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MD Psychiatry > Random > Flashcards

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1
Q

Genes involved in BAD (8)

A

G30
G72
BDNF
COMT
XBP1
DISC1
CLOCK
BMAL1

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2
Q

Insulin resistance in BAD (3)

A

Higher odds of a chronic course
Higher odds of rapid cycling
Decreased response to lithium

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3
Q

Max LOC duration in mild TBI

A

30min

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4
Q

Dementia bloodwork

A

?? See pics

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5
Q

CMA Virtues of ethical physician (5)

A

Compassion
Honesty
Humility
Integrity
Prudence

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6
Q

Crystal meth treatment

A

Contingency management

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7
Q

No withdrawal syndrome (3)

A

PCP
Inhalants
Hallucinogens

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8
Q

Assuming a normal distribution,
How many within 1, 2, 3 SDs?

A

1 = 68%
2 = 95%
3 = 99%

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9
Q

Risk factors for recidivism (5)

A

Young age
Substance abuse
Prior criminal history/imprisonment
Negative peers
ASPD

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10
Q

Normal MOCA score

A

26 or more / 30

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11
Q

Normal MMSE score

A

27 or more / 30

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12
Q

Gender dysphoria specifiers (2)

A

Posttransition
With disorder of sexual development

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13
Q

PTSD specifiers (2)

A

With delayed expression
With dissociative symptoms

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14
Q

PTSD specifiers (2)

A

With delayed expression
With dissociative symptoms

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15
Q

Paraphilia Tx (4)

A

External control (prison)
Decrease libido (meds)
Psychotherapy
Treat comorbidities

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16
Q

Pharm Tx of paraphilia (4)

A

SSRI
Cyproterone (T antagonist)
Medroxyprogesterone (decreases T)
Leuprolide (GnRH agonist, ablates T)

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17
Q

Sclerosing panencephalitis

A

Measles

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18
Q

EEG finding in CJD

A

Periodic sharp wave complexes
(Low sens., high spec.)

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19
Q

Aspects of CBTi (line)

A

1st line
-sleep hygiene psychoed
-stimulus control
-sleep restriction
2nd line
-cognitive restructuring
-relaxation training

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20
Q

Gold standard assessment for daytime sleepiness

A

Multiple sleep latency test

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21
Q

Attribution errors in depression (3)

A

Internal > external (personalization)
General > specific (overgeneralization)
Fixed > changeable (negative prediction)

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22
Q

IED age cutoff

A

6 or older

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23
Q

IED outburst frequency

A

At least 2x per week x3mo (no injury/damage)
OR
3x in 12mo. if damage or injury

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24
Q

IED relation with BPD/ASPD

A

Level of impulsive aggression HIGHER in IED

25
Q

Age when language differences stabilize, predicting later outcomes

A

4 years old

26
Q

Normal to mispronounce “the late eight” until what age?

A

Age 8

27
Q

Clear speech (sounds and words) by what age?

A

Age 5

28
Q

Speech sound d/o rarely remits spontaneously after what age?

A

Age 8

29
Q

Stuttering (childhood-onset fluency d/o)
What % recover?

A

65-85%

30
Q

Stuttering (childhood-onset fluency d/o)
At what age does severity predict recovery vs persistence

A

Age 8

31
Q

Somatic passivity

A

Experience of bodily sensations (action, thought, emotion) imposed by external agency
Part of Schneider’s FRS

32
Q

22q11.2 features (6)

A

Cardiac anomalies
Hypoplastic thymus
Hypocalcemia
Immunodeficiency
Low-set ears, ocular hypertelorism, bulbous nose
25% have SCZ

33
Q

Cog deficits in SCZ (4)

A

Processing speed (#1)
Memory
Attention
Executive functioning

34
Q

Good prognosis in Del d/o (5)

A

Female
Acute onset
Start <age 30
Precipitating factor
Short duration of illness

35
Q

Key components of HRT for tics (2)

A

Awareness training
Competing response training

36
Q

Alpha-synucleinopathy (3)

A

Parkinson’s
LBD
MSA

37
Q

Six groups of sxs in anti-NMDAr encephalitis

A

Speech dysfunction
Abn bhvr or cog dysfunction
Movement disorder/Tremor/dyskinesia
Seizures
Decreased LOC
Autonomic dysfn

38
Q

Substances that cause nystagmus (5)

A

Alcohol
NOT cannabis
PCP
Other hallucinogens
Inhalant
S/H/A

39
Q

ECT mortality rate

A

2 per 100,000 treatments

40
Q

Substances leading to tremors (5)

A

Alcohol withdrawal
S/H/A withdrawal
Cannabis withdrawal
Hallucinogen intoxication
Inhalant intoxication

41
Q

Key components of HRT

A

Habit reversal therapy
1) awareness training
2) competing response training

42
Q

HPA axis hyperactivity in MDD ass’d with (3)

A

Melancholia
Psychotic features
Suicide risk

43
Q

Early onset in PDD is:

A

BEFORE Age 21

44
Q

What is CBASP and when to use

A

Cognitive behavioral analysis system of psychotherapy
2nd line for acute and maintenance MDD

45
Q

1st line ECT parameters (2)

A

Brief RUL
Brief bifrontal

46
Q

Duration of “brief” in ECT

A

0.5-2.0ms

47
Q

ECT maintenance options (4)

A

Maintenance ECT
New AD
Lithium + nortriptyline
Lithium + venlafaxine

48
Q

ECT stimulus intensity targets

A

Up to 2x the ST ( bilateral)
Up to 6x (RUL)

49
Q

Dx of anti-NMDAr encephalitis
4/6 group of sxs

A

Abnormal bhvr or cognitive dysfn
Speech dysfn
Seizures
Movement d/o
Decreased LOC
Autonomic dysfn or central hypovent.

50
Q

PANDAS Dx criteria (5)

A

OCD and/or tic disorder
Pediatric onset (age 3-puberty)
Abrupt onset + episodic course
Temporal relation with GAS infection (weeks, maybe months)
Neuro abN (hyperactivity, choreiform movts, tics)

51
Q

Bio factors implicated in GAD (4)

A

CCK
GABA
NE
Glutamate

52
Q

Cog domains affected in vasc NCD (2)

A

Complex attention (+proc speed)
Frontal-executive fn

53
Q

Progressive multifocal leukoencephalopathy in x and sxs:

A

HIV
Clumsiness
Difficulty speaking
Weakness
Later: Dementia & Speech/vision loss

54
Q

CJD presentation (4)

A

Neurocognitive sxs
Ataxia
AbN movts (chorea, myoclonus, dystonia)

55
Q

Major NCD due to TBI
TBI has (4)

A

Posttraumatic amnesia
LOC
Disorientation and confusion
Neurologic signs

56
Q

FTD bv criteria (5)

A

Disinhibition
Apathy
Lack of empathy
Hyperorality and dietary changes
Perseverative, stereotyped or compulsive/ritualistic bhvr

57
Q

FTD which cog domains are relatively spared? (2)

A

Learning and memory
Perceptual-motor

58
Q

Acute intermittent porphyria high levels of (3)

A

Urinary delta-aminolevulinic acid (ALA), porphobilinogen (PBG), and porphyrin

MD Psychiatry (5 decks)

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