Psychology_RR Flashcards
First-line pharmacotherapy for depression
SSRIs
Antidepressants associated with hypertensive crisis.
MAOIs
Medications associated with galactorrhea, impotence, menstrual dysfunction, and decreased libido
Dopamine antagonists
A 17-year-old girl has left arm paralysis after her boyfriend dies in a car crash. No medical cause is found.
Conversion disorder
Name the defense mechanism:
A) A mother who is angry at her husband yells at her child.
B) A pedophile enters a monastery.
C) A woman calmly describes a grisly murder.
D) A hospitalized 10-year-old begins to wet his bed.
A) Displacement
B) Reaction formation
C) Isolation
D) Regression
Life-threatening muscle rigidity, high fever, and rhabdomyolysis
Neuroleptic malignant syndrome
Amenorrhea, low body weight (<85%), bradycardia, and abnormal body image in a young woman.
Anorexia
A 35-year-old man has recurrent episodes of palpitations, diaphoresis, and fear of going crazy
Panic disorder
The most serious side effect of clozapine
Agranulocytosis
A 21-year-old man has 3 months of social withdrawal, worsening grades, flattened affect, and concrete thinking
Schizophreniform disorder
A diagnosis of schizophrenia requires ≥ 6 months of symptoms
Key side effects of atypical antipsychotics
Weight gain, type 2 diabetes mellitus, QT-segment prolongation
A young weight lifter receives IV haloperidol and complains that his eyes are deviated sideways. Diagnosis? Treatment?
Acute dystonia (oculogyric crisis) Treat with benztropine or diphenhydramine.
Medication to avoid in patients with a history of alcohol withdrawal seizures.
Neuroleptics
A 13-year-old boy has a history of theft, vandalism, and violence towards family pets
Conduct disorder.
Associated with antisocial personality disorder in adults
A 5-month-old girl has decreased head growth, truncal discoordination, and decreased social interaction
Rett’s disorder.
Loss of milestones is commonly described.
A patient hasn’t slept for days, lost $20,000 gambling, is agitated, and has pressured speech. Diagnosis? Treatment?
Acute mania.
Start a mood stabilizer (eg, lithium)
After a minor “fender bender,” a man wears a neck brace and requests permanent disability.
Malingering
A nurse presents with severe hypoglycemia; blood analysis reveals no elevation in C-peptide
Factitious disorder (Munchausen syndrome)
A patient continues to use cocaine after being in jail, losing his job, and not paying child support.
Substance abuse
Medication to avoid in patients with PTSD
Benzodiazepines (have high addiction potential).
Patients commonly have a history of substance abuse
A violent patient has vertical and horizontal nystagmus
Phencyclidine hydrochloride (PCP) intoxication
A woman who was abused as a child frequently feels outside of or detached from her body.
Depersonalization disorder
A schizophrenic patient takes haloperidol for 1 year, and develops uncontrollable tongue movements. Diagnosis? Treatment?
Tardive dyskinesia.
Decrease or discontinue haloperidol and consider another antipsychotic (eg, risperidone, clozapine).
A man with major depressive disorder is counseled to avoid tyramine-rich foods with this new mediation
MAOIs
