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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

MOA and use verenicline

nicotinic ACh receptor partial agonist. atypical antidepressant and also used for smoking cessation