Psychiatry Flashcards
(88 cards)
1
Q
Transference is when
A
Patient projects feelings about formative or other important person onto physician
2
Q
Displacement is
A
Transferring avoided ideas and feelings to some neutral person or object
3
Q
Mother yells at her child because husband yelled at her.
Example of
A
Displacement
4
Q
Projection is
A
Attributing an unacceptable internal impulse to an external source
5
Q
A man who wants another woman thinks his wife is cheating on him. Example of
A
Projection
6
Q
Reaction formation is
A
7
Q
A patient with libidinous thoughts enters a monastery.
Example of
A
Reaction formation
8
Q
Mature defenses
A
- Altruism
- Humor
- Sublimation
- Suppression
9
Q
Altruism is
A
Alleviating guilty feelings by unsolicited generosity toward others
10
Q
Mafia boss makes large donation to charity.
Example of
A
Altruism
11
Q
ADHD associated with
A
Decrease frontal lobe volume/metabolism
12
Q
ADHD treatment (3)
A
- Methylphenidate
- Amphetamines
- Atomoxetine
13
Q
Rett disorder is
A
X-linked disorder seen in Girls (males die)
14
Q
Rett disorder symptoms (5)
A
- Loss of development
- Loss of verbal abilities
- Intellectual disability
- Ataxia
- Hand wringing
15
Q
Delirium is (5)
A
- Waxing and waning level of consciousness with acute onset
- Rapid decrease in attention span and level of arousal
- Disorganized thinking
- Hallucinations
- Illusion
16
Q
Dementia is (7)
A
- Gradual decrease in intellectual ability or cognition without affecting level of consciousness
- Memory deficits
- Aphasia
- Apraxia
- Agnosia
- Loss of abstract thought
- Impaired judgment
17
Q
Irreversible causes of Dementia (5)
A
- Alzheimer
- Lewy body
- Huntington
- Pick
- Creutzfeldt-Jakob
18
Q
Reversible causes of Dementia (5)
A
- NPH
- Vit B12 deficiency
- Hypothyroidism
- Neurosyphilis
- HIV
19
Q
Visual hallucinations seen in
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Medical illness due to drug intoxication
20
Q
Auditory hallucinations seen in
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Psychiatric illness
21
Q
Olfactory hallucinations seen in
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Psychomotor epilepsy and Brain tumors
22
Q
Brief psychotic disorder occurs in
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Less than 1 month due to stress
23
Q
Schizophreniform disorders identified by
A
occuring 1-6 month
24
Q
Schizoaffective disorders identified by
A
At least 2 wks of stable mood with psychotic symptoms PLUS:
Major depressive, manic, or mixed episodes
25
Manics **DIG FAST**
* **D**istractibility
* **I**rresponsibility
* **G**randiosity
* **F**light of ideas
* **A**gitation
* **S**leep is decreased
* **T**alkative
26
Bipolar 1 defined as
Presence of at least 1 manic episode with/without a hypomanic or depressive episode
27
Bipolar 2 defined as
Presence of hypomanic and depressive episode
28
Dysthymia is
Persistent depressive disorder lasting at least 2 yrs
29
**SAD PERSONS** are at risk for suicide
* **S**ex (male)
* **A**ge (teens and elderly)
* **D**epression
* **P**revious attempts
* **E**thanol or drug use
* **R**ational thinking lost
* **S**ickness
* **O**rganized plan
* **N**o spouse
* **S**ocial support lacking
30
Treat panic disorder with (**3**)
1. SSRIs
2. Venlafaxine
3. BZ
31
Generalized anxiety characterized by
Pattern of uncontrolled anxiety for at least 6 months
32
Treatment for GAD (**3**)
1. SSRIs
2. SNRIs
3. Buspirone
33
Treatment for OCD (**2**)
1. SSRIs
2. Clomipramine
34
Factitious disorders
Patient consciously creat physical and/or physchological symptoms in order to assume sick role
35
Somatoform disorders
Non conscious attempt to deceive unexplained symptoms or complaints
36
Malingering disorder
Councious attempt to deceive with a chief goal being external
37
Conversion disorder
Sudden loss of sensory or motor function following an acute stressor
38
Cluster A personalities are Werid: (**3**)
1. Paranoid
2. Schizoid
3. Schizotypal
39
Paranoid personality is
Pervasive distrust and suspiciousness
**Projection** is the major defense mechanism
40
Schizoid is
Voluntary social withdrawal with limited emotional expression
Content with Social isolation
41
Schizotypal is
Eccentric appearance
Odd beliefs or magical thinking
42
Cluster B personality disorder is WILD: (**4**)
1. Antisocial
2. Borderline
3. Histrionic
4. Narcissistic
43
Antisocial is
1. Disregard for violation of rights of others
2. Ciminality
3. Impulsivity
44
Cluster C personality disorders are WORRIED (**3**)
1. Avoidant
2. Obsessive-compulsive
3. Dependent
45
Alcohol intoxication (**5**)
1. Emotional lability
2. Slurred speech
3. Ataxia
4. Coma
5. Blackout
46
Opioid intoxication (**5**)
1. Euphoria
2. Resp and CNS depression
3. Decrease gag reflex
4. **Pupillary** **constriction**
5. Seizures
47
Treatment for Opioid intoxication
1. Naloxone
2. Naltrexone
48
Opioid withdrawal (**5**)
1. Sweating
2. Dilated pupils
3. Piloerection
4. Yawning
5. Stomach cramps
49
Amphetamines intoxicity (**7**)
1. Euphoria
2. Grandiosity
3. Pupillary dilation
4. Wakefullness
5. Tachcardia
6. Anorexia
7. Paranoia
50
Cocaine intoxication (**4**)
1. Impaired judgment
2. Pupillary dilation
3. Hallucinations
4. Paranoid
51
Treat ADHD with
Methylphenidate
52
Treat alcohol withdrawal with
BZ
53
Treat anxiety with (**3**)
1. SSRIs
2. SNRIs
3. Buspirone
54
Treat Bipolar disorder with (**2**)
1. Mood stabilzers:
1. Lithium
2. Valproic
3. Carbamazepine
2. Atypical antipsychotics
55
Treat Bulimia with
SSRIs
56
Treat Depression with
1. SSRIs
2. SNRIs
3. TCAs
4. Bupropion
5. Mirtazapine (especially with **insomnia**)
57
Treat OCD with (**2**)
1. SSRIs
2. Clomipramine
58
Treat panic disorders with (**3**)
1. SSRIs
2. Venlafaxine
3. BZ
59
Treat PTSD with
SSRIs
60
Treat schizophrenia with
Antipsychotics
61
Treat Social phobias with (**2**)
1. SSRIs
2. β-blockers
62
Treat tourette syndrome with
1. Antipsychotics:
1. Haloperidol
2. Risperidone
63
CNS stimulants (**4**)
1. Methylphenidate
2. Dextroamphetamine
3. Methamphetamine
4. Phenermine
64
Haoperidol and -azines are
Antipsychotics
65
Antipsychotics MOA
Block D2 receptors there for increasing cAMP
66
High potency Antipsychotics:
**Tr**y to **F**ly **H**igh
* **Tr**ifluoperazine
* **F**luphenazine
* **H**aleperidol
67
LOW potency antipsychotics:
**C**heating **Th**ieves are **LOW**
**C**hlorpromazine
**Th**ioridazine
68
Side effects of Low potency Antipsychotics (**3**)
1. Anticholinergic
2. Antihistamine
3. α1-blockade effects
69
Treat extrapyramidal side effects of Antipsychotics with
Benztropine or Diphenhydramine
70
Neuroleptic malignant syndrome (**NMS**) presentation:
## Footnote
**FEVER**
* **F**ever
* **E**ncephalopathy
* **V**itals unstable
* **E**nzymes increase
* **R**igidity of muscles
71
Atypical antipsychotics (**6**)
1. Olanzapine
2. Cloxapine
3. Quetiapine
4. Risperidone
5. Aripiprazole
6. Ziprasidone
72
Atypical antipsychotics MOA
Varied effects on:
1. Seratonin
2. Dopamine
3. α and H1 receptors
73
Watch Clozapine closely due to
Agranulocytosis
74
Lithium side effects:
## Footnote
**MNOP**
* **M**ovement (**tremor**)
* **N**ephrogenic DI
* Hyp**O**thyroidism
* **P**regnancy problems
75
Buspirone MOA
Stimulates 5-HT1A
76
Buspirone clincial use
GAD
77
SSRIs (**4**)
1. Fluoxetine
2. Paroxetine
3. Sertraline
4. Citalopram
78
SSRIs MOA
Seratonin specific reuptake inhibitor
79
SNRIs (**2**)
1. Venlafaxine
2. Duloxetine
80
SNRIs MOA
Inhibit seratonin and NE reuptake
81
TCAs (**2**)
- iptyline
- ipramine
82
TCA toxicity (**4**)
1. Sedation
2. α1-blocking
3. Postural Hypotension
4. Atropine-like
83
TCA **Tri-C's**
1. **C**onvulsions
2. **C**oma
3. **C**ardiotoxicity
84
MAOi: (**4**)
1. Tranylcypromine
2. Phenelzine
3. Isocarboxazid
4. Selegiline
85
Atypical antidepressants (**3**)
1. Bupropion
2. Mirtazapine
3. Trazodone
86
Mirtazapine MOA
α2-antagonist and potent 5-HT2 and 5-HT3 receptor antagonist
87
Trazodone MOA
Blocks 5-HT2 and α1-adrenergic receptors
88
Trazodone toxicity
1. Sedation
2. Nausea
3. **Priapism**
4. Postural Hypotension
