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Flashcards in Psych Deck (74)
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1

Neuroleptic Malignant Syndrome (slow onset 1-3 days),

D/t

S&S

Tx

Bradykinesia

Lead pipe rigidity

Fever HTN, tachycardia

↑ CPK

2

Cyclothymic disorder

S&S

Tx

mild form of bipolar alternating hypomania and dysthymia (mild depression) for at least 2 yrs (symptom free for 2 mo. max)

 

Tx: Lithium, Quetiapine

3

Hypomania

4 day minimum, no social/occupational impairment, no psychotic features, no hospitalization required

4

Dysthymia, Time frame

 

Tx

depressed for at least 2 yrs (symptom free for 2 mo. max), poor concentration, hopeless, low self esteem, fatigue, insomnia, poor/excessive appetite

 

Tx: Venlafaxine

5

Serotonin Syndrome (fast onset)

d/t

S&S

Tx

d/t when MAOIs are taken with SSRIs/Serotonergic opioids; e.g. Trancypromise + Meperidine/Dextromethorphan/Tramadol

 

hyperkinesia

myoclonic jerks/ clonus

confusion, rhabdo, renal failure, coma

 

Tx: Supportive care then Cyproheptadine (serotonin antagonist)

6

Tourette's keywords

↓ Frontal Lobe mass

impaired DA regulation in caudate

7

Tx. for Extrapyramidal SE of antipsychotics

Benztropine (anticholinergic)

8

How do NSAIDs affect Lithium levels?

NSAIDs ↓ Lithium levels

9

What is Lithium used for? Adverse effects?

Bipolar disorder and Refractory depression

 

AE: metal taste, hypothyroidism, polyuria

10

Factitious disorder

getting sick to assume sick role (1º gain)

11

Histrionic

excessive emotionality, attention seeking

12

Malingering

acting out false/grossly exaggerated signs and symptoms for 2º gain (unemployment benefits, narcotics, money)

13

Extrapyramidal Symptoms (d/t typicals/atypicals i.e. Risperdal or Haldol) Rule of 4's

Rule of After 4's:

4 hrs: acute dystonia

4 days: akathisia (restlessness)

4 wks: bradykinesia

4 mo: tardive dyskinesia

14

Dysthymia (Persistent depressive disorder)

chronic low grade depression at least 2 yrs

15

Avoidant personality disorder, Tx

feels a "void" and wants to be friends, fear intimate relationships/friendships, Tx: SSRIs

16

Cluster A ODD personality disorders "PASS",

Tx: Psychotherapy

PAranoid: mistrust others

Schizoid: no desire for close relationships

Schizotypal: "magical thinking" and distorted cognitions/perceptions

17

Cluster B DRAMATIC personality disorders "BAHN"

Borderline: unstable relationships, mood swings. Tx: Dialectical behavioral (DBT) 

Antisocial: violate rights of others, steals, kills with no guilt. Tx: DBT

Histrionic: attention seeking but functional. Tx: psychotherapy

Narcissistic: grandiose, need for admiration Tx: psychotherapy

18

Cluster C ANXIOUS personality disorders "CADO"

Avoidant: desires companionship. Tx: SSRI

Dependent: afraid of separation. Tx: psychotherapy

OCPD: rigid rules so tight they exclude friendships. Tx: psychotherapy

19

Sublimation

mature way of channeling impulses into socially acceptable behavior

20

When treating a single episode of Major Depression, how long should you continue antidepressants to follow a pt.'s response?

6 mo.

21

What a.a. should you avoid while on MAOIs?

 

Why?

Tyramine (age cheese, anchovies, red wine, cured meats, etc.)

 

Hypertensive crisis

22

Schizoaffective

psychosis + major Depression/Manic S&S lasting 2+ wks

i.e. Schizophrenia + either depression or bipolar disorder. That's why it has two subtypes (depression type, bipolar type)

23

Why can't you abruptly stop benzodiazepines like Xanax?

Seizure risk

24

Hoarding is treated with?

SSRIs

25

Major Depressive Disorder, S&S, d/t?

2+ wks of 5 of 9 CISEGAPS, d/t ↓ 5HT

26

What would you see on PET Scan of MDD?

↓ frontal lobe blood flow

27

Tx MDD

SSRIs, TCAs, MAOIs, ECT if pregnant

28

DIGFAST of Bipolar I

Distracted

Impulsive

Grandiose

Flighty

Activity 

Sleep

Talkative Manic Episodes last 1 wk, may have depressive episodes

29

Tx. Bipolar I

Lithium (mood stabilizer), Carbamazepine or Valproic Acid, Atypicals

30

Bipolar II (Hypomanic)

less severe DIGFAST, more prevalent, 1+ major depressive episode is required