Psychiatry III Flashcards by Smita Armstrong

Life-threatening effects of MDMA (ecstasy) include […] syndrome.

Life-threatening effects of MDMA (ecstasy) include serotonin syndrome.

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Long-term infant deprivation of affection may result in […] disorder (infant withdrawn/unresponsive to comfort).

Long-term infant deprivation of affection may result in reactive attachment disorder (infant withdrawn/unresponsive to comfort).

characterized by a pattern of emotional and social withdrawal, as well as a lack of positive response to attempts to comfort

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Long-term pharmacologic treatment of alcoholism may include […] or naltrexone, which reduce cravings.

Long-term pharmacologic treatment of alcoholism may include acamprosate or naltrexone, which reduce cravings.

support groups, such as Alcoholics Anonymous, are also helpful in sustaining abstinence

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Long-term pharmacologic treatment of alcoholism may include acamprosate or […], which reduce cravings.

Long-term pharmacologic treatment of alcoholism may include acamprosate or naltrexone, which reduce cravings.

support groups, such as Alcoholics Anonymous, are also helpful in sustaining abstinence

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Long-term pharmacologic treatment of alcoholism may include […], which acts a deterrent.

Long-term pharmacologic treatment of alcoholism may include disulfiram, which acts a deterrent.

support groups, such as Alcoholics Anonymous, are also helpful in sustaining abstinence

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Major depressive disorder is associated with […] levels of cortisol.

Major depressive disorder is associated with increased levels of cortisol.

due to hyperactivity of the hypothalamic-pituitary-adrenal axis; results in increased early morning awakenings

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Major depressive disorder is characterized by at least five “SIG E CAPS” symptoms with one of them being either depressed mood or anhedonia for > 2 weeks (duration)

S: […]

I: Interest decreases (anhedonia)

G: Guilt or feelings of worthlessness

E: Energy loss or fatigue

C: Concentration deficit

A: Appetite/weight changes

P: Psychomotor retardation or agitation

S: Suicidality

Major depressive disorder is characterized by at least five “SIG E CAPS” symptoms with one of them being either depressed mood or anhedonia for > 2 weeks (duration)

S: Sleep changes

I: Interest decreases (anhedonia)

G: Guilt or feelings of worthlessness

E: Energy loss or fatigue

C: Concentration deficit

A: Appetite/weight changes

P: Psychomotor retardation or agitation

S: Suicidality

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Major depressive disorder is characterized by at least five “SIG E CAPS” symptoms with one of them being either depressed mood or anhedonia for > 2 weeks (duration)

S: Sleep changes

I: […]

G: Guilt or feelings of worthlessness

E: Energy loss or fatigue

C: Concentration deficit

A: Appetite/weight changes

P: Psychomotor retardation or agitation

S: Suicidality

Major depressive disorder is characterized by at least five “SIG E CAPS” symptoms with one of them being either depressed mood or anhedonia for > 2 weeks (duration)

S: Sleep changes

I: Interest decreases (anhedonia)

G: Guilt or feelings of worthlessness

E: Energy loss or fatigue

C: Concentration deficit

A: Appetite/weight changes

P: Psychomotor retardation or agitation

S: Suicidality

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Major depressive disorder is characterized by at least five “SIG E CAPS” symptoms with one of them being either depressed mood or anhedonia for > 2 weeks (duration)

S: Sleep changes

I: Interest decreases (anhedonia)

G: […]

E: Energy loss or fatigue

C: Concentration deficit

A: Appetite/weight changes

P: Psychomotor retardation or agitation

S: Suicidality

Major depressive disorder is characterized by at least five “SIG E CAPS” symptoms with one of them being either depressed mood or anhedonia for > 2 weeks (duration)

S: Sleep changes

I: Interest decreases (anhedonia)

G: Guilt or feelings of worthlessness

E: Energy loss or fatigue

C: Concentration deficit

A: Appetite/weight changes

P: Psychomotor retardation or agitation

S: Suicidality

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Major depressive disorder is characterized by at least five “SIG E CAPS” symptoms with one of them being either depressed mood or anhedonia for > 2 weeks (duration)

S: Sleep changes

I: Interest decreases (anhedonia)

G: Guilt or feelings of worthlessness

E: […]

C: Concentration deficit

A: Appetite/weight changes

P: Psychomotor retardation or agitation

S: Suicidality

Major depressive disorder is characterized by at least five “SIG E CAPS” symptoms with one of them being either depressed mood or anhedonia for > 2 weeks (duration)

S: Sleep changes

I: Interest decreases (anhedonia)

G: Guilt or feelings of worthlessness

E: Energy loss or fatigue

C: Concentration deficit

A: Appetite/weight changes

P: Psychomotor retardation or agitation

S: Suicidality

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Major depressive disorder is characterized by at least five “SIG E CAPS” symptoms with one of them being either depressed mood or anhedonia for > 2 weeks (duration)

S: Sleep changes

I: Interest decreases (anhedonia)

G: Guilt or feelings of worthlessness

E: Energy loss or fatigue

C: […]

A: Appetite/weight changes

P: Psychomotor retardation or agitation

S: Suicidality

Major depressive disorder is characterized by at least five “SIG E CAPS” symptoms with one of them being either depressed mood or anhedonia for > 2 weeks (duration)

S: Sleep changes

I: Interest decreases (anhedonia)

G: Guilt or feelings of worthlessness

E: Energy loss or fatigue

C: Concentration deficit

A: Appetite/weight changes

P: Psychomotor retardation or agitation

S: Suicidality

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Major depressive disorder is characterized by at least five “SIG E CAPS” symptoms with one of them being either depressed mood or anhedonia for > 2 weeks (duration)

S: Sleep changes

I: Interest decreases (anhedonia)

G: Guilt or feelings of worthlessness

E: Energy loss or fatigue

C: Concentration deficit

A: […]

P: Psychomotor retardation or agitation

S: Suicidality

Major depressive disorder is characterized by at least five “SIG E CAPS” symptoms with one of them being either depressed mood or anhedonia for > 2 weeks (duration)

S: Sleep changes

I: Interest decreases (anhedonia)

G: Guilt or feelings of worthlessness

E: Energy loss or fatigue

C: Concentration deficit

A: Appetite/weight changes

P: Psychomotor retardation or agitation

S: Suicidality

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Major depressive disorder is characterized by at least five “SIG E CAPS” symptoms with one of them being either depressed mood or anhedonia for > 2 weeks (duration)

S: Sleep changes

I: Interest decreases (anhedonia)

G: Guilt or feelings of worthlessness

E: Energy loss or fatigue

C: Concentration deficit

A: Appetite/weight changes

P: […]

S: Suicidality

Major depressive disorder is characterized by at least five “SIG E CAPS” symptoms with one of them being either depressed mood or anhedonia for > 2 weeks (duration)

S: Sleep changes

I: Interest decreases (anhedonia)

G: Guilt or feelings of worthlessness

E: Energy loss or fatigue

C: Concentration deficit

A: Appetite/weight changes

P: Psychomotor retardation or agitation

S: Suicidality

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Major depressive disorder is characterized by at least five “SIG E CAPS” symptoms with one of them being either depressed mood or anhedonia for > 2 weeks (duration)

S: Sleep changes

I: Interest decreases (anhedonia)

G: Guilt or feelings of worthlessness

E: Energy loss or fatigue

C: Concentration deficit

A: Appetite/weight changes

P: Psychomotor retardation or agitation

S: […]

Major depressive disorder is characterized by at least five “SIG E CAPS” symptoms with one of them being either depressed mood or anhedonia for > 2 weeks (duration)

S: Sleep changes

I: Interest decreases (anhedonia)

G: Guilt or feelings of worthlessness

E: Energy loss or fatigue

C: Concentration deficit

A: Appetite/weight changes

P: Psychomotor retardation or agitation

S: Suicidality

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Major depressive disorder is characterized by at least five “SIG E CAPS” symptoms with one of them being either […] or anhedonia for > 2 weeks. (duration)

S: Sleep changes

I: Interest decreases (anhedonia)

G: Guilt or feelings of worthlessness

E: Energy loss or fatigue

C: Concentration deficit

A: Appetite/weight changes

P: Psychomotor retardation or agitation

S: Suicidality

Major depressive disorder is characterized by at least five “SIG E CAPS” symptoms with one of them being either depressed mood or anhedonia for > 2 weeks. (duration)

S: Sleep changes

I: Interest decreases (anhedonia)

G: Guilt or feelings of worthlessness

E: Energy loss or fatigue

C: Concentration deficit

A: Appetite/weight changes

P: Psychomotor retardation or agitation

S: Suicidality

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Major depressive disorder is characterized by at least five “SIG E CAPS” symptoms with one of them being either depressed mood or […] for > 2 weeks. (duration)

S: Sleep changes

I: Interest decreases (anhedonia)

G: Guilt or feelings of worthlessness

E: Energy loss or fatigue

C: Concentration deficit

A: Appetite/weight changes

P: Psychomotor retardation or agitation

S: Suicidality

Major depressive disorder is characterized by at least five “SIG E CAPS” symptoms with one of them being either depressed mood or anhedonia for > 2 weeks. (duration)

S: Sleep changes

I: Interest decreases (anhedonia)

G: Guilt or feelings of worthlessness

E: Energy loss or fatigue

C: Concentration deficit

A: Appetite/weight changes

P: Psychomotor retardation or agitation

S: Suicidality

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Major neurocognitive disorder (dementia) may be distinguished from normal aging by dependence on others for […].

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Major neurocognitive disorder (dementia) may be distinguished from normal aging by dependence on others for activities of daily living (ADLs).

those with normal aging maintain independence in their ADLs

Management of acute dystonia secondary to antipsychotic medications includes administration of an […] or an […].

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Management of acute dystonia secondary to antipsychotic medications includes administration of an anticholinergic (e.g. benztropine) or an antihistamine (e.g. diphenhydramine).

Management of akathisia secondary to antipsychotic medications includes decreasing the dose of the antipsychotic and administration of a […], a […], or benzotropine.

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Management of akathisia secondary to antipsychotic medications includes decreasing the dose of the antipsychotic and administration of a beta-blocker, a benzodiazepine, or benzotropine.

Management of parkinsonism secondary to antipsychotic medications includes administration of […] or amantadine.

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Management of parkinsonism secondary to antipsychotic medications includes administration of benztropine or amantadine.

reduction of the antipsychotic dose, if tolerable, is recommended as well

Management of parkinsonism secondary to antipsychotic medications includes administration of benztropine or […].

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Management of parkinsonism secondary to antipsychotic medications includes administration of benztropine or amantadine.

reduction of the antipsychotic dose, if tolerable, is recommended as well

Mild cognitive impairment is differentiated from normal aging by modest decline in cognitive function with a MoCA score

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Mild cognitive impairment is differentiated from normal aging by modest decline in cognitive function with a MoCA score 26/30.

independence is generally preserved, but ADLs take greater effort, time, and/or compensatory strategies

Narcolepsy is associated with […], which is the loss of all muscle tone following a strong emotional stimulus (e.g. laughter).

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Narcolepsy is associated with cataplexy, which is the loss of all muscle tone following a strong emotional stimulus (e.g. laughter).

Narcolepsy is caused by decreased […] production in the lateral hypothalamus.

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Narcolepsy is caused by decreased hypocretin (orexin) production in the lateral hypothalamus.

Narcolepsy is caused by decreased hypocretin (orexin) production in the [...] hypothalamus.

Narcolepsy is caused by decreased hypocretin (orexin) production in the **lateral** hypothalamus.

Narcolepsy is characterized by nocturnal and narcoleptic sleep episodes that start with [...] sleep (sleep paralysis).

Narcolepsy is characterized by nocturnal and narcoleptic sleep episodes that start with **REM** sleep (sleep paralysis).

Patients age [...] - [...] have a slightly increased risk of becoming suicidal when initiating antidepressant treatment.

Patients age **18 - 24** have a slightly increased risk of becoming suicidal when initiating antidepressant treatment. slightly increased risk must be weighed against the benefits of antidepressants

Patients taking clozapine require regular monitoring of [...] and [...] counts.

Patients taking clozapine require regular monitoring of **white blood cell** and **absolute neutrophil** counts. due to risk of leukopenia (neutropenia) and agranulocytosis

Patients with a single episode of major depressive disorder should continue antidepressants for an additional [...] (time) following the acute response to decrease risk of relapse.

Patients with a single episode of major depressive disorder should continue antidepressants for an additional **6 months** (time) following the acute response to decrease risk of relapse. versus patients with recurrent (\> 3 lifetime episodes), chronic (\> 2 years), or severe episodes (e.g. suicide attempt), which require treatment for an additional 1 - 3 years or indefinitely

Patients with borderline personality disorder often have a history of childhood [...].

Patients with borderline personality disorder often have a history of childhood **trauma**. e.g. physical/sexual abuse or neglect; results in insecure attachment, unstable relationships, and fear of abandonment

Patients with conversion disorder are often aware but indifferent towards their symptoms (e.g. blindness, mutism); known as "[...]".

Patients with conversion disorder are often aware but indifferent towards their symptoms (e.g. blindness, mutism); known as **"la belle indifference"**.

Patients with [...] personality disorder are typically submissive and clingy.

Patients with **dependent** personality disorder are typically submissive and clingy.

Patients with [...] personality disorder often require excessive admiration and react to criticism with rage.

Patients with **narcissistic** personality disorder often require excessive admiration and react to criticism with rage.

Patients with obsessive compulsive personality disorder are ego-[...], which means their behavior is consistent with their own beliefs or attitudes.

Patients with obsessive compulsive personality disorder are ego-**syntonic**, which means their behavior is consistent with their own beliefs or attitudes. important distinguishing feature from obsessive-compulsive disorder (ego-dystonic)

Patients with [...] disorder are ego-syntonic, which means their behavior is consistent with their own beliefs or attitudes.

Patients with **obsessive compulsive** personality disorder are ego-syntonic, which means their behavior is consistent with their own beliefs or attitudes. important distinguishing feature from obsessive-compulsive disorder (ego-dystonic)

Patients with obsessive-compulsive disorder are ego-[...], which means their behavior is inconsistent with their own beliefs or attitudes.

Patients with obsessive-compulsive disorder are ego-**dystonic**, which means their behavior is inconsistent with their own beliefs or attitudes. important distinguishing feature from obsessive-compulsive personality disorder (ego-syntonic)

Patients with [...] disorder are ego-dystonic, which means their behavior is inconsistent with their own beliefs or attitudes.

Patients with **obsessive-compulsive** disorder are ego-dystonic, which means their behavior is inconsistent with their own beliefs or attitudes. important distinguishing feature from obsessive-compulsive personality disorder (ego-syntonic)

Pediatric depression often presents with symptoms of [...] rather than depressed mood.

Pediatric depression often presents with symptoms of **irritability** rather than depressed mood.

People with cluster [...] personality disorders are described as odd or eccentric.

People with cluster **A** personality disorders are described as odd or eccentric. A, B, and C are "Weird, Wild, and Worried"

People with cluster [...] personality disorders are described as dramatic, emotional, or erratic.

People with cluster **B** personality disorders are described as dramatic, emotional, or erratic. A, B, and C are "Weird, Wild, and Worried"

People with cluster [...] personality disorders are described as anxious or fearful.

People with cluster **C** personality disorders are described as anxious or fearful. A, B, and C are "Weird, Wild, and Worried"

Psychiatry III Flashcards

(42 cards)