Psychiatry 17, 18 Flashcards

(43 cards)

1
Q

Can patients recall their dreams with REM sleep behavior disorder

A

yes

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2
Q

Treatment of choice for adjustment disorder

A

psychotherapy

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3
Q

Benzodiazepines perscribed to elderly have an increase risk of what adverse effects

A
  • confusion
  • falls
  • paradoxical agitation (confusion, aggression, disinhibition)
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4
Q

Short term treatment for panic disorder

A

benzodiazepine

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5
Q

long term treatment for panic disorder

A

antidepressants and CBT

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6
Q

which antipsychotic does not cause weight gain

A

Bupropion

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7
Q

criteria for schizoaffective

A
  1. mood episode with psychotic symptoms

2. psychosis and no mood symptoms for 2 weeks

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8
Q

Dopamines effect on Prolactin

A

dopamin inhibits prolactin

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9
Q

unexplained abdominal pain and new-onset neuropsychiatric symptoms

A

acute intermittent porphyria

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10
Q

what is elevated in acute intermittent porphyria

A

urinary prophobilinogen

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11
Q

can second generation antipsychotics also cause NMS

A

yes

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12
Q

what should you do if a mother is concerned about her daughters eating habits with a BMI of 18.6. The other is a vegatarian due to animal right reasons

A

reassure mother

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13
Q

Patient has remitted cancer and now has MDD, what do you do

A

prescribe her SSRI

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14
Q

what should be monitered before starting lithium

A
  • calcium
  • renal function
  • thyroid function
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15
Q

Alcoholic hallucinosos? timing

A

visual hallucinations with stable vital signs

- 12-24 hours onset

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16
Q

Daytime fatigue with increased hematocrit and increased bicarbonate

A

obstructive sleep apnea

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17
Q

Can you make a diagnosis over the phone

A

no

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18
Q

drug drug interaction with St. john warts and SSRi

A

increase serotonin levels

19
Q

HIV patient shows psychosis, what medication should be given

A

2nd generation antipsyhotic

20
Q

medication with stimulant withdrawal (cocaine and methylphenidate)

21
Q

First line therapy for intermittent explosive

22
Q

Thematic test asses

A

emotions, motivations, and core personality

23
Q

Minnisotta personality test asses

A

abnormal behavior

24
Q

headaches and difficulty concentrating can indicate what disorder

25
treatment for essential or idiopathic tremor
beta blocker
26
doctor under stress, what do you do
1. relieve him of duty to take care of patient | 2. report
27
what molecule is thought to control borderline personality
endorphins
28
prolactinoma
mass in the pituitary
29
part of brain for panic disorder
amygdala
30
part of brain for Huntington
caudate nucleus
31
part of brain for parkinson
Substantia nigra
32
part of brain for chloroform movement
subthalamic nucleus
33
part of brain for down syndrome/ Alzheimer
nucleus basalis meynert
34
Dissociative amnesia
Inability to recall important personal information | - from traumatic or stressful nature
35
Dissociative identity disorder
multiple personalities
36
treatment for Neuroleptic malignant syndrome
dopamine agonists and dantrolene | - bromocriptine
37
Catatonia
immobility mutism posturing
38
treatment for catatonia
Benzodiazepines and ECT
39
ECT is first line treatment for what
- major depression with psychotic features | - severely depressed geriatric patient not eating and drinking
40
First line treatment for social anxiety phobia
SSR/SRNI | CBT
41
If signs of bradycardia, hypotension, respiratory depression and hyporeflexia are seen in benzo overdose, what should you think
co-ingestion of another sedative-hypnotic
42
Are narcissistic patients violent, aggressive, and impulsive
no
43
Schizoaffective
- 2 weeks of psychotic symptoms in absence of mood episode, episode present other time