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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
Sx: arrogant self-appraisal and irresponsible behavior, fails to accept responsibility Dx: ?
Antisocial personality disorder
26
What are requirements to hospitalize someone against their will?
danger to self or others, and/or grave disability (inability to care for self)
27
What is the time requirement for MDD?
sx > 2 weeks
28
Sx: compulsive behavior, hyperorality, apathy, lack of insight, executive dysfunction Dx: ?
behavioral variant of frontotemporal dementia (FTD)
29
Is frontotemporal dementia genetic?
YES - AD in up to 25% of cases
30
Sx: prefer to be loner, detached, unemotional Dx: ?
Schizoid personality disorder
31
What is the difference between schizoid and antisocial personality disorder?
schizoid is loner and unemotional antisocial has blatant disregard for rights of others
32
Name the three personality disorders in cluster A
paranoid schizoid schizotypal
33
Name the four personality disorders in cluster B
historionic antisocial borderline narcissistic
34
Name the three personality disorders in cluster C
avoidant dependent OCPD
35
Sx: history of intense, unstable relationships, mood lability, anger, impulsivity, recurrent suicidal behavior Dx: ?
Borderline personality disorder
36
Sx: impulsive, aggressive behavior, unable to restrain aggressive impulses --> verbal/physical aggression out of proportion to provocation Dx: ?
Impulse Control Disorder
37
IED (IS/IS NOT) associated with significant functional impairment
IS | in the form of: job loss, school suspension, legal problems
38
Sx: defiance of rules and authority figures, irritable mood, blaming failures on others Dx: ?
Oppositional defiant disorder
39
What are the criteria for delusional disorder?
more than 1 delusion for >1 month no other psychotic symptoms no other odd/bizarre behavior
40
What is the difference between delusional disorder and schizophrenia?
schizophrenia has other psychotic sx (hallucinations, negative sx), greater fxnal impact
41
Psychotic sx for 1 day to 1 month = _____
brief psychotic disorder
42
Psychotic sx for 1 month to 6 months = _____
schizophreniform disorder functional decline NOT needed for diagnosis
43
Psychotic sx for greater than 6 months = ______
schizophrenia also NEED functional decline
44
What is the diagnostic criteria for schizoaffective disorder?
- MDD or manic episode concurrent with psychotic sx | - h/o delusion or hallucinations for >2 weeks WITHOUT MDD or manic episode
45
Sx: decreased motor activity, lack of responsiveness, posturing, waxy flexibility Dx: ?
Catatonia
46
What are common disorders seen in patients who develop catatonia?
psychotic disorder,s autism spectrum disorder, or other medical conditions infectious, metabolic, neurologic, etc.
47
New onset psych or neuro abnormalities + unexplained acute abdominal pain with positive family history should make alarm bells go off for what condition?
Acute Intermittent Porphyria
48
What is the pathophysiology of tardive dyskinesia?
dopamine D2 receptor upregulation and hypersensitivity
49
At what MoCA score is mild cognitive impairment diagnosed?
<26/30
50
Sx: anxiety in >2 situations in which it may be difficult to escape or get help in event of panic attack Dx: ?
agoraphobia
51
What symptoms result from eating tyramine rich foods while using an MAOI?
``` tyramine is sympathomimetic: Hypertensive crisis sweating HA SOB Confusion ```
52
What is the difference between REM sleep disorder and Nightmare Disorder?
Nightmare disorder is not associated with motor activity or sleep-related injury
53
REM sleep behavior disorder might be a prodromal sign of what?
neurodegeneration in patients with Parkinson dz or LBD
54
What lab abnormalities are common with bulimia nervosa?
metabolic alkalosis with hypokalemia and hypochloremia
55
Sx of NMS (such as lead-pipe rigidity) are due to __ antagonism in the ___ pathway
D2 antagonism | nigrostriatal pathway
56
What is the time criteria for a diagnosis of PTSD?
sx > 1 month
57
What is the name of the disorder if a patient does not meet the time criteria for PTSD?
Acute stress disorder
58
What is the diagnostic criteria for adjustment disorder?
stressor that results in symptoms of anxiety/depression that do not meet criteria for another psychiatric disorder
59
Alcohol withdrawal seizures are most commonly seen ____ hours after last drink.
12-48
60
Alcoholic hallucinosis is seen ___ hours after last drink.
12-48
61
Sx: confusion, agitation, fever, tachycardia, HTN, diaphoresis, hallucinations. Dx: What stage of alcohol withdrawal?
delirium tremens | 48-96 hours
62
What is cataplexy?
brief loss of muscle tone in response to intense emotion
63
Cataplexy is often seen in what condition?
Narcolepsy | along with shortened REM sleep latency and low hypocretin-1 in CSF
64
What is the diagnostic criteria for delusional disorder?
>1 delusion for >1 mo no other psych sx behavior not obviously odd/bizarre
65
What are subtypes of delusional disorder?
erotomanic, grandiose, jealous, persecutory, and somatic
66
What imaging is seen with schizophrenia?
enlarged lateral ventricles
67
What hormonal effects can be seen in MDD?
hyperactivity of hypothalamic-pituitary-adrenal axis --> increase cortisol levels
68
Anorexia nervosa is defined when a patient's body weight is below what BMI?
<18.5 kg/m2
69
What sleep disorder is characterized by "acting out" dreams?
REM sleep behavior disorder
70
Serum amylase is (increased/decreased) in bulimia nervosa?
increased
71
What personality disorder?? | prefers to be a loner, detached, unemotional
schizoid
72
What personality disorder?? | disregard and violation of the rights of othes
Antisocial
73
What personality disorder?? | avoidance due to fears of criticism and rejection
Avoidant

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