psychiatry Flashcards by Tolga Hanhan

bipolar 1 vs 2

1 - manic

2 = hypomanic (not as severe; not interfereing w/life)

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perseveration

repetition of thoughts or ideas during conversation

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tangentiality

an abrupt deviation of thought/ideas and never returns to original idea

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circumstantial thought process

drift away from current topic, then come back to it

common in schizophrenia

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definition somatic symptom disorder

obsession about one or more somatic symptoms (worked up and -) for 6 or more months

(formerly hypochondriasis)

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drug class for tx of dystonia from antipsychotics

anticholinergics (benztropine or benadryl)

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tx of neuroleptic malignant syndrome

a dopamine agonist like dantrolene, amantadine, or bromocriptine

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head CT finding in schizophrenia

enlargement of the ventricles

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head CT finding in OCD (2) (where are abnormalities fount)

orbitofrontal cortex

basal ganglia

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timeline after initial SSRI start to increase dose

4-6 weeks

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timeline for GAD

over 6 mos

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trihexyphenidyl, class and use

anticholinergic for Parkinson’s

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difference between schizoaffective disorder and MDD or bipolar with psychotic features

in schizoaffective, psychosis is present MOST of the time, and also in the absence of mood disorders

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side effect ziprasidone

prolongs QT

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tx of serotonin syndrome

cyproheptadine

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MDD timeline (sx present for how long before dx)

2 weeks

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kleptomania associations (2)

OCD

bulimia

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time for dysthymia

At least 2 years

this is Eore

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cyclothymia (s)

hypomania
dysthymia

No loss of function

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tx of cyclothymia

mood stabilizers

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normal bereavement

time and function

6-12 mos. no loss of function

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following death:
adjustment disorder vs persistent complex bereavement disorder

timing and function

both have mild loss of function

adjustment 6-12 months
PCBD greater than 1 yr

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psychosis for:
less than 1 mo.
1-6 months

acute psychotic disorder

schizophreniform disorder

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psychosis with mood disorders

schizoaffective disorder

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antidepressant absolutely contraindicated in bulimia

buproprion | -increased seizures

dissociative fugue | dx?

amnesia of an "old life" - usually move and start new life | amital interview

tx of cocaine OD htn

Phentolamine, alpha blockade If beta blocker only later!!!!!!THEN beta blockade

length of time for SSRI washout

3 weeks

venlafaxine side effect

diastolic htn

mandatory test prior to TCA rx

ECG | due to QT elongation of TCAs

B52 (3)

lorazepam haloperidol benadryl

tx of Neuroleptic malignant syndrome

dantrolene

class to tx acute dystonia

anticholinergics | for example, benztopine or benadryl

neuroleptic malignant syndrome test (if suspected)

Clang associations

Come out in rhyming pattern

Jarvis hearing

Court order for neuroleptic Meds

Price sheppard

Court order for ect

Tarasoff decision

Duty to warn

Derealization

Sense environment not real.

dementia with little people

lewy body dementia | lillepucian hallucinations

dementia with Personality changes in 50s | oral/sexual fixation

fronto-temporal dementia

dementia with depression symptoms

pseudodementia

8 yo who falls off growth chart. | Picky eater

Arfid Avoidant/restrictive food intake disorder

Phenelzine class

MAOI

Dementia pugilistica

Punchdrunk syndrome Dementia following chronic trauma like boxing.

Delusions in delusional disorder vs a psychotic disorder

In delusional, they are believable

Ideal target receptor for antipsychotics

2 receptors affected less by atypical antipsychotics

Less d1 | Antagonism 5ht against negative sx

Ziprasidone side effect

Qt prolongation Eat with fat!

Aripriprazole MOA

Agonist antagonist d2 Can tx gynecomastia

Receptor that clozapine blocks

Feelings by a clinician that the patient provoked

Countertransferance

Fluvoxamine class (Luvox)

Ssri

3 month mortality of a delirium pt

33%

Response rate of ssri

70%

Frotteurism

Sexually rubbing up against nonconsenting others

Masochism

Being sexually dominated

Sadism

Dominating others sexually

PMDD vs PMS

PMDD disrupts life more

Duration of mdd with tx

3 months

Indication for EMDR therapy

PTSD

Class of antidepressants most likely to induce mania

Tc a

Idea of reference

Idea that something relates to you but it doesn't. Example of someone who thinks the tv is talking to them

Mesolimbic pathway

Positive symptoms

Mesocortical pathway

Negative sx

formication

tactile hallucination of bugs crawling on skin. Cocaine intox, ETOH w/d

synesthesia

secondary sensation of a perception. | ex: tasting a "color" while using LSD

scanning speech

irregular pauses in speech

palinopsia

persistence of visual image after the stimulus has been removed

circumlocution

substitution of descriptors for words. common in Alzheimer's

projection

one's unacceptable ideas are seen as coming from another | ex: a cheating husband blames accuses his wife of cheating

projective identification

someone's thoughts become true in a defence mechanism ex: a person thinks "all people hate me" and does stuff to make people break off relationships with her.

3 benzoes not metabolized by liver (good for DTs)

LOT lorazepam oxazepam temazepam

tx for neuroleptic-induced akathisia

propanolol or other beta blocker

tx for neuroleptic induced dystonia or parkinsonism

anticholinergic (ex: benztropine)

tx for an acute dystonia

antihistamine like benadryl

classic side effect of thioridazine

retinal pigmentation

most potent benzo

clonazepam (klonopin)

mood stabilizer that IS NOT anti-manic

lamotrigine

Eps (3)

Akathisia Parkinsonism Dystonia

2 Meds that reduce si

Clozapine, lithium

Asenapine unique (2)

Sublingual | Rapid onset

Ssri with shortest half life

Paroxetine

Teratogenic ssri

Paroxetine. Heart effects

Duloxetine also treats

Pain

Desipramine unique

Bed wetting

1st line tx of bulimia

Ssri

2nd line tx bulimia

Topirimate

Most common side effect transcranial magnetic stimulation (rTMS)

Mood stabilizer that causes pancreatitis

Valproic acid

Tx for sialorrhea

Clonidine

Zaleplon unique

Short half life for middle insomnia

Opisthotonos

Arching forward. Spasm of back and neck, a type of Dystonia

Topirimate side effect

Renal stones

Rate of dementia in 65+

1 in9

Timeline for mania

Greater than 1 week

Timeline for hypomania

4 days, greater than

Antipsychotic that also treats bipolar depression

Queitiapin

Capgras syndrome

Humans have been replaced by imposters

abreaction

a pt relives an emotional experience to get rid of megative emotions and move on.

probabability of sibling getting schizophrenia

10%

anti-psychotic where person gets purple-grey metallic rash over sun-exposed areas and jaundice

chlorpromazine

anti-psychotic that gives prolonged QT and pigmentary retinopathy

thioridazine

1st line tx Tourette

Clonidine

Most common PD associated with somatization disorder. Females? Males?

Females histrionic | Males antisocial

Tx of hypertensive crisis

Phentolamine (alpha blocker)

Classic side effect of clozapine besides agranulocytosis

Seizure

atypical antipsychotic that causes cataracts and orthostasis

quietiapine

classic side effect aripriprazole

akathisia (A,A)

2 changes in depressed polysomnogram

less REM latency | more REM

SSRI with most drug-drug interactions

paroxetine

serotonin discontinuation classic with

sertraline

possible psychiatric sx of R MCA stroke

mania

possible psychiatric sx of L MCA stroke

depression

meds that precipitate lithium toxicity

NSAIDS

"gold standard" drug for OCD

clomipramine

Gander syndrome

Giving approximate or ridiculous answers. Most common in prisoners

Catalepsy

Maintaining an immobile position. A type of catatonia

tx narcolepsy (2)

naps | modafinil

EEG in delirium vs psychosis

slow waves in delirium | normal in psychosis

contraindicated class in Lewy Body Dementia

anti-psychotics (paradoxical effect)

EEG of Creutzfeld-Jakob

triphasic bursts

tx for autonomic sx (htn, etc) from heroin w/d

clonidine

1st line tx (2 classes) vs most effective tx tourette's

1st line = Clonidine or atypical antipsychotic | most effective = haloperidol

Risk of recurrent mdd

50%

2 agents for bipolar depression

Quietiapine | Lamotrigine

Timeline of normal development in pdd vs rett

Pdd is normal fist two years | Rett is normal first 5 mos

Ssri that is the most anticholinergic and should be avoided in old people

Paroxetine

psychiatry Flashcards

(128 cards)