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Psychiatry Clerkship > Stork Review > Flashcards

Stork Review Flashcards

1
Q

Key feature of adjustment disorder?

A

A stressor. Onset within 3 months of the stressor, resolves within 6 months of stressor ending.

Note, if they meet criteria for depression, it’s depression

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2
Q

Major depressive episode

A

At least 2 weeks of 5/9 sig e caps + depressed mood or anhedonia.

Sleep
Interest
Guilt
Energy
Concentration
Appetite
Psychomotor Agitation
Suicidality
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3
Q

Dysthymia in kids

A

1 year of persistently low mood. Can’t have more than 1 good month.

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4
Q

Dysthymia in adults

A

2 years of persistently low mood. Can’t have more than 2 good months.

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5
Q

Key feature of atypical depression?

A

Mood reactivity

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6
Q

Four key features of atypical depression

A

1) Leaden paralysis
2) Hypersomnia
3) Hyperphagia
4) Sensitivity to interpersonal conflict

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7
Q

How to distinguish atypical depression from borderline pd?

A

Borderline PD has the features of atypical depression their whole lives. Atypical depression is episodic.

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8
Q

Brief psychotic disorder

A

Lasts less than one month

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9
Q

Schizophreniform disorder

A

Lasts 1-6 months, then patients generally return to baseline

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10
Q

Schizophrenia

A

1 month, or less if treated, in the setting of a deficit for 6 months. Never return to baseline.

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11
Q

Acute stress disorder

A

Onset within a month of a stressor, doesn’t last more than one month.

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12
Q

Common buzzword for acute stress disorder?

A

Feeling numb or dissociated.

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13
Q

PTSD

A

Can occur any time after a stressor, must have at least one month of 1)hypervigilance

2) reexperiencing
3) avoidance
4) Somatic complaints and lack of functioning

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14
Q

Generalized anxiety disorder

A

6 months at least of being anxious about everything

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15
Q

Panic disorder

A

1 panic attack (impending doom, autonomic hyperactivity, no trigger) followed by 1 month of persistent worry.

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16
Q

Diagnosis of bipolar disorder based on?

A

One manic episode

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17
Q

Hypomania vs mania

A

Hypomania has digfast for 4 days
mania has digfast for 1 week or less if treated

Distractibility
irritability
grandiosity
flight of ideas
activity
sleep
talkativeness
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18
Q

Diagnosis of schizoaffective disorder

A

Psychosis and mood together most of the time but at least 2 weeks where there is psychosis without mood sxs.

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19
Q

Paranoid personality disorder

A

No delusions, no psychosis, just a pattern of thinking, can be reality checked.

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20
Q

Delusional disorder

A

1 nonbizarre delusion, onset in mid-life

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21
Q

Schizophrenia

A

Multiple delusions, hallucinations, disorganized thought

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22
Q

Anorexia nervosa

A

BMI

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23
Q

Bulimia

A

Binge is predominant
Purge is egodystonic
Predominant emotion is guilt and disgust

Treat with SSRI or topiramate

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24
Q

Sxs of ADHD must emerge before age?

A

12

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25
Q

Eneuresis normal until age?

A

5

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26
Q

Encopresis normal until age?

A

4

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27
Q

Intoxication of which substances cause depression?

A

Alcohol, benzos, opiates

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28
Q

Withdrawal of which substances cause Depression

A

Cocaine, amphetamines

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29
Q

Intoxication with which substances cause mania?

A

Amphetamines

Cocaine

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30
Q

Intoxication with which substances cause psychosis?

A

PCP, hallucinogens, K2

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31
Q

Withdrawal of which substances cause psychosis?

A

Alcohol, benzos

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32
Q

Antidepressants with dry mouth, constipation, weight gain

A

TCA

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33
Q

Antidepressants with fewest sexual side effects

A

Buproprion, mirtazapine

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34
Q

Washout period of SSRI and TCA?

A

Two weeks, unless fluoxetine, then 5.

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35
Q

Antidepressant associated with priapism?

A

Trazodone

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36
Q

AD with dietary restrictions?

A

MAOIs, tyramine

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37
Q

AD that self tapers when stopped?

A

Fluoxetine

38
Q

Ad that increases seizure risk

A

Buproprion

39
Q

Ad contraindicated with meperidine

A

MAOIs. **

40
Q

AD with highest likelihood of discontinuation sx

A

Paroxetine, venlafaxine

41
Q

ADs that are activating

A

Fluoxetine, buproprion**

42
Q

Side effect of buproprion, fluoxetine?

A

Insomnia

43
Q

Medications specifically indicated for OCD

A

Fluvoxamine, clomipramine

44
Q

How to augment SSRI when patient has trouble sleeping/eating?

A

Add mirtazapine

45
Q

How to augment SSRI when patient has anxiety?

A

Buspirone

46
Q

How to augment SSRi when patient has sexual dysfunction

A

Wellbutrin

47
Q

How to augment SSRI if only slightly effective?

A

T3, Lithium, aripiprazole

48
Q

Antipsychotic that increases seizure risk

A

Clozapine

49
Q

Antipsychotic that is also a mood stabilizer

A

Quetiapine

50
Q

Atypical AP that has the highest likelihood of EPS

A

Risperidone

51
Q

Atypical APs that are weight neutral?

A

Aripiprazole, ziprasidone

52
Q

APs worst for metabolic syndrome

A

Clozapine, olanzapine

53
Q

Atypical antipsychotic most associated with hyperprolactinemia

A

Risperidone

54
Q

Atypical antipsychotic that is also an adjunctive antidepressant?

A

Aripiprazole

55
Q

Three life-threatening adverse effects of clozapine

A

Seizure, cardiomyopathy, agranulocytosis

56
Q

Atypical AP most associated with prolonging QTc

A

Ziprasidone

57
Q

At what age do babies sit unsupported?

A

5-6 months

58
Q

At what age do babies walk and pincer grasp?

A

1 year

59
Q

What is the piaget stage of development from 0-2 years?

A

Sensorimotor

60
Q

When does stranger anxiety start?

A

8-9 months

61
Q

What age to draw square?

A

4

62
Q

What age to draw triangle?

A

5

63
Q

Preoperational stage

A

Egocentrism and animism. Can’t appreciate experience of others from age 2-7

64
Q

Key physical feature of children with Down syndrome?

A

Brushfield spots on iris

65
Q

Hypothyroidism psychiatric symptom

A

Depression

66
Q

Hyperthyroidism psychiatric symptom

A

Anxiety

67
Q

B12 Deficiency psychiatric symptom

A

Depression/dementia

68
Q

Neurosyphilis psychiatric symptom

A

Intermittent psychosis and dementia

69
Q

Acute intermittent porphyria psychiatric symptom

A

Intermittent psychosis, abdominal pain

70
Q

Wilson’s disease psychiatric symptom

A

psychosis increased LFTs

71
Q

Huntington’s psychiatric symptom

A

Depression

72
Q

Meds associated with depression

A

Interferon, steroids, beta blockers, isoretinoin

73
Q

Meds associated with psychosis/delirium?

A

Steroids, levodopa, benzos, anticholinergic

74
Q

Alzheimer’s presentation and treatment?

A

Working memory loss, treat with rivastigmine, galantamine, donepezil

75
Q

Lewy Body Dementia presentation and treatment

A

Parkinson’s, Psychosis, Dementia.

Treat with quetiapine.

76
Q

Four types of reversible dementia

A

B12, Hypothyroidism, depression, NPH

77
Q

N1 sleep waves

A

Low amplitude high frequency

78
Q

N2

A

K complexes, sleep spindles. Most sleep spent here.

79
Q

N3

A

Deep sleep, high amplitude low frequency, most important for memory consolidation

80
Q

REM

A

Sawtooth waves, high frequency

81
Q

Effect of benzos on sleep

A

Decreases sleep latency, decreases rem, increases stage 2 sleep, increases sleep time.

82
Q

Clinical features of narcolepsy

A

Daytime sleepiness, cataplexy, hypnopompic/gogic hallucinations, sleep paralysis

83
Q

Diagnostic criteria for narcolepsy

A

At least 2 sorems (sleep onset rem cycles)

84
Q

How to treat cataplexy?

A

GHB

85
Q

Sleep terror treatment?

A

Timed awakenings

86
Q

REM sleep behavior disorder seen in which conditions?

A

LBD and PD.

87
Q

How to treat REM sleep behavior disorder?

A

Benzodiazepines

88
Q

What medical condition can cause RLS?

A

Iron deficiency anemia

89
Q

Side effect of eszopiclone

A

metallic taste

90
Q

Delayed sleep phase syndrome

A

Go to sleep late, wake up late.

Psychiatry Clerkship (5 decks)

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