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NMSP > Week 7 (Exam 3) > Flashcards

Week 7 (Exam 3) Flashcards

1
Q

Diagnose catatonic type schizophrenia

A 
At least 2:
Motoric immobility (catalepsy or stupor)
Excessive motor activity
Excessive negativism or mutism
Peculiarity of movements
Echolalia or echopyrexia
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2
Q

DM psychiatric sx

A

Frustration, loneliness, dejection, depression

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3
Q

Operant conditioning vs classical conditioning

A

Classical: Together in time
Operant: sequential

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4
Q

Panic attack

A

Peaks within 10 minutes, pick at least 4:

Palpitations, sweating, trembling, SOB, CP, Lightheadedness, Fear of losing control, Paresthesias, chills or hot flashes

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5
Q

Toxicities causing confusions

A

Vitamin A and D, Iron

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6
Q

Psychiatric effects of corticosteroids

A

Mania, psychosis (hallucinations)

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7
Q

OCD vs OCPD

A

PD don’t perceive they have a problem

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8
Q

Thiamine deficiency physical and psychiatric sx

A

Wernicke-Korsakoff, neuropathy, malaise, alcoholism

Poor concentration, confusion, confabulation

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9
Q

TCA side effects

A

Cholinergic: dry mouth, constipation

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10
Q

Panic disorder criteria

A

Recurrent unexpected panic attacks AND at least one attack followed by 1 month+ of persistent concern about additional attacks, worry about the implications of the attacks or its consequences, and/or significant change in behavior related to the attacks

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11
Q

Toxicities causing cognitive dysfuncion

A

Lead

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12
Q

Treat EPS (non-terdive dyskinesia)

A

Anticholinergics (Benztropine, Trihyxyphenidyl)

Anti-Histamine (Diphenhydramine)

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13
Q

GAD criteria

A

More days than not, most of the day, 6+ months

Pick 3: Restlessness, easily fatigued, difficulty concentration, irritability, muscle tension, sleep disturbance

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14
Q

Psychiatric Sx of SLE

A

Depression, mood disturbances

Psychosis!, delusions, hallucinations

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15
Q

Hypomanic episode

A

Less severe than manic and only 4 days

So psychotic features, social/occupational impairment

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16
Q

Major side effect associated with treating schizophrenia with Clozapine

A

Agranulocytosis

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17
Q

Psychiatric sx of acute intermittent porphyria

A

acute depression, agitation, paranoia, visual hallucinations

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18
Q

Anti-depressant side effects

A

Mania (in bipolar patients), anxiety, insomnia

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19
Q

Major side effect of treating schizophrenmia with Ziprasidone

A

QTc Prolongation

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20
Q

Treat Acute Psychosis (schizophrenia associated)

A

IM Haloperidol, Fluphenazine

Lorazepam

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21
Q

Treat Tardive Dyskinesia

A

Benztropine, Deuterabenazine

22
Q

Cobalamin deficiency physical and psychiatric sx

A

Pallor, dizziness, neuropathy, ataxia
Irritability, inattentiveness, psychosis, dementia
Treat anything below 400

23
Q

Delusional Disorder

A

Delusions for at least 1 month

Never met Criterion A for Schizophrenia

24
Q

Diagnose Schizophrenia

A

6 mos of 2+ of: Delusions, Hallucinations, Disorganized Speech, Disorganized/Catatonic behavior, negative sx
1 month of cluster A sx

25
Q

Chron’s disease pre-existing condition

A

Often panic disorder

UC is dependent personalities, maybe

26
Q

Schizophreniform

A

Meets criteria A, D, and E for schizophrenia

At least 1 month, shorter than 6 months

27
Q

MS psychiatric sx

A

Anxiety, euphoria, mania

28
Q

What adverse effects are associated with treating schizophrenia with first generation anti-psychotics?

A

Extrapyramidal: Acute Dystonic Reactions, Drug-induced PD, Akathisia, Antipsychotic-induced catatonia, tardive dyskinesia
Neuroleptic Malignant Syndrome

29
Q

Treatments for Bipolar disorders

A

1: Mood stabilizers (lithium, valproic acid)

Also carbamazepine, 2nd gen anti-psychs, lamatrogine

30
Q

Hyponatremia physical and psychiatric sx

A

Excessive thirst, polydipsia, stupor, coma, seizures

Confusion / delirium, lethargy, personality changes

31
Q

Psychiatric sx of Hyperthyroidism

A

Nervousness, excitability, irritability, pressured speech, insomnia, psychosis, visual hallucination

32
Q

Neurotransmitters of major depressive disorder

A

Lower b-adrenergics, abnormal NE function
Decreased DA
Decreased 5HT
Decreased GABA

33
Q

Criteria for a manic episode

A

At least 1 week, pick 3:
Inflated self esteem/grandiosity, decreased need for sleep, more talkative, racing thoughts, distractibility, more goal-oriented behavior, excessive pleasure-seeking

34
Q

Brief Psychotic Disorder

A

At least 2 of:
Delusions, hallucinations, disorganized speech, grossly disorganized or catatonic behavior
Episode at least 1 day, less than 1 month
Eventual return to premorbid functioning

35
Q

Criteria for Major depressive disorder

A

1+ major depressive episodes and absence of any manic, hypomanic, or mixed episodes

36
Q

Persistent depressive disorder criteria

A

Depressed mood most of the day for at least 2 years
Cant go more than 2 months without sx
Not severe enough to qualify as major depressive episode

37
Q

Toxicities causing Psychosis

38
Q

Reduce suicide in schizophrenia patients

39
Q

Psychiatric sx of Hypothyroidism

A

Lethargy, depression, personality change, paranoia

40
Q

Psychiatric sx of frontal lobe tumor

A

Mood changes, irritability, facetiousness, impaired judgement, impaired memory, delirium, loss of speech, loss of smell

41
Q

Physical and psychiatric sx of hepatic encephalopathy

A

Asterixis, hyperreflexia, spider angioma, palmar erythema, ecchymosis, liver enlargement/atrophy
Euphoria, disinhibition, psychosis, depression

42
Q

Cyclothymic disorder

A

Dysthmyic disorder with intermittent hypomanic periods
2 years of repeated hypomania, depressive episodes
(no major depressive manic or mixed for 1st 2 years)

43
Q

PTSD tx

A

SSRIs, Cognitive Processing Therapy (support groups and eye movement desensitization and reprocessing [EMDR])

44
Q

Bipolar I vs II

A

I: At least 1 manic or mixed episode
II: At least 1 major depressive and 1 hypomanic episode

45
Q

Toxicities affecting peripheral nerve fxn

A

B6 and B12

46
Q

Schizoaffective Disorder

A

Uninterrupted period of illness with either major depressive or manic episode w/ sx that meet criterion A for schizophrenia
Same period of illness, delusions / hallucinations at least 2 weeks without prominent mood sx

47
Q

Pancreatic cancer psychiatric sx

A

weight loss, abdominal pain, depression, lethargy, anhedonia, apathy, decreased energy

48
Q

Criteria for major depressive episode

A

2 weeks
Depressed mood and loss of interest/pleasure
Pick 3 more: loss of energy, inability to concentrate, thoughts of death or suicide, psychomotor agitation, insomnia, weight loss or gain, feelings of worthlessness or guilt, etc

49
Q

NT responses to stress

A

Increased Catecholamines
Increased 5HT (+potentiating glucocorticoids)
Corticotripin Releasing Factor triggers ACTH

50
Q

Psychiatric side effects of glucocorticoids

A

Mania, psychosis

51
Q

Avoid giving these to elderly with delirium

A

Benzos, Benadryl/diphenhydramine

NMSP (7 decks)

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