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PANCE Exam Review > Pyschology > Flashcards

Pyschology Flashcards

1
Q

Schizophrenia Sxs between 1-6 mo is called:

A

Schizophreniform

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2
Q

MC personality disorder

A

Obsessive-compulsive

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3
Q

Flat affect, anhedonia, apathy, and lack of interest in socialization. What type of symptoms are these? (Positive, Negative, Cognitive)

A

Negative

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4
Q

Autistic disorder that includes impaired social interaction and autistic behaviors but NO language delay?

A

Asperger syndrome

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5
Q

It is recommended to screening for depression when what is available?

A

Only when staff-assisted depression care supports are available

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6
Q

What should be monitored with a pt. on Olanzapine? Why?

A
  • Lipid panel

- D/T hypercholesterolemia and DM

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7
Q

Tx of choice for Borderline Personality Disorder (BPD)

A
  • Psychotherapy

- Dialectic behavioral therapy (DBT)

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8
Q

Schizophrenia Sxs < 1 mo is called:

A

Brief psychotic disorder

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9
Q

Impairments in attention, executive function, processing speed, and memory. What type of symptoms are these? (Positive, Negative, Cognitive)

A

Cognitive

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10
Q

MC head trauma in abused infants

A

Retinal hemorrhages

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11
Q

Tx for Schizophrenia.

What meds?

A
  • 2nd generation Antipsychotics

- Risperidone, Olanzapine

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12
Q

Hallucinations, disorganized speech, grossly disorganized or catatonic behavior, negative symptoms > 6 mo. Dx?

A

Schizophrenia

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13
Q

Cluster-C description and Personality Disorders

A
  • Anxious and fearful
  • Avoidant
  • Dependent
  • OCD
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14
Q

Cocaine Intoxication Tx and class of meds that are CI

A
  • Benzo

- BB

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15
Q

Hallucinations, delusions, bizarre behavior (e.g., catatonic behavior), and disorganized speech. What type of symptoms are these? (Positive, Negative, Cognitive)

A

Positive

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16
Q

Altered sensorium:
tactile, visual or auditory hallucinations (ex. formication - “something crawling”) especially at night, AMS, seizures, coma, death. Dx?

A

Delirium Tremens

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17
Q

Which med can assist in weight gain for anorexia nervosa?

A

Olanzapine

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18
Q

1st line for Bulimia and Anorexia

A

1st- Psychotherapy

|&raquo_space; CBT

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19
Q

Fluvoxamine drug class

A

SSRI

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20
Q

Tx for Ethanol Withdrawal - class and meds

A
  • Benzo

- Chlordiazepoxide or Diazepam

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21
Q

MOA 2nd generation Antipsychotics

A

Antagonize Dopamine and Serotonin

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22
Q

In what 2 Dx can we see Delirium Tremens?

A

EtOH and Benzo withdrawal

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23
Q

Psychosis + mania or depression (mood d/o). Dx?

A

Schizoaffective disorder

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24
Q

Cluster-A description and Personality Disorders

A
  • Odd and eccentric
  • Paranoid
  • Schizoid
  • Schizotypal
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25
Pt. presents having delirium, hallucinations and tremor. Dx?
EtOH withdrawal
26
What is monitored using Clozapine and why?
- WBC count | - Agranulocytosis (low WBC)
27
What serum test should be obtained in all patients with an overdose regardless of agent?
Acetaminophen level
28
Pt. presents having taken something before ED admission. He is diaphoretic, hypertensive, agitated and has dilated pupils. Dx?
Cocaine Intoxication
29
Cluster-B description and Personality Disorders
- Dramatic, emotional, and erratic - ------------------------------------ - Antisocial - Borderline - Histrionic - Narcissistic
30
Pt. presents with psychosis and is using made-up words and phrases during speech. This patient is exhibiting what type of verbal utterance?
Neologism
31
Which antidepressant is CI in patients with eating disorders?
Bupropion
32
What antidepressants are safer to give with suicide risk?
SSRIs (Fluoxetine)
33
MC cardiac rhythm abnormality seen in Anorexia.
Sinus bradycardia
34
1st line Rx for PTSD
SSRI
35
Tx for Opioid Withdrawal
Clonidine, Antiemetics
36
Bulimia Nervosa Tx
1st Psychotherapy | >>CBT, SSRI (Fluoxetine)
37
Pt. presents to ED having ingested an unknown substance. PE: respiratory depression, sedation, miosis, bradycardia, hypoTN. Dx?
Opioid Toxicity
38
No medical explanation. ≥ 1 symptom(s) of altered sensory function or altered voluntary motor function, usually after stressor. Dx?
Conversion Disorder
39
Which Dx presents with a pt. who often "Splits provider”?
Borderline
40
What test needs to be done in Anorexia and D/T?
EKC → QT prolongation and bradycardia.
41
Opioid toxicity Tx
Naloxone
42
Personality disorders associated with increased risk of suicide attempt
Borderline and Histrionic
43
MC bones associated with child abuse
- Posterior ribs - Metaphyseal chip fractures (pathognomonic) - Scapula
44
Conversion Disorder usually seen in:
- Young women - Low socioeconomic status - Low level of education
45
What womanly complaint is heard in Anorexia?
Amenorrhea
46
Pt. with Hx of substance abuse presents to ED with cramps, diarrhea, mydriasis (eye dilation), piloerection, yawning. Dx?
Opioid Withdrawal
47
Adjustment Disorder time period of occurrence
3-6 mo
48
Excessive / persistent worrying that occurs more days than not ≥ 6 m. Dx?
Generalized Anxiety
49
Dx for ADHD must have onset before ___ yo and for at least ___ months.
- 12 yo | - 6 mo
50
Histrionic D/O Tx
Psychotherapy
51
2 or more distinct personalities is known as:
Dissociative identity
52
Deliberate imposed harm on self to assume the sick role. Dx?
Factitious
53
Most important complications of panic disorder
Suicidal ideation and attempts.
54
Depression and guilt following death of a loved one >12 mo. Dx?
Persistent Complex Bereavement Disorder
55
2 findings in Anorexia
Lanugo, Osteoporosis
56
Tx for Persistent Complex Bereavement D/O
Psychotherapy
57
Organic (med) Psychosis presentation
- Sudden onset - Visual hallucinations - Abnormal vitals
58
Tx for specific phobias
- Exposure therapy / desensitization | - Short-term: BB, Benzo
59
A patient who keeps repeating words that rhyme with words that either you or he say, but make no sense and are unrelated to your questions is called?
Clanging
60
Grief stages order
Denial → Anger → Bargaining → Depression → Acceptance
61
Tx for Narcolepsy
- Amphetamines: Ritalin | - CNS stimulants: Modafinil/armodafinil
62
What antidepressant can cause prlonged QT leading to Torsades?
Citalopram
63
Travel to new location and loss of identity
Dissociative fugue
64
Purposeful feign physical symptoms for external gain. Dx?
Malingering
65
How long must symptoms be presents to Dx PTSD?
>1 mo
66
1st and 2nd Tx for OCD
1st: CBT 2nd: SSRI
67
Responses with excessive details of symptoms and the reason for a visit but inability to answer a question directly without signification elaboration is called:
Circumstantiality
68
Non-stimulant Tx for ADHD
Atomoxetine
69
Adjustment Disorder Tx
Psychotherapy
70
Tx for benzodiazepine intoxication
Flumazenil
71
Tx for Acute Panic Attack
Alprazolam (Benzo)
72
30yo presents with bloody diarrhea and abdominal cramping. What is the treatment of choice? What about in a 5yo?
Cipro 2nd: Azithro 5 yo: Azithro

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