Psychology Flashcards
What medication is clearly contraindicated in anorexia and bulimia?
Wellbutrin - bupropion can increase risk of seizures
When is the typical onset of tourette’s syndrome?
3-8 years old
To be diagnosed with ADD patients must exhibit symptoms before what age?
7 years old
A patient has very strange magical think and fantasies. What diagnosis should you be thinking of?
Schizotypal personality disorder
You have a patient with major depressive disorder. How long should you treat them for even if symptoms resolve?
6 months minimum. Relapse rates are very high
What two psych issues are more common in males than females?
Autism and ADD the rest are all either equal or more common in females
Patient expresses concern that he can’t trust anyone. That everyone is out to get him and his problems are all the faults of others. He has held very long grudges due to perceived past wrongs. What diagnosis should you be thinking of?
Paranoid personality disorder
A patient complains of having suddenly developed stage fright. It is very important to his career that he be able to speak in front of groups. What medication might you treat him with?
Beta blocker - propranolol
List the two cluster C personality disorders.
“Sad” avoidant, obsessive compulsive
A patient’s wife complains that he is hypervigilant and has a hyperstartle response. What diagnosis should you be thinking of?
PTSD
Borderline personality disorder is between what two categories?
Neurosis and psychosis
What is the term for being afraid of being out in terrible situation with no help available?
Agoraphobia
What is the generic name for prozac?
Fluoxetine
Which medication is a good place to start treating bipolar 1 or 2?
Lithium
A patient exhibits all of the characteristics of personality disorder but is only 14 years old. What diagnosis should you be thinking of?
Conduct disorder
What type of behavioral therapy works best for borderline patients?
Dialectal behavior therapy
A patient believes that her daughter is sleeping with the mailman. She has no evidence and has not ever seen anything. It is not interfering with her daily activities, but she does spend time thinking about it. What diagnosis should you be thinking of?
Delusional disorder
Are patients with specific phobias aware they are strange?
Yes
What is the best medication for a postpartum depression patient who is breast feeding?
Sertraline (zoloft)
How long before normal grief resolves?
About one year
List the four cluster B personality disorders.
“Bad” antisocial, borderline, histrionic, narcissistic
16 year old has just moved schools. He is quiet and moody and not like himself. Within six months he seems to have completely changed back to his previous personality. What diagnosis should you be thinking of?
Adjustment disorder
Antisocial personality disorder may not be diagnosed until what age?
18 years old
At what BMI should patients be hospitalized for anorexia?
<17.5 or 20% below appropriate body weight
A patient is very concerned that she has breast cancer. In order to reassure her you perform a full work up which is negative. She is still unsatisfied and convinced that she has breast cancer. What diagnosis should you be thinking of?
Hypochondriasis
A patient exhibits splitting, seeing others as all good or all bad. What diagnosis should you be thinking of?
Borderline personality disorder
In treating psychiatric patients are benzodiazepines used more commonly for acute or chronic treatment?
Acute
A patient of yours always craves attention, often using sex as a tool to gain it. She often acts like a child when she does not get her way? What diagnosis should you be thinking of?
Histrionic personality disorder
A 6 year old boy seems to have all of the symptoms of ADD while at school, but at home he has no problems. Does he have ADD?
No it must occur in two settings.
What is Russell’s sign?
Abraded knuckles from forcing oneself to vomit
What is necessary to diagnose a patient with bipolar 1?
One manic episode. They do not have to have the depressive episode for the diagnosis
Name three SSRI’s
Fluoxetine, Paroxetine, Sertraline, Citalopram, Escitalopram, Dapoxetine, Zimelidine, Mesembrine, Seproxetine
How do you treat alcohol withdraw?
Benzodiazepines
Is OCD ego syntonic or ego dystonic? What about obsessive compulsive personality disorder?
OCD is ego dystonic. OCPD is ego syntonic
What is the major concern with using lithium?
It has a very narrow therapeutic window. Blood tests are needed every 4 weeks
Is anorexia ego syntonic or ego dystonic? What about bulimia?
Anorexia is ego syntonic. Bulimia is ego dystonic.
Patient is very charming during his interview, however you note that he has no remorse for his actions. He has no concern for hurting or using other people. What diagnosis should you be thinking of?
Antisocial personality disorder
How long must symptoms occur for before diagnosing schizophrenia?
At least 6 months
A donut shaped burn should make you think of what issue?
Abuse either child or elder
What type of hallucinations are most common in schizophrenia auditory, visual or olfactory?
Auditory - hearing voices
A psychiatric patient presents with confusion, fever and lead pipe rigidity. What diagnosis should you be thinking of?
Neuroleptic malignant syndrome, this can occur with high dose antipsychotics
What is the term for a chronic mild depression which has lasted greater than two years?
Dysthymia
Patient complains of acute paralysis in his left arm. This does not seem to bother him, but his wife made him come in. There was no traumatic event and a complete neurologic workup is negative. What diagnosis should you be thinking of?
Conversion disorder
What is the time frame for the first symptoms of withdrawal from alcohol?
Tremor in 8-18 hrs
What is the most common precipitating event for PTSD in women?
Rape
List four symptoms of serotonin syndrome.
Hyperthermia!, seizure, mental status change, tremor
Waxy flexibility should make you think of what diagnosis?
Catatonic schizophrenia
A patient’s mother has recommended that he see you. He lives on his own and is a computer programmer. He works alone from home. He has no friends and seldom leaves the house. She is concerned that clearly he would like to meet people but is terrified of doing so. What diagnosis should you be thinking of?
Avoidant personality disorder
Patient is arrogant with an inflated self image. He feels he is special and should be treated that way. What diagnosis should you be thinking of?
Narcissistic personality disorder
How long must symptoms last before diagnosing ADD?
6 months
How is acute distress disorder different than PTSD?
Acute stress disorder occurs within 1 month of event and resolves within about a month. PTSD begins at about 1 month after event and can last indefinitely
A spiral fracture should make you think of what issue?
Abuse either child or elder
Amenorrhea is defined by what time frame?
3 months if periods were previously regular and 6 months if they were irregular
A patient who states “I have been anxious as long as I can remember.” should make you think of what diagnosis?
Generalized anxiety disorder
An 18 month old is not yet speaking. He does not point to objects. He does not make eye contact with others. What diagnosis should you be thinking of?
Autism
What two things are needed to make a diagnosis of bipolar 2?
One major depressive episode and one hypomanic episode
How long does a panic attack typically last?
10-20 minutes
What causes anorexic patients to have osteopenia?
Decrease in estrogen
List the three cluster A personality disorders.
“Mad” schizoid, schizotypal, paranoid
A patient’s mother has recommended that he see you. He lives on his own and is a computer programmer. He works alone from home. He has no friends and seldom leaves the house. She is concerned that he expresses no interest in meeting people and seems perfectly happy to be home alone all the time. What diagnosis should you be thinking of?
Schizoid personality disorder
Are hallucinations normal during a normal grieving period?
Yes, as long as they are not persistent or intrusive
Posturing should make you think of what diagnosis?
Catatonic depression
List three positive symptoms of schizophrenia.
Hallucinations, delusions, movement disorders
