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PANCE Questions > Psychology > Flashcards

Psychology Flashcards

1
Q

Paranoid personality disorder

A

Lack of trust, hypersensitive, overly suspicious

Men

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2
Q

Schizotypal personality disorder

A

Discomfort with relationships, eccentric, odd beliefs, odd speech
Absence of psychosis

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3
Q

Antisocial Personality Disorder

A

Disregard for others since age 15
Lying, aggressive, fights
Lack of remorse
At least 18 years old

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4
Q

Borderline personality disorder

A 
Instability of mood, self image, relationships 
Unstable, intense relationships
Efforts to avoid abandonment 
Women
Self harm is common
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5
Q

Histrionic personality disorder

A

Attention seeking behavior

Dresses seductively

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6
Q

Signs and sx of anorexia-nervosa

A 
Dry skin (xerosis), cardiac murmur (mvp), lanugo hair, cold intolerance, blue hands/feet, constipation, orthostatic hypotension, amenorrhea, osteopenia, bradycardia
will look like ADDISONS
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7
Q

Russell’s Sign

A

Bite marks on dorsum of hand due to gagging in bulimia

Bulimia has hypokalemia

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8
Q

Female athlete triad

A

Eating disorder
Stress fracture/osteoporosis
Amenorrhea

Do not treat with NSAIDs

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9
Q

Serotonin syndrome treatment and drug to avoid

A

AVOID acetaminophen
DC serotonergic agent: SSRI, SNRI, regale, Zovirax, at johns wort, Wellbutrin, lithium, cocaine, tryptans
Tx with benzo lorazepam

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10
Q

Bipolar I

A

At least 1 manic episode with or without major depression. Depression is usually present more than mania (manic episode lasts at least 1 week, grandiose, no sleep, flight of ideas, etc)

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11
Q

Bipolar II

A

At least one episode of depression
at least one hypomanic episode (lack of social/cognitive impairment)
NO HISTORY of mania

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12
Q

Cyclothymia

A

numerous periods of hypomania and depression for at least 2 years that switch off

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13
Q

Bipolar treatment

A

Lithium
Valproate (Depakote)
Carbamezapine (Tegretol)…Leukocytopenia
Atypicals (Risperidone, Seroquel, Zyprexa, Geodon)

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14
Q

Atypical Antipsycotic that causes agranuloctyosis (need constant WBC count)

A

Clozapine (Clozaril)

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15
Q

Cogentin

A

Used to trat EPS side effects
anticholinergic
helps re-establish relationship between dopamine and acetylcholine

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16
Q

Atypical antipsycotics

A

Seroquel
Olanzapine (Zyprexa): WEIGHT GAIN, diabetes
Risperdal (good in elderly, least to cause weight gain
Clozapine (Clozaril)- agranulocytosis
Geodon
Abilify

17
Q

SSRIs safe in children

A

Fluoxetine (Prozac) 8 yo- long half life (also used to tx. panic attacks)
Escitalopram (Lexapro) 12 yo

18
Q

Schizophrenia

A

need to have sx for at least 1 month of delusions, hallucinations (positive sx) , disorganized speech, catatonic behavior, negative sx (flat affect, alogia, poor grooming, anhedonia)
Tx with 1-2 mg Lorazepam (Ativan)

19
Q

Schizoaffective Disorder

A

Mood disorder with psychotic features. Psychosis can occur without mood disturbances. Delusions or hallucinations occur in the absence of depression for more than 2 weeks

20
Q

Brief Psychotic disorder

A

psychotic symptoms with sudden onset and full remission within one month ( more than 1 day less than 1 month)

21
Q

Delusional disorder

A

one or more delusions over a month. Lack of impairment in functioning. Lack of manic episodes or depression.

22
Q

Schizophreniform disorder

A

Schizophrenia at least one month but no more than 6 months. Impaired social and occupational functioning but not required like with schizophrenia.

23
Q

Meds for trouble getting to sleep

A

Ambien

Sonata

24
Q

Meds for trouble maintaining sleep

A

Lunesta

25
Q

Restless leg syndrome treatment

A

Iron Supplementation
Requip- dopamine agonist
Gabapentin

26
Q

Wernicke Encephalopathy

A

caused by thiamine deficiency.
gait ataxia, confusion, ocular abnormalities
Tx with 500mg IV thiamine 2 days and 250 mg IV thiamine 5 days

27
Q

Korsakoff syndrome

A

chronic condidtion
tx with PO thiamine
impaired memory and anterograde amnesia

28
Q

Cocaine intoxication

A

tachycardia, pupil dilation (mydriasis), diaphoresis, nausea

29
Q

Opioid Toxicity

A 
Depressed mental status
Decreased RR
Decreased Tidal Volume
Decreased HR
hypotension
hypothermia
Constricted (Miotic) pupils
30
Q

Opioid Toxicity Antecdote

A

Naloxone (Narcan) to increase respirations

31
Q

Dysthimic disorder

A

chronic depression where sx are milder and last more than 2 years (major depression is loss of interest in activities, vegetative state etc for more than 2 weeks)

32
Q

Antidote for Benzodiazapine OD

A

Flumazenil (Romazicon)

Vomiting should be induced with gastric lavage and activated charcoal in pt who is not comatose

33
Q

Axis Dx.

A

I: acute sx that need tx (mood disorders, schizophrenia, depression, panic attack, etc)
II: Personality disorders and intellectual disability (retardation, learning disability, OCPD)
III: Medical disorder relevant to problems (kidney failure, diabetes)
IV: Psychosocial disorder (Divorce, homeless)
V: Global assessment functioning (0-100)

PANCE Questions (10 decks)

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