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Psych > Conditions > Flashcards

Conditions Flashcards

1
Q

Postpartum blues begins ___ days after birth.

A

2-3 (resolves within 14)

peak in 5 days

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2
Q

Postpartum depression begins _____ after birth.

A

4-6 weeks (up to one year)

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3
Q

What is folie a deux?

A

delusional disorder in which same delusion is present in individuals who share a close relationship

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4
Q

What are extrapyramidal side effects of antipsychotic medications?

A

Acute dystonia, akathisia, parkinsonism, tardive dyskinesia

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5
Q

What is intellectualization?

A

focusing on nonemotional aspects to avoid distressing feelings

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6
Q

What is reaction formation?

A

transforming unacceptable feelings/impulses into the opposite

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7
Q

What are diagnostic criteria of “mania”?

A

duration 1 week
marked impairment in social/occupational functioning
+/- psychotic features

DIGFAST

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8
Q

What are diagnostic criteria of “hypomania”?

A 
less severe symptoms
>/= 4 consecutive days
Observable change in functioning from baseline
Symptoms not severe
No psychotic features

DIGFAST

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9
Q

Diagnostic criteria for Bipolar I?

A 
Manic episode(s)
Depressive episodes common but not required for dx
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10
Q

Diagnostic criteria for Bipolar II?

A 
Hypomanic episode(s)
>/= 1 major depressive episode
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11
Q

Diagnostic criteria for cyclothymic disorder

A

> /= 2 years of fluctuating, mild hypomanic and depressive sx

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12
Q

What is DIGFAST?

A 
Distractibility
Impulsivity
Grandiosity
Flight of ideas/racing thoughts
Activity increased
Sleep decreased need
Talkativeness/ pressured speech
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13
Q

What is dissociative fugue?

A

amnesia associated with traveling or wandering

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14
Q

Dissociative fugue is associated with what type of amnesia?

A

dissociative amnesia

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15
Q

What is the difference between transient global amnesia and dissociative amnesia?

A

there is no loss of personal identity with transient global amnesia

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16
Q

How long do you need symptoms to be diagnosed with acute stress disorder?

A

> /= 3 days and = 1 month

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17
Q

What is the difference between somatic symptoms disorder and conversion disorder?

A

conversion disorder = neuro symptoms

somatic sx = any unexplained symtpoms

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18
Q

What is the difference between factitious disorder and malingering?

A 
factitious = intentional falsification/inducement of sx to assume sick role
Malingering = secondary gain
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19
Q

Sx: fever >104, confusion, muscle rigidity, autonomic instability
Dx?

A

Neuroleptic malignant syndrome

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20
Q

What is the difference between NMS and serotonin syndrome?

A

SS: fevers not as high, autonomic instability, mental status change, hyperreflexia, myoclonus
NOT lead pipe rigidity

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21
Q

What is the difference between anorexia and bulimia?

A

bulimia - maintain normal body weight

anorexia - low weight

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22
Q

What is considered low weight in terms of percentiles?

A

BMI < 5th percentile

BMI < 18.5 kg/m2

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23
Q

What age does separation anxiety span?

A

9-18 months

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24
Q

What is the difference between conduct disorder and antisocial personality disorder?

A

conduct disorder < 18 yo

ASPD > 18 yo

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25
Q

Sx: arrogant self-appraisal and irresponsible behavior, fails to accept responsibility
Dx: ?

A

Antisocial personality disorder

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26
Q

What are requirements to hospitalize someone against their will?

A

danger to self or others, and/or grave disability (inability to care for self)

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27
Q

What is the time requirement for MDD?

A

sx > 2 weeks

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28
Q

Sx: compulsive behavior, hyperorality, apathy, lack of insight, executive dysfunction

Dx: ?

A

behavioral variant of frontotemporal dementia (FTD)

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29
Q

Is frontotemporal dementia genetic?

A

YES - AD in up to 25% of cases

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30
Q

Sx: prefer to be loner, detached, unemotional

Dx: ?

A

Schizoid personality disorder

31
Q

What is the difference between schizoid and antisocial personality disorder?

A

schizoid is loner and unemotional

antisocial has blatant disregard for rights of others

32
Q

Name the three personality disorders in cluster A

A

paranoid
schizoid
schizotypal

33
Q

Name the four personality disorders in cluster B

A

historionic
antisocial
borderline
narcissistic

34
Q

Name the three personality disorders in cluster C

A

avoidant
dependent
OCPD

35
Q

Sx: history of intense, unstable relationships, mood lability, anger, impulsivity, recurrent suicidal behavior

Dx: ?

A

Borderline personality disorder

36
Q

Sx: impulsive, aggressive behavior, unable to restrain aggressive impulses –> verbal/physical aggression out of proportion to provocation

Dx: ?

A

Impulse Control Disorder

37
Q

IED (IS/IS NOT) associated with significant functional impairment

A

IS

in the form of: job loss, school suspension, legal problems

38
Q

Sx: defiance of rules and authority figures, irritable mood, blaming failures on others

Dx: ?

A

Oppositional defiant disorder

39
Q

What are the criteria for delusional disorder?

A

more than 1 delusion for >1 month
no other psychotic symptoms
no other odd/bizarre behavior

40
Q

What is the difference between delusional disorder and schizophrenia?

A

schizophrenia has other psychotic sx (hallucinations, negative sx), greater fxnal impact

41
Q

Psychotic sx for 1 day to 1 month = _____

A

brief psychotic disorder

42
Q

Psychotic sx for 1 month to 6 months = _____

A

schizophreniform disorder

functional decline NOT needed for diagnosis

43
Q

Psychotic sx for greater than 6 months = ______

A

schizophrenia

also NEED functional decline

44
Q

What is the diagnostic criteria for schizoaffective disorder?

A
  • MDD or manic episode concurrent with psychotic sx

- h/o delusion or hallucinations for >2 weeks WITHOUT MDD or manic episode

45
Q

Sx: decreased motor activity, lack of responsiveness, posturing, waxy flexibility

Dx: ?

A

Catatonia

46
Q

What are common disorders seen in patients who develop catatonia?

A

psychotic disorder,s autism spectrum disorder, or other medical conditions infectious, metabolic, neurologic, etc.

47
Q

New onset psych or neuro abnormalities + unexplained acute abdominal pain with positive family history should make alarm bells go off for what condition?

A

Acute Intermittent Porphyria

48
Q

What is the pathophysiology of tardive dyskinesia?

A

dopamine D2 receptor upregulation and hypersensitivity

49
Q

At what MoCA score is mild cognitive impairment diagnosed?

A

<26/30

50
Q

Sx: anxiety in >2 situations in which it may be difficult to escape or get help in event of panic attack

Dx: ?

A

agoraphobia

51
Q

What symptoms result from eating tyramine rich foods while using an MAOI?

A 
tyramine is sympathomimetic:
Hypertensive crisis
sweating
HA
SOB
Confusion
52
Q

What is the difference between REM sleep disorder and Nightmare Disorder?

A

Nightmare disorder is not associated with motor activity or sleep-related injury

53
Q

REM sleep behavior disorder might be a prodromal sign of what?

A

neurodegeneration in patients with Parkinson dz or LBD

54
Q

What lab abnormalities are common with bulimia nervosa?

A

metabolic alkalosis with hypokalemia and hypochloremia

55
Q

Sx of NMS (such as lead-pipe rigidity) are due to __ antagonism in the ___ pathway

A

D2 antagonism

nigrostriatal pathway

56
Q

What is the time criteria for a diagnosis of PTSD?

A

sx > 1 month

57
Q

What is the name of the disorder if a patient does not meet the time criteria for PTSD?

A

Acute stress disorder

58
Q

What is the diagnostic criteria for adjustment disorder?

A

stressor that results in symptoms of anxiety/depression that do not meet criteria for another psychiatric disorder

59
Q

Alcohol withdrawal seizures are most commonly seen ____ hours after last drink.

A

12-48

60
Q

Alcoholic hallucinosis is seen ___ hours after last drink.

A

12-48

61
Q

Sx: confusion, agitation, fever, tachycardia, HTN, diaphoresis, hallucinations.

Dx: What stage of alcohol withdrawal?

A

delirium tremens

48-96 hours

62
Q

What is cataplexy?

A

brief loss of muscle tone in response to intense emotion

63
Q

Cataplexy is often seen in what condition?

A

Narcolepsy

along with shortened REM sleep latency and low hypocretin-1 in CSF

64
Q

What is the diagnostic criteria for delusional disorder?

A

> 1 delusion for >1 mo
no other psych sx
behavior not obviously odd/bizarre

65
Q

What are subtypes of delusional disorder?

A

erotomanic, grandiose, jealous, persecutory, and somatic

66
Q

What imaging is seen with schizophrenia?

A

enlarged lateral ventricles

67
Q

What hormonal effects can be seen in MDD?

A

hyperactivity of hypothalamic-pituitary-adrenal axis –> increase cortisol levels

68
Q

Anorexia nervosa is defined when a patient’s body weight is below what BMI?

A

<18.5 kg/m2

69
Q

What sleep disorder is characterized by “acting out” dreams?

A

REM sleep behavior disorder

70
Q

Serum amylase is (increased/decreased) in bulimia nervosa?

A

increased

71
Q

What personality disorder??

prefers to be a loner, detached, unemotional

A

schizoid

72
Q

What personality disorder??

disregard and violation of the rights of othes

A

Antisocial

73
Q

What personality disorder??

avoidance due to fears of criticism and rejection

A

Avoidant

Psych (3 decks)

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