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First Aid Step 2 🐰 > Psych > Flashcards

Psych Flashcards

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1
Q

First line Rx for depression

A

SSRI

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2
Q

Antidepressants associated with HTN crisis

A

MAOI

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3
Q

Galactorrhea, impotence, menstrual dysfunction, and dec libido

A

DA antagonist

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4
Q

17 yo female left arm paralysis after boyfriend dies in car crash. No medical reason

A

Conversion disorder

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5
Q

Defense mechanism: Mother who is angry at her husband yells at her child

A

Displacemtn

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6
Q

Defense mechanism: Pedophile enters monastery

A

Reaction formation

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7
Q

Woman calmly describes grisly murder

A

Isolation

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8
Q

Hospitalized 10 yo begins to wet his bed

A

Regression

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9
Q

Life threatening mm rigidity, high fever, rhabdo

A

NMS - neuroleptic malignant syndrome

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10
Q

Amenorrhea, low body weight (<85%), bradycardia, abnormal body image in young woman

A

Anorexia

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11
Q

35 yo man recurrent episodes of palpitations, diaphoresis, fear of going crazy

A

Panic disorder

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12
Q

Most serious side effect of clozapine

A

Agranulocytosis

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13
Q

21 yo man has 3 months of social withdrawal, worsening grades, flattened affect, concrete thinking

A

Schizophreniform disorder (schizophrenia needs >6 mo)

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14
Q

Key side effect atypical

A

Weight gain, DM II, QT prolongation

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15
Q

Young weight lifter receives IV haloperidol and complains eyes are deviated sideways, Dx. Tx

A 
Acute dystonia (oculogyric crisis)
Tx benztropine or diphenhydramine
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16
Q

MEds to avoid in pts with hx alcohol withdrawal seizures

A

NEuroleptics

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17
Q

13 yo boy has hx of theft, vandalsim, violence toward family pets

A

Conduct disorder–assoc with antisocial personality disorder

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18
Q

5 mo old girl dec head growth, truncal discoordination, dec social interaction

A

Rett’s disorder–loss of milestones is commonly described

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19
Q

Pt hasnt slept for days, lost $20,000 gambling, agitated, pressured speech. Dx? Tx

A

Acute mania. Start with mood stabilizer - Li

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20
Q

After minor fender bender, man wears neck brace and requests permanent disability

A

Malingering

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21
Q

Nurse presents with severe hypoglycemia. blood analysis reveals no elevation C peptide

A

Factitious disorder (Munchausen)

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22
Q

Pt continues to use cocaine ager being in jail. losing job, not paying child support

A

Substance abusse

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23
Q

Meds to avoid in pts with PTSD

A

Benzodiazepines - high addiction potential

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24
Q

Violent pt w/ vertical and horizontal nystagmus

A

PCP

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25
Woman was abused as child frequently feels outside of or detached from her body
Depersonalization disorder
26
Schizophernic pt takes haloperidol for 1 yr and develops uncontrollable tongue movements. Dx Tx
Tardive dyskinesia | Dec or discontinue haloperidol and try another antipsych (risperdone, cloazpine)
27
Man with major depressive disorder counseled to avoid tyramine rich food with new med
MAOI
28
DSM IV - category I
Clinical psych disorders - mood, anxiety, substance, delirium
29
DSM IV- category II
PD and developmental disorders - BPD and mental retardation
30
DSM IV - category III
MEdical conditions - encephalopthy, neoplasm, HIV
31
DSM IV - psychosocial stresses
Support structures, social environment, occupational factors
32
DSM V - global assessment of functioning
100 pt scale that describes how well pt has functioned in society
33
Mood vs affect
Mood - subjective | Affect - way person expresses his or her state of mind
34
Insight vs judgment
Insight: pts awareness of problems and their affect on daily life (pre contemplation-->contemplation-->action-->maintenance) Judgment - response to a situation
35
Awareness of time, place, identity
Orientation
36
Ability to retrieve mentally stored information
Memory
37
Ability to maintain attention to task
Concentration
38
Major Depressive Disorder Which characteristics essential for Dx?
``` SIG E CAPS Sleep disturbance - insomnia Interest loss Guilt Energy reduction - fatigue Concentration impairment Appetite changes Psychomotor disturbances Suicidal ideation NEED 5 ``` Either Depressed mood or anhedonia
39
Time frame to Dx MDD
> 2 weeks
40
NT involved in depression
5HT, NE, DA
41
Risks for successful suicide attempt
``` age>45 violent behavior drug use prior attempt plan male recent loss depression unemployed widowed, single, divorced ```
42
Bereavement - time line, major criteria
6 months | DO NOT AFFECT ABILITY TO FUNCTION
43
Depression after loss of loved one Time line S/S
> 6 months | Detachment, bitterness, inability to accept life without the deceased, agitation, distrust
44
Dysthymic disorder Define Time line
``` > 2 yrs - depressed on more days than not, no hx MDD -Hopelessness -Change sleep -Change appetite -Fatigue -Inability to concentrate -Low self esteem NEED 2 w/ depressed mood ```
45
Bipolar I vs II
I: depression with 1+ manic II: depression with 1+ hypomanic
46
Mania vs hypomania
``` Mania: > 1 wk-->DIG FAST; affects ability to function -Distractibility -Insomnia -Grandiosity -Flight of idea -Activity -Speech pressured -Taking risks NEED 3 ``` Hypomania 4 or more days - does not impair ability to fcn
47
Tx bipolar
Mood stabilizers - lithium, lamotrigine, atopyicals | Lithium first line mania
48
SSRI Mechanism Use SE
Block 5HT reuptake First line: depression; also for anxiety and PTSD Sexual dysfcn, increase SI in adolescents fluoxetine, sertaline, paroxetinee citolapram, escitolopram
49
SNRI Mechanism Use SE
Inhibits 5HT and NE reuptake 1st line depression with comorbid neuro pain 2nd line if fail SSRI HTN, insomnia/sedation, nausea, constipation, dizziness Venlafazine, Duloxetine
50
TCA Mechanism Use SE
Block NE and 5HT reuptake - like SNRI; also hit alpha and muscarinic 2nd line depression used if comorbid neuro pain Easy to OD, fatal 5x therapeutic dose; QT prolong, sedate, weight gain, sexual, antichol Sx Imipramine, amitryptiline, desipramine, nortiptyline
51
MAOI Mechanism Use SE
Block MAO to inhibit deamination of 5HT, NE, and DA 2nd line depression; used Tx depression with neuro Sx or refractory Dizziness, tyramine = HTN crisis, dry mouth, Phenelzine, Isocarboxazid, tranylcypromine, selegiline
52
Buproprion Mechanism Use SE
DA and NE Depression with fatigue and concentration problems; smoking NO SEXUAL DYSFCNl weight loss, HA
53
Trazodone
5ht Depression with insomnia Sedation, priapism, seizure high dose, hypotension
54
Mitrazapine
alpha 2 and 5HT blockade Depression with insomnia Dry mouth, weight gain, sedation
55
St Johns Wort Mechanism Use SE
Decrease reuptake 5HT, NE, DA First line in Europe, alternative in us MANY DRUG INTERACTIONS
56
Rapid cycling hypomania with mild depression > 2 yrs without period of normal mood > 2months
Cyclothymia - Tx mood stabilizer
57
How to precipitate mania in bipolar disorder
Taking antidepressants without mood stabilizer
58
Behavioral or mood changes within 3 months of stressful event and impait ability to finction Time frame of beginning and ending Tx
Adjustment disorder with depressed mood begin within 3 months of event and end 6 months after end of sterssor Tx: psychTx, antidepressants
59
Organic disorder associated with panic disorder
MCP Agorophobia also
60
Dx of panic attacks requires
Hx of recurrent episodes plus persistent fear that will happen again
61
Tx panic attacks
PsychTx, SSRI, SNRI | TCA 2nd line
62
Tx specific phobia
PsychTx to desensitize
63
Tx social phobia
``` PsychoTx Beta blockers SSRI MAOI if refractory BDZ for anxiety ```
64
Major necessity for OCD Dx
Impairs daily life | Pt recognizes sx and wants to get rid of them
65
Tx OCD
PsychoTx | SSRI or clomipramine
66
Vivid dreams or recurrent intrusive thoughts, detachment, avoidance, guilt
PTSD Dx requires exposed to traumati event, Sx of reliving event (dreams or thoughts), increased arousal (insomnia, irritable, difficulty concentrationg)
67
Dx PTSD requires
Dx requires exposed to traumatic event, Sx of reliving event (dreams or thoughts), increased arousal (insomnia, irritable, difficulty concentrationg) lasting > 1month if acut e>3 months if chronic
68
Tx PTSD
SSRI MAOI Mood stabilizer PsychoTx
69
Time line generalized anxiety disorder
> 6 months
70
Dx of GAD requires
Excessive anxiety for most days Impairment of ability to fcn > 6 months
71
GAD Tx
PsychoTx Anxiolytics (BDZ, Buspirone) SSRI and SNRI promising prospect
72
How much BDZ need to OD | Tx OD
>1000x dose | FLumazenil
73
BDZ Mechanism Indications SE
Increase GABA inhibition of neural firing Alprazolam- rapid onset and short half life = break panic attacks Clonazepam and diazepam - prolonged SE: sedation, confusion; withdrawal (alprazolam)
74
Buspirone Mechanism Indications SE
DA and 5HT Anxiety in which abuse or sedation is a concern HA, dizzy, N
75
Schizophrenia puts pt at risk for
Substance abuse | Suicide
76
Risk factor shcizophrenia
FH, maternal malnutrition or illness, homeless and indigent
77
Positive Sx schizophrenia
``` Delusion Hallucination Disorganized thought and behavior thought broadcasting ideas of reference ```
78
Negative Sx schizophrenia
``` Social withdrawal Flat affect Apathy Anhedonia Lack of motivation ```
79
Cognitive Sx schizophrenia
Attention deficits Inability to organize or form abstract thought Poor memory
80
Dx schizophrenia requires
2_ Sx for at least 1 month in 6 month period; impaired social fcn > 6 months
81
Tx schizophrenia
Antipsychs (atypicals, neuroleptics) | PsychoTx
82
Good vs bad outcome schizophrenia
Good: due to substance abuse or mood disorder, positive sx, good uspport Bad: negative Sx, motor or sensory signs, poor support
83
Subtype of schizophrenia: excessive paranoia, hallucination and ideas of reference severe
Paranoid
84
Subtype of schizophrenia: rigid posturing, poor response to stimuli, poor interaction
Catatonic
85
Subtype of schizophrenia: flat affect, disorganized speech, inappropriate and disorganized behavior
Disorganized
86
Subtype of schizophrenia: does not fit into other categories
Undifferentiated
87
Subtype of schizophrenia: previously dx schizophrenia with resolition of + Sx but - Sx remain
Residual
88
Atypical antipsych Mechanism Use SE
block DA and 5HT 1st line psych disorders; Clozapine is best but agranulocytosis Antichol effect, arhythmia, seizure Clozapine, Risperidone, Olanzapine, Sertindole, Quetiapine, Ziprasidone, Paliperidone, Airpiprazole
89
High potency neuroleptics Mechanism Use SE
Block D2 Strong + Sx, emergency control psychosis or agitation, 2nd line maintenance EPS (dystonia, PDism, akinesia, akahisia), TD, sexual, hyperprolactinemia, NMS, seizures = FEWER ANTICHOL SE Haloperidol, Droperidol, Fluphenazine, Loxapine, Thiothixene, Perphenazine, Trifluoperazine
90
Low potency neuroleptics Mechanism Use SE
Block D2 Strong _ Sx, 2nd line maintenance Fewer EPS but more antichol (confusion,constipation, urinary retention, hypotension) Thioridazine, chlorpromazine
91
Sx similar to schizophrenia but last >1 month and <6 months
Schizophreniform
92
Mood disorder and psychotic Sx, not meet criteria for either one; requires presence of psychotic Sx during normal mood for > 2 wks
Schizoaffective
93
Presence of 1+ realistic delusion >1 month without psychotic Sx, fcn normally, unrealistic delusions - schizophreniform or schizophrenia
Delusional
94
Sudden onset psych Sx < 1month
Brief psychotic
95
Second pt accepts and becomes involved in delusions of pt with pre-existing delusions
Shared psychotic/ folie a deuz
96
Personality trait vs PD
trait: mild signs of PD but can fcn normally in society
97
Cluster A PD
odd or eccentric - WEIRD - Paranoid - Schizoid - Schizotypal
98
Cluster B PD
Dramatic or emotional - Wild - Antisocial - Borderline - Histrionic - Narcissistic
99
Cluster C PD
Anxious or fearful - wimpy or worried - Avoidant - Dependent - Obsessive compulsive
100
persistent distrust of others, others actions interpreted as harmful or deceptive, reluctant to share info, misinterpret comments, angry reaction, suspicion partner infidelity
Paranoid Low dose antipsych
101
Inability to form close relationships, social detachment emotionally restricted, anhedonia, flat affect, no sexual interests
Schizoid Antipsych
102
Paranoia, idea of reference, eccentric and inappropriate behavior, social anxiety, disorganized speech, odd beliefs
Shizotypal Low dose antipsych or anxiolytic
103
Aggressive behavior toward ppl and animals, destroy property, illegal activity, pathologic lying, irritability, isk taking, lack of responsibility, lack of remorse for actions, >18, hx conduct
Antisocial Structured environment, psych Tx
104
Unstable relationships, feelings of emptiness, fear of abandonment, poor self esteem, impulsivity, mood lability, SI, inappropriate irritability, paranoia, splitting, women
Borderline | SSRI, mood stabilizer, low dose antipsych
105
Dire need for attention, inappropriate sexual behavior, emotional lability, shallow relationships, dramatic speech, uses appearance to draw attention to self, easily influenced by others, believes relationships are more intimate than they are
Histrionic
106
Grandiosity, fantasies of success, manipulation of others, expectation of admiration, arrogance sense of entitlement, lacks empathy, envious of others
Narcissistic
107
Fear of criticism and embarrassment, social withdrawal, fear of intimacy, poor self esteem ,reluctance to try new activities, preoccupied by fear of rejection, feelings of inadequacy are inhibitory
Avoidant
108
Difficulty making decisions, fear of responsibility, difficulty expressing disagreement, lack of confidence in judgment, need for others support, fear of being alone, requires constant close relationships
Dependent
109
Preoccupied with details, perfectionist, excessively devoted to work, inflexible in beliefs, difficulty working with others, hoard worthless objects, stubbornness
Obsessive compulsive | Does not recognize behavior as problematic
110
Repetitive use of substance that results in negative consequences
Substance abuse
111
Physical adaptation to repetitive substance use in which abrupt cessation or antagonist causes withdrawal
Physical dependence
112
Perceived need for given substance because of its associated positive effect or because of fear of effects from lack of use
Psychological dependence
113
Chronic substance use leading to physical and psychological dependence, development of tolerance, feelings of loss over use, significant amount of time devoted to procuring substance
Addiction
114
CAGE
Cut down on usage Annoyance over others suggestion to stop useage Guilt over usage Eye opener
115
Refuse to maintain normal body weight, amenorrhea, cold intolerance, hypothermia, dry skin, lanugo hair, bradycarda Tx
Anorexia nervosa Inpt to gain weight PsychoTx No pharm unless associated depression then SSRI
116
Hypophosphatemeia, cardiovascular collapse, rhabdomyolysis, confusion, seizures
Refeeding syndrome - sudden shift from fat to card metabolism in anorexics who resume eating
117
Feel lack of control over eating behavior, normal body weight; binding and compesnation episodes at least 2x per week for 3 months S/S: dental enamel erosion, scars on harnds, parotid enlargment, oligomenorrhea Tx
Bulimia PsychoTx SSRI, TCA, buspirone
118
Needed for somatization disorder
2 GI 1 sex 1 pseduoneuro Pain multiple body sites
119
Sensory or neuro deficits following stress, no medical condition
Conversion disorder
120
Tx pain diosrder
TCA and SSRI
121
Pt imagines physical defect in distinct body region, present to dermatologist or plastic surgeon to improve, continues to imagine defect after Tx
Body dysmorphic disorder
122
Factitious vs malingering
Malingering: benefit pt Factitious: no benefit
123
Sundowning
Deterioration of behavior during evening hours in pts with dementia
124
Acute onset, fluctating change in cognition and behavior, oriented only to self, flight of idea/disorganizd, short term memory impaired, reversible if find underlying cause
Delirium
125
Gradual onset, sundowning, normal level of consciousness, orientation impaired, thought production impoerished, few psychotic features, memory - short and long term impaired, irreversible
Dementia
126
4 types dementia
AD PD Vascular - w/ neuro Sx Alcohol- aphasias
127
Tx dementia
Cholinesterase inhibitors - donepezil, rivastigmine, galantamine to slow decline Therapy
128
Drugs that can worsen dementia and delerium
BDZ and antichol
129
3 types ADHD
Inattentive: decreased attention span, difficulty following instruction Hyperactivity: inappropriate activity Impulsivity: interrupts,
130
Dx ADHD
Must exhibit Sx in multiple settings
131
Repetitive disruptive and antisocial behavior that violates others rights and social norms Dx requires
Conduct disorder Need 1 critera < 10 yrs of age and 3 >10 yrs of age
132
Dx Tourette's requires
presence tics >1 yr and begins before 21
133
Similar to conduct but not illegal or destructive activities
Oppositional defiant
134
Severe, persistent impairment in interpersonal interactions, communication and social activities
Autism
135
4 As of dementia
Amnesia Apraxia - motor inability Anosia- recognize inability Aphasia
136
Subtypes MDD
Psychotic features Postpartum - 1 month Atypical: weight gain, hypersomnia, rejection sensitivity SEasonal: winter, light Tx Double depression: major depressive episode with dysthymia
137
TCA toxicity
3c Convulsions Coma Cardiac arrhythmias
138
SSRI and MAOI dosing
DC SSRI 2 wks before starting MAOI | If Fluoxetine wait 5 wks
139
Postpartum depression within 2 weeks of delivery - sadness, moodiness, emotional lability without thoughts of hurting baby
Postpartum blues
140
Postpartum depression 2-3 wks after delivery w/ delusion and depression; may have thoughts of hurting baby
Postpartum psychosis
141
Postpartum depression 1-3 months post delivery; also sleep disturbances and anxiety with thoughts of hurting baby
Postpartum depression
142
Characteristics of PD
``` MEDIC Maladaptive Enduring Deviate from cultural norms Inflexible Cause impairment in social or occupational functioning ```
143
Lithium Use SE
First line mood stabilizer - acute mania, trophy in BPD, augmentation in depression SE - DI, hypothyroidism, seizures, teratogen 1st trimester, acne, vomiting; Li toxicity >1.5 ==ataxia, dysarthria, delirium ARF
144
Carbamazepine Use SE
2nd line mood stabilizer, anticonvulsant, trigeminal neuralgia SE-skin rash, leukopenia, AV block, aplasti anemia, SJS
145
Valproic acid | Use SE
BPD, anticonvulsant | GI, sedation, alopecia, weight gain, pancreatitis, agranulocytosis, etc
146
Lamotrigine Use SE
2nd line mood stabilizer Anticonvulsant Blurred vision, SJS - inc dose slowly and monitor for rashes
147
Fixed false idiosyncratic belief
Delusion
148
Perception without existing external stimulus
Hallucination
149
Misperception of actual external stimulus
Illusion
150
Things with Schiz
``` Schizophreniform 1-6 months Schizophrenia - > 6 months Schizoaffective - Schizophrenia + Major affective disorder Schizotypal - PD with magical thinking Schizoid - PD = loner ```
151
Evolution of EPS
4 hours= Acute dystonia 4 days- Akinesia 4 weeks - akathisia 4 months - Tardive dyskinesia
152
Prolonged painful mm contraction or spasm
Dystonia- tx w/ antichol (benztropine or diphenhydramine)
153
Pseudoparkinsinism
Dyskinesia - Tx antichol or DA ag (amantadine)
154
Subjective/objective restlessness that is perceived as being distressing
Akathisia - Tx beta blocker (propranolol_
155
Stereotypic involuntary painless oral facial movements
Tardive dyskinesia | Tx - dec neuroleptic dose; antichol may worsen
156
Autism like disorder of social impairment and repetitive activities, behaviors, interests WITHOUT cognitive or language delays
Aspergers
157
Severe developmental regression after >2 yrs of normal development
Childhood disintegrative disorder
158
IQ to judge mental retardation
50-70 mild 35-49 severe <20 profound
159
Tremor, tachycardia, HTN, malaise, nausea, seizures, DT, agitation - withdrawal?
Alcohol withdrawal
160
Dysphoria, insomnia, anorexia, myalgias, fever, lacrimation, diaphoresis, dilated pipils, rhinorrhea, piloerection, nausea, vomiting, stomach cramps, diarrhea, yawning
Opiod withdrawal - not life threatening
161
Anxiety, lethargy, HA< stomach cramps, hunger, fatigue, depression/dysphoria, sleep disturbances, nightmares
Amphetamine withdrawal
162
Recurrence of intoxication sx due to reabsorption in GI tract, sudden onset seer, random violence
PCP withdrawal
163
Anxiety, seizures, delirium, life threatening CV collapse
Barbs
164
Rebound anxiety, seizures, tremor, insomnia, HTN, tachycardia, death
BDZ withdrawal
165
Irritability, HA, anxiety, weight gain, craving, bradycardia, difficulty concentrating, insomnia
Nicotine withdrawal
166
Sedation, depression, psychomotor retardation, fatigue, anhedonia
Cocaine withdrawal
167
disinhibition, emotional lability, slurred speech, ataxia, aggression, blackouts, hallucinations, memory impairment, impaired judgment, coms
Alcohol intoxication
168
Euphoria leading to apathy. CNS depression, constipation, MIOSIS, resp depression (life threatening)
Opiod intoxication Tx nalaxone and naltrexone - may need to redose if long acting opiod
169
Psychomotor agitation, impaired judgment, HTN, MYDRIASIS, tachycardia, fever, diaphoresis, anxiety, angina, euphoria, prolonged wakefulness/attention, arrhythmias, delusions, seizures, hallucinations
Amphetamine intoxication Can give Haloperidol if severe agitation
170
Psychomotor agitation, euphoria, impaired judgment, tachycardia, MYDRIASIS< HTN, paranoise, hallucinations, :bugs", sudden death - EKG shows ischemia
Cocaine intoxication | Tx with haloperidol
171
Assaultiveness, belligerence, psychosis, violence, vertical or horizontal nystagmus, HTN, ataxia, seizures, delirium
PCP intoxication Tx: BDZ or haloperidol
172
Marked anxiety or depression, delusions, visual hallucinations, flashbacks, MYDRIASIS, impaired judgment, diaphoresis, tachycardia, HTN, heightened senses
LSD intoxication
173
Euphoria, slowed sense of time, impaired judgment, social withdrawal, inc appetite, dry mouth, conjunctival injection, hallucinations, paranoia, amotivational syndrome
Marijuana intoxication
174
respiratory depression - low safety margin
Barbs
175
Interactions with alcohol, amnesia, ataxia, somnolence, mild resp depression
BDZ intoxication
176
Restlessness, insomnia, diuresis, mm twitching, arrhythmia, tachycardia, flushed face, psychomotor agitation
Caffeine intoxication
177
Restlessness, insomnia, anxiety, arrhythmias
Nicotine intoxication
178
Med to avoid in eating disorders because associated with lowering seizure threshold
Buproprion
179
Hypnagogic vs hypnopompic hallucinations
Gogic: going to sleep Pompic: waking up
180
Tx Narcolepsy
Amphetamines, scheduled naps, SSRI for cataplexy
181
Central vs obstructive sleep apnea
Central: both airflow and resp effort cease -- morning HA common Obstructive: airflow ceases 2/2 obstruction - snoring, obesity, male gender, deviated nasal septum,
182
Complications of sleep apnea
``` Sudden death HA Depression inc SP Pulm HTN ```
183
TX Central vs Obstructive sleep apnea
CSA: BiPAP OSA: CPAP
184
Risk factors for suicide
SAD PERSONS ``` Sex- male A - age >45 Depression Previous attempt Ethanol..substance abuse Rational thought Sickness-chronic illness Organized plan/access to weapons No spouse Social support lacking ```
185
Antipsych med that causes retinal pigments deposits
Thioridazine
186
Antipsych med that causesjaundice and photosensitivity
Chlorpromazine
187
Atypical antipsych: weight gain, sedation, hypotension, dry mouth
Olanzapine
188
Atypical antipsych: sedation, orthostatis hypotension, akathisia, weight gain, dry mouth
Quetiapine
189
Atypical antipsych: nausea, weakness, QT prolongation
Ziprasidone
190
Atypical antipsych: HA, nausea, akathisia, tremor, constipation
Aripripazole
191
Atypical antipsych: PDism, dystonia, dyskinesia, akathasia, QT prolongation
Paliperidone
192
Atypical antipsych: orthostatic hypotension, weight gain, metabolix syndtome, sedation, constipation
Clozapine
193
Reversible amnesia for personal identity; unplanned travel or wandering. Does remember event upon returning
Dissociative fugue
194
Somatiform vs factitious
Somatiform: do not inttentionally create Sx Factitious: create Sx

First Aid Step 2 🐰 (22 decks)

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