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Psych Flashcards

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1
Q

chronic hair pulling common in young girls

A

trichotillomania (hair pulling disorder in DSM V)

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2
Q

meds for ADHD

A

methylphenidate (Ritalin) most common
dextroamphetamine (Adderral)
atomoxetine: norepi reuptake inhibitor

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3
Q

impairments in social interactions, communications, play, repetitive behaviors

A

autism spectrum

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4
Q

ignoring the basic rights of others

A

conduct disorder

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5
Q

characterized by hostility, annoyance, vindictiveness, disobedience, and resentfulness

A

oppositional defiant disorder

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6
Q

multiple motor and vocal tics

A

Tourette’s

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7
Q

impulsive and inattentive

A

ADHD

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8
Q

7 yo that avoids going to school to stay home with parent

A

separation anxiety disorder

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9
Q

electrolyte changes in pts with excessive purging

A

hypokalemic, hypochloremic metabolic alkalosis

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10
Q

diagnosis of anorexia nervosa

A

distorted body image
intense fear of gaining weight
refusal to maintain normal body weight

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11
Q

criteria for binge-eating disorder

A

episodes of eating with sense of lack of control
plus 3/5: eating faster, eating until uncomfortably full, eating large amounts when not hungry, eating alone, feeling badly about it
at least 1x week for 3 months

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12
Q

most common medication for bulimia nervosa

A

SSRI (fluoxetine)

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13
Q

Wernicke-korsakoff syndrome

A

Wernicke (acute): confusion, ophthalmoplegia, and ataxia
Korsakoff (chronic): irreversible memory loss, confabulations, personality change
caused by thiamine deficiency
gets worse with administration of glucose
damage to mammillary bodies common

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14
Q

stages of behavioral change

A 
precontemplation
contemplation
preparation/determination
action/willpower
maintenance
relapse
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15
Q

alcohold withdrawal

A

benzodiazepines

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16
Q

most effective treatment for alcohol abuse

A

alcoholics anonymous

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17
Q

atrophy of the mammillary bodies

A

Wernicke encephalopathy

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18
Q

post op constipation and/or respiratory depression

A

opioid intox

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19
Q

severe depression, headache, fatigue, insomnia/hypersomnia, hunger

A

cocaine or amphetamine withdrawal

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20
Q

pinpoint pupils, N/V, seizures

A

opioid overdose

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21
Q

belligerence, impulsiveness, nystagmus, homicidal ideations, psychosis

A

PCP overdose

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22
Q

headache, anxiety/depression, weight gain

A

nicotine/caffeine withdrawal

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23
Q

anxiety/depression, delusions, hallucinations, flashbacks

A

LSD intox

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24
Q

euphoria, social withdrawal, impaired judgment, hallucinations

A

marijuana intox

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25
rebound anxiety, tremors, seizures, life-threatening
alcohol, benzodiazepines, barbiturate withdrawal
26
anxiety, piloerection, yawning, fever, rhinorrhea, nausea, diarrhea
opioid withdrawal
27
treatment of alcohol intoxication
IVF, respiratory monitoring
28
treatment of benzodiazepine intoxication
flumazenil (watch for seizures)
29
treatment of PCP intoxication
benzodiazepines, haloperidol
30
treatment of opioids intoxication
naloxone, naltrexone
31
use amphetamines to treat
ADD, narcolepsy/sleep disorders, obesity
32
positive symptoms of schizophrenia
``` caused by increased DA in mesolimbic pathway delusions hallucinations (usually auditory) disorganized speech disorganized or catatonic behavior ```
33
negative symptoms of schizophrenia
``` caused by decreased DA in mesocortical tract flat effect social withdrawal lack of motivation (avolition) lack of speech (alogia) or thought ```
34
``` how long must symptoms last: schizophrenia delusional disorder brief psychotic disorder schizophreniform disorder ```
schizophrenia > 6 months delusional disorder > 1 month brief psychotic disorder < 1 month schizophreniform disorder 1-6 months
35
hallucination
perception in absence of external stimuli
36
delusion
false belief that continues despite proof against it
37
illusion
misinterpret something that is actually there | thinking tree limb outside window is someone's are trying to reach through
38
high potency neuroleptics
haloperidol, fluphenazine, trifluoperazine, loxapine, thioridazine can use Try to Fly High for trifluoperazine, fluphenazine and haloperidol
39
low potency neuroleptics
chlorpromazine | thioridazine
40
atypical antipsychotics
olanzapine, clozapine, quetiapine, risperidone, aripiprazole
41
what antipsychotic is associated with increased risk for diabetes
olanzapine
42
what antipsychotic is associated with increased risk for agranulocytosis
clozapine
43
what antipsychotic is associated with treating Parkinson's drug psychosis
quetiapine
44
rigidity, myoglobinuria, autonomic instability (tachycardia), hyperpyrexia, delirium
neuroleptic malignant syndrome
45
manic episode
excessive goal-directed energy for at least 1 week
46
how to diagnose manic episode
``` 3 of DIG FAST Distractibility Irresponsibility (pleasure without consequence) Grandiosity (inflated self esteem) Flight of ideas Activity/Agitation increased Sleep decreased Talkative ```
47
bipolar
at least one manic episode (type I) or one hypomanic episode with depression (type II) depression will always occur at some point with type 1 antidepressives can increase mania high suicide risk
48
side effects of lithium
``` LMNOP Movement (tremors) most frequent Nephrogenic diabetes insipidus (blocks aquaporins) HypOthyroidism Pregnancy problems (ebstein anomaly) ```
49
major depressive disorder
``` anhedonia plus at least 5 of SIGECAPS for 2 weeks Sleep disturbance loss of Interest Guilt or feelings of worthlessness loss of Energy loss of Concentration Appetitie/weight changes Psychomotor retardation or agitation Suicidal ideations Depressed mood ```
50
screening tool for suicide
``` SAD PERSONS Sex (male) Age (teenager or elderly) Depression Previous attempt Ethanol or drug use loss of Rational thinking Sickness (major medical illness or a lot of prescriptions) Organized plans No spouse (divorced, widowed, or single) Social support lacking ```
51
presentation of major depressive disorder with atypical features
``` SIGECAPS and hyperphagia hypersomnia mood reactivity rejection hypersensitivity ```
52
mild depression for 6 years. What's the diagnosis
persistent depressive disorder (used to by dysthymia)
53
treatment for serotonin syndrome
benzodiazepines are first line | cyproheptadine (5-HT2 receptor antagonist)
54
SE effect of priapism
trazodone
55
lowers the seizure threshold
bupropion, TCA
56
works will with SSRIs and increases REM sleep
trazodone
57
appetite stimulant that is likely to result in weight gain
mirtazapine
58
can be used for smoking cessation
bupropion
59
can be used for bedwetting children
imipramine
60
symptoms of TCA overdose
convulsions, coma, cardiotoxicity
61
symptoms of serotonin syndrome
muscle rigidity, hyperthermia, cardiovascular collapse
62
ingesting tyramine while on MAOIs
HTN crisis, hemorrhagic stroke
63
Panic disorder symptoms
``` PANICS palpitations, parasthesias abdominal distress nausea intense fear of dying or losing control Chest pain, chills, choking sweating, shaking, shortness of breath ```
64
unexplained pain
somatic symptom disorder with predominant pain
65
patient with normal anatomy is convinced a part of their appearance is abnormal
body dysmorphic disorder
66
unexplained loss of sensory or motor function (tests and PE are negative)
conversion disroder
67
unwavering belief by the patient that she has a specific disease (despite medical reassurance)
illness anxiety disorder
68
unexplained complaints in multiple organ systems
somatic symptom disorder
69
treat generalized anxiety disorder
buspirone
70
consciously fakes or claims to have a disorder to get a secondary gain
malingering
71
consciously creates physical or psychological symptoms to assume sick role and get primary gain
factitious disorder
72
Munchausen's syndrome
chronic factitious disorder with history of multiple hospital admins or invasive procedures
73
voluntarily choosing not to think about a piece of bad news
suppression
74
not acknowledging a piece of bad news, as though it was never said
denial
75
involuntarily withholding of a feeling from conscious awareness
repression
76
veteran who can describe horrific war details without any emotion
isolation
77
child abuser was himself abused as a child
identification
78
man yells at his family when he has a bad day at work
displacement
79
8 year old girl who is being bullied starts carrying around security blanket again
regression
80
cluster A personality disorders
weird | paranoid, schizoid, schizotypal
81
Cluster B personality disorders
wild | antisocial, borderline, histrionic, narcissistic
82
Cluster C personality disorders
worried | avoidant, obsessive-compulsive, dependent

DIT (28 decks)

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