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Flashcards in Psychiatry Deck (27):
1

Antidepressants a/w hypertensive crisis

MAOIs

2

Galactorrhea, impotence, menstrual dysfcn, and decreased libido

Pt on DA antagonist

3

17 yo F with L arm paralysis after her BF dies in a car crash. No medical cause is found.

Conversion d/o

4

Defense mech: mother who is angry at her husband yells at her child

Displacement

5

Defense mech: pedophile enters a monastery

Reaction formation

6

Defense mech: F calmly describes a grisly murder

Isolation

7

Defense mech: hospitalized 10 yo begins to wet his bed

Regression

8

Life-threatening m. rigidity, fever, and rhabdo

Neuroleptic malignant syndrome (NMS)

9

Amenorrhea, bradycardia, and abnl body image in a young F

Anorexia

10

35 yo M with recurrent episodes of palpitations, diaphoresis, and fear of going crazy

Panic d/o

11

Most serious SE of clozapine

Agranulocytosis

12

21 yo M has 3 mo of social w/d, worsening grades, flattened affect, and concrete thinking

Schizophreniform d/o (dx of schizophrenia requires ≥6 mo of sxs)

13

Key SEs of atypical antipsychotics

Wt gain, T2DM, QT prolongation

14

Young wt lifter receives IV haloperidol and complains that his eyes are deviated sideways. Dx? Tx?

Acute dystonia (oculogyric crisis).
-Tx: benztropine or diphenhydramine

15

Medication to avoid if h/o EtOH w/d szs

Neuroleptics

16

13 yo M with h/o theft, vandalism, and violence toward family pets

Conduct d/o

17

5 mo F with decreased head growth, truncal dyscoordination, and decreased social interaction

Rett's d/o

18

Pt hasn't slept for days, lost $20,000 gambling, is agitated, and has pressured speech. Dx? Tx?

Acute mania
-Tx: start a mood stabilizer (ex: lithium)

19

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

Malingering

20

RN presents with severe hypoglycemia. Labs show no elevation in C-peptide.

Factitious d/o (Munchausen syndrome)

21

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

Substance abuse

22

Violent pt has vertical and horizontal nystagmus

Phencyclidine hydrochloride (PCP) intox

23

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

Depersonalization d/o

24

M has repeated, intense urges to rub his body against unsuspecting passengers on a bus

Frotteurism (a paraphilia)

25

Schizophrenic pt takes haloperidol for 1 yr and develops uncontrollable tongue movements. Dx? Tx?

Tardive dyskinesia
-Tx: Decrease or d/c haloperidol. Consider another antipsychotic (ex: risperidone, clozapine).

26

M unexpectedly flies across the country, takes a new name, and has no memory of his prior life.

Dissociative fugue

27

1st line pharmacotherapy for depression

SSRIs