Psych Flashcards Preview

USMLE Step 1 Random Facts > Psych > Flashcards

Flashcards in Psych Deck (43):
1

symptoms for Major Depressive disorder

Sleep disturbance
loss of Interest
Guilt or feelings of worthlessness
loss of Energy
loss of Concentration
Appetite/weight changes
Psychomotor retardation, agitation
Suicidal ideations
depressed mood

"SIGECAPS"

must have 5 or more sympt for dx for 2 wks or longer (and MUST MUST MUST include depressed mood or anhedonia)

dysthmia - milder; lasting at least 2 yrs (need less sympt)

2

high potency antipsychotics?

trifluoperazine
fluphenazine
haloperidol

"Try to Fly High"

3

high potency antipsych SE?

EPS

Potent = extraPyramidal symptoms

4

low potency antipsych?

Chlorpromazine
Thioridazine

(Cheating Thieves are LOW)

5

low potency antipsych SE?

anticholinergic (dry mouth, constipation, blurred vision)
antihistamine (sedation)
alpha1-blockade (orthostatic hypotension)

6

SE specific for chlorpromazine

Corneal deposits

"C"

7

SE specific for thioridazine

reTinal deposits

8

schizophrenia time frame?

> 6 mo.

9

schizophreniform time frame?

1-6 mo.

10

brief psychotic disorder time frame?

< 1 mo.

11

schizoaffective disorder time frame?

at least 2 wks of stable mood and psych sympt

12

delusional disorder time frame?

> 1 mo.

13

manic episode time frame?

@ least 1 wk

14

hypomanic time frame?

at least 4 days

15

bipolar disorder time frame?

at least 2 yrs (can have normal mood in b/w for up to 2 mo.)

16

postpartum "blues" time frame?

starts 2-3 days after delivery
resolves w/in 10-14 days

17

postpartum depression time frame?

starts 4 wks after delivery
lasts at least 2 wks

18

postpartum psychosis

lasts days to 4-6 wks

19

dysthymia in adults time frame

at least 2 yrs

20

dysthymia in children time frame

at least 1 yr

21

major depressive disorder time frame

lasts 6-12 mo.
at least 5/9 sympt for 2+ wks

22

NT changes in anxiety

increased NE
decreased GABA, serotonin

23

NT changes in depression

decreased NE, serotonin, dopamine

24

NT changes in Alzheimer's disease

decreased ACh

25

NT changes in Huntington's

decreased GABA, ACh
increased dopamine

26

NT changes in Schizophrenia

increased dopamine

27

NT changes in Parkinson's

decreased dopamine
increased serotonin, ACh

28

visual hallucinations = sign of?

dementia or drug intox

29

auditory hallucinations = sign of?

psych illness (schizo)

30

olfactory hallucinations = sign of?

aura of psychomotor epilepsy
brain tumors

31

tactile hallucinations = sign of?

alc withdrawal or cocaine intox

32

delusional disorder main idea =

NON-bizarre belief (eg. cheating spouse)

33

this drug class can lead to increased mania

antidepressants

34

atypical depression sympt + tx

mood reactivity (positive mood to positive event)
hypersomnia
wt gain
heavy feeling in arms/legs
HST to rejection

tx = MAOI, SSRI

35

PTSD time frame

>1 mo

36

acute stress disorder time frame

2 days - 1 month
same sympt as PTSD!!

37

gen anxiety disorder time frame

at least 6 mo.

38

Cluster A personality disorders

odd/eccentric
"weird" (Accusatory, Aloof, Awkward)
genetic ass w/ schizo

39

Cluster B personality disorders

dramatic, emotional, erratic
"wild" (Bad to the Bone)
genetic ass w/ mood disorders + substance abuse

40

major defense mech in paranoid personality disorder

projection

41

major defense mech in borderline personality disorder

splitting

42

Cluster C personality disorders

anxious or fearful
"worried" (Cowardly, Compulsive, Clingy)
genetic ass w/ anxiety disorders

43

alcohol use sensitive indicator

GGT