Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

Step 1 (1) > PSICHIATRY > Flashcards

PSICHIATRY Flashcards

(119 cards)

Start Studying
0
Q

What’s transference and countertansference?

A

Transference. Psychiatrist is seen as parent

Countertransference patient reminds physician of young sibling

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
1
Q

The most easiest ego defenses

A 
Dissociation  multiple personality
Fixation adult fixating on video games
Displacement mother yells at her child
Projection a DOG man thinks his wife is cheating on him
Rationalization al cabo que ni quería
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Whats the peak of incidence of child abuse?

A

9-12 yrs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Treatment for attention-deficit hyperactivity disorder (2)

A

Stimulants methylphenidate

Atomoxetine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Age to separation anxiety disorder

A

7-9 yrs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Time to diagnosis Tourette disorder

A

> 1 year of…

Sudden, rapid, recurrent,nonrhythmic,stereotyped motor and vocal tics can have COMPROLALIA Hpss!!!!!!

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What are neurotransmitters changes in Alzheimer disease?

A

⬇️ACh

⬆️glutamate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Principal motor characteristic of rest syndrome?

A

Hand-wringing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What’s dissociative amnesia?

A

Inability to recall important personal information

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What’s dementia?

A

⬇️ in intellectual function without affecting level of consciousness.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Principal characteristics of psychosis (3)

A

delusions
hallucinations
disorganized thinking

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Principal characteristic of delirium

A

⬆️⬇️level of consciousness whit acute onset

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Difference between hypnagogic and hypnopompic hallucinations

A

hypnagogic GOING TO SLEEP

hypnopompic. WEAKUP

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Different schizophrenic disorders (4)

A

🔺Schizophrenia
Diagnosis requires >2
ƒ Delusions
ƒ Hallucinations—often auditory
ƒ Disorganized speech (loose associations)
ƒ Disorganized or catatonic behavior
ƒ “Negative symptoms”—flat affect, socialwithdrawal, lack of motivation, lack of speech or thought

🔺Brief psychotic disorder—lasting 2 weeks; psychotic symptoms superimposed major depression or mania .

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Whats delusional disorder?

A

lasting > 1 month

woman who genuinely believes she is married to a celebrity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

How many time is dingos is for maniac episode and hypo maniac episode?

A

maniac episode 1 week

hypomanic episode 4 consecutive days

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Definitions of bipolar type 1 or and type 2

A

Bipolar I
at least 1 manic episode with or without a hypomanic or depressive episode.

Bipolar II defined
a hypomanic and a depressive episode.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What’s the first line drug for bipolar disorder?

A

LITHIUM!!!!!!!!!

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Diagnosis of cyclothymic disorder(2)

A

dysthymia and hypomania

least 2 years.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Diagnosis of Major Depressive Dissorder

A

lasting 6–12 months
ALMOST EVERY DAY FOR >2 WEEKS!!!!!!

Sleep disturbance
ƒ Loss of Interest (anhedonia)
ƒ Guilt or feelings of worthlessness
ƒ Energy loss and fatigue
ƒ Concentration problems
ƒ Appetite/weight changes
ƒ Psychomotor retardation or agitation ƒ Suicidal ideations
ƒ Depressed mood

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What’s dysthymia ?

A

depression, often milder, lasting at least
2 years.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Sleep disorders in major depressive disorder

A

ƒ ⬇️ slow-wave sleep
ƒ  ⬇️REM latency
ƒ ⬆️ REM early in sleep cycle
ƒ  ⬆️total REM sleep
ƒ Repeated nighttime awakenings
ƒ Early-morning wakening (terminal
insomnia)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

What’s Atypical depression

A

Be able to experience improve the whit positive thinks events

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Differential between maternal blues, postpartum depression, postpartum psychosis

A

maternal blues 2-3 days after delivery resolves 10 days

postpartum depression 1month after delivery tto SSRIs

postpartum psychosis mood-congruent delusions, hallucinations, and thoughts of harming the baby or self.
Risk factors include history of bipolar or psychotic disorder, first pregnancy, family history, recent discontinuation of psychotropic medication.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Difference between anxiety disorder and panic disorder
anxiety disorder Fear or worry incongruent tto SSRI. SNRI panic disorder physical signs intense fear discomfort Dx >1 month
25
Difference between generalized anxiety disorder and adjustment disorder
generalized anxiety disorder > 6 months | adjustment disorder
26
Difference between pos-traumatic stress and acute distress disorder ?
pos-traumatic stress > 1 month | acute distress disorder
27
Say principal feature of A personality disorders(3)
``` Paranoid = Distrust Schizoid = distant. Schizotypal = magical thinking. ```
28
Say principal feature of B personality disorders(4)
Antisocial= Sociopath Borderline= unstable selfmutilation Histrionic= attention seeking Narcissistic= Grandiosity
29
Say principal feature of C personality disorders(3)
Avoidant Timid Obsessive-compulsive. Perfectionism | Dependent low self-confidence
30
Severity of schizoids
Schizoid
31
Clinical signs of Bulimia nervosa(6)
``` NORMAL BMI parotitis enamel erosion electrolyte disturbances alkalosis dorsal hand calluses from induced vomiting ```
32
Difereence between Transsexualism and Transvestism
Transsexualism want to live as opposite sex SURGERY | Transvestism PARAPHILIA cross-dressing
33
Difference between sleep terror and nightmare
sleep terror non-REM phase | nightmare REM phase
34
What are cause, signs, treatment for Narcolepsy?
⬇️Hypocretin (orexin) Hypnagogic , hypnopompic Hallucinations Cataplexy Tto day time stimulants , night time sodium oxidate
35
What are ten stages of change overcoming substance addiction (6)
1. Pre-contemplation 2. Contemplation 3. Preparation/determination 4. Action/willpower 5. Maintenance 6. Relapse
36
Say intoxications sings and withdrawal signs of Alcohol,Opioids ,Barbiturates,Benzodiazepines DEPRESSANTS
Alcohol assistency.// hyperactivity insomnia BZDs Opioids pinpoint seizures tto Naloxone // midriasis, piloerection rinho- diarrhea - Methadone , buprenorphine Barbiturates assist respiratory // delirium Benzodiazepines tto flumazenil // sleep disorder
37
Say intoxications sings and withdrawal signs of amphetamines, cocaine, caffeine, nicotine STIMULANTS
amphetamines grandiosity midriasis cocaine midriasis tactile hallucinations α-blockers, benzodiazepines. β-blockers counter-indicated caffeine restlessness nicotine restlessness withdrawal tto nicotine patch, gum, or lozenges; bupropion/ varenicline
38
Say intoxications sings and withdrawal signs of PCP,LSD, marijuana HALLUCINOGENS
PCP belligerency tto BZDs , rapid acting antipsychotic LSD perceptual distortion visual auditory depersonalization MARIJUANA slow time , paranoid, ⬆️apetite , dry mouth
39
Treatment for alcoholism
disulfiram naltrexone | Alcoholics Anonymous
40
Say signs of wernicke-korsakoff (3-3)
Wernicke confusion, ophthalmoplegia, ataxia Korsakoff memory loss, confabulation, personality change
41
Medication for ADHD ?
Stimulants methylphenidate amphetamines!!!!
42
Medication for alcohol withdrawal.
Long acting BZDs lorazepam diazepam
43
Medication for bipolar disorder
Lithium Valproic acid Atypical antipsychotic
44
Medication for bulimia
SSRIs
45
Medication for Depression
SSRIs
46
Medication for generalize anxiety disorder
SSRIs SNRIs BUSPIRONE
47
Medication for obsessive-compulsive disorder
SSRIs | CLOMIPRAMINE
48
Medication for panic disorder
SSRIs VELAFAXINE BZDs
49
Medication for Schizophrenia
Atypical antipsychotics
50
Medication for Social phobias
SSRIs | Beta-Blockers
51
Medication for Tourette syndrome
Antipsychotics ( fluphenazine, pimozide) TETRABENZINE CLONIDINE
52
What's the mechanism of action of antipsychotics? | And possible side effects
All typical antipsychotics block dopamine D2 receptors ( [cAMP]). blocking muscarinic (dry mouth, constipation) α1 (hypotension) histamine (sedation) receptors. Can cause QT prolongation.
53
Ophthalmic side effects for chlorpromazine and thioridazine
Chlorpromazine—Corneal deposits | Thioridazine—reTinal deposits
54
Evolution of extra pyramidal symptoms in antipsychotic use (4)
ƒ 4 hr acute dystonia (muscle spasm, stiffness, oculogyric crisis) ƒ 4 day akathisia (restlessness) ƒ 4 wk bradykinesia (parkinsonism) ƒ 4 mo tardive dyskinesia
55
Difference between typical an atypical antipsychotics
typical HALOPERIDOL+AZINE | atypical APINE+IDONE
56
Side effects of olanzapine, clozapine, risperidone .
olanzapine/clozapine. WEIGHT GAIN dyslipidemia, hyperglycemia clozapine AGRANULOCYTOSIS risperidone ⬆️ prolactine
57
What are lithium side effects? LMNOP
Lithium side effects: Movement (tremor) Nephrogenic diabetes insipidus HypOthyroidism Pregnancy problems
58
What are SSRIs
Fluoxetine paroxetine sertraline citalopram.
59
What drugs are SNRIs
VELAFAXINE | Duloxetine
60
Side effects of tricyclic antidepressants tri-Cs
Convulsions Coma Cardiotoxicity
61
What are atypical antidepressants (3)
Bupropion smoking cessation Mirtazapine for anorexia nervosa ⬆️ weight gain Trazadone priapismo postural hypotension
62
What are the typical scene of separation anxiety disorder?
Little girl in ability to sleep away from home "sleepovers" abdominal pain ,memories about losing her parents , nightmares "
63
What's the most important side effect of bupropion?
SEIZURES!!!!!! Dopamine IR and SNIR Not in bulimia or anorexia
64
Side effect of Venlafaxine ?
High blood pressure
65
Side effect of lamotrigene ?
Rash | Steven Jhonson
66
Common substance hyperthyroidism like symptoms drugs are (4)
Symphaticomimetic drugs Caffeine Stimulant intoxication Sedative hypnotic withdrawal
67
Drugs which cause anthicholinergic toxicity
``` Antihistamines TCA 1st generation LOW POTENCY antipsychotics 2nd generation antipsychotic Antiparkinsonian drugs Atropine ```
68
What are the Malingering disorders?
Somatic Symptom Disorder do not do anything Factitious Disorder do but don't know why SICK ROLE Malingering Do cause want a thing
69
What is the action of of monoamino-oxidase inhibitors?
INHIBITION OF MONOAMINE OXIDASE ENZYME!!!!!! | Which metabolize serotonin ,Dopamine and NE to unusefull products!!!!!!!!
70
Mechanism of action of LITHIUM
Inositol monophosphate inhibition !!!!!
71
Side effects of valproate, carbamazepine, Lamotrigene,clozapine
valproate Hepatotoxicity , neural tube defects carbamazepine. Agranulocytosis ,SIADH, neural tube defects Lamotrigene rash , Steven Jhonson Clozapine AGRANULOCYTOSIS!!!!!
72
significant signs of BZDs (alcohol) and HEROIN withdrawal
BZDs and alcohol Seizures tachycardia | Heroine (opiaced) midriasis, yawning , piloerection, lacrimation, hyperactive bowel sounds
73
What arête the Symptoms of withdrawal of cannabis (5)
``` Anxiety Insomnia Irritability Depressed mood Decreased appetite ```
74
What's the mechanism of action of methadone and why is so good for the opioids dependency treatment ?
Methadone is a mu- receptor full agonist Suppress cravings and withdrawal symptoms Block euphoric effects It has a LONG t1/2!!!!!!! Side effect prolongs QT interval
75
What's reaction formation defense mechanism?
Responding in a manner opposite to one's actual feelings
76
What happen if look like a adjustment disorder but has criteria for major depressive disorder ?
MAJOR DEPRESSIVE DISORDER WINS!!!!!!!!
77
What drug has MAOI activity and therefore is counter indicated in the patient who use SSRIs?
LINEZOLID!!!!
78
What is the substance which cause more overdose deaths in United States of America ?
OPIODS!!!!!
79
What are the the drugs which interacts whit LITHIUM?
Thiazides NSAIDS (not aspirin) ACE inhibitors
80
What are the lithium toxicity signs?
``` Nausea vomit diarrhea Confusion Agitation Ataxia Tremors fasciculations ```
81
What is the best drug for delirium in elderly patient?
HALOPERIDOL!!!!!
82
What are the features of neuroleptic malignant syndrome?(4)
Hyperthermia Severe generalized "lead pipe" rigidity Autonomic instability Altered mental status
83
Explain behavioral changes linked white differences cerebral lobe injuries (6)
Right frontal disinhibited sex behavioral Left frontal apathy depression unmotivation for work Right parietal hemineglect constructional apraxia denial problem Left parietal Gerstmann syndrome Right temporal impaired musical ability kluver-bucci Left temporal verbal memory word recognition kluver-bucci Corpus callosum split brain
84
What are the signs of delirium tremens? (6) 2-4 days after drink
``` Confusion Agitation Fever Tachycardia Hypertension Diaphoresis ```
85
What's the principal feature of panic disorder?
Recurrent UNEXPECTED panic Attacks
86
Whic antipsychotic drug is linked whit QT prolongation
Ziprasidone
87
What antipsychotic is most related whit hyper Prolactinemia?
risperidone
88
What is the difference between schizoaffective disorder and major affective disorder whit psychotic features?
schizoaffective disorder hallucinations > 2 weeks whiteout depression major affective disorder whit psychotic features //psychosis DURING depressive episode
89
Time to diagnostic adjustment disorder ?
Onset of stressor whiting 3 months
90
What are the first (typical) generation antipsychotics?
``` HIGH POTENCY ( neurological , extrapiramidal symptoms) Haloperidol Fluphenazine ``` LOW POTENCY (🚫histaminergic,🚫Cholinergic,🚫noradrenergic) Chlorpromazine Thioridazine
91
Principal side effect of second- generation antipsychotics?
HIPERGLICEMIA!!!!
92
In the alcohol withdrawal is prefer benzodiazepines, name them.(2)
Diazepam | Chlordaizepine
93
What kind of BZD are prefer to use in the patient which liver disease?
Lorazepam Oxazepam Triazolam Do not undergo oxidative metabolism in the liver
94
What is the first line treatment for major depressive disorder?
BUPROPION!!! Does not cause sexual Disfunction
95
Medications for alcohol dependence ?(3)
Naltrexone ( blocks Mu receptors) Disulfiram Acamprostane
96
Drugs to Nicotin abusers - smokers?
Varenicline Partial receptor agonist
97
Treatment for narcolepsy ?
MODAFINIL!!!
98
Use of melatonin?
Jet-lag | Age-related insomnia
99
What is the age for diagnostic attention-deficit hyperactivity disorder?
.
100
What's learning disorder ?
Difficulties whit learning key academic skills READING,WRITING, MATHEMATICS In school
101
Characteristics of maniac episodes?(6)
``` Alevated/irritable mood Hyperactivity ⬇️Need for sleep Grandiosity May occurs with psychotic features ```
102
What's bipolar I
>1 manía episode
103
What is deespesonalozation/derealization disorder?
Felling detachment from self | Sense of detachment or unreality
104
Main characteristic of binge-eating disorder?
Recurrent episodes of binge with NO COMPENSATORY BEHAVIORS
105
What's transference?
Shifting feelings from a parent (person from the past) to another person in the present
106
Are hallucinations normal in the grief process after die a parent ?
YESS!!!!
107
Indications of use of clozapine ? (2)
Treatment resistant schizophrenia | Schizophrenia +suicidality
108
Main characteristic of schizotypal behavior?
ECCENTRIC IDEAS!!!
109
Which brain parts are Atrophied in schizophrenia?
Frontal lobes Temporal lobes Amygdala Hypocampus
110
Characteristics of orbitomedial frontal lobe lesion ?
Fearful | Violet explosive moods
111
Sexual Side effect of SSRIs?
Delayed orgasm
112
Symptoms of neonatal opioid abstinence syndrome?
Irritability,hypertonic, seizures (rare) Diarrhea, vomiting, Sweating, sneezing,pupillary dilation
113
difference between somatic symptom disorder and conversion disorder?
SOMATIC excesive anxiety preocupation more than 1 unexplained symptoms CONVERSION NEUROLOGIC symptom incompatible with any neurologic disease associated with stress.
114
Drug which reduce Nicotin cravings while decrease pleasurable effects of cigarettes?
VERENICICLINE!!! Partial stimulator of Nicotin receptor
115
What's topiramate ?
Anticonvulsant use in epilepsy | Migraine prophylaxis
116
Which anticonvulsants inhibit Na channels? (3)
Phenytoin Valproic acid Carbamazepine
117
What's DONEPEZIL?
Acetylcholinesterase inhibitor | Use in ALZHEIMER
118
What are the clinical features of tricyclic antidepressant overdose? What's the management?
``` Seizures respiratory depression Sinus tachycardia Prolonged QRS , QT Dry mouth dilated pupils Urinary retention Flushing Hypertemia ``` NaHCO3

Step 1 (1) (16 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions