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STEP 2 > Psych-2 > Flashcards

Psych-2 Flashcards

1
Q

MDD

A

5+ Depressed SIG-E-CAPS for 2 weeks. 1st Step: check for suicide.

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2
Q

Schizophrenia

A

6mo disturbance +2 active phase symptoms for 1 month.

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3
Q

Mania

A

3 DIG-FAST / Elevated for 1week –> Hospitalization

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4
Q

Rapid Cycling Bipolar

A

4+ Mood episodes in 1 year.

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5
Q

Bipolar treatment.

A

Hosp + Mood Stabilizer + Antipsychotic (Atypical)

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6
Q

OCD Treatment

A

SSRI or TCA

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7
Q

Panic Disorder

A

SSRI / TCA

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8
Q

IBS

A

SSRI / TCA

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9
Q

Restless, flushing, tremor, confusion, myoclonic jerks.

A
  1. Discontinue med. 2. Chlorpromazine or phenatolamine.
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10
Q

MDD, with hypersomnia, fear of rejection, hyperphagia

A

MAOI

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11
Q

TCA tox

A

Anti - HAM and CCC, Cardiotoxic, Convulsions, Coma

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12
Q

What benzos are not metabolized by the liver ?

A

If they drink a LOT, Lorazepam (Ativan), Oxazepam (Serax), Temazepam (restoril)

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13
Q

What are the short acting benzos (t-1/2:

A

Triasolam (Halicon) Midasolam (Versed)

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14
Q

What are the intermediate acting (6-20 t1/2)

A

They can be used A-LOT Alprazolam (Xanax)Lorazepam (Ativan)Oxazepam (Serax)Temasepam (Restoril)

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15
Q

What are the long acting benzos?

A

Diazepam (Valium)Clonazepam (Klonopin)

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16
Q

Benzo side affects as a class / Overdose treatment

A

Inc GABA frequency. Letherfy drowsiness, confusion, hypotension, ataxia, nystagmus. Treat with FLUMAZENIL

17
Q

Benzo vs Opiod intox

A

Both will have the lethargy and respiratory depression. Opiods will have pupil constriction

18
Q

General rule of withdrawal severity

A

Stimulants are non life threatening, Depressants are.

19
Q

Seizures in EtOH withdrawal

A

between 6 and 48 hours. Treat with Benzo

20
Q

DT’s in EtOH withdrawal

A

48 - 72 hours Hours 5% of abusers get them. They carry a 15-25% mortality rate. Treat with Dilantin and a Benzo

21
Q

Dysthymic Disorder

A

(2^3) 2 years of 2 SIG-E-CAPS not symptom free for over 2 months. Must rule out MANIA, HYPOMANIA, NO MDD.

22
Q

Cyclothymic

A

Hypomainia (No impact on life) and Dysthymia for >2 years without >2 months of relief. (2^3)

23
Q

Treatment of dysthymic

A

Cognitive and Psychtherapy

24
Q

Treatment of cyclothymic

A

Same as bipolar 2.

25
Q

PTSD

A

1 month of R-A-P-EEvent: Experienced a traumatic event (Anytime vs ASD 1mo rule)Reexperience: Dreams Flashbacks recollectionsAvoidance: Mentally block the experience and avoid the situation associated with the event. Persistant +/- arousal.

26
Q

Hypochondriasis

A

Preoccupation with fear of serious illness secondary to misinterpretation of bodily symptoms for over 6 months. Treat with Regular visits, SSRI, CBT.

27
Q

Bulimia

A

Buproprion and Fluoxetine.

28
Q

Bulimia

A

NORMAL BMI: Binge eating + Compensation (Purge vs Non-Purg) to prevent increase in weight. 2x per week for 3 months.

29
Q

Bulimia Labs

A

Inc HCO3 Inc Na Inc Amylase

30
Q

Acute Stress Disorder

A

Event occurred

31
Q

Autism

A

6 symptoms in (Language, Social Interaction, Repetitive behavior) beginning before 3 years. 70% retarded. Get Hearing Test

32
Q

Asperbergers

A

Abnormal Social interaction and repetitive behavior with preserved language Get Hearing Test

33
Q

Lifetime risk of suicide in mood disorders

A

10%

34
Q

Patient with well managed bipolar disorder has a mild manic episode after final exam season.

A

Sleep Deprivation can trigger an exacerbation of depressive symptoms and can trigger mild mania.

STEP 2 (9 decks)

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