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Flashcards in Psychiatry Deck (144):
1

Projection opposite

displacement

2

suppression opposite

repression

3

sublimation opposite

reaction formation

4

fixation opposite

regression

5

duration of schizophreniform

1-6 months

6

munchausen syndrome is a

factisious disorder (conscious): primary gain

7

opium toxicity pupil and gut

pin point (constipation)

8

conjuctival injection and tachycardia: drug abuse

marijuana (cannbinoid)

9

which receptor blocked by anti-psychotics

D2 (more D2 blocking, more M1 in nigrostriatal pathway)

10

clozapine: watch closely for

agranulocytosis (weekly WBC)

11

Rx for serotonin syndrome

cyproheptadine

12

cause of death in TCA toxicity

arrythmia

13

Name atypical anti-depressants

bupropion, mirtazapine and trazodone

14

classes of anti-depressants

SSRI, SNRI, TCA, MAO-I and atypical

15

tourette syndrome characteristic feature

motor and vocal tics

16

rett syndrome characteristic feature

girl with regression and stereotyped hand wringing

17

dysthymia is

persisitent depressive disorder

18

cyclothymic disorder

dysthymia and hypomania

19

mood stabilizers names

lithium, valproate, carbamazapine

20

PTSD duration

more than a month

21

conversion disorder

loss of sight, speech after acute stress

22

other name for hypochondriasis

illness anxiety disorder

23

resmy is

schizoid

24

shajo is

avoidant

25

treatment for narcolepsy

amphetamines and modafinil

26

chemical invoved in narcolepsy and where is it from

orexin (hypocretin)
lateral hypothalamus

27

three hallucinogens and key feature

PCP (violence, nystagmus)
LSD (visual hallucination)
marijuana (conjuctival injection)

28

ADHD doc

methylphenidate (and amphetamines)

29

antipsychotics: high and low potency drugs names

high: Try to Fly High (EPS side effects)
trifluoperazine, fluphenazine, haloperidol
low: cheating thieves are low
chlorpromazine, thioridazine

30

drugs that can cause lithium toxicity

thiazides
NSAIDs, ACE I

31

name 4 SSRI

fluoxetine, paroxetine, sertraline, citalopram

32

name two SNRI

venlafaxine, duloxetin

33

name 4 MAO inhibitors

tranylcypromine phenelzine, isocarboxazid, selegiline

34

cause of death in TCA overdose and antidote

arrythmia and NaHCO3

35

cocaine

cardiotoxic, nasal perforation
caine for pain (chest), seizures

36

nicotine drugs

bupropion, varenicline

37

conditioning of voluntary response

operant conditioning

38

negative reinforcement response

removal of negative stimuli

39

counter transferance- who

physician

40

displacement

dispalces/transfer

41

multiple personality disorder in

dissociation

42

reaction formation

every action has an equal

43

suppression is mature and

conscious

44

sublime in

sports

45

irreversible infant deprivation

weak, wordless, wanting and wary 6 months

46

brain change in ADHD

decreased frontal lobe volume

47

tratment for ADHD

methylphenidate (atomoxtine)
increase catecholamines

48

childhood of antisocial

conduct disorder

49

tourette syndrome

motor and vocal tics (coprolalia)

50

regression and stereotyped hand wringing

rett syndrome (only in females)
males die in utero
rett for regression and wringing

51

depression vs anxiety

nor epinephrine

52

confabulation and anterograde seen in

korsakoffs synd

53

delirium treatment

haloperidol and TADA

54

delirium EEG

abnormal

55

pseudodementia causes

depression and hypothyroidism

56

olfactory and gustatory

epilepsy

57

tactile

alcohol withdrawal
cocaine abuse

58

schizophrenia pathology

increased dopamine and decreased dendritic branching

59

4 positive schizophrenia

delusion, hallucination, disorganised speech and behaviour

60

duration of schizophrenia

6 months- schizophrenia

61

schizoaffective define and duration

schizo part predominant
mood change only with psychosis >2 weeks

62

DOC for schizo

risperidone (atypical)

63

delusion duration

more than 1 month

64

manic and hypomanic episode duration

7 days and 4 days

65

bipolar 1 and 11

1- only mania needed
11- hypomania and real depression

66

cyclothymia

2 yrs
hypomania and light depression

67

what sleep is increased in depression

REM

68

dysthymia

2 yrs of light depression

69

major depressive duration

6-12 months

70

atypical findings in atypical depression

elevated mood and increased sleep
leaden paralysis and interpersonal rejection sensitvity

71

PP blues- cut off

2 weeks (usually in 10 days)

72

mania treatment

mood stabilizers (L,V,C)

73

thoughts of harming baby

PP psychosis (atypical)

74

duration of pathological grief

6 months

75

after effect of panic attack lasts

more than 1 month

76

treatment for panic attacks in acute setting

benzodiazepines

77

agarophobia and social anxiety duration

>6 months

78

generalized anxiety disorder

>6 months and other symptoms

79

adjustment disorder duration

80

OCD and PTSD

SSRI

81

malingering vs factitious

lie vs munchausen synd

82

factitious aka

munchausen synd (primary gain is medical attention)
consciouslt creating

83

conversion disorder

loss of sensory /motor function

84

defense mechanism of paranoid

projection (distrust)

85

defense mech of borderline

splitting

86

treatment for borderline

dialectical BT

87

suicidal ideation seen in

borderline

88

unstable interpersonal relation

borderline

89

bulimia nervosa (2 factors)

compensatory behaviour adn normal weight

90

excessive exercise

bullimia nervosa

91

treatment for anorexia

psychotherapy and nutritional rehab

92

re-feeding syndrome

hypophosphatemai

93

nightmare

REM sleep

94

narcolepsy like depression

decreased REM latency

95

narcolepsy gene

decreased hypocretin or orexin in lateral hypothalamus

96

narcolepsy treatment

modafinil, amphetamine, night time sodium oxybate

97

overcoming addiction

pre-contemplation adn contemplation
pre- paration and action/will power

98

cold turkey (piloerction) and yawningq

opiod withdrawal

99

rhinorrhea and lacrimation

opiod withdrawal

100

seizure and diazepam

diazepam is a seizure drug
diazepam withdrawal- seizure
flumazenil= seizure

101

name stimulants

amphetamine, cocaine, caffeine, nicotine

102

common problem with stimulatns

post use crash

103

2 imp feature cocaine

nasal perforation
cocaine crowlies
pupillary dilation

104

cause of death in cocaine

sudden cardiac death (inhibit uptake, vasospam,sympathetic)

105

treatment for nicotine withdrawal

bupropion and varenicline (nicotine partial agonsit)

106

PCP

most common cause of violent behaviour
nystagmus, forget behaviour

107

name hallucinogens

PCP,LSD,cannabis

108

perceptual distortion and visual hallucination

LSD

109

marijuana features

increased appetite
conjunctival injection
tachycardia

110

dronabinol indication

chemotehrapy (antiemetic)
AIDS9appetite stimulant)

111

buprenorphine is paired with

naloxone

112

naloxone and naltrexone which receptor

mu receptor

113

treatment for alcohol dependence

naltrexone

114

alcoholic halluciantions when

1-2 days (same treatment)
DT 2-4 days

115

bulimia treatment

SSRI

116

tourette syndrome treatment

anti psychotics

117

name high potency antipsychotics

try to fly high
trifluperazine, fluphenazine, haloperidol

118

name low potency

cheating thieves are low
chlorpromazine,thioridazine

119

SE of low potency

non- neurologic
orthostatic hypotension (a1)
sedation (anti histamine)
anticholinergic (dry mouth, constipation)

120

EPS treatment

M1 antagonist
benztropine, trihexyphenidyl adn diphenhydramine

121

antipsychotic and eye

chlorpromazine - corneal deposits
thioridazine- retinal deposits

122

EPS evolution

4hr- acute dystonia
4 days- akathisia
4 wk- parkinsonism
4mont- tardive dyskinesia (stereotyped and facial movements)

123

name atypicals

it is atypical for old closets to risper quietly from A to Z

124

clozapine SE

agranulocytosis

125

treatment for lithium toxicity

dialysis

126

thiazide how lithium

reduce Na,absorb more lithium in PCT

127

DI and lithium

acts as ADH antagonist

128

buspirone MOA and indication

5 HT !a stimulator
G.A. disorder (takes 2 weeks)

129

SSRI names

flashback paralysis senior citizens

130

SSRI SE

sexual dysfunction

131

myoclonus, flushing, diarrhea, seizures

serotonin syndrome

132

treatment for serotonin synd

cyproheptadine (5 HT2 antagonist)

133

SNRI SE

increase BP (non selective, ie,NE)

134

TCA overdose mimic

atropine poisoning

135

mechanism of arrythmia in TCA

inhibit fast Na+channels

136

old age TCA

nortriptline
no= no SE

137

ANS and PCA

a1 blocking- hypotension
anticholinergic

138

MAO inhibitors

MAO takes pride in shangai

139

MAO transmitters

all 3(5 HT, NE and dopamine)

140

tyramine in wine and cheese

hypertensive crisis

141

alternative to SSRI

bupropion (no sexual SE)
actually treatment for hypoactive sex life

142

mirtazapine toxicity

weight gain and sedation

143

trazadone

priapism
mainly for insomnia

144

2 antipsychotic with seizure SE

bupropion
clozapine
diazepam