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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
Q

Pt. presents having delirium, hallucinations and tremor. Dx?

A

EtOH withdrawal

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26
Q

What is monitored using Clozapine and why?

A
  • WBC count

- Agranulocytosis (low WBC)

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27
Q

What serum test should be obtained in all patients with an overdose regardless of agent?

A

Acetaminophen level

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28
Q

Pt. presents having taken something before ED admission. He is diaphoretic, hypertensive, agitated and has dilated pupils. Dx?

A

Cocaine Intoxication

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29
Q

Cluster-B description and Personality Disorders

A
  • Dramatic, emotional, and erratic
  • Antisocial
  • Borderline
  • Histrionic
  • Narcissistic
30
Q

Pt. presents with psychosis and is using made-up words and phrases during speech. This patient is exhibiting what type of verbal utterance?

31
Q

Which antidepressant is CI in patients with eating disorders?

32
Q

What antidepressants are safer to give with suicide risk?

A

SSRIs (Fluoxetine)

33
Q

MC cardiac rhythm abnormality seen in Anorexia.

A

Sinus bradycardia

34
Q

1st line Rx for PTSD

35
Q

Tx for Opioid Withdrawal

A

Clonidine, Antiemetics

36
Q

Bulimia Nervosa Tx

A

1st Psychotherapy

|&raquo_space;CBT, SSRI (Fluoxetine)

37
Q

Pt. presents to ED having ingested an unknown substance. PE: respiratory depression, sedation, miosis, bradycardia, hypoTN. Dx?

A

Opioid Toxicity

38
Q

No medical explanation. ≥ 1 symptom(s) of altered sensory function or altered voluntary motor function, usually after stressor. Dx?

A

Conversion Disorder

39
Q

Which Dx presents with a pt. who often “Splits provider”?

A

Borderline

40
Q

What test needs to be done in Anorexia and D/T?

A

EKC → QT prolongation and bradycardia.

41
Q

Opioid toxicity Tx

42
Q

Personality disorders associated with increased risk of suicide attempt

A

Borderline and Histrionic

43
Q

MC bones associated with child abuse

A
  • Posterior ribs
  • Metaphyseal chip fractures (pathognomonic)
  • Scapula
44
Q

Conversion Disorder usually seen in:

A
  • Young women
  • Low socioeconomic status
  • Low level of education
45
Q

What womanly complaint is heard in Anorexia?

A

Amenorrhea

46
Q

Pt. with Hx of substance abuse presents to ED with cramps, diarrhea, mydriasis (eye dilation), piloerection, yawning. Dx?

A

Opioid Withdrawal

47
Q

Adjustment Disorder time period of occurrence

48
Q

Excessive / persistent worrying that occurs more days than not ≥ 6 m. Dx?

A

Generalized Anxiety

49
Q

Dx for ADHD must have onset before ___ yo and for at least ___ months.

A
  • 12 yo

- 6 mo

50
Q

Histrionic D/O Tx

A

Psychotherapy

51
Q

2 or more distinct personalities is known as:

A

Dissociative identity

52
Q

Deliberate imposed harm on self to assume the sick role. Dx?

A

Factitious

53
Q

Most important complications of panic disorder

A

Suicidal ideation and attempts.

54
Q

Depression and guilt following death of a loved one >12 mo. Dx?

A

Persistent Complex Bereavement Disorder

55
Q

2 findings in Anorexia

A

Lanugo, Osteoporosis

56
Q

Tx for Persistent Complex Bereavement D/O

A

Psychotherapy

57
Q

Organic (med) Psychosis presentation

A
  • Sudden onset
  • Visual hallucinations
  • Abnormal vitals
58
Q

Tx for specific phobias

A
  • Exposure therapy / desensitization

- Short-term: BB, Benzo

59
Q

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?

60
Q

Grief stages order

A

Denial → Anger → Bargaining → Depression → Acceptance

61
Q

Tx for Narcolepsy

A
  • Amphetamines: Ritalin

- CNS stimulants: Modafinil/armodafinil

62
Q

What antidepressant can cause prlonged QT leading to Torsades?

A

Citalopram

63
Q

Travel to new location and loss of identity

A

Dissociative fugue

64
Q

Purposeful feign physical symptoms for external gain. Dx?

A

Malingering

65
Q

How long must symptoms be presents to Dx PTSD?

66
Q

1st and 2nd Tx for OCD

A

1st: CBT
2nd: SSRI

67
Q

Responses with excessive details of symptoms and the reason for a visit but inability to answer a question directly without signification elaboration is called:

A

Circumstantiality

68
Q

Non-stimulant Tx for ADHD

A

Atomoxetine

69
Q

Adjustment Disorder Tx

A

Psychotherapy

70
Q

Tx for benzodiazepine intoxication

A

Flumazenil

71
Q

Tx for Acute Panic Attack

A

Alprazolam (Benzo)

72
Q

30yo presents with bloody diarrhea and abdominal cramping. What is the treatment of choice? What about in a 5yo?

A

Cipro
2nd: Azithro
5 yo: Azithro

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