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First Aid > Psychiatry > Flashcards

Psychiatry Flashcards

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1
Q

mother yells at her child, because husband yells at her

A

displacement - transferring avoided ideas and feelings to a neutral person or object (vs. projection)

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2
Q

abused child later becomes a child abuser

A

identification - modeling behavior after another person who is more powerful

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3
Q

a man who wants to cheat on his wife accuses his wife of being unfaithful

A

projection-attributing an unacceptable internal impulse to an external source (vs. displacement)

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4
Q

after getting fired, claiming the job was not imporatant anyway

A

rationalization - proclaiming logical reasons for actions actually performed for other reasons

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5
Q

a patient with libidinous thoughts enters a monaster

A

reaction formation - replacing a warded-off idea or feeling by an (unconciously derived) emphasis on its opposite (vs. sublimation)

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6
Q

teenager’s aggression toward father is redirected to perform well in sports

A

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

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7
Q

mature ego defenses

A

sublimation (vs. reaction formation), altruism, suppression (vs. repression), humor

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8
Q

guanfacine class of drugs and use

A

alpha 2 agonist for ADHD and Tourette

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9
Q

guaifenesin class of drugs and use

A

expectorant

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10
Q

Rett syndrome

A

XD in girls exclusively. Regression, loss of verbal abilities, ataxia, sterotyped handwringing at early age

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11
Q

length for dx of Tourette

A

> 1 year

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12
Q

which components of orientation are lost first

A

first time, then place, then person

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13
Q

EEG changes in delirium

A

diffuse slowing

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14
Q

dx time for schizophrenia

A

> 6 months

see brief psychotic disorder and schizophreniform disorder

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15
Q

dx time for brief psychotic disorder

A

less than 1 month

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16
Q

dx time for schizophreniform disorder

A

1-6 months

see schizophrenia and brief psychotic disorder

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17
Q

dx time delusional disorder

A

> 1 month

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18
Q

dx time manic episode

A

> 1 week

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19
Q

DIG FAST

A

distractibility, irresponsibility, grandiosity, flight of ideas, agitation, decreased need for sleep, talkativeness

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20
Q

dx time hypomanic

A

> 4 consecutive days. not as severe as manic

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21
Q

dx time schizoaffective disorder

A

> 2 weeks with concurrent mood disorder

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22
Q

dx time cyclothymic disorder

A

> 2 years

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23
Q

dx time MDD

A

> 2 weeks

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24
Q

SIGECAPS

A

sleep disturbance, loss of interest, guilt, energy, concentration, appetite, psychomotor, suicidality

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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

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