Tues Wk 3 Psych 1 Flashcards
pt w sx of depression like low __ and weight loss w i__ needs an anti__ like sertraline as 1st line therapy
SE is inducing __ w dec need for sleep, reckless spending, grandiosity
look for history of __ in fam
Bipolar 1 is __ episodes
higher risk of antidepressant induced __
Bipolar 2 is __ w MD
use mood stabilizers like C/L/V/L
O__ is second gen antipsychotic w mood stabilizing properties
SE is weight _ and metab SE
energy, insomnia
antidepressant
mania
Bipolar disorder
manic
mania
hypomania
carbamezepine, lithium, valproate, lamontragine
olanzipine
gain
first line for depression is __ drug
sx of hyperreflexia, clonus, rigidity, tremor, hyperthermia, tachy, diaphoresis, AMS has __ syndrome
occurs w SSRI and other __ drugs like MAOI or triptans
tx w C__ a first gen antihistamine w nonspecific 5HT1/HT2 antag properties
__ disorder characterized by probs w academic skills like reading/writing/math
occur at __ age with performance well ___ avg
pt may experience anx, inattention, h__ when under stressful area
need __ assessment w educational testing to rule out other causes
ADHD requires pattern of inattention across __ settings
SSRI
serotonin
serotoninergic
cyproheptadine
learning
school, below
hyperactivity
cognitive
2
B__ is antidepressant tat inhibits N/D reuptake
no weight __ or sexual SE
S__ is risk, worse at high doses or w pt that has hx of _
avoid in pt w __ disorder as well
Clozapine may cause A__
V__ SNRI may inc BP
always screen for __ episodes in pt w sx of MD
look for elevated mood, inc __ and dec need for sleep, hyper__ and racing thoughts, __taking behavior
TCA has a strong __ effect
buproprion gain seizure seizures eating
agranulocytosis
venlafaxine
manic
energy, activity, risk
anticholinergic
when addressing nonadherence, create alliance w ___ and use open ended questions
Antisocial personality disorder is diagnosed after age __
violation of __ and rights others w hx of conduct disorder before age 15
Intermittent __ disorder occurs w aggression that is not premeditated or done to achieve gain
Pt w overwhelming anx/impulse w stealing of things of little value has K__
__ disorder has angry mood and is argumentative toward authority figures
patient
18
rules
explosive
kleptomania
oppositional defiant
mood stabilizers
Lithium is for M/D features
SE include diabetes __ and __thyroid
Tremor and __ anomaly
Valproate for M__ features
SE include H and __ defects
Carbamezipine for manic fx w SE of __ anemia, SIADH and __ tube defect
Lamotrigine for D__ features
SE is rash to __ syndrome
manic/depressive
insipidus, hypo
ebstein
manic
hepatotox, NT
aplastic, neurral
depressive
SJ
R__ is second gen antipsychotic that can cause sx of hyperprolactinemia
major SE of trazodone is P_
Body dysmorphic do has preoccupation w more than 1 perceived __ defect
not obsersavble or are __ to others
repetivie behavior/acts in response to __
distress w specific I__
mx w anti__ SSRI and CBT
major NT of depression are S and N
SSRI block serotonin __
second gen antipsychs have __ affinity for D2 receptor
also have affinity for __ receptor, leading to less extrapyramidal SE
risperidone
priapism
physical
slight
preoccupation
insight
antidepressant
serotonin, NE
transport
lower
5HT2
social anxiety disorder has marked anxiety about multiple __ situations for >6m
fear of __ or embarrassment
avoid/endure situations w __
marked impairmentin S/A fxn
may have specifier __ only when performing in public
may avoid eye __ or speak few __
tx w SS/__ RI, CBT
can use __ or benzo for performance only type
buproprion is preffered for tx depression w hyper__ and low energy
E/S are SSRI w SE of sexual dysfxn
I___ is TCA w sexual/cardiac SE
social scrutiny distress performance contact, words SN BB
somnolence
escitalopram, sertraline
imapramine
tx of sexual dysfxn must rule out medical cx and __ use and psychosocial __
__ ejac has recurrent episodes of early ejaculation w lack of control
common w A__
tx w __ or topical anesthetic
also __ for stress
Medical cx include P and thyroid dz
In bipolar/MD w psychotic features, psychiatric sx occur in __/__ episode only
pt w disorg speech, delusions, hallucinations, and neg sx like flat __, avolition, an__ and asociality has __
Brief psychotic disorder lasts less than __ m
Schizoaffective lasts bw __ and __ months
S__ do req pt have MD/manic episode w active sx of schizophrenia
absence of __ sx for 2w
substance, stress
premature
anxiety
SSRI, psychotherapy
prostatitis
MD/manic
affect, anhedonia, schizophrenia
1
1, 6
schizoafffective
mood
dysthymia is chronc depressed mood > __ yrs
needs 2 sx of __
Adjustment disorder w depressed mood has onset w/in __ m of stressor
marked __ or fxnal impairment
does not meet other __
Normal stress has no excessive __
no __ impairments
V__ is anticonvulsant/mood stabilizer
blocks voltage gated __ channels and inc GABA release
used for A/M/GTC seizures
esp used in bipolar disorder w __ cycling
2
depression
3, distress
criteria
stress
fxnal
valproate
Na
absence, myoclonic, generalized tonic clonic
rapid
__ is dx w recurrent binge eating w compensatory behaviors
cn be P__ or excessive E_ and laxatives, or fasting
must occur 1x a __ for 3 m
sx include __ TN, tachycardia, _ skin, erosion of __ and parotid hypertrophy, hypo__/__ met acidosis
BN has normal/inc __
AN has __ body weight
AN has intense fear of __
distorted view of __/__
Binge eating disorder has no __ behaviors
BN purging, exercise week hypo dry, enamel K, Cl
body weight
low
gaining weight
body/weight
compensatory
inattentive sx include difficulty F__ and distractible, does not follow _, disorganized, forgetful, misplaces __
Hyperactive sx include F__, unable to sit still, hyper__ and interrupts
w both >6m, diagnosis is \_\_ occurs before age \_\_ found in \_\_ settings due to reduced \_\_/\_\_ in synapse thus use stimulants like M/A
focusing, instructions, objects
fidgets, talkative
ADHD 12 multiple NE/Dopamine methylphenidate, amphetamines
tx of anorexia nervosa is __ w nutritional rehab and O
tx of BN is CBT and __ rehab w SSRI like F__
tx binge eating disorder uses __ w behavioral wl and SSRI
may use L (amphetamine) and T
tx of bipolar disorder includes L/V/Q
pressured speech is sx of __ episode
CBT, olanzapine
nutritional, fluoxetine
CBT
lisdexamfetamine, topiramate
lithium, valproate, quietapine
manic
tremors, anx, delirium, psychosis w seizures, tachycardia, palpitations could be B/A withdrawal
N/V, ab pain, muscle aches, dilated pupils, yawning, lacrimation, inc bowel sounds is __ withdrawal
inc appetite, hypersomnia, intense psychomotor agitation, severe depression is sx of __ withdrawal
nicotine withdrawl leads to dysphoria, irritability, anx and inc __
benzo, alcohol
opioid
cocaine
appetite
borderline personality disorder has pattern of \_\_ relationships/self image w inc \_\_ avoids A\_\_ reccurent \_\_ behaviors chronic feelings of \_\_ intense \_\_\_ may self \_\_\_ attention \_\_ behavior
drug seeking behavior includes requesting __ medication, running __ of meds, pain out of proportion to __, reporting __ meds, or having multiple opioid prescriptions
best approach is to clarify __ history
destructive impulsivity abandonment suicidal hopelessness anger mutilate seeking
specific, out, exam, missing
prescription
first manifestation of alcohol withdrawal is T__
may see anx, i__ and diaphroesis, palps, __ upset w 6-24hr
next, pt may have GTC __
next sx are alcoholic h__ w visual/auditory/tactile hallucinations
D__ tremens ocurs last w confusion, agitation, HTN, diaphroesis, and fluctuating arosal levels
most __ manifestation
acute alcohol use potentiates __ effect, leading to sedation
chronic use downreg __ receptor, and inhibits __ receotrs
leads to tolerance and __
tremlosness
insomnia, GI
seizures, hallucinosis
delirium
severe
GABA
GABA, NMDA
withdrawal
