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MJ- Mental Health EOR > miscellaneous > Flashcards

miscellaneous Flashcards

1
Q

side effects of lithium

A
  • nephrogenic diabetes insipidus (can be used to counter effects of SIADH)
  • Hypothyroidism
  • Papillary thyroid carcinom
  • Tremor, ataxia
  • heart block
  • arrhythmias
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2
Q

Can you take lithium in pregnancy?

A

no- contraindicated

if taken in 1st trimester= Ebsteins anomaly (atrialization of the right ventricle)

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3
Q
  • mood disorder involving persistently depressed mood, with low self-esteem, withdrawal, pessimism, or despair
  • present for at least 2 years
  • no absence of symptoms for more than 2 months
A

Persistent depressive disorder (dysthymia)

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4
Q

A mood disorder- 2+ weeks of significantly depressed moods, feelings of worthlessness, and diminished interest or pleasure in most activities.

A

Major depressive disorder

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5
Q

What sxs should be present to diagnose major depressive disorder

A

5 or more SIEGECAPS for > 2wks nearly every day, at least one of the sxs is depressed mood or anhedonia:

  1. Sadness
  2. Interest/anhedonia
  3. Guilt
  4. Energy
  5. Concentration
  6. Appetite
  7. Psychomotor activity
  8. Suicidal
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6
Q

A pattern of negativistic, hostile, and defiant behavior

child often loses his temper, a_rgues with adults_, and often actively defies or refuses to comply with adults’ requests or rules.

A

Oppositional defiant disorder

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7
Q

Oppositional defiant disorder is a precursor to what? and then what?

A

oppositional defiant disorder –> conduct disorder–> antisocial personality disorder

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8
Q

14 y/o with aggression to people and animals

(often a bully or cruel to animals)

A

conduct disorder

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9
Q

14y/o (or less than 18) who has done the following:

  • stolen
  • rape
  • destruction of property
    *
A

conduct disorder

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10
Q

Tx for conduct disorder

A

integrate individual, school and family settings

address familial conflicts

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11
Q

Child with at least 4 sxs for >6mo:

  • Frequent temper tantrums
  • Arguments w/ adults
  • intentional exasperation of others
  • revenge seeking
  • angry attituted
  • etc
  • NOT AGGRESSIVE TOWARDS PEOPLE OR ANIMALS, don’t destroy property, no theft or deceit
A

Oppositional defiant disorder

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12
Q

Tx for oppositional defiant disorder

A
  • psychotherapy
    • CBT and family therapy
  • Pharmacotherapy
    • mood stabilizers
    • antipsychotics
    • stimulants
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13
Q

______ is one of the most heritable psychiatric disorders

A

ADHD

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14
Q

Risk factors for PTSD (5)

A
  • Female
  • low socioeconomic status
  • previous trauma
  • Personal and family psych history
  • separated/divorced/widowed
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15
Q

What is the post traumatic stress disorder checklist (PCL-5) used for?

A

20-item self-report measure used to:

  1. screen patients
  2. Monitor symptom severity over time
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16
Q

Difference between PTSD and acute stress disorder

A
  • acute stress disorder- similar to PTSD but sxs < 1mo
  • PTSD- sxs > 1mo
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17
Q

Pathogenesis- Risk factors for developing panic disorder

A
  • Genetic
  • Temperament, neurobiology, childhood trauma and stressful life experiences
  • anxious personality traits
  • neurotic personality trait
  • Childhood exposure to sex/physical abuse
  • childhood smoking
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18
Q

What 3 things are often stressors for panic disorder

A

life stressors

  1. loss
  2. threat to life
  3. Illness
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19
Q

which 2 personality traits put you at increased risk of developing panic disorder

A

neurotic personality trait

anxious personality trait

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20
Q

What is the hallmark and predominant cause of refeeding syndrome (seen in anorexia nervosa)

A

hypophosphatemia

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21
Q

About half of children w/ oppositional defiant disorder also have ________

A

ADHD

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22
Q

What is the MOA of THC?

A

partial agonist of cannabinoid 1 and cannabinoid 2 receptors

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23
Q

What is exhibitionistic disorder?

A

paraphilic disorder characterized by sexual arousal from exposure of ones genitals to an unsuspecting person

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24
Q

What is Frotteuristic disorder

A

paraphilic disorder- sexual arousal from touching or rubbing against a nonconsenting person

25
Sexual masochism disorder
sexual arousal from being **humiliated, bound, beaten or tortured**
26
What is Voyeuristic disorder
paraphilic disorder associated w/ sexual arousal from **observing an unsuspecting disrobing or nude individual**
27
What are some good prognostic factors (4) in a patient w/ exhibitionistic disorder
1. only 1 paraphilia diagnosis 2. self-referral for tx 3. sense of guilt a/w the behavior 4. H/o otherwise normal sexual activity occuring in addition to the paraphilia
28
Which personality disorders make up cluster C
1. Avoidant 2. Dependent 3. Obsessive-compulsive personality disorder
29
What hematologic abnormality caused by nitrite abuse may require IV methylene blue administration
methemoglobinemia
30
How many symptoms for mild, moderate vs severe alcohol use disorder
mild: 2-3 sxs moderate: 4-5sxs severe: 6+ sxs
31
First line pharmacotherapy in moderate- severe alcohol use disorder
oral naltrexone
32
What are the 11 sxs for alcohol use disorder
1. Recurrent drinking resulting in **_failure to fulfill major role obligations_** 2. Recurrent drinking in **_hazardous situations_** 3. Continued drinking despite **_alcohol-related social or interpersonal problems_** 4. Evidence of **tolerance** or evidence of alcohol **_withdrawal_** 5. Use of alcohol for **_relief or avoidance of withdrawal_** 6. Drinking in larger amounts or over longer periods than intended 7. Persistent desire or **unsuccessful attempts to _stop or reduce drinking_** 8. Great deal of **_time spent obtaining, using or recovering from alcohol_** 9. **_Important activities given up_** or reduced b/c of drinking 10. continued drinking despite knowledge of **_physical/psychological problems caused by alcohol_** 11. **_Craving_** or having a persistent urge to drink alcohol
33
what factor genetically predisposes a person to benzo dependence
family h/o alcoholism
34
35
What lab result is found to be increased in bulimia nervosa
amylase (found in patients w/ h/o significant and frequent self-induced vomiting b/c of resulting hypersecretion from the salivary glands)
36
What are 5 common symptoms patients might complain of with bulimia nervosa
* fatigue * abdominal pain * bloating * constipation * irregular menses
37
Are calcium, magnesium and potassium high or low in bulimia nervosa
low
38
Is thyroid function usually normal or abnormal in bulimia nervosa
normal
39
which delusion? focus on impending catastrophic event
nihilistic delusion
40
which delusion? Delusions that involve romance Often falsely believe that someone else is in love with them (person may be known or unknown)
erotomanic delusions
41
Which delusion? Delusions that center around the aptient believing they have abilities that are beyond what is expected of the individual
gradiose delusion
42
Which delusion? Delusions involve pt being focused on being harmed or harassed by another individual, organization or group
Persecutory delusions (MC type of delusion seen with psychotic disorders including schizoaffective disorder)
43
What is mesenteric artery syndrome
Loss of the fat pad surrounding the superior mesenteric artery in severe **anorexia nervosa** which leads to compression of the third portion of the duodenum between the superior mesenteric artery and the aorta, causing a **small bowel obstruction.**
44
What is a barrier to treatment in a patient w/ personality disorder
**fragile self-concept** (NOT delusions of persecution- this is seen in schizophrenia)
45
What neurocutaneous disease has a high correlation with the development of autism?
Tuberous sclerosis
46
Which 2 antipsychotics have the lowest risk for tardive dyskinesia
quetiapine and clozapine
47
Development of a specific phobia: What is direct conditioning
occurs as a result of being **involved in a specific situation** with subsequent development of the phobia
48
Development of a specific phobia: What is vicarious acquisition
Result of observing or seeing someone react to a situation
49
Development of a specific phobia: what is informational transmission
Hearing about something that happened to someone else and you develop a phobia to it (ex: cousin died in MVC so now you're scared to drive)
50
What 2 symptoms MUST be present as one of the 5 sxs in order to make a dx of MDD?
* Loss of interest in daily activities * Depressed mood
51
What is the youngest age at which PTSD can be diagnosed
6 y/o
52
What is the PCL-5 used for
20 questions effective in identifying patients w/ PTSD as well as monitoring for changes in sx severity over time Score \>38= PTSD
53
What are the 6 cardiac complications of Meth
1. MI d/t vasospasm 2. Stroke 3. Malignant HTN 4. Dysrhythmias 5. aortic dissection 6. cardiomyopathy
54
Which two psychiatric disorders most commonly coexist in individuals diagnosed with antisocial personality disorder?
MDD and substance use disorder
55
What 3 other mental disorders is attention-deficit and hyperactivity disorder also associated with?
Antisocial personality disorder Bipolar Autism
56
Which part of the brain is responsible for processing fear
amygdala
57
What are 2 absolute contraindications to clozapine?
h/o clozapine induced agranulocytosis or myocarditis
58
What are the 5 common early clues to impending delirium tremens?
anxiety decreased cognition tremulousness increasing irritability hyperactivity

MJ- Mental Health EOR (4 decks)

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