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Shelf exams PK Edit > psych - amboss > Flashcards

psych - amboss Flashcards

1
Q

most common mri finding in schizophrenia

A

enlarged cerebral ventricles and decrease cortical volume

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2
Q

mechanism of DTs

A

alcohol activates GABA and inhibits NMDA –> so withdrawl has decreased GABA and inc NMDA

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3
Q

first line smoking cess

A

verenicline –> decrease oositive sx and prevents withdrawl

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4
Q

bruxism

A

teeth grinding or jaw clutching as seen in drug use

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5
Q

drug of abuse associated with hyponatremia?

A

ecstasy

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6
Q

first line pharm for bullemia

A

fluoxetine

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7
Q

timeline for GAD?

A

> 6 mo

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8
Q

can you see somatic symptoms in GAD?

A

yes

muscle tension, neasuea, restlessness, etc

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9
Q

russels sign

A

calluses on fingers from contact with incissors in bullemia

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10
Q

cardiac effects in bullemia?

A

hypokalemia –> arrythmias

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11
Q

hallucinations in a patients with treated parkinsons?

A

medication effect of too much D2 activation

most common effects of L-dopa= visual hallucinations
-also: insomnia, aggression, anxiety

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12
Q

fluphenazine impact on hypothalamic regulation may cause….

A

hyper or hypothermia

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13
Q

timeline for conduct disorder?

A

> 12 months

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14
Q

diagnosis of adjustment disorder

A

emotions/ behavior within 3 mo of STRESSOR

  • emotions are DISPROPORTIONATE to the stressor
  • emtions INTERFERE with functioning
  • sx resolve within 6 months of removal of stressor

“maladaptive emotional/behavioral response to a stressor that lasts <6mo”

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15
Q

define prolonged QRS

A

> 100ms

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16
Q

long term treatment for panic d/o?

A

SSRI

17
Q

timeline for treatment of MDD

A

1 ep= 6 months

more than 1 ep= 2 years

18
Q

lithium in MDD?

A

yes, combine with SSRI in suicidal patient

19
Q

how to differentiate delusions in mdd vs schizoaffective

A

in MDD or bipolar, delusions are MOOD CONGRUENT

in schizoaffective, deluisions are MOOD INCONGRUENT

20
Q

briefly outline criteria for diagnosing PTSD

A 
a= traumatic event
b= intrusive thoguhts
c= avoidance behavior
d= negatively afected mood
e= altered reactivity
21
Q

second line OCD

A

clomipramine

22
Q

disruptive mood dysregulation disorder

A

bipolar for kids

> 3 tantrums/week for over 12 months with persistent bad mood between episodes

23
Q

name two non rem sleep arousal disorders

A

sleep walking

night terrors (differentiate from nightmare disorder which is REM assoc bc you rememebr dreams)

OSA is a risk factor for both

24
Q

compare and contrast naloxone vs naltrexone

A

naloxone (No-Lax-Zone)= competetive agonist with onset of action 2-3 mins, use for acute OD

naltrexone- onset 1-2 hours, but last 24-48 hours so used during withdrawal in acute detox

25
Q

major difference between illusions and hallucinations

A

hallucinations happen in the ABSENCE of external stimuli

26
Q

mature defense mechanisms

A

SASHA
Suppression- goal oriented
Anticipation- goal oriented
Sublimation-doing well on a test to spite haters
Humor
Altruism-giving money to homeless to fulfill guilt

27
Q

reaction formation

A

transforming an unacceptable impulse into it’s polar opposite

28
Q

displacement vs projection

A

Displacement (neurotic)= taking anger out on someone who’s innocent. Ie- chris holley being a jerk to me after Dr. Mitchell was a jerk to him during a surgery

Projection (narcisisstic)=claiming YOUR bad thoughts to be someone else’s. Ie- thinking your partner is cheating on you when you are really thinking about cheating on them

29
Q

identification

A

(immature) unconscious modeling of appearance of behavoir on someone elses

ie- abused child becoming the abuser

30
Q

sense of closeness to others

A

MDMA

31
Q

drugs: violent behavior

A

PCP

32
Q

drugs: resp depression

A

etoh, opiods

33
Q

drugs: tactile hallucinations

A

cocaine

34
Q

drugs: increased libido

A

amphetamines

35
Q

drugs: synesthesia

A

PCP

triggering smell when you taste something

36
Q

characteristics of heron withdrawal

A

flu like symptoms
sympathetic overdrive
irritability
piloerection, cool, damp skin

37
Q

sublimation

A

when you compensate for a bad desire by doing the opposite

think of “killing with kindess” as a form of sublimation

38
Q

acting out

A

avoiding negative feelings by acting in inappropriate social manner

ie- not showing up

Shelf exams PK Edit (40 decks)

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