Psychiatry UWorld Flashcards
what is dx in child violating major societal norms or the rights of others
conduct disorder
what is the adult equivalent of conduct disorder
antisocial personality disorder
what is dx in pt with angry/irritable mood and argumentative/defiant behavior toward authority figures
oppositional defiant disorder
what is next management pt who just made suicide attempt and remains guarded and evasive when answering questions regarding suicidal intent
hospitalization
involuntarily if necessary
does not require parental consent
what is first-line tx for narcolepsy
modafinil
what is emotionally triggered loss of muscle tone called
cataplexy
what is dx in pt with: mydriasis hyperthermia tachycardia dry skin and mucus membranes motor symptoms (mycologic jerks, tremors) ileus urinary retention
anticholinergic poisoning
what is dx in pt with acute onset of one or more psychotic symptoms lasting >1 day but < 1 month
Brief psychotic disorder
what is dx in pt with psychotic symptoms lasting >1 month but < 6 months
schizophreniform disorder
what is dx in pt with:
psychiatric symptoms, including irritability, agitation, psychosis
physical signs, including tachycardia, hypertension, hyperthermia, diaphoresis, and mydriasis
amphetamine intoxication
what is tx for acute and long-term management of panic disorder
immediate: benzodiazepines
long-term: SSRI/SNRI and/or CBT
which drug is an NDRI
NE and Dopamine reuptake inhibitor
Bupropion
what is a good next-line tx for SSRI-resistant depression
Bupropion, and NDRI
what are the benefits of a bupropion regimen
no serotonergic effects
favorable in pts prone to weight gain and hypersomnia (no weight gain, activating)
no sexual side effects
what is dx in medicated pt with:
sudden, sustained contraction of neck, mouth, tongue, or eye muscles
acute dystonia
