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Psychiatry > Psychiatry V > Flashcards

Psychiatry V Flashcards

1
Q

The risk factors for suicide completion may be remembered with the mnemonic “SAD PERSONS”:

S: Sex (male)

A: Age (teenage or elderly)

D: Depression

P: […]

E: Ethanol or drug use

R: Rational thinking impaired (psychosis)

S: Sickness (medical illness)

O: Organized plan

N: No spouse or other social supportS: Stated future intent

A

The risk factors for suicide completion may be remembered with the mnemonic “SAD PERSONS”:

S: Sex (male)

A: Age (teenage or elderly)

D: Depression

P: Previous attempt (highest risk factor)

E: Ethanol or drug use

R: Rational thinking impaired (psychosis)

S: Sickness (medical illness)

O: Organized plan

N: No spouse or other social support

S: Stated future intent

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2
Q

The risk factors for suicide completion may be remembered with the mnemonic “SAD PERSONS”:

S: Sex (male)

A: Age (teenage or elderly)

D: Depression

P: Previous attempt (highest risk factor)

E: […]

R: Rational thinking impaired (psychosis)

S: Sickness (medical illness)

O: Organized plan

N: No spouse or other social supportS: Stated future intent

A

The risk factors for suicide completion may be remembered with the mnemonic “SAD PERSONS”:

S: Sex (male)

A: Age (teenage or elderly)

D: Depression

P: Previous attempt (highest risk factor)

E: Ethanol or drug use

R: Rational thinking impaired (psychosis)

S: Sickness (medical illness)

O: Organized plan

N: No spouse or other social support

S: Stated future intent

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3
Q

The risk factors for suicide completion may be remembered with the mnemonic “SAD PERSONS”:

S: Sex (male)

A: Age (teenage or elderly)

D: Depression

P: Previous attempt (highest risk factor)

E: Ethanol or drug use

R: […]

S: Sickness (medical illness)

O: Organized plan

N: No spouse or other social support

S: Stated future intent

A

The risk factors for suicide completion may be remembered with the mnemonic “SAD PERSONS”:

S: Sex (male)

A: Age (teenage or elderly)

D: Depression

P: Previous attempt (highest risk factor)

E: Ethanol or drug use

R: Rational thinking impaired (psychosis)

S: Sickness (medical illness)

O: Organized plan

N: No spouse or other social support

S: Stated future intent

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4
Q

The risk factors for suicide completion may be remembered with the mnemonic “SAD PERSONS”:

S: Sex (male)

A: Age (teenage or elderly)

D: Depression

P: Previous attempt (highest risk factor)

E: Ethanol or drug use

R: Rational thinking impaired (psychosis)

S: […]

O: Organized plan

N: No spouse or other social support

S: Stated future intent

A

The risk factors for suicide completion may be remembered with the mnemonic “SAD PERSONS”:

S: Sex (male)

A: Age (teenage or elderly)

D: Depression

P: Previous attempt (highest risk factor)

E: Ethanol or drug use

R: Rational thinking impaired (psychosis)

S: Sickness (medical illness)

O: Organized plan

N: No spouse or other social support

S: Stated future intent

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5
Q

The risk factors for suicide completion may be remembered with the mnemonic “SAD PERSONS”:

S: Sex (male)

A: Age (teenage or elderly)

D: Depression

P: Previous attempt (highest risk factor)

E: Ethanol or drug use

R: Rational thinking impaired (psychosis)

S: Sickness (medical illness)

O: […]

N: No spouse or other social support

S: Stated future intent

A

The risk factors for suicide completion may be remembered with the mnemonic “SAD PERSONS”:

S: Sex (male)

A: Age (teenage or elderly)

D: Depression

P: Previous attempt (highest risk factor)

E: Ethanol or drug use

R: Rational thinking impaired (psychosis)

S: Sickness (medical illness)

O: Organized plan

N: No spouse or other social support

S: Stated future intent

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6
Q

The risk factors for suicide completion may be remembered with the mnemonic “SAD PERSONS”:

S: Sex (male)

A: Age (teenage or elderly)

D: Depression

P: Previous attempt (highest risk factor)

E: Ethanol or drug use

R: Rational thinking impaired (psychosis)

S: Sickness (medical illness)

O: Organized plan

N: […]

S: Stated future intent

A

The risk factors for suicide completion may be remembered with the mnemonic “SAD PERSONS”:

S: Sex (male)

A: Age (teenage or elderly)

D: Depression

P: Previous attempt (highest risk factor)

E: Ethanol or drug use

R: Rational thinking impaired (psychosis)

S: Sickness (medical illness)

O: Organized plan

N: No spouse or other social support

S: Stated future intent

How well did you know this?
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7
Q

The risk factors for suicide completion may be remembered with the mnemonic “SAD PERSONS”:

S: Sex (male)

A: Age (teenage or elderly)

D: Depression

P: Previous attempt (highest risk factor)

E: Ethanol or drug use

R: Rational thinking impaired (psychosis)

S: Sickness (medical illness)

O: Organized plan

N: No spouse or other social support

S: […]

A

The risk factors for suicide completion may be remembered with the mnemonic “SAD PERSONS”:

S: Sex (male)

A: Age (teenage or elderly)

D: Depression

P: Previous attempt (highest risk factor)

E: Ethanol or drug use

R: Rational thinking impaired (psychosis)

S: Sickness (medical illness)

O: Organized plan

N: No spouse or other social support

S: Stated future intent

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8
Q

The symptoms of post-traumatic stress disorder may be remembered with the mnemonic “HARD”:

H: […]

A: Avoidance of associated stimuli

R: Re-experiencing the event (nightmares, flashbacks)

D: Distress (changes in cognition or mood)

A

The symptoms of post-traumatic stress disorder may be remembered with the mnemonic “HARD”:

H: Hyperarousal

A: Avoidance of associated stimuli

R: Re-experiencing the event (nightmares, flashbacks)

D: Distress (changes in cognition or mood)

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9
Q

The symptoms of post-traumatic stress disorder may be remembered with the mnemonic “HARD”:

H: Hyperarousal

A: […]

R: Re-experiencing the event (nightmares, flashbacks)

D: Distress (changes in cognition or mood)

A

The symptoms of post-traumatic stress disorder may be remembered with the mnemonic “HARD”:

H: Hyperarousal

A: Avoidance of associated stimuli

R: Re-experiencing the event (nightmares, flashbacks)

D: Distress (changes in cognition or mood)

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10
Q

The symptoms of post-traumatic stress disorder may be remembered with the mnemonic “HARD”:

H: Hyperarousal

A: Avoidance of associated stimuli

R: […]

D: Distress (changes in cognition or mood)

A

The symptoms of post-traumatic stress disorder may be remembered with the mnemonic “HARD”:

H: Hyperarousal

A: Avoidance of associated stimuli

R: Re-experiencing the event (nightmares, flashbacks)

D: Distress (changes in cognition or mood)

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11
Q

The symptoms of post-traumatic stress disorder may be remembered with the mnemonic “HARD”:

H: Hyperarousal

A: Avoidance of associated stimuli

R: Re-experiencing the event (nightmares, flashbacks)

D: […]

A

The symptoms of post-traumatic stress disorder may be remembered with the mnemonic “HARD”:

H: Hyperarousal

A: Avoidance of associated stimuli

R: Re-experiencing the event (nightmares, flashbacks)

D: Distress (changes in cognition or mood)

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12
Q

Treatment of narcolepsy involves daytime […] (e.g. amphetamines, modafinil).

A

Treatment of narcolepsy involves daytime stimulants (e.g. amphetamines, modafinil).

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13
Q

Treatment of narcolepsy may include nighttime […].

A

Treatment of narcolepsy may include nighttime sodium oxybate (GHB).

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14
Q

Use of antidepressants in patients with bipolar disorder can precipitate acute […].

A

Use of antidepressants in patients with bipolar disorder can precipitate acute mania.

during the depressive stage of bipolar disorder, second-generation antipsychotics (e.g. quetiapine, lurasidone) are effective; traditional treatments (e.g. valproic acid, lithium) are effective as well

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15
Q

Use of […] in patients with bipolar disorder can precipitate acute mania.

A

Use of antidepressants in patients with bipolar disorder can precipitate acute mania.

during the depressive stage of bipolar disorder, second-generation antipsychotics (e.g. quetiapine, lurasidone) are effective; traditional treatments (e.g. valproic acid, lithium) are effective as well

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16
Q

Use of antidepressants in patients with […] disorder can precipitate acute mania.

A

Use of antidepressants in patients with bipolar disorder can precipitate acute mania.

during the depressive stage of bipolar disorder, second-generation antipsychotics (e.g. quetiapine, lurasidone) are effective; traditional treatments (e.g. valproic acid, lithium) are effective as well

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17
Q

What are the first-line pharmacotherapy options to reduce cravings during smoking cessation?

[…], […], and […]

A

What are the first-line pharmacotherapy options to reduce cravings during smoking cessation?

nicotine replacement therapy, varenicline, and buproprion

18
Q

What drug class is the most common cause of drug overdose death?

A

Opioids (e.g. heroin)

19
Q

What drug combination may be used for maintenance therapy following opioid detoxification?

A

buprenorphine plus naloxone

naloxone is added to lower IV abuse potential

20
Q

What drug intoxication commonly causes agitation, irritability, psychosis, diaphoresis, and mydriasis without nystagmus for several hours?

A

Amphetamines

may also cause tachycardia, hypertension, and hyperthermia

21
Q

What drug intoxication presents as conjunctival injection, increased appetite, paranoid delusions, and dry mouth?

A

Marijuana

also may present with euphoria, anxiety, perception of slowed time, impaired judgment, social withdrawal, and hallucinations

22
Q

What drug intoxication presents as emotional lability, slurred speech, ataxia, and blackouts?

A

Alcohol

23
Q

What drug intoxication presents as euphoria, heightened emotional/tactile sensation, and teeth clenching?

A

MDMA (ecstasy)

also may present with distorted sensory and time perception, hyperactivity, hypertension, hyperthermia, hyponatremia, and serotonin syndrome

24
Q

What drug intoxication presents as perceptual distortion (visual, auditory), depersonalization, and possible flashbacks?

A

LSD (lysergic acid diethylamide)

also may present with anxiety, paranoia, and psychosis

25
Q

What drug intoxication presents as pupillary dilation, grandiosity, vasospasm, and paranoia that lasts for less than one hour?

A

Cocaine

important distinguishing feature from amphetamines, which have a longer duration

26
Q

What drug intoxication presents as respiratory and CNS depression, pinpoint pupils (miosis), and decreased gag reflex?

A

Opioids (e.g. heroin)

27
Q

What drug intoxication presents as violence, psychomotor agitation, analgesia, and nystagmus for several hours?

A

Phencyclidine (PCP)

also may present with impulsivity, tachycardia, hypertension, psychosis, delirium, and seizures

28
Q

What drug may be used to reduce nightmares in PTSD?

A

Prazosin

29
Q

What drug withdrawal presents with acute depression, fatigue, hypersomnia, increased appetite, and increased dreaming?

A

Cocaine withdrawal

30
Q

What drug withdrawal presents with nausea, muscle/joint aches, diarrhea, abdominal cramping, and pupillary dilation?

A

Heroin (opioid) withdrawal

other common findings include yawning, lacrimation, and piloerection

31
Q

What drugs (2) may be used to treat performance-only social anxiety disorder?

A

benzodiazepines or β-blockers (as needed)

benzodiazepines should be avoided in patients with a history of substance abuse

32
Q

What early childhood disorder is characterized by deficits in social communication & interactions and restricted, repetitive patterns of behavior?

A

Autism spectrum disorder

early diagnosis and intervention is important to improve prognosis

33
Q

What endocrine pathology is a reversible cause of dementia?

A

Hypothyroidism

Experimental studies report thyroid hormones induce changes in amyloid precursor processing or deposition of amyloid-β [4, 17], the major component of the amyloid deposits found in the brain of cases of Alzheimer disease.

34
Q

What eye exam finding is characteristic of phencyclidine intoxication?

A

Nystagmus

35
Q

What GI pathology is an irreversible cause of dementia?

A

Wilson disease (hepatolenticular degeneration)

36
Q

What infectious disease is a reversible cause of dementia?

A

Neurosyphilis

37
Q

What infectious disease is an irreversible cause of dementia?

A

HIV

i.e. HIV-associated dementia; typically seen with CD4+ counts < 200/mm3

38
Q

What is the first-line pharmacotherapy for attention-deficit hyperactivity disorder (ADHD)?

A

Stimulants (e.g. methylphenidate, amphetamines)

non-stimulant treatment options include atomoxetine and alpha-antagonists (e.g. guanfacine, clonidine)

39
Q

What is the first-line pharmacotherapy for narcolepsy?

A

Modafinil (non-amphetamine stimulant)

second-line treatments include amphetamines and methylphenidate

40
Q

What is the first-line pharmacotherapy for obsessive-compulsive disorder (OCD)?

A

SSRIs

clomipramine is a TCA that is used as a second-line agent due to its side effect profile

41
Q

What is the first-line pharmacotherapy for patients with acute psychosis?

A

First or second-generation antipsychotics

second-generation is usually preferred due to less EPS side effects; long-acting formulas should not be considered until it has been established that the patient can tolerate a short-acting formula

42
Q

What is the first-line pharmacotherapy for patients with somatic symptom disorder?

A

SSRIs

TCAs are occasionally used as well; pharmacotherapy and/or CBT is typically reserved for patients that do not respond to general measures (e.g. regularly scheduled appointments)

Psychiatry (10 decks)

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