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Psychiatry > U-World > Flashcards

U-World Flashcards

1
Q

Displacement

A

When unacceptable feelings about an object or person are displaced onto another “safer” object or person

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2
Q

4 major comorbities with panic disoder

A

MDD, biopolar disorder, agoraphobia, and substance abuse

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3
Q

Mood stabilizer for a bipolar patient with renal disease

A

Valproic acid

don’t give lithium to these folks

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4
Q

MAO w/ cheese can result in

A

Hypertensive crisis

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5
Q

How long do you need to have schizo features without depression for schizoaffective

A

> 2 weeks

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6
Q

Flight of ideas refers to

A

Loosely associated thoughts that rapidly moved from topic to topic

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7
Q

Mildly ill bipolar tx option

A

Mono therapy with an atypical

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8
Q

First step if an SSRI doesn’t seem to be working

A

Switch to a different SSRI

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9
Q

Atypical that increases prolactin the most

A

Risperidone (whiskeridone drinks milk)

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10
Q

Antipsychotic that can cause SIADH? MOA?

A

Ariprazole

Partial D2 agonist rather than antagonist

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11
Q

Kleptomania tx

A

CBT

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12
Q

3 main things survivors of sexual assault at risk for

A

PTSD, depression, and suicidality

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13
Q

Interpersonal psychotherapy focuses on

A

Current relationships and conflicts

“the here and now”

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14
Q

What does psychodynamic psychotherapy focus on

A

Past relationships and conflicts, breaking down defense mechanisms, utilizes transference

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15
Q

Type of therapy for borderline PD

A

Dialectal behavioral therapy

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16
Q

Somatic symptom disorder criteria

A

Excessive anxiety and preoccupation with > 1 unexplained symptoms

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17
Q

Illness anxiety disorder criteria

A

Fear of having a serious illness despite few or no symptoms and consistently negative evaluations

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18
Q

How long for hypomania vs mania

A

Hypomania > 4 days (w/out psychotic features)

Mania > 1 week

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19
Q

Bipolar II criteria

A

Hypomanic episode(s)

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20
Q

Cyclothymia criteria

A

At least 2 years of fluctuating mild hypomanic and depressive symptoms that do night meet c

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21
Q

2 highest risk atypical antipsychotics for metabolic syndrome

A

Clozapine and Olanzapine

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22
Q

What is alcoholic hallucinosis

A

Develops in 12-24 hours of last drink and usually resolves by 48
unlike DT, sensorium is intact and vitals signs usually normal

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23
Q

Tests before starting lithium

A

UA, BUN, creatinine, and thyroid function tests

24
Q

BMI to dx anorexia

A
25
Q

Bipolar with more than one manic episode medicine timeline

A

Long term - lifetime

26
Q

NMS tx drugs

A

Dantroline or bromocriptine

27
Q

Adjustment disorder needs to start when

A

Within 3 months of stressor and needs to have significant function impairment

28
Q

What is folly a deux

A

Shared psychotic disorder by two close individuals

29
Q

Antipsychotic that causes jaundice

A

Chlorpromazine

30
Q

Pigmentary retinopathy with what antipsychotic

A

Thioridazine

31
Q

Cataracts with what antipsychotic

A

Quetiapine

32
Q

Drug for social anxiety disorder

A

SSRI

33
Q

Drugs for depression episode in bipolar

A

Second gen antipsychotics (quetapine, lurasidone)

34
Q

What distinguishes Asperger’s from autism

A

Lack of language delay

35
Q

Absolute contra to bupropion

A

Hx of epilepsy

36
Q

Suspect heroin withdrawal in what patients

A

Pupillary dilation, rhinorrhea, muscle and joint aches, abdominal cramping, nausea, and diarrhea
often out of proportion to PE findings

37
Q

First line drugs for acute manic episodes

A

Antipsychotics, lithium, valproate, and carbamazepine

38
Q

How do old people tend to sleep

A

Less at night and nap during the day

39
Q

When do you consider clozapine

A

When a patient has already failed 2 antipsychotic meds

40
Q

Schizophrenia MRI

A

Enlargement of cerebral ventricles

41
Q

PTSD MRI

A

Decreased hippocampal volume

42
Q

Panic disorder MRI

A

Decreased volume of amygdala

43
Q

Autism MRI

A

Increased total brain volume

44
Q

Akathisia tx

A

Propranolol or Lorazepam

45
Q

Treatment for geriatric depressed patients who are unable to eat or drink

A

ECT

46
Q

Passive agressive def

A

Defense mech in which an individual expresses his aggression toward another person with repeated, passive failures to meet the other person’s needs

47
Q

Manic episode + long history of voices

A

Schizoaffective disorder

48
Q

Purging in bulimia for

A

Regaining the control they think they lost in binging

49
Q

Antidepressant good for smoking cessation

A

Bupropion

50
Q

First degree relative risk of bipolar disorder if family member has it

A

10%

51
Q

Weight gain with what two second gen antipsychotics

A

Olanzapine and Clozapine

52
Q

Worry about serotonin syndrome with what drug of abuse

A

Molly

53
Q

Molly intox features

A

Hypertension, tachycardia, hyperthermia, hyponatremia, SS

54
Q

serotonin syndrome features

A

Autonomic dysregulation, high fever, altered mental status, neuromuscular irritability, and seizures

55
Q

How long for antidepressants to work

A

4-6 weeks

Psychiatry (6 decks)

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