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Flashcards in Psychiatry 6% Deck (32):
1

Difference between PTSD and acute stress d/o

PTSD: > 1 month
Acute stress d/o: < 1 month

2

Major depressive disorder: Depressed mood and anhedonia w/ > 5 associated symptoms for most days x ___.

2 weeks

3

Dysthymic d/o

Chronically depressed mood for > 2 years in adults
> 1 year in children

4

MAOI + SSRI =

Serotonin Syndrome = acute AMS, agitation, diaphoresis, tremor, hyperthermia, seizures, coma, death
Dialated pupils (mydriasis)*

5

MAOI + TCA =

Delirium, HTN

6

This psychotherapeutic agent should be avoided in pts w/ long QT syndrome

Citalopram

7

Increased incidence of Serotonin Syndrome if SNRI's used w/ ____

St. John's Wort

8

Wide complex tachycardia is a sign of OD of what psychotherapeutic agent

TCA

9

What psychotherapeutic agent should avoid tyramine-containing foods? What happens?

MAOI
Hypertensive crisis

aged cheese, wine, beer, aged foods, smoked meats, chocolates, coffee, tea

10

TCAs inhibit neuronal reuptake of ____

Serotonin, Norephinephrine

11

SNRA inhibit neuronal reuptake of ____

Serotonin, Norephinephrine, Dopamine

12

Bupropion inhibit neuronal reuptake of ____

Dopamine, norephinephrine

13

Cluster A
Cluster B
Cluster C

A: Weird = Schizoid, schizotypal, paranoid
B: Wild = Anti-social, borderline, histrionic, narcissistic
C: Whiny = Avoidant, dependent, Obsessive-compulsive

14

Positive symptoms of schizophrenia (Hallucinations, delusions) is caused by ___

excess dopamine recepotrs in mesolimbic pathway

15

Negative symptoms of schizophrenia (flat emotional affect) is caused by ___

dopamine dysfunction in mesocortical pathway (decreased dopamine)

16

Tx of dystonic reactions (dyskinesia) d/t typical anti-psychotic agent

Diphenhydramine IV +/- anticholinergic (Benztropine)

Dystonic reaction: trismus, protrusions of tongue, facial grimacing, torticollis, difficulty speaking

17

Extrapyramidal sx = (3)

1. Dystonic reactions (Dyskinesia) = trismus, protrusions of tongue, facial grimacing, torticollis, difficulty speaking
2. Tardive dyskinesia
3. Parkinsonism

18

Neurolepitc Malignant Syndrome caused by ____.
Mechanism:
Symptoms:

Tx:

1st generation anti-psychotics
D2 inhibition of basal ganglia

AMS, extreme muscle rigidity**, tremor, autonomic instability (tachy, hyperthermia/fever, incontinence**)

Dantrolene
Dopamine agonists: Bromocriptine**, Amantadine, Levodopa/Carbidopa

19

Anti-psychotic that causes agranulocytosis

Clozapine

Monitor w/ CBC weekly

20

Anti-psychotic that causes increased prolactin

Benzisoxazoles: Risperidone, Ziprasidone
2nd gen > 1st gen

21

Anti-psychotic that causes DM and marked weight gain

Olanzapine

22

EKG change caused by 2nd gen > 1st gen anti-psychotic

QT prolongation

23

Mental d/o with symptoms suggesting phsyical injury that cannot be explained by medical condition
NOT d/t malingering

Somatoform d/o

24

Chronic condition w/ physical sx involving >1 part of body but no physical cause found.

Somatization d/o

25

Neurological loss of sensory or motor function

Conversion disorder (Functional Neurological d/o)

26

ADHD diagnosed when duration ____, onset age ___

duration > 6 months
onset before 12 y/o

27

Lithium + ___ can cause fatal neurotoxicity

CCB

28

____ may increase serum lithium levels

K+ sparing diuretics
Thiazide diuretics
ACE inhibitors

29

Postural hypotension associated with ____ antipsychotic.

Quetiapine

30

Tx of benzo intoxication

Flumazenil

31

Long term Lithium therapy may cause ___

hypothyroidism

32

hallucinations, parkinsonian features, extrapyramidal, dementia =

Lewy body disease

Loss of cholinergic neurons, dopaminergic neurons