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psychiatry Flashcards

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1
Q

indication of bblocker in psychiatry(2)

A

performance anxiety

PTSD

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2
Q

antodote of benzodiazepine intox

A

flumazenil

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3
Q

cuases of dementia(DEMMENTIAS)

A 
Degenerative diseases
Endocrine 
Metabolic 
Exogenous 
Neoplasia
Trauma 
Infection 
Affective disorders
Stroke/Structure
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4
Q

denerative disease causing dementia(2)

A

Parkinson’s,

Huntington’s

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5
Q

Endocrine causing dementia(4)

A

thyroid,
parathyroid
pituitary
adrenal

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6
Q

Metabolic causing dementia(7)

A 
alcohol,
electrolytes
 vitaminB12 deficiency,
glucose
 hepatic,
renal,
Wilson’s disease
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7
Q

Exogenous causing dementia(3)

A

heavy metals
carbon monoxide
drugs

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8
Q

trauma causing dementia

A

subdural hematoma

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9
Q

infectious disease causing dementia(7)

A 
meningitis,
encephalitis,
endocarditis
 syphilis,
HIV, 
prion diseases,
Lyme diseas
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10
Q

Affective disorder causing dementia

A

pseudodementia

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11
Q

Stroke/Structure problem in dementias(5)

A 
vascular dementia
ischemia
vasculitis
normal pressure
hydrocephalu
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12
Q

causes of delirium (I watch death)

A 
Infection
Withdrawal
Acute metabolic
Trauma
CNS pathology
Hypoxia
Deficiencies
Endocrine
Acute vascular/MI
Toxins/drugs
Heavy metals
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13
Q

food to avoid when taking MAOI

A

Cheese

red wine

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14
Q

why avoid cheese and wine when taking MAOI

A

precipitate a hypertensive

crisis

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15
Q

best rx for depression

A

psychoterapy +++

medication

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16
Q

quid of Serotonin syndrome

A

fever,
myoclonus
mental status changes
cardiovascular collapse

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17
Q

drugs causing serotonin syndrome

A

SSRI

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18
Q

condition to have serotonin syndrome with SSRI

A

when used with MAOI

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19
Q

quid of atypical antidepressors(5)

A 
bupropion
venlafaxine
mirtazapine
nefazodone
trazodone
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20
Q

side efect of bupropion

A

↓ seizure threshold

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21
Q

first line rx for depression

A

SSRI

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22
Q

Venlafaxine side effect

A

Diastolic hypertension

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23
Q

Mirtazapine side effect(2)

A

Weight gain

sedation.

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24
Q

Nefazodone side effect(3)

A

Sedation
headache
dry mouth

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25
Trazodone side effect(2)
Highly sedating | priapism
26
MAOI(2)
phenelzine | tranylcipromine
27
major side effect of TCA(2)
anticholinergic | cardiac arythmia
28
TCA toxicity 3C
convulsion coma cardiac arythmia
29
Chronic lithium use side effect(2)
Nephrotoxicity | hypothyroidism
30
Lamotrigine
life-threatening skin | rash.
31
5 meds ued in depression
SSRI Atypicals TCA MAOI
32
quid of TCA(4)
Nortriptyline Desipramine Amitriptyline Imipramin
33
indication of typical antipsychotics(2)
psychosis | acute agitation
34
typical antipsychotics(5)
``` haloperidol droperidol fluphenazine chlorpromazine tioridazine ```
35
side effect of typical antipsychotics
Extrapyramidal symptoms Hyperprolactinemia. Anticholinergic effects NMS
36
quid Neuroleptic malignant syndrome(4)
Fever, muscle rigidity autonomic instability clouded consciousness
37
first line rx of schizophrenia
atypical antipsychotics
38
indication of clozapine(2)
treatment resistance schizophrenia | severe tardive dyskinesia
39
atypical antipsychotics(6)
``` Clozapine Risperidone Quetiapine Olanzapine Ziprasidone Aripiprazole ```
40
side effect of clozapine
agranulocytosis
41
Mood stabilizers(4)
lithium carbamazepine lamotrigine valproic acid
42
personality disorder cluster A weird(3)
paranoid schizoid schizotypal
43
personality disorder cluster B wild
bordeerline histrionic narcissistic antisocial
44
clue for histrionic
manipulate staff and doctor
45
cluster c personality disorder wimpy and worried
OCD avoidant dependent
46
4 A of schizophrenia
``` Associations (loose) Affect (flat) Autism (selfpreoccupation, noncommunication) Ambivalence ```
47
Evolution of EPS
``` 4 hours: Acute dystonia 4 days: Akinesia 4 weeks: Akathisia 4 months: Tardive dyskinesia ```
48
quid of acute dystonia
Involuntary muscle contraction or spasm | torticolis/oculogyric crisis).
49
rx of acute dystonia(2)
benztropine | diphenidramine
50
quid of akathisia
Subjective/objective restlessness
51
rx of akathisia(2)
↓ neuroleptic | try β-blockers
52
quid of dyskinesia
Pseudoparkinsonism
53
quid of Pseudoparkinsonism(2)
shuffling gait cogwheel rigidity \
54
rx of dyskinesia
anticholinergic /benztropine or | dopamine agonist /amantadine
55
quid of tardive dyskinesia
Stereotypic oral-facial movements
56
causes of tardive dyskinesia
dopamine receptor sensitization
57
rx of tardive dyskinesia
change with clozapine risperidone
58
what to not do in tardive dyskinesia
Giving anticholinergics or decreasing neuroleptic may initially worsen tardive dyskinesia
59
quid of tourette (4)
ADHD earning disorders OCD multiple motor and vocal tics
60
rx of tourette(3)
haloperidol pimozide clonidine
61
alcohol intoxication(6)
``` disinhibition hypoglycemia slurred speech coma blackouts ataxia ```
62
quid of balckouts
retrograde amnesia
63
withdrawal of alcohol(6)
``` HTA tachycardie agitationhaluccinations seizures tremor Delirium tremens ```
64
clue for opioids intoxication(5)
``` everything is depressed CNS constipation pupillary constriction respiratory depression ```
65
clue for opiods withdrawal(7)
``` dilated pupils stomach cramps diarrhea anxiete diaphoresis insomnia fever piloerection ```
66
action of naloxone
blocks opioids receptors
67
clue for amphetamines intox(7)
``` pupillary dilation hta impairment jugment halucinations fever arythmia delusionpsychomotor agitation ```
68
withdrawal of amphetamines
``` post use cratch with anxiety stomach cramps sleep disturbance hunger depression ```
69
severe agitation in amphetamines intox
haloperidol
70
cocaine intox clue(7)
``` HTA pupillary dilation hallucinations psychomotor agitation angina sudden death euphoria ```
71
cocaine withdrawal(5)
``` post use crash with hypersomnolence craving suicidability depression malaise ```
72
phenilcyclidine intox
``` belligerance violence impulsivity fever vertical et horizontal nystagmus psychomotor agitation ```
73
rx of phenilcyclidine intox
benzodiazepines
74
phenicyclidine withdrawal(2)
recurrence of intox symptoms | severe violence
75
LSD intoxication(5)
``` anxiety and depression hallucinations pupillary dilation flashbacks delusion ```
76
rx for LSD
beenzodiazepines or antipsychotics
77
Marijuana intox(9)
``` euphoria slow sense of time increased appetite dry mouth conjunctival injection halucination amotivationnal syndrome anxiety paranoia ```
78
intox in barbiturates(2)
respiratory depression | low safety margin(feeling of non secure)
79
barbiturates withdrawal(5)
``` seizures tremor insomnia HTA tachycardia ```
80
Caffeine intox(4)
restlessness diuresis arrythmias muscle twiching
81
caffeine withdrawal(4)
headache lethargy weight gain depression
82
Nicotine intox(4)
restlessness insomnia anxiety arrythmias
83
nicotine withdrawal(6)
``` irritability headache anxiety weight gain craving tachycardia ```
84
exhibitionism
exposing genitals to stranger
85
Pedophilia
sexual activity with children
86
voyeurism
observing unsuspecting people unclothed or involved in sex
87
fetichism
use non sexual objects for sexual arousal
88
most common used in fetichism
clothes
89
transvestic fetichism
cross dressing for sexual arousal
90
frotteurism
touching or rubbing against a non consenting person
91
sexual sadism
sexual arousal from inflicting suffering
92
sexual masochism
sexual arousal from being hurt humiliated or threatened
93
quid of paraphilia
abnormal expression of sexuality | see the list above
94
ration male female for somatisation
1/20
95
risk factor for suicide(SAD PERSONS)
``` SAD PERSONS Sex Age (older) Depression Previous attempt Ethanol/substance abuse Rational thought Sickness organised plan No spouse Social support lacking ```

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