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Flashcards in Psychiatry Deck (27):
1

1st line pharmacotherapy for depression

SSRIs

2

Antidepressants a/w hypertensive crisis

MAOIs

3

Galactorrhea, impotence, menstrual dysfxn, and decreased libido

Dopamine antagonists

4

17 y/o girl has left arm paralysis after her boyfriend dies in a car crash. No medical cause is found.

Conversion disorder

5

Name the defense mechanism: A mother who is angry at her husband yells at her child

Displacement

6

Name the defense mechanism: A pedophile enters a monastery

Reaction formation

7

Name the defense mechanism: A woman calmly describes a grisly murder

Isolation

8

Name the defense mechanism: A hospitalized 10 y/o begins to wet his bed

Regression

9

Life-threatening muscle rigidity, high fever, and rhabdomyolysis

Neuroleptic malignant syndrome

10

Amenorrhea, low body weight (

Anorexia

11

35 y/o man has recurrent episodes of palpitations, diaphoresis, and fear of going crazy

Panic disorder

12

Most serious side effect of clozapine

Agranulocytosis

13

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)

14

Key side effects of atypical antipsychotics

Weight gain, type 2 DM, QT-segment prolongation

15

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.

16

Medication to avoid in pts w/ hx of alcohol withdrawal seizures

Neuroleptics

17

13 y/o boy has a hx of theft, vandalism, and violence towards family pets

Conduct disorder. A/w antisocial personality do in adults

18

5 mo girl has decreased head growth, truncal discoordination, and decreased social interaction

Rett's do. Loss of milestones is commonly described.

19

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)

20

After a minor "fender bender," a man wears a neck brace and requests permanent disability

Malingering

21

Nurse presents w/ severe hypoglycemia; blood analysis reveals no elevation in C-peptide

Factitious disorder (Munchausen syndrome)

22

Pt continues to use cocaine after being in jail, losing his job, and not paying child support

Substance abuse

23

Medication to avoid in pts w/ PTSD

Benzodiazepines (have high addiction potential.) Patients commonly have a hx of substance abuse

24

Violent pt has vertical and horizontal nystagmus

Phencyclidine hydrochloride (PCP) intoxication

25

Woman who was abused as a child frequently feels outside of or detached from her body

Depersonalization disorder

26

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)

27

Man w/ major depressive do is counseled to avoid tyramine-rich foods w/ his new medications

MAOIs