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Canada Q Bank > Psychiatry CQ > Flashcards

Psychiatry CQ Flashcards

1
Q

fainting without palor or sweating

A

conversion symptom

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2
Q

drug seeking

A

will refuse NON-narcotic alternatives

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3
Q

somatization criteria

A 
age> 30yo
pain symptoms
2+ GI
1 repro/sexual
1 pseudoneuro
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4
Q

de clerambaults described as

A

MORE than just sexual attraction

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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
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6
Q

alcoholic– deciding if in patient or out patient

A

URINE toxicology

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7
Q

Hemineglect

A

R parietal lobe

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8
Q

suicide epidemiology

A

more likely when depressed patient recovering
2/3 successful in first attempt
MEN OLDER THAN 75yo= HIGHEST rate

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9
Q

suicide timing for adolescents

A

WINTER (girls attempt more, boys more successful)

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10
Q

depression and REM

A

decrease in REM latency

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11
Q

does warfarin cause depression

A

NOOOO

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12
Q

HSES = cause of postpartum depression

A

NOOOOO

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13
Q

depression a/w DM diagnosis

A

initial adjustment disorder, going onto
MAJOR DEPRESSION
DYSTHMIA

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14
Q

is clonazepam panicogenic

A

NOOOO, calms you down

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15
Q

trichotilomania

A

OCD, and conversion

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16
Q

pulse with barbiturate withdrawal

A

HIGH, not low

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17
Q

% monozygotic twin concordance for schizo

A

40%

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18
Q

do hallucinogens cause miosis

A

NOOOOO

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19
Q

males or females more at risk for tardive dyskinesia

A

FEMALES

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20
Q

tx for tardive dyskinesia

A
  1. STOP typical antipsychotic
  2. tetrabenazine
  3. quetiapine
    NOT haloperidol
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21
Q

tx for neurloeptic malignant syndrome

A 
STOP all antipsychotics; DAB
Dantrolene
Amantadine
Bromocriptine
NOT valproic acid
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22
Q

adjunct to PTSD

A

quetiapine

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23
Q

shortest 1/2 life benzo’s

A

LAM

  • triazolam
  • alprazolam
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24
Q

valproate decreases what

A

decreases CARNITINE– thus increases NH3

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25
Q

is an EKG necessary before lithium

A

YESSS

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26
Q

how does a depressed child act

A

ANTISOCIAL kid

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27
Q

decrease side effects of parkinson disease

A

QUETIAPINE

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28
Q

quetiapine– 2 additional uses

A
  1. adjunct for PTSD

2. Parkinsons disease– decrease SE’s

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29
Q

patient with alzheimers and delerium

A

give risperidone

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30
Q

patient on bupropion– what to give to prevent seizures

A

VALPROATE

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31
Q

donepezil SE to heart

A

BRADYCARDIA

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32
Q

Delerium tremens

A

CONFUSED/OBTUNDED/DELERIUM
seen in 5% of people with alcohol withdrawal
35% mortality rate

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33
Q

hanging self– memory loss

A

psychogenic amnesia– from cerebral anoxia

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34
Q

what drug not suggested in bulimics

A

bupropion

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35
Q

weird drug for tourettes

A

PIMOZIDE

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36
Q

MC side effect of ECT

A

AMNESIA

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37
Q

increase complications from ECT if…

A

recent haemorrhage

38
Q

when to give ECT– 4 HY

A
  1. failed two types of SSRI’s
  2. sucidial in pregnancy
  3. QUICKEST relief of depression
  4. major depression with psychotic features
39
Q

efficacy of psychotherapy vs. pharm in GAD

A

EQUAL efficacy

40
Q

efficacy of psychotherapy vs. pharm in dysthymia

A

PSYCHO> pharm

41
Q

CBT= okay alternative for

A

moderate depression

42
Q

moderate to severe anterograde amnesia

A

NOOOOOOTTTTTT psychogenic amnesia

43
Q

concordance of OCD in monozygotic twins

A

80%

44
Q

OCD epidemiology

A

80% concordance of OCD in monozygotic twins
2-3% of the population
MALES= YOUNGER age when present
often secretive regarding extent/nature

45
Q

delirium quick tx

A

HALOPERIDOL

46
Q

narcolepsy a/w (other than big 4)….

A

delusion LIKE dreams

47
Q

what drug to prevent alcohol relapse

A

NALTREXONE

48
Q

which anti-depressant don’t you want to use in anorexics

A

PHENELZINE– since have dietary restrictions

49
Q

tx of social phobias

A

paroxetine

50
Q

freud’s sexual development stages

A
  1. oral
  2. anal
  3. phallic
  4. latent
  5. genital
51
Q

activated charcoal doesn’t work for…

A

FERROUS SULPHATE

52
Q

stop lithium for treatment of bipolar….

A

RECURRENT MANIA IN 6 MONTHS

53
Q

mum overwhelmed by kids…

A

family counselling

54
Q

don’t use bupropion

A

PANIC DISORER
Hx of SEIZURES
BULIMICS

55
Q

MAO and random drug gives HTN crisis….

A

merperidine

56
Q

fluoxetine

A

OK in prego

LEAST likely to get discontinuation

57
Q

fluoxetine given alone ….

A

TRIGGERS MANIA

58
Q

first side effect of fluoxetine

A

LOSS OF APPETITE

59
Q

hypotension with use of fluoxetine

A

NOOOOOO

60
Q

what happens if you stop venlafaxine abruptly….

A

WITHDRAWAL

61
Q

MS is NOT associated with…

A

COMPULSIONS

62
Q

patient is B.A.D. and is having a manic episode, what would NOT be advised…

A

STOPPING valproic acid

63
Q

most sensitive symptom to schizo tx….

A

PARANOID DELUSIONS

64
Q

anxiety>depression for feelings of…

A

dread and apprehensive expectations

65
Q

psychosis and mania tx…

A
  1. LORAZEPAM first

2. antipsychotic

66
Q

fluvoxamine

A

SSRI

67
Q

what drug can lead to falls in elderly

A

SERTRALINE

68
Q

most suggestive symptom of depression

A

WITHDRAWAL from family

69
Q

ADHD in adults

A

LESS impulsive

Tx– amphetamines

70
Q

Depressed elderly

A

EXCLUDE secondary causes

71
Q

Alcohol abuse in elderly

A

BETTER prognosis if late onset drinkers

72
Q

worst prognosis for anorexic

A

OLDER

73
Q

tx responsive depression, how long to continue anti-depressants

A

6 months

74
Q

fluoxetine + random drug= serotonin syndrome

A

dextromethorphan

75
Q

st. johns wart/ herbal remedies + DO NOT ADD

A

phenelzine

76
Q

bipolar with 2 severe manic episodes and family history

A

= Lithium for LIFETIME

77
Q

genetic component to bipolar

A

5-10%

78
Q

sexually abused patients more likely to have

A
  1. PTSD
  2. Depression
  3. Suicide
79
Q

Phases for recovery

A 
ACUTE PHASE
- remission
-response
CONTINUATION PHASE
- sustained remission
- prevent relapse
MAINTENANCE PHASE
- recovery
- recurrence
80
Q

holding stilborn baby increases…

A

PTSD

81
Q

remission:

A

of acute symptoms, returning to premorbid functioning

82
Q

response:

A

SIGNIFICANT improvement (can occur WITH or WITHOUT remission), 50% decrease baseline level severity

83
Q

autism brain

A

increase total brain volume

84
Q

schizophrenia brain

A

increase lateral ventricles

85
Q

panic disorder brain

A

decrease amygdala

86
Q

PTSD brain

A

decrease hippocampus

87
Q

OCD brain

A

abnormal orbiofrontal cortex and striatum

88
Q

mesolimbic dopamine antagonism

A

anti-psychotics

89
Q

nigrostriatal dopamine antagonism

A

PD

EPSE

90
Q

tuberoinfundibular dopamine antagonism

A

hyper-PRL

Canada Q Bank (3 decks)

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