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Flashcards in Psych High Yield Deck (130):
1

"delisions, hallucinations, and/ or disorganized thought"

Psychosis

2

"delisions, hallucinations, and/ or disorganized thought"

Psychosis

3

"perceptions in the absence of external stimuli"

hallucinations

4

"unique, false beliefs about oneself or others that persst depit facts"

delusions

5

"words or ideas strung together based on sounds, puns or "loose associations"

Disorganized speech

6

"chronic mental disorder with periods of psychosis, disturbed behavior and though, and decline in functioning lasting >6 mo"

Schzophrenia

7

What does a diagnosis of shcizophrenia require?

2 of the following:

Delusions, hallucinations, disorganized speech, disorganized/ catatonic behavior, negative symptoms

8

Shizophrenia symptoms lasting

Brief psychotic disorder

9

Shizophrenia symptoms lasting from 1- 6 months

Schizophreniform disorder

10

Schizophrenia symotoms with episodic superimposed MDD or mania lasting > 2 weeks

Schizoaffective disorder

11

"fixed, persistent, false belief system lasting > 1 month"

delusional disorder

12

"distinct period of abnormally and persistently elevated, expanzive, or irritable mood and abnormally and persistently increased energy lasting at least 1 week"

Manic episode

13

What are the manifestations of mania?

DIG FAST

Distractibility
Irresponsiblity
Grandiosity

Flight of ideas
Increased in goal directed activity
Decreased need for sleep
talkativeness or pressured speech

14

"mania symptoms that last

Hypomanic episode

15

What is Bipolar I?

1 manic episode with or w/o a hypomanic or depressive episode

16

What is bipolar II?

Hypomanic and depressive episode

17

What is cyclothymic disorder?

Dysthymia and hypomania (milder form of bipolar disorder lasting at least 2 years

18

How long does a depression need to last to qualify as a MDD?

6- 12 months

19

What is dysthymia?

Presistent depressive disorder--> depression lasting at least 2 years

20

What are the symptoms of a MDD?

Sleep disturbance
Loss of interet
Guilt
Energy loss
Concentration problems
Appetite/ weight changes
Psychomotor retardation
Suicidal ideation
Depressed mode

21

Is there increased or decreased REM sleep in depression?

Increased

22

What are the symptoms of atypical depression?

Mood reactivity, leaden paralysis long standing interpersonal rejection sensitivity, "hypersomnia

23

How long do post partum blues last?

24

"depressed affect, anxiety and poor concentration starting within 4 weeks of delivery"

Postpartum depression

25

"perceptions in the absence of external stimuli"

hallucinations

26

"unique, false beliefs about oneself or others that persst depit facts"

delusions

27

"words or ideas strung together based on sounds, puns or "loose associations"

Disorganized speech

28

"chronic mental disorder with periods of psychosis, disturbed behavior and though, and decline in functioning lasting >6 mo"

Schzophrenia

29

What does a diagnosis of shcizophrenia require?

2 of the following:

Delusions, hallucinations, disorganized speech, disorganized/ catatonic behavior, negative symptoms

30

Shizophrenia symptoms lasting

Brief psychotic disorder

31

Shizophrenia symptoms lasting from 1- 6 months

Schizophreniform disorder

32

Schizophrenia symotoms with episodic superimposed MDD or mania lasting > 2 weeks

Schizoaffective disorder

33

"fixed, persistent, false belief system lasting > 1 month"

delusional disorder

34

"distinct period of abnormally and persistently elevated, expanzive, or irritable mood and abnormally and persistently increased energy lasting at least 1 week"

Manic episode

35

What are the basic characteristics of the 3 personality disorder clusters?

A- weird

B- Wild

C- Wacky

36

"mania symptoms that last

Hypomanic episode

37

What is Bipolar I?

1 manic episode with or w/o a hypomanic or depressive episode

38

What is bipolar II?

Hypomanic and depressive episode

39

What is cyclothymic disorder?

Dysthymia and hypomania (milder form of bipolar disorder lasting at least 2 years

40

How long does a depression need to last to qualify as a MDD?

6- 12 months

41

What is dysthymia?

Presistent depressive disorder--> depression lasting at least 2 years

42

What are the symptoms of a MDD?

Sleep disturbance
Loss of interet
Guilt
Energy loss
Concentration problems
Appetite/ weight changes
Psychomotor retardation
Suicidal ideation
Depressed mode

43

Is there increased or decreased REM sleep in depression?

Increased

44

What are the symptoms of atypical depression?

Mood reactivity, leaden paralysis long standing interpersonal rejection sensitivity, "hypersomnia

45

How long do post partum blues last?

46

"depressed affect, anxiety and poor concentration starting within 4 weeks of delivery"

Postpartum depression

47

"mood congruent delusions, hallucinations and thoughts of harming self or baby"

Postpartum psychosis

48

How long does pathologic grief last?

>6 months

49

What are the AEs of electroconvuslive therapy?

Disorientation, temporary headache, partial anterograde/ retrograde amnesia

50

"recurrent panic attacks assocatiated with 4 symptoms (palpitations, paresthesias, abd distress, nausea, intense fear of dying or losing control, light headed, chest pain, chills, skaking, shortness of breath"

Panic disorder

51

"fear that is excessive or unreasonable and interferes with normal function that is cued by presence or anticipation of a specific object or situation"

specific phobia

52

"anxiety lasting >6mo unrelated to a specific person, situation or event"

Generalized anxiety disorder

53

"recurring, intrusive thoughts, felling, or sensations that cause severe distress relieved in part by the performatnce of repetitive actions (compulsions)

OCD

54

"persstent reexperiencing of a previous traumatic event that may involve nightmares, flashbacks, intense fear helpness horror lasting >1 month"

PTSD

55

What are 2 forms of factitious disorder?

Munchausen syndrome and Munchausen syndrome by proxy

56

"preoccupation with and fear of having a serious illness despite medical evaluation and reassurance"

Illness anxiety disorder (hypochondiriasis)

57

"variety of complaint in one or more organ systems for months to years"

Somatic symptom disorder

58

What are the basic characteristics of the 3 personality disorder clusters?

A- weird

B- Wild

C- Wacky

59

What are the 3 Cluster A personality disorders?

Paranoid
Schizoid
Schizotypal

60

"pervasive distrust and suspisciousness, projections is the major defense mechanism"

Paranoid personality disorder

61

"voluntary social withdrawal, limited emotional expression, content with social isolation"

Schizoid personality disorder

62

"Eccentric appearance, odd beliefs or magical thinking, interpersonal awkwardness"

Schizotypal personality disorder

63

What are the 4 Cluster B personality disorders?

Antisocial
Borderline
Histrionic
Narcissistic

64

"disregard for and violatino of rights of others, criminality, impulsivity"

Antisocial personality disorder

65

"unstable mood and interpersonal relationships, impulsivity, self mutilation, boredom, sense of emptiness"

Borderline personality disorder

66

"excessive emotionality and excitability, attention seeking, sexually provocative, overly concerned with appearance"

Histrionic personality disorder

67

"grandiosity, sense of entitlement, lack empathy, demands to be the best"

Narcissistic personality disorder

68

What are the 3 cluster C personality disorders?

Avoidant
Obsessive- Compulsive
Dependent

69

"hypersensitive to rejection, socially inhibited, timid, feelings of inadequacy, desires relationships with others"

Avoidant personality disorder

70

"Preoccupation with order, perfectionism, anc control"

Obsessive- compulsive personality disorder

71

"submissive and clingy, excssive need to be taken care of, low self- confidence"

Dependent personality disorder

72

What antidepressent should be avoided in anorexics and bulemics?

Bupropion

73

What is an indicative sign of bulemia?

enamel erosion, alkalosis, and dorsal hand calluses from induced vomiting

74

What stage of sleep does sleep tremor disorder?

non- REM sleep

75

Production of what is deficient in narcolepsy?

Decreased hypocretin (orexin) production in lateral hypothalamus

76

What stage of sleep does Narcolepsy start with?

REM

77

Antitode for opioids?

Nalaxone/ naltrexone

78

"long acting opiod used for heroine detoxification or ling term maintenance"

Methadone

79

"partial agonist of mu receptors used for reversal of opioids"

Buprenorphine

80

"long acting opioid antagonist used for relapse prevention once detoxified"

naltrexone

81

What is the drug used to condition the patient to abstain from alcohol use?

Disulfram (inhibits alcohol dehydrogenase)

82

"life threatening alcohol withdrawal syndrome that peaks 2-4 days after last drink"

Delirium tremens (DTs)

83

How long after last drink do alcoholic hallucinations begin?

12- 48 hours after last drink

84

What is used to treat ADHD?

stimulants

85

DOC for alcoholic withdrawal?

long acting benzo (chloradiazepoxide, lorazepam, diazepam)

86

3 DOC for bipolar disprder?

1- lithium
2- valproic acid
3- atypical antipsychotics

87

DOC for bulemia?

SSRI

88

DOC for depression?

SSRI

89

What are the 4 side effects fof lithium?

Movement (tremor)
Nephrogenic diabetes insipidus
Hypothyroidism
Pregnancy problems

90

2 DOC for OCD?

SSRI, clomipramine

91

3 DOC for panic disorder?

SSRI, venlafazine, benzodiasepine

92

2 DOC for PTSD?

SSRI, venlafazine

93

DOC for schzophrenia?

Atypical antipsychotics

94

DOC for social phobias?

SSRIs, beta blockers

95

DOC for Tourette syndrome?

Antipsychotics

96

What is the mechanism of stimulants (methylphenidate, methanphetamine"

increase catecholamine in the synaptic cleft

97

Name the 3 high potency typical antipsychotics?

Trifluoperazine
Fluphenazine
Haloperidol

98

What are the low potency typical antipsychotics?

Chlorpromzine
Thioridazine

99

What are side effects typical antipsychotics?

High potency: EPS, huntington like symptsom and delerium

Low potency: anticholinergic, antihistimine, alpha1 blockade

100

Which typical antipsychotics can lead to corneal deposits?

Chlorpromazine

101

Which typical antipsychotics can lead to retinal deposits?

Thioridazine

102

Which typical antipsychotics can lead to QT prolongation?

Thioridazine

103

What is the treatment for neuroleptic malignant syndrome?

Dantroline

104

"stereotypic oral- facial movements as a result of low term antipsychotic use"

Tardive dyskinesia (appears at 4 months)

105

What are the atypical antopsychotics?

'pines

'dones

106

What other receptors can atypical antipsychotcs block?

5-HT2, dopamine, and alpha and H1

107

What is the mechanism of mirtazepine?

Alpha 2 antagonist (leads to increased release of NE and 5-HT) and a potent 5-HT2 and 5-HT3 receptor antagonist

108

Which atypical can cause agranulocytosis?

clozapine

109

Which 2 atypicals can cause significant weight gain?

Olazapine

Clozapine

110

Which atypicals can cause prolonged QT?

ALL!!

111

Where in the kidney is lithium reabsorbed?

PCT (with Na+)

112

What are the 4 side effects fof lithium?

Movement (tremor)
Nephrogenic diabetes insipidus
Hypothyroidism
Pregnancy problems

113

What is the mechanism of buspirone?

Stimulates 5- HT 1A

114

What is buspirone used for?

GAD

115

Name the class:

Citolapram
Sertaline
Paroxitine
Fluoxetine

SSRIs

116

What are 3 major side efects of SSRIs?

GI distress
SIADH
Sexual dysfunction

117

What can cause serotonin syndrome?

SSRI + any drug that can increase 5-HT (MAOi, TCAs, SNRIs)

118

What is serotonin syndrome treated with?

Cyproheptadine (5-HT2 receptor antagonist)

119

Name the class:

Venlafazine
Duloxetine

SNRIs

120

Name the class:

Amoxapine
Doxipin
Clomipramine
Desipramine
Imipramine
Nortriptyline
Amitriptyline

TCAs

121

Mechanism of TCAs?

block reuptake of NE and 5-HT

122

AEs of TCAs?

Postural hypotension, anticholinergic side effects, prolongation of QT interval

123

How is TA overdose treated?

NaHCO3 (to prevent arrhythmia)

124

Name a selective MAO-B inhibitor?

Selegiline

125

Name the class:

Tranylcypromine
Phenelzine
Isocarboxazid
Selegiline

MAOi

126

What is a major AE of MAOi?

Hypertensive crisis (with ingestion of tyramine)--> CNS stimulation

127

What is an atypical antidepressant used for smoking cessatoin?

Bupropion

128

What is the mechanism of trazodone?

Primarily blocks 5- HT2 and alpha 1 adrenergic receptors

129

What is trazodone used for?

insomnia

130

What is the mechanism of mirtazepine?

Alpha 2 antagonist (leads to increased release of NE and 5-HT) and a potent 5-HT2 and 5-HT3 receptor antagonist

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