Flashcards in Psychiatry Deck (27):
1st line pharmacotherapy for depression
Antidepressants a/w hypertensive crisis
Galactorrhea, impotence, menstrual dysfxn, and decreased libido
17 y/o girl has left arm paralysis after her boyfriend dies in a car crash. No medical cause is found.
Name the defense mechanism: A mother who is angry at her husband yells at her child
Name the defense mechanism: A pedophile enters a monastery
Name the defense mechanism: A woman calmly describes a grisly murder
Name the defense mechanism: A hospitalized 10 y/o begins to wet his bed
Life-threatening muscle rigidity, high fever, and rhabdomyolysis
Neuroleptic malignant syndrome
Amenorrhea, low body weight (
35 y/o man has recurrent episodes of palpitations, diaphoresis, and fear of going crazy
Most serious side effect of clozapine
21 y/o man has 3 months social withdrawal, worsening grades, flattened affect and concrete thinking
Schizophreniform disorder (dx of schizophrenia requires a >/= mo of sx)
Key side effects of atypical antipsychotics
Weight gain, type 2 DM, QT-segment prolongation
Young weight lifter receives IV haloperidol and complains that his eyes are deviated sideways. Dx? Tx?
Acute dystonia (oculogyric crisis). Tx w/ benztropine or diphenhydramine.
Medication to avoid in pts w/ hx of alcohol withdrawal seizures
13 y/o boy has a hx of theft, vandalism, and violence towards family pets
Conduct disorder. A/w antisocial personality do in adults
5 mo girl has decreased head growth, truncal discoordination, and decreased social interaction
Rett's do. Loss of milestones is commonly described.
Patient hasn't slept for days, lost $20,000 gambling, is agitated, and has pressured speech. Dx? Tx?
Acute mania. Start a mood stabilizer (eg lithium)
After a minor "fender bender," a man wears a neck brace and requests permanent disability
Nurse presents w/ severe hypoglycemia; blood analysis reveals no elevation in C-peptide
Factitious disorder (Munchausen syndrome)
Pt continues to use cocaine after being in jail, losing his job, and not paying child support
Medication to avoid in pts w/ PTSD
Benzodiazepines (have high addiction potential.) Patients commonly have a hx of substance abuse
Violent pt has vertical and horizontal nystagmus
Phencyclidine hydrochloride (PCP) intoxication
Woman who was abused as a child frequently feels outside of or detached from her body
Schizophrenic pt takes haloperidol for 1 year and develops uncontrollable tongue movements. Dx? Tx?
Tardive dyskinesia. Decrease or d/c haloperidol and consider another antipsychotic (eg, risperidone, clozapine)