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Psychiatry > Psychiatry III > Flashcards

Psychiatry III Flashcards

1
Q

Life-threatening effects of MDMA (ecstasy) include […] syndrome.

A

Life-threatening effects of MDMA (ecstasy) include serotonin syndrome.

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2
Q

Long-term infant deprivation of affection may result in […] disorder (infant withdrawn/unresponsive to comfort).

A

Long-term infant deprivation of affection may result in reactive attachment disorder (infant withdrawn/unresponsive to comfort).

characterized by a pattern of emotional and social withdrawal, as well as a lack of positive response to attempts to comfort

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3
Q

Long-term pharmacologic treatment of alcoholism may include […] or naltrexone, which reduce cravings.

A

Long-term pharmacologic treatment of alcoholism may include acamprosate or naltrexone, which reduce cravings.

support groups, such as Alcoholics Anonymous, are also helpful in sustaining abstinence

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4
Q

Long-term pharmacologic treatment of alcoholism may include acamprosate or […], which reduce cravings.

A

Long-term pharmacologic treatment of alcoholism may include acamprosate or naltrexone, which reduce cravings.

support groups, such as Alcoholics Anonymous, are also helpful in sustaining abstinence

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5
Q

Long-term pharmacologic treatment of alcoholism may include […], which acts a deterrent.

A

Long-term pharmacologic treatment of alcoholism may include disulfiram, which acts a deterrent.

support groups, such as Alcoholics Anonymous, are also helpful in sustaining abstinence

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6
Q

Major depressive disorder is associated with […] levels of cortisol.

A

Major depressive disorder is associated with increased levels of cortisol.

due to hyperactivity of the hypothalamic-pituitary-adrenal axis; results in increased early morning awakenings

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7
Q

Major depressive disorder is characterized by at least five “SIG E CAPS” symptoms with one of them being either depressed mood or anhedonia for > 2 weeks (duration)

S: […]

I: Interest decreases (anhedonia)

G: Guilt or feelings of worthlessness

E: Energy loss or fatigue

C: Concentration deficit

A: Appetite/weight changes

P: Psychomotor retardation or agitation

S: Suicidality

A

Major depressive disorder is characterized by at least five “SIG E CAPS” symptoms with one of them being either depressed mood or anhedonia for > 2 weeks (duration)

S: Sleep changes

I: Interest decreases (anhedonia)

G: Guilt or feelings of worthlessness

E: Energy loss or fatigue

C: Concentration deficit

A: Appetite/weight changes

P: Psychomotor retardation or agitation

S: Suicidality

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8
Q

Major depressive disorder is characterized by at least five “SIG E CAPS” symptoms with one of them being either depressed mood or anhedonia for > 2 weeks (duration)

S: Sleep changes

I: […]

G: Guilt or feelings of worthlessness

E: Energy loss or fatigue

C: Concentration deficit

A: Appetite/weight changes

P: Psychomotor retardation or agitation

S: Suicidality

A

Major depressive disorder is characterized by at least five “SIG E CAPS” symptoms with one of them being either depressed mood or anhedonia for > 2 weeks (duration)

S: Sleep changes

I: Interest decreases (anhedonia)

G: Guilt or feelings of worthlessness

E: Energy loss or fatigue

C: Concentration deficit

A: Appetite/weight changes

P: Psychomotor retardation or agitation

S: Suicidality

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9
Q

Major depressive disorder is characterized by at least five “SIG E CAPS” symptoms with one of them being either depressed mood or anhedonia for > 2 weeks (duration)

S: Sleep changes

I: Interest decreases (anhedonia)

G: […]

E: Energy loss or fatigue

C: Concentration deficit

A: Appetite/weight changes

P: Psychomotor retardation or agitation

S: Suicidality

A

Major depressive disorder is characterized by at least five “SIG E CAPS” symptoms with one of them being either depressed mood or anhedonia for > 2 weeks (duration)

S: Sleep changes

I: Interest decreases (anhedonia)

G: Guilt or feelings of worthlessness

E: Energy loss or fatigue

C: Concentration deficit

A: Appetite/weight changes

P: Psychomotor retardation or agitation

S: Suicidality

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10
Q

Major depressive disorder is characterized by at least five “SIG E CAPS” symptoms with one of them being either depressed mood or anhedonia for > 2 weeks (duration)

S: Sleep changes

I: Interest decreases (anhedonia)

G: Guilt or feelings of worthlessness

E: […]

C: Concentration deficit

A: Appetite/weight changes

P: Psychomotor retardation or agitation

S: Suicidality

A

Major depressive disorder is characterized by at least five “SIG E CAPS” symptoms with one of them being either depressed mood or anhedonia for > 2 weeks (duration)

S: Sleep changes

I: Interest decreases (anhedonia)

G: Guilt or feelings of worthlessness

E: Energy loss or fatigue

C: Concentration deficit

A: Appetite/weight changes

P: Psychomotor retardation or agitation

S: Suicidality

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11
Q

Major depressive disorder is characterized by at least five “SIG E CAPS” symptoms with one of them being either depressed mood or anhedonia for > 2 weeks (duration)

S: Sleep changes

I: Interest decreases (anhedonia)

G: Guilt or feelings of worthlessness

E: Energy loss or fatigue

C: […]

A: Appetite/weight changes

P: Psychomotor retardation or agitation

S: Suicidality

A

Major depressive disorder is characterized by at least five “SIG E CAPS” symptoms with one of them being either depressed mood or anhedonia for > 2 weeks (duration)

S: Sleep changes

I: Interest decreases (anhedonia)

G: Guilt or feelings of worthlessness

E: Energy loss or fatigue

C: Concentration deficit

A: Appetite/weight changes

P: Psychomotor retardation or agitation

S: Suicidality

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12
Q

Major depressive disorder is characterized by at least five “SIG E CAPS” symptoms with one of them being either depressed mood or anhedonia for > 2 weeks (duration)

S: Sleep changes

I: Interest decreases (anhedonia)

G: Guilt or feelings of worthlessness

E: Energy loss or fatigue

C: Concentration deficit

A: […]

P: Psychomotor retardation or agitation

S: Suicidality

A

Major depressive disorder is characterized by at least five “SIG E CAPS” symptoms with one of them being either depressed mood or anhedonia for > 2 weeks (duration)

S: Sleep changes

I: Interest decreases (anhedonia)

G: Guilt or feelings of worthlessness

E: Energy loss or fatigue

C: Concentration deficit

A: Appetite/weight changes

P: Psychomotor retardation or agitation

S: Suicidality

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13
Q

Major depressive disorder is characterized by at least five “SIG E CAPS” symptoms with one of them being either depressed mood or anhedonia for > 2 weeks (duration)

S: Sleep changes

I: Interest decreases (anhedonia)

G: Guilt or feelings of worthlessness

E: Energy loss or fatigue

C: Concentration deficit

A: Appetite/weight changes

P: […]

S: Suicidality

A

Major depressive disorder is characterized by at least five “SIG E CAPS” symptoms with one of them being either depressed mood or anhedonia for > 2 weeks (duration)

S: Sleep changes

I: Interest decreases (anhedonia)

G: Guilt or feelings of worthlessness

E: Energy loss or fatigue

C: Concentration deficit

A: Appetite/weight changes

P: Psychomotor retardation or agitation

S: Suicidality

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14
Q

Major depressive disorder is characterized by at least five “SIG E CAPS” symptoms with one of them being either depressed mood or anhedonia for > 2 weeks (duration)

S: Sleep changes

I: Interest decreases (anhedonia)

G: Guilt or feelings of worthlessness

E: Energy loss or fatigue

C: Concentration deficit

A: Appetite/weight changes

P: Psychomotor retardation or agitation

S: […]

A

Major depressive disorder is characterized by at least five “SIG E CAPS” symptoms with one of them being either depressed mood or anhedonia for > 2 weeks (duration)

S: Sleep changes

I: Interest decreases (anhedonia)

G: Guilt or feelings of worthlessness

E: Energy loss or fatigue

C: Concentration deficit

A: Appetite/weight changes

P: Psychomotor retardation or agitation

S: Suicidality

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15
Q

Major depressive disorder is characterized by at least five “SIG E CAPS” symptoms with one of them being either […] or anhedonia for > 2 weeks. (duration)

S: Sleep changes

I: Interest decreases (anhedonia)

G: Guilt or feelings of worthlessness

E: Energy loss or fatigue

C: Concentration deficit

A: Appetite/weight changes

P: Psychomotor retardation or agitation

S: Suicidality

A

Major depressive disorder is characterized by at least five “SIG E CAPS” symptoms with one of them being either depressed mood or anhedonia for > 2 weeks. (duration)

S: Sleep changes

I: Interest decreases (anhedonia)

G: Guilt or feelings of worthlessness

E: Energy loss or fatigue

C: Concentration deficit

A: Appetite/weight changes

P: Psychomotor retardation or agitation

S: Suicidality

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16
Q

Major depressive disorder is characterized by at least five “SIG E CAPS” symptoms with one of them being either depressed mood or […] for > 2 weeks. (duration)

S: Sleep changes

I: Interest decreases (anhedonia)

G: Guilt or feelings of worthlessness

E: Energy loss or fatigue

C: Concentration deficit

A: Appetite/weight changes

P: Psychomotor retardation or agitation

S: Suicidality

A

Major depressive disorder is characterized by at least five “SIG E CAPS” symptoms with one of them being either depressed mood or anhedonia for > 2 weeks. (duration)

S: Sleep changes

I: Interest decreases (anhedonia)

G: Guilt or feelings of worthlessness

E: Energy loss or fatigue

C: Concentration deficit

A: Appetite/weight changes

P: Psychomotor retardation or agitation

S: Suicidality

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17
Q

Major neurocognitive disorder (dementia) may be distinguished from normal aging by dependence on others for […].

A

Major neurocognitive disorder (dementia) may be distinguished from normal aging by dependence on others for activities of daily living (ADLs).

those with normal aging maintain independence in their ADLs

18
Q

Management of acute dystonia secondary to antipsychotic medications includes administration of an […] or an […].

A

Management of acute dystonia secondary to antipsychotic medications includes administration of an anticholinergic (e.g. benztropine) or an antihistamine (e.g. diphenhydramine).

19
Q

Management of akathisia secondary to antipsychotic medications includes decreasing the dose of the antipsychotic and administration of a […], a […], or benzotropine.

A

Management of akathisia secondary to antipsychotic medications includes decreasing the dose of the antipsychotic and administration of a beta-blocker, a benzodiazepine, or benzotropine.

20
Q

Management of parkinsonism secondary to antipsychotic medications includes administration of […] or amantadine.

A

Management of parkinsonism secondary to antipsychotic medications includes administration of benztropine or amantadine.

reduction of the antipsychotic dose, if tolerable, is recommended as well

21
Q

Management of parkinsonism secondary to antipsychotic medications includes administration of benztropine or […].

A

Management of parkinsonism secondary to antipsychotic medications includes administration of benztropine or amantadine.

reduction of the antipsychotic dose, if tolerable, is recommended as well

22
Q

Mild cognitive impairment is differentiated from normal aging by modest decline in cognitive function with a MoCA score

A

Mild cognitive impairment is differentiated from normal aging by modest decline in cognitive function with a MoCA score 26/30.

independence is generally preserved, but ADLs take greater effort, time, and/or compensatory strategies

23
Q

Narcolepsy is associated with […], which is the loss of all muscle tone following a strong emotional stimulus (e.g. laughter).

A

Narcolepsy is associated with cataplexy, which is the loss of all muscle tone following a strong emotional stimulus (e.g. laughter).

24
Q

Narcolepsy is caused by decreased […] production in the lateral hypothalamus.

A

Narcolepsy is caused by decreased hypocretin (orexin) production in the lateral hypothalamus.

25
Q

Narcolepsy is caused by decreased hypocretin (orexin) production in the […] hypothalamus.

A

Narcolepsy is caused by decreased hypocretin (orexin) production in the lateral hypothalamus.

26
Q

Narcolepsy is characterized by nocturnal and narcoleptic sleep episodes that start with […] sleep (sleep paralysis).

A

Narcolepsy is characterized by nocturnal and narcoleptic sleep episodes that start with REM sleep (sleep paralysis).

27
Q

Patients age […] - […] have a slightly increased risk of becoming suicidal when initiating antidepressant treatment.

A

Patients age 18 - 24 have a slightly increased risk of becoming suicidal when initiating antidepressant treatment.

slightly increased risk must be weighed against the benefits of antidepressants

28
Q

Patients taking clozapine require regular monitoring of […] and […] counts.

A

Patients taking clozapine require regular monitoring of white blood cell and absolute neutrophil counts.

due to risk of leukopenia (neutropenia) and agranulocytosis

29
Q

Patients with a single episode of major depressive disorder should continue antidepressants for an additional […] (time) following the acute response to decrease risk of relapse.

A

Patients with a single episode of major depressive disorder should continue antidepressants for an additional 6 months (time) following the acute response to decrease risk of relapse.

versus patients with recurrent (> 3 lifetime episodes), chronic (> 2 years), or severe episodes (e.g. suicide attempt), which require treatment for an additional 1 - 3 years or indefinitely

30
Q

Patients with borderline personality disorder often have a history of childhood […].

A

Patients with borderline personality disorder often have a history of childhood trauma.

e.g. physical/sexual abuse or neglect; results in insecure attachment, unstable relationships, and fear of abandonment

31
Q

Patients with conversion disorder are often aware but indifferent towards their symptoms (e.g. blindness, mutism); known as “[…]”.

A

Patients with conversion disorder are often aware but indifferent towards their symptoms (e.g. blindness, mutism); known as “la belle indifference”.

32
Q

Patients with […] personality disorder are typically submissive and clingy.

A

Patients with dependent personality disorder are typically submissive and clingy.

33
Q

Patients with […] personality disorder often require excessive admiration and react to criticism with rage.

A

Patients with narcissistic personality disorder often require excessive admiration and react to criticism with rage.

34
Q

Patients with obsessive compulsive personality disorder are ego-[…], which means their behavior is consistent with their own beliefs or attitudes.

A

Patients with obsessive compulsive personality disorder are ego-syntonic, which means their behavior is consistent with their own beliefs or attitudes.

important distinguishing feature from obsessive-compulsive disorder (ego-dystonic)

35
Q

Patients with […] disorder are ego-syntonic, which means their behavior is consistent with their own beliefs or attitudes.

A

Patients with obsessive compulsive personality disorder are ego-syntonic, which means their behavior is consistent with their own beliefs or attitudes.

important distinguishing feature from obsessive-compulsive disorder (ego-dystonic)

36
Q

Patients with obsessive-compulsive disorder are ego-[…], which means their behavior is inconsistent with their own beliefs or attitudes.

A

Patients with obsessive-compulsive disorder are ego-dystonic, which means their behavior is inconsistent with their own beliefs or attitudes.

important distinguishing feature from obsessive-compulsive personality disorder (ego-syntonic)

37
Q

Patients with […] disorder are ego-dystonic, which means their behavior is inconsistent with their own beliefs or attitudes.

A

Patients with obsessive-compulsive disorder are ego-dystonic, which means their behavior is inconsistent with their own beliefs or attitudes.

important distinguishing feature from obsessive-compulsive personality disorder (ego-syntonic)

38
Q

Pediatric depression often presents with symptoms of […] rather than depressed mood.

A

Pediatric depression often presents with symptoms of irritability rather than depressed mood.

39
Q

People with cluster […] personality disorders are described as odd or eccentric.

A

People with cluster A personality disorders are described as odd or eccentric.

A, B, and C are “Weird, Wild, and Worried”

40
Q

People with cluster […] personality disorders are described as dramatic, emotional, or erratic.

A

People with cluster B personality disorders are described as dramatic, emotional, or erratic.

A, B, and C are “Weird, Wild, and Worried”

41
Q

People with cluster […] personality disorders are described as anxious or fearful.

A

People with cluster C personality disorders are described as anxious or fearful.

A, B, and C are “Weird, Wild, and Worried”

42
Q
A

Psychiatry (10 decks)

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