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Flashcards in Psych personality disorders and more Deck (45):
1

Todds paralysis?

Postictal hemiparesis lasting 15 hours but no longer than 24

2

Personality trait vs disorder?

Trait, means you still work well in society and able to function

3

Cluster A?

NO PSYCHOSES!

Paranoid, Schizoid, Schizotypal

4

Schizotypal?

Schizotypal goes to work dressed like a pickle

Eccentric odd beliefs/magical thinking

5

Avoidant vs schizoid?

Avoidant want to relate to others but don't know how.

Schizoid don't care

6

Cluster A tx?

Low dose antipsychotics if psychotherapy

7

Treatment of personality disorder?

Psychotherapy

8

DT symptoms?

Nihgtmares, agitation, disorientation, hallucinations, fever, htn.... EVENTUALLY SEIZURES or AUTONOMIC HYPERACTIVITY

9

Wernicke korsakoff from what?

B1 thiamine deficiency. alcoholics. Mammallary bodies

Wernicke: confusion, ataxia and coma and DEATH

Korsakoff: Amnesia. Confabulation. Hallucinations

10

How many do you need in CAGE questionnaire?

more than 1

Cut down. Annoyance. Guilt. Eye opener

11

Intoxication of amp or cocaine intoxication?

WHAT DONT YOU GIVE?

Benzo and haloperidol if psychosis

Phentolamine is alpha 1 blocker can be used for htn.

DO NOT GIVE BETA BLOCKERS b/c beta 2 actually vasodilator a bit and beta blockers cause unopposed Alpha constriction

12

Patient with nystagmus who is super violent is on what?

PCP

CALM THEN DOWN!!! bento and haloperidol

13

Phentolamine is what?

Alpha blocker for cocaine

14

Anorexia tx?

What is contraindicated?

Psychotherapy is tx

If depressed give SSRI, NO BUPRORPRIONe

15

OCD tx?

CBT and ssri

16

PTSD dirsturbance must last how long?

1 month!

17

Tx of ptsd?

Nightmares?

PSYCHOTHERAPY and SSRI is only to work for it!!!

prazosin may improve sleep (alpha antagonist)

Bezos are abused! so don't give them

18

Acute stress disorder is different than PTSD how?

less than one month!

19

What is adjustment disorder? Timeline?

emotional response to stressor.

MUST BEGIN WITHIN 3 months then must resolve within 6 months

Must be start within 3 months of stressor and gone after 6 months of the disappearance of the stressor

20

Conversion disorder?

V for Voltage

Motor symptoms or sensory symptoms without neuro or medical cause

21

What is somatic symptom disorder?

Some symptoms possible but SUPER WORRIED ABOUT IT AND WAYYYY PREOCCUPIED about it

patients bring detailed notes

22

factitious vs malingering

factitcious may be hurting themselves!

malingering is for a reward!

23

ADHD dx

6 inattention or 6 hyperactivity before age 12 with questionnaires from parents and 2 other people

24

Tx if stimulants failed in ADHD?

TCA Bupropion or CLONIDINE alpha 2 antagonist

25

Stimulants for ADHD effect on height?

Growth delayed, but adult height not affected

26

Risk with atomoxetine?

Risk of suicidality

27

Tx for tourette?

Counseling to adjust

fluphenazine, pimozide, tetrabenazine (dopa antagonists, haloperidol not tolerated well)

SSRI or clonidine helps impulses

28

learning disability is different than intellectual disability

Intellectual is with all, learning is specific things

29

Autism signs early on?

"Living in their own world. Lack of responsiveness to others with poor eye contact and absence of social smile...)

repititions

30

DT is what vitally?

vital signs unstable!!!

Alcoholic hallucination is vitally stable

31

How do you remember DPP4 inhibitors?

Only ones with p's in them consistently

GLIPTINS!

32

Other Metformin mechanism?

Increased sensitivity to insulin kinda!

33

KUSSMAUL breathing associated with DKA

Deep labored breathing to blow off CO2

34

Potassium status in DKA?

Serum level measured high, but total level is actually low (dehydrated and extracellular shift)

K and H+ shift b/c acidosis

35

DKA tx?

What do you do about KCl?

ICU
IV fluids! Lots of it, 2 X IV amount
IV insulin
KCl
IV glucose if needed

DO NOT STOP just b/c glucose is normal

36

When do you stop insulin drip in DKA?

When anion gap back to 10-12

37

HHNS is what?

Hyperosmolar hyperglycemic nonketotic state. from not enough insulin, but enough to prevent ketoacidosis

Hyperosmolar and dehydrated

38

Workup for cause of DKA includes what?

Infectin: Culture, UA, CXR
To screen
Pancreatitis: amylase or lipase
Evaluate for MI

39

TCA overdose symptoms?

Cardiotox: wide QRS or tacky
CNS toxicity
Anticholinergic

40

Anterior 2/3 of tongue taste?

Monitors chemo and baroreceptors?

VII

CN IX

41

2 types of diabetic retinopathy.
Findings? Which is worse.

Nonprolif has cotton wool spots/exudates. (MORE COMMON, LESS SEVERE)

Proliferative has proliferation of vascularization. Can see hemmorhages which causes blindness

42

Tx for proliferative retinopathy?

Laser photocoag to stop hemorrhage of neovascularture

43

Diabetic nephropathy is what? WHAT IS ON biopsy?

How do you screen?

glomerular sclerosis b/c expansion of mesangial matrix

See kimmelstiel wilson nodules

Screen for microablumin in urine

44

Most common neuropathies with DM?

Sensory, then motor and then autonomic

45

Charcot joint?

Arthropathy from chronic repetitive trauma. Think DM or tabes dorsalis