Psychiatry Flashcards Preview

USMLE Step 3 MTB > Psychiatry > Flashcards

Flashcards in Psychiatry Deck (58)
Loading flashcards...
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

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?
Tx:

- Cyclothymia
- Psychotherapy 1st line; functioning is impaired = Divalproex

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