Psychiatry Flashcards Preview

USMLE Step 3 > Psychiatry > Flashcards

Flashcards in Psychiatry Deck (58):
1

- delusions (mostly bizarre)
- disorganized speech/behavior
- hallucinations

positive symptoms

2

- flattened affect
- social withdrawal
- anhedonia
- apathy
- poverty of thought

negative symptoms

3

schizophrenia

more than 6 months

4

schizophreniform d/o

more than 1 month, less than 6 months

5

- occurs in the first week
- muscle spasms (e.g. torticollis)
- difficulty swallowing

acute dystonia

6

- w/i weeks
- bradykinesia
- tremors
- rigidity

parkinson's

7

- weeks to chronic use
- motor restlessness
- do not mistake for anxiety or agitation

akathisia

8

- months to years
- choreoathetosis
- often irreversible

tardive dyskinesia

9

- anytime
- muscle rigidity
- hyperthermia
- volatile vital signs
- altered LOC
- increased WBC and CK

neuroleptic malignant syndrome

10

normal psychological reaction to profound changes in person's life (divorce, migration, birth of handicapped child)

adjustment d/o

11

- brief attacks of intense anxiety w/ autonomic symptoms
- occur regularly

panic d/o

12

treatment for adjustment d/o

COUNSELING

13

treatment for panic d/o

cognitive-behavioral therapy and/or relaxation training and desensitization

14

fear or avoidance of places d/t anxiety about not being able to escape

agoraphobia

15

fear or avoidance of objects or situations

social anxiety d/o

16

excessive, poorly controlled DAILY anxiety for more than 6 months

generalized anxiety d/o (GAD)

17

- recurrent obsessions or compulsions
- individual recognizes that the behavior is unreasonable and excessive

obsessive-compulsive d/o (OCD)

18

- severe anxiety symptoms that follow a life-threatening event
- symptoms less than 1 month w/i 1 month of stressor

acute stress d/o

19

- severe anxiety symptoms that follow a life-threatening event
- symptoms last longer than 1 month

posttraumatic stress d/o (PTSD)

20

- depressed mood, or anhedonia
- last at least 2 weeks

major depressive d/o

21

- low-level depression symptoms
- present on most days for at least 2 years

dysthymic d/o

22

depressive symptoms in the winter months

seasonal affective d/o

23

- depression
- mania
- mixed symptoms for at least 1 week

BP d/o

24

rapid cycling BP

more than 4 episodes of mania per year

25

management of acute mania in BP d/o

1. hospitalize
2. mood stabilizers
3. antipsychotics
4. phenothiazine IM depot (noncompliant, severely manic patients)
5. antidepressants ONLY in patients w/ recurrent episodes of depression

26

recurrent episodes of depressed mood and hypomanic mood for at least 2 years

cyclothymia

27

- elderly taking lithium
- renal failure
- hyponatremia

lithium toxicity

28

- recently started taking antipsychotics
- recently stopped levodopa
- high fever
- tachycardia
- muscle rigidity
- altered consciousness
- elevated CPK
- autonomic dysfunction

neuroleptic malignant syndrome (NMS)

29

- h/o SSRI use AND use of triptans (migraine medication) or a MAOI
- agitation
- hyperreflexia
- hyperthermia
- muscle rigidity w/ volume contraction

serotonin syndrome

30

- acute HTN
- h/o MAOI use and either antihistamines, nasal decongestants, or tyramine-rich foods

MAOI-induced hypertensive crisis

31

one or more neurologic symptom(s) that CANNOT be explained by any medical or neurological d/o

conversion d/o

32

- see many doctors
- visit many hospitals
- large amount of medical knowledge

factitious d/o

33

signs and symptoms faked by another person

factitious d/o by proxy

34

- when there's obvious gain from feigned symptoms
- preoccupied w/ rewards or gain

malingering

35

- distrust and suspiciousness
- often confused w/ paranoid schizophrenia
- main defense mechanism is projection

paranoid PD

36

- detachment and restricted emotionally
- main defense mechanism is projection

schizoid PD

37

- discomfort w/ social relationships, thought distortion, eccentricity
- symptoms aren't severe enough for classification of schizophrenia

schizotypal PD

38

- colorful, exaggerated behavior and excitable, shallow expression of emotions
- use of physical appearance to draw attention to self
- sexually seductive

histrionic PD

39

- unstable affect, mood swings, marked impulsivity, unstable relationships, recurrent suicidal behaviors, chronic feelings of emptiness, identity disturbance, and inappropriate anger
- main defense mechanism is splitting

borderline PD

40

- criminal acts
- inability to conform to social rules
- disregard for the rights of others
- aggressiveness

antisocial PD

41

- sense of self-importance, grandiosity, and preoccupation with fantasies of success

narcissistic PD

42

- social inhibition
- feelings of inadequacy
- hypersensitivity to criticism

avoidant PD

43

submissive and clinging behavior related to a need to be taken care of

dependent PD

44

- individuals are preoccupied w/ orderliness, perfectionism, and control
- differentiated from obsessive-compulsive d/o

obsessive-compulsive PD

45

frequent use of alcohol resulting in tolerance and physical and psychological dependence

alcohol dependence

46

when episodes of alcohol use result in failure to fulfill obligations, craving or strong urge to use a substance, or exposure to physically dangerous situations

alcohol abuse

47

onset after last drink if: minor withdrawal symptoms

6 hours

48

onset after last drink if: alcoholic hallucinosis

12-24 hours

49

onset after last drink if: withdrawal seizure

48 hours

50

onset after last drink if: delirium tremens

48-96 hours

51

substance of abuse

- talkative
- sullen
- gregarious
- moody

alcohol

52

substance of abuse

- euphoria
- hypervigilance
- autonomic hyperactivity
- weight loss
- pupil dilation
- disturbed perception
- stroke
- MI

- amphetamines
- cocaine

53

substance of abuse

- impaired motor coordination
- impaired time perception
- increased appetite
- dry mouth
- conjunctival redness

cannabis

54

substance of abuse

- hallucinations
- impaired judgement
- pupil dilation
- panic
- tremors
- incoordination

hallucinogens (e.g. LSD)

55

substance of abuse

- belligerence
- apathy
- assaultiveness
- blurred vision
- stupor
- coma

inhalants

56

substance of abuse

- apathy
- dysphoria
- constricted pupils
- drowsiness
- slurred speech
- impaired memory
- coma
- death

opiates

57

substance of abuse

- panic reactions
- assaultiveness
- agitation
- NYSTAGMUS
- HTN
- seizures
- coma
- hyperacusis

PCP

58

substance of abuse

- inappropriate sexual or aggressive behavior
- impaired memory or concentration

barbiturates/benzodiazepines