Flashcards in Psychiatry Deck (81):
1
mother yells at her child, because husband yells at her
displacement - transferring avoided ideas and feelings to a neutral person or object (vs. projection)
2
abused child later becomes a child abuser
identification - modeling behavior after another person who is more powerful
3
a man who wants to cheat on his wife accuses his wife of being unfaithful
projection-attributing an unacceptable internal impulse to an external source (vs. displacement)
4
after getting fired, claiming the job was not imporatant anyway
rationalization - proclaiming logical reasons for actions actually performed for other reasons
5
a patient with libidinous thoughts enters a monaster
reaction formation - replacing a warded-off idea or feeling by an (unconciously derived) emphasis on its opposite (vs. sublimation)
6
teenager's aggression toward father is redirected to perform well in sports
sublimation (mature) - replacing an unacceptable wish with a course of action that is similar to the wish but does not conflict with one's value system
7
mature ego defenses
sublimation (vs. reaction formation), altruism, suppression (vs. repression), humor
8
guanfacine class of drugs and use
alpha 2 agonist for ADHD and Tourette
9
guaifenesin class of drugs and use
expectorant
10
Rett syndrome
XD in girls exclusively. Regression, loss of verbal abilities, ataxia, sterotyped handwringing at early age
11
length for dx of Tourette
> 1 year
12
which components of orientation are lost first
first time, then place, then person
13
EEG changes in delirium
diffuse slowing
14
dx time for schizophrenia
> 6 months
see brief psychotic disorder and schizophreniform disorder
15
dx time for brief psychotic disorder
less than 1 month
16
dx time for schizophreniform disorder
1-6 months
see schizophrenia and brief psychotic disorder
17
dx time delusional disorder
> 1 month
18
dx time manic episode
> 1 week
19
DIG FAST
distractibility, irresponsibility, grandiosity, flight of ideas, agitation, decreased need for sleep, talkativeness
20
dx time hypomanic
> 4 consecutive days. not as severe as manic
21
dx time schizoaffective disorder
> 2 weeks with concurrent mood disorder
22
dx time cyclothymic disorder
> 2 years
23
dx time MDD
>2 weeks
24
SIGECAPS
sleep disturbance, loss of interest, guilt, energy, concentration, appetite, psychomotor, suicidality
25
changes in sleep during depression
more REM sleep overall, and closer to the beginning of night. also repeated awakening and terminal insomnia
26
dx time persistent depressive disorder (dysthymia)
>2 years
27
dx time panic disorder
attack + > 1 month of distress about future attacks
28
dx time for general anxiety disorder
> 6 months
29
dx time adjustment disorder
less than 6 month
30
dx time PTSD
> 1 month
31
dx time acute stress disorder
3 days to 1 month
32
cluster A personality disorders
"weird": paranoid, schizoid (loner), schizotypal (eccentric)
33
cluster B personality disorders
"wild": antisocial (criminal), borderline, histrionic (dramatic), narcissistic
34
cluster C personality disorders
"worried": avoidant (wants to be with others but can't), obsessive-compulsive, dependent
35
pathogenesis of refeeding syndrome
seen in anorexia. increased insulin causes hypophosphatemia which can lead to cardiac complications
36
dx time bulimia nervosa
3 months
37
Russell sign
calluses on hands from induced vomiting
38
cause of narcolepsy
decreased hypocretin (orexin) production in lateral hypothalamus
39
tx of narcolepsy
day time stimulants (amphetamines, modafinil) and nighttime sodium oxybate (GHB)
40
tx PCP overdose
benzo
41
tx cocaine overdose
alpha blockers
note that beta-blockers are contraindicated
42
recreational drug that can cause hyperthermia, hyponatremia, and serotonin syndrome
MDMA
43
CNS pathology in alcohol abuse
periventricular hemorrhage/necrosis of mammillary bodies
44
preferred drugs for ADHD
stimulants
45
preferred drugs for alcohol withdrawal
benzos
46
preferred drugs for bipolar disorder tx
lithium, valproic acid, atypical antipsychotics
47
preferred drugs for bulimia
SSRIs
48
preferred drugs for GAD
SSRIs, SNRIs
49
preferred drugs for OCD
SSRIs, venlafaxine (SNRI) clomipramine (TCA)
50
preferred drugs for panic disorer
SSRIs, venlafaxine (SNRI), benzos
51
preferred drugs for PTSD
SSRIs, venlafaxine (SNRI)
52
preferred drugs for schizophrenia
atypical antipsychotics
53
preferred drugs for social anxiety disorder
SSRIs, venlafaxine (SNRI)
performance only: beta-blockers, benzos
54
preferred drugs for tourette
antipsychotics, tetrabenzine
55
MOA amphetamines
increase catecholamines in synaptic cleft
56
class of drugs: trifluoperazine, fluphenazine, haloperidol
high potency antipsychotics (typical)
57
class of drugs: chlorpromazine, thioridazine
low potency antipsychotics (typical)
58
which antipsychotic causes corneal deposits
chlorpormazine
59
which antipsychotic causes retinal deposits
thiordazine
60
which antipsychotic causes neuroleptic malignant syndrome
haloperidol
treat with dantroline and D2 agonists (e.g. bromocriptine)
61
which antipsychotic causes tardive dyskinesia
haloperidol
62
class of drugs: clozapine, olanzapine, risperidone
atypical antipsychotics
others included on another card
63
class of drugs: aripiprazole, ziprasidone, quetiapine
atypical antipsychotics
others included on another card
64
which atypical antipsychotic causes granulocytosis
clozapine
65
which atypical antipsychotic causes hyperprolactinemia
risperidone
66
which diuretic class increases risk of lithium toxicity
thiazide
67
MOA and use buspirone
5HT-1A agonist for GAD. takes 1-2 weeks to work
68
class of drugs: sertraline, citalopram
SSRI
69
class of drugs: desvenlafaxine, duloxetine, levomilnacipran
SNRI
70
which class of psychiatric drugs can cause SIADH
SSRI
71
class of drugs amitriptyline, nortriptyline
TCAs
72
class of drugs: imipramine, desipramine, clomipramine
TCAs
73
class of drugs: doxepin, amoxapine
TCAs
74
AE TCAs
3 C's: convulsions, coma, cardiotoxicity
75
what can you use to prevent TCA-induced arrhythmia
NaHCO3
76
class of drugs: tranylcypromine, phenelzine, isocarboxazid
MAOI. others include selegiline
77
what are the atypical atnidepressants
bupropion, mirtazapine, trazodone, varenicline
78
MOA and use bupropion
increases nore and dopamine. atypical antidepressant, also for smoking cessation
79
MOA and use mirtazapine
alpha 2 antagonist (increases NE and 5HT), potent 5HT2 and 5HT3 antagonists.
atypical antidepressant
80
MOA and use trazodone
blocks 5HT2, alpha 1, and H1
technically an antidepressant, but used primarily for insomnia because high doses are need for antidepressant effect.
81