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passmedicine > Psychiatry > Flashcards

Psychiatry Flashcards

(67 cards)

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1
Q

Drug act as deterrent to help quit alcohol

A

Disulfiram

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2
Q

Drug reduce Craving to alcohol

A

Acamprosat

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3
Q

To be aware of your mental illness and seek ttt called…….

A

Insight

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4
Q

2 Alcohol screening tool

A 
AUDIT
CAGE..... >
Cut down feeling 
Annoyed by people
Guilty feeling 
eye opening drinker
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5
Q

delusion of guilt and nihilism

A

psychotic depression

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6
Q

delusions of reference. control. persecutory. grandiosity

A

schizophrenia

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7
Q

ttt of OCD

A

1- CBT…..> ERP
2-SSRI
3- ECT if suicidal or severely incapacitated

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8
Q

Alcohol +10 tab paracetamol……. next action ?

A

referral to psychiatrist

dose isn’t life threatining

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9
Q

actions doesn’t match the mood ………

A

mood incongeuence

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10
Q

ttt of panic disorder and general anxiety disorder

A

1-CBT
2-SSRI…> Sertraline
3- If failed after 3 months ……..> imipramine
Don’t use benzdiazepine

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11
Q

old with coarse tremor+confusion+ then coma

which drug toxicity cause that?

A

lithium

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12
Q

ttt of PTSD

A

1- truma FOUCSED-CBT . eye movement desensitization and reprocessing
2- SSRI (paroxitine )

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13
Q

TTT of tourett $

A

1- respiridone or halopridol

2- CBT. Habit-reversal training

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14
Q

How to stop SSRI

A

After good response should be continued for 6 months to reduce relapse
then gradual withdrawal over 4 months

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15
Q

rapid speech without pauses

A

pressure of speech

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16
Q

to think that someone replaced by another identical one

A

capgras $

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17
Q

pt on clozapine devekoped fever+ tachycardia+ muscle regidity

A

NMS

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18
Q

Conciously act as he has physical or mental illness

A

Ganser$

usually prisoner want to gain leniency

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19
Q

altered body images either getting small or expanding

A

Todd’s $=alice in wonderland

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20
Q

delusion of double = think that different people are in fact one person

A

Fregoli $ (all is one)

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21
Q

think that he is dead

A

cotard $ or nihilistic delusion

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22
Q

think he has serious diseas as cancer

TX?

A

hypochondriasis

Pychiatrist referral for neuropyschiatric analysis

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23
Q

body symptoms but no physical problem

A

somatization $

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24
Q

neurological symptoms due to psychological cause

A

conversion disorder

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25
Which drug addiction cause perforated nasal septum
cocaine
26
criminal acts with no remorse
anti antisocial disorder
27
intentionally falsify symptoms for seeking medical attention
Munchausen $
28
intentionally falsify symptoms for secondary gain as compensation or opiate prescription
Malingering
29
intentionally falsify symptoms for gain leniency from prison
ganser$
30
safe anti-depression drug in MI
sertraline or Citalopram
31
best drug for depression in kids and young adult
Fluoxetine
32
develop and resolve in 1st week post partum + cry + care for baby
postpartum blues | Tx.....>reassurance
33
reach peak at 4 weeks postpartum + symptoms of depression + care for baby
postpartum depression | TX........> CBT +antideppresion (sertraline)
34
reach peak at 2weeks postpartum + symptoms of depression + delusional and harming baby
post partun psychosis | Tx.> ECT
35
1-High mood + delusion or hallucination or grandiose idea 2- just high mood
1-mania requires hospitalization 2- hypomania
36
delusion jealousy
Othello $
37
can hear thoughts
though broadcasting
38
thoughts are stolen
thought withdrawal
39
thoughts are placed in the head from outside
thought insertion
40
sudden break in the chian of thought
thought block
41
colour vision when eyes closed + Odd sensation
LSD
42
colour vision when eyes open + thirst + sympathetic stimulation (tachycardia + tachpnea+ insomnia + hyperthermia )
Ecstasy
43
hallucination transmitted from one person to another
folie a deux
44
severe anorexia nervosa BMI less than 15 + system failure
urgent referral to eating disorder unit / medical ward
45
moderate anorexia nervosa BMI 15-17.5 + No system failure
Routin referral to eating disorder unit
46
fear of puplic speaking and meeting
Social anxiety
47
chronic alcoholic + high MCV + High GGT + hallucination Dx? Tx?
Delirium tremens | Tx.........> lorazepam
48
ttt of acute psychosis
1- lorazepam IM OR olanzapine 2- If failed or olda ge halopridol IM No diazepam .....> prolonged absorption
49
low mood + crying can't cope after major event within 3 months
adjustment disorder
50
depression after relative death within 6 months
grieving
51
Acrophopia
fear of height
52
Agoraphopia
fear of open places
53
claustrophopia
fear of closed places
54
Arachenophopia
fear of spiders
55
fear and anxiety in puplic places but get better with husband
Agoraphpia
56
self harming + feeling of abandoment
borderline personality disorder
57
1-ttt of schizophrenia 2-Acute psychosis? 3- bipolar
1-Ist line........> atypical antipsychotic as olanzepine and respiridone 2-If acute psychosis.......> lorazepam IM and halopridol if old age 3- Lithium
58
sympathatic /systematic/ pathetic | speech pattern??
clang association
59
Auditory hallucination when going to sleep
Hypnagogic
60
delusion that a celebrity love him/her
erotomania
61
deliberatly set fires
pyromania
62
pull hair
trichotillomania
63
inability to refrain from stealing
kleptomania
64
ttt of depression
``` SSRI If failed after 4 months : 1- check compliance 2-use another SSRI 3-USE another drug group ```
65
increase appetite +weight gain + excessive sleeping | hypersomnia +hyperphagia
Atypical depression
66
risk factors of lithum toxicity
``` thiazide Metronidazole renal failure dehydration NSAIDS ```
67
We need to assess .................... before lithium prescription
KFT and TFT

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