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MS3 > Psych 15 > Flashcards

Psych 15 Flashcards

1
Q

Likely diagnosis: delirium + elevated BP + papilledema

A

Hypertensive encephalopathy

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2
Q

Time frame of somatic sx disorder

A

At least 6 months

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3
Q

Time frame of illness anxiety disorder

A

At least 6 months

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4
Q

What laboratory finding is associated with intermittent explosive disorder

A

Low levels of serotonin (5-HIAA) in the CSF

Recurrent behavioral outbursts resulting in verbal and/or physical aggression against people or property

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5
Q

What other disorder do 65% of patients with kleptomania have?

A

Bulimia nervosa

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6
Q

Medication other than Dantrolene used to treat NMS

A

Bromocriptine (dopamine agonist)

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7
Q

Is lack of precipitating factors/stressors a good or poor prognosis of schizophrenia?

A

Poor

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8
Q

Time frame for delusional disorder

A

1 month

Think of crazy girl with erotomatic delusions celebrating her one month anniversary with celebrity

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9
Q

What is catatonia

A

o Diagnosis includes 3 or more of the following:
♣ Catalepsy (immobility)
♣ Stupor
♣ Waxy flexibility
♣ Mutism
♣ Negativism (resisting attempts to move patient and does opposite to what is asked)
♣ Posturing
♣ Mannerism
♣ Stereotypy (repetitive behavior)
♣ Agitation not influenced by external stimuli
♣ Grimacing
♣ Echolalia (meaningless repetition of another person’s spoken words)
♣ Echopraxia (meaningless repetition of the movements of others)

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10
Q

Tx of catatonia

A

Lorazepam or ECT

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11
Q

Which antipsychotics are available as long acting injectables

A

THINK: How Ridiculous, Paying For A hOle

H = Haloperidol
R = Risperidone
P = Paliperidole
F = Fluphenazine
A = Aripiprazole
O = Olanzapine
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12
Q

Is rapid onset of schizophrenia a good or poor prognostic factor?

A

Good

Insidious onset is bad

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13
Q

What psychotic feature is almost purely seen in psychiatric disorders (vs. medical causes of psychosis)

A

Auditory hallucinations

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14
Q

What percentage of patients with a single psychotic episode will relapse off medication within 5 years

A

80%

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15
Q

What psychiatric symptom is seen in 90% of all terminally ill patients

A

Delirium

Delusions, anxiety, and depression may also occur, but not with such overwhelming frequency

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16
Q

Belief that familiar persons have been replaced by identical imposter who behave exactly like the original person

A

Capgras syndrome

Imposter wearing a cap has the real person hid in a cell in the backyards covered in grass

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17
Q

Delusion that the person is a werewolf or other animal

A

Lycanthropy

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18
Q

The false perception of having lost everything, including money, status, strength, health, and internal organs

A

Cotard syndrome

THINK: Dad CUT you off from trust fund and you also had organs CUT out

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19
Q

Psychotic disorder in which one person develops psychotic symptoms similar to the ones a long-term partner has been experiencing

A

Folie a deux

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20
Q

What drug is Seroquel

A

Quetiapine

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21
Q

Visual hallucination of a transparent phantom of one’s own body

A

Autoscopic psychosis

Auto = self
Scope = seeing
Seeing onself

22
Q

What drug is Prozac

A

Prozac/Fluoxetine

23
Q

What drug is Zoloft

A

Zoloft/Sertraline

24
Q

Diagnostic criteria/time frame for panic attacks

A

♣ Recurrent unexpected panic attacks (periods of intense fear and discomfort) without an identifiable trigger
♣ One or more panic attacks followed by > 1 month of continuous worry about future attacks

25
Q

Defense mechanism: • Regulating situations and events of external environment to relieve anxiety

A

Controlling

26
Q

Defense mechanism:
• Unconsciously replacing warded-off feelings by emphasis on its opposite
• Doing the opposite of an unacceptable impulse

A

Reaction formation

27
Q

Defense mechanism:
• Giving in to an impulse, even if socially inappropriate, in order to avoid the anxiety of suppressing that impulse
• E.g. Man who has been told his therapist is going on vacation “forgets” his last appointment and skips it

A

Acting out

28
Q

Defense mechanism:
• Modeling behavior after another person who is more powerful
• E.g. Abused child becomes an abuser

A

Identification

29
Q
  • Consciously replacing an unacceptable wish with a similar but acceptable course of action
  • E.g. Redirection of aggression towards father into sports
A

Sublimation

30
Q
  • Attempting to reverse a situation by adopting a new behavior
  • E.g. Man who has had a brief fantasy of killing his wife by sabotaging her car takes the car in for a complete checkup
A

Undoing

31
Q
  • Separating feelings from ideas and events
  • Unconsciously limiting the experience of feelings or emotions associated with a stressful life event in order to avoid anxiety
  • E.g. Describing murder in detail without an emotional response
A

Isolation of affect

32
Q

Classical vs. Operant conditioning

A
  • Classical conditioning = A stimulus can evoke a conditioned response (e.g. Pavlov’s dog)
  • Operant conditioning
    = Behaviors can be learned when followed by positive or negative reinforcement (e.g. rat learns to press lever when it receives food)
33
Q

4 components of DBT

A
  • Mindfulness = being fully aware and present in the moment
  • Distress Tolerance = tolerating pain in difficult situations
  • Interpersonal Effectiveness = how to ask for what you want and say no while maintaining self-respect and relationships with others
  • Emotion Regulation = changing emotions that you want to change
34
Q

What disorders do psychoanalysis work best for

A
  • Cluster B and C personality disorders
  • Anxiety disorders
  • Problems coping with life events
  • Sexual disorders
  • Persistent depressive disorder
35
Q

Longest and shortest half-life SSRI, and shortest popular SSRI

A

Longest = Fluoxetine
Shortest = Fluvoxamine
Most common shortest = Paroxetine

36
Q

What SSRI has the highest rate of QTc prolongation

A

Citalopram/Celexa

But Escitalopram is an isomer of Citalopram that works almost exactly the same but you can use half the dose and still be as effective

37
Q

What do you give to a male patient on an effective SSRI but with erectile dysfunction

A

Add Bupropion/Wellbutrin

38
Q

What SSRI should you give to non-compliant patients

A

Fluoxetine (because it has the longest half-life)

39
Q

Most common side effect of stimulants

A

Appetite suppression

40
Q

Do you start with short- or long-acting stimulants in ADHD

A

Long acting

41
Q

Why do drug-reps say that Vyvanse cannot be abused

A

Because Vyvanse is a pro-drug - needs to be processed by the liver before it becomes active drug

42
Q

Risk factors for ADHD

A

Genetics (#1), in utero exposure to alcohol or nicotine, low birth weight

43
Q

Effects in adulthood of untreated ADHD

A

Higher rate of substance use, depression, anxiety disorders, oppositional defiant disorder

44
Q

What defines “rapid cycling” bipolar disorder

A

Presence of at least 4 mood episodes in the past 12 months that classify as either manic, hypomanic, or depressive

45
Q

What is valium

A

Diazepam

46
Q

What is Klonopin

A

Clonazepam

47
Q

What is Xanax

A

Alprazolam

48
Q

What is Ativan

A

Lorazepam

49
Q

Rank the non-benzo hypnotics based on half-life, shortest to longest

A

Zaleplon < Zolpidem < Eszoplicone

50
Q

MOA and uses of Hydroxyzine

A

Non-benzo anxiolytic

Antihistamine

51
Q

Drug to treat narcolepsy

A

Modafinil - sleeping scout hitting sleep MODE

52
Q

MOA of Atomoxetin

A

NET inhibitor

MS3 (88 decks)

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