct to PTSD
A
quetiapine
23
Q
shortest 1/2 life benzo’s
A
LAM
- triazolam
- alprazolam
24
Q
valproate decreases what
A
decreases CARNITINE– thus increases NH3
25
is an EKG necessary before lithium
YESSS
26
how does a depressed child act
ANTISOCIAL kid
27
decrease side effects of parkinson disease
QUETIAPINE
28
quetiapine-- 2 additional uses
1. adjunct for PTSD
| 2. Parkinsons disease-- decrease SE's
29
patient with alzheimers and delerium
give risperidone
30
patient on bupropion-- what to give to prevent seizures
VALPROATE
31
donepezil SE to heart
BRADYCARDIA
32
Delerium tremens
CONFUSED/OBTUNDED/DELERIUM
seen in 5% of people with alcohol withdrawal
35% mortality rate
33
hanging self-- memory loss
psychogenic amnesia-- from cerebral anoxia
34
what drug not suggested in bulimics
bupropion
35
weird drug for tourettes
PIMOZIDE
36
MC side effect of ECT
AMNESIA
37
increase complications from ECT if...
recent haemorrhage
38
when to give ECT-- 4 HY
1. failed two types of SSRI's
2. sucidial in pregnancy
3. QUICKEST relief of depression
4. major depression with psychotic features
39
efficacy of psychotherapy vs. pharm in GAD
EQUAL efficacy
40
efficacy of psychotherapy vs. pharm in dysthymia
PSYCHO> pharm
41
CBT= okay alternative for
moderate depression
42
moderate to severe anterograde amnesia
NOOOOOOTTTTTT psychogenic amnesia
43
concordance of OCD in monozygotic twins
80%
44
OCD epidemiology
80% concordance of OCD in monozygotic twins
2-3% of the population
MALES= YOUNGER age when present
often secretive regarding extent/nature
45
delirium quick tx
HALOPERIDOL
46
narcolepsy a/w (other than big 4)....
delusion LIKE dreams
47
what drug to prevent alcohol relapse
NALTREXONE
48
which anti-depressant don't you want to use in anorexics
PHENELZINE-- since have dietary restrictions
49
tx of social phobias
paroxetine
50
freud's sexual development stages
1. oral
2. anal
3. phallic
4. latent
5. genital
51
activated charcoal doesn't work for...
FERROUS SULPHATE
52
stop lithium for treatment of bipolar....
RECURRENT MANIA IN 6 MONTHS
53
mum overwhelmed by kids...
family counselling
54
don't use bupropion
PANIC DISORER
Hx of SEIZURES
BULIMICS
55
MAO and random drug gives HTN crisis....
merperidine
56
fluoxetine
OK in prego
| LEAST likely to get discontinuation
57
fluoxetine given alone ....
TRIGGERS MANIA
58
first side effect of fluoxetine
LOSS OF APPETITE
59
hypotension with use of fluoxetine
NOOOOOO
60
what happens if you stop venlafaxine abruptly....
WITHDRAWAL
61
MS is NOT associated with...
COMPULSIONS
62
patient is B.A.D. and is having a manic episode, what would NOT be advised...
STOPPING valproic acid
63
most sensitive symptom to schizo tx....
PARANOID DELUSIONS
64
anxiety>depression for feelings of...
dread and apprehensive expectations
65
psychosis and mania tx...
1. LORAZEPAM first
| 2. antipsychotic
66
fluvoxamine
SSRI
67
what drug can lead to falls in elderly
SERTRALINE
68
most suggestive symptom of depression
WITHDRAWAL from family
69
ADHD in adults
LESS impulsive
| Tx-- amphetamines
70
Depressed elderly
EXCLUDE secondary causes
71
Alcohol abuse in elderly
BETTER prognosis if late onset drinkers
72
worst prognosis for anorexic
OLDER
73
tx responsive depression, how long to continue anti-depressants
6 months
74
fluoxetine + random drug= serotonin syndrome
dextromethorphan
75
st. johns wart/ herbal remedies + DO NOT ADD
phenelzine
76
bipolar with 2 severe manic episodes and family history
= Lithium for LIFETIME
77
genetic component to bipolar
5-10%
78
sexually abused patients more likely to have
1. PTSD
2. Depression
3. Suicide
79
Phases for recovery
```
ACUTE PHASE
- remission
-response
CONTINUATION PHASE
- sustained remission
- prevent relapse
MAINTENANCE PHASE
- recovery
- recurrence
```
80
holding stilborn baby increases...
PTSD
81
remission:
of acute symptoms, returning to premorbid functioning
82
response:
SIGNIFICANT improvement (can occur WITH or WITHOUT remission), 50% decrease baseline level severity
83
autism brain
increase total brain volume
84
schizophrenia brain
increase lateral ventricles
85
panic disorder brain
decrease amygdala
86
PTSD brain
decrease hippocampus
87
OCD brain
abnormal orbiofrontal cortex and striatum
88
mesolimbic dopamine antagonism
anti-psychotics
89
nigrostriatal dopamine antagonism
PD
| EPSE
90
tuberoinfundibular dopamine antagonism
hyper-PRL
