13. Psych Flashcards Preview

Step 1 DIT > 13. Psych > Flashcards

Flashcards in 13. Psych Deck (25):
1

What electrolyte changes are seen in patients with excessive vomiting over time?

hypoK, hypoCl metabolic alkalosis

2

When does delirium tremens occur?

2-3 days after last drink

3

What drug intoxication or withdrawal is causing the following symptoms in each of the following patients?
- post-op constipation and/or respiratory depression

opioids

4

What drug intoxication or withdrawal is causing the following symptoms in each of the following patients?
- severe depression, headache, fatigue, insomnia/hypersomnia, hunger

cocaine or amphetamine withdrawal

5

What drug intoxication or withdrawal is causing the following symptoms in each of the following patients?
- pinpoint pupils, n/v, seizures

opioid OD

6

What drug intoxication or withdrawal is causing the following symptoms in each of the following patients?
- belligerence, impulsiveness, nystagmus, homicidal ideations, psychosis

PCP

7

What drug intoxication or withdrawal is causing the following symptoms in each of the following patients?
- headache, anxiety/depression, weight gain

nicotine withdrawal

8

What drug intoxication or withdrawal is causing the following symptoms in each of the following patients?
- anxiety/depression, delusions, hallucinations, flashbacks

LSD intoxication

9

What drug intoxication or withdrawal is causing the following symptoms in each of the following patients?
- euphoria, social withdrawal, impaired judgement, hallucinations

marijuana intoxication

10

What drug intoxication or withdrawal is causing the following symptoms in each of the following patients?
- rebound anxiety, tremors, seizures, life threatening

withdrawal from alcohol, barb, or benzo

11

What drug intoxication or withdrawal is causing the following symptoms in each of the following patients?
- anxiety, piloerection, yawning, fever, rhinorrhea, nausea, diarrhea

opioid withdrawal

12

What are the clinical features of NMS?

- delirium, AMS
- autonomic instability (tachy)
- muscle rigidity
- myoglobinuria
- hyperpyrexia

13

How is neuroleptic malignant syndrome treated?

- stop the drug
- supportive care (IVF, electrolytes, cooling blanket)
- dantrolene
- bromocriptine

14

What are the potential side effects of lithium?

- tremor
- teratogenic
- polyuria and nephrogenic DI
- arrhythmias (sick sinus syndrome, heart block)
- hypothyroidism
- sedation, lethargy, dizziness

15

What is the presentation of major depressive disorder with atypical features?

- mood reactivity
- hypersensitivity to rejection
- leaden paralysis (heavy arms and legs)
- hyperphagia
- hypersomnia

16

Which antidepressant matches each of the following statements?
- side effect of priapism

trazodone

17

Which antidepressant matches each of the following statements?
- lowers the seizure threshold

bupropion

18

Which antidepressant matches each of the following statements?
- appetite stimulant that is likely to result in weight gain

mirtazapine

19

What are the symptoms of TCA overdose? (3)

- cardiotoxicity
- anti-cholinergic
- CNS toxicity (seizures, coma)

20

What are the symptoms of serotonin syndrome?

- muscle rigidity
- hyperthermia
- CV collapse

21

What defense mechanism fits each of the following statements?
- voluntarily choosing not to think about a piece of bad news

suppression

22

What defense mechanism fits each of the following statements?
- not acknowledging a piece of bad news, as though it were never said

denial

23

What defense mechanism fits each of the following statements?
- involuntary withholding of a feeling from conscious awareness

repression

24

What defense mechanism fits each of the following statements?
- a veteran who can describe horrific war details without any emotion

isolation

25

What defense mechanism fits each of the following statements?
- man yells at his family when he has a bad day at work

displacement