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Flashcards in Psychiatry UWorld Deck (22):
1

what is dx in child violating major societal norms or the rights of others

conduct disorder

2

what is the adult equivalent of conduct disorder

antisocial personality disorder

3

what is dx in pt with angry/irritable mood and argumentative/defiant behavior toward authority figures

oppositional defiant disorder

4

what is next management pt who just made suicide attempt and remains guarded and evasive when answering questions regarding suicidal intent

hospitalization
involuntarily if necessary

does not require parental consent

5

what is first-line tx for narcolepsy

modafinil

6

what is emotionally triggered loss of muscle tone called

cataplexy

7

what is dx in pt with:
mydriasis
hyperthermia
tachycardia
dry skin and mucus membranes
motor symptoms (mycologic jerks, tremors)
ileus
urinary retention

anticholinergic poisoning

8

what is dx in pt with acute onset of one or more psychotic symptoms lasting >1 day but < 1 month

Brief psychotic disorder

9

what is dx in pt with psychotic symptoms lasting >1 month but < 6 months

schizophreniform disorder

10

what is dx in pt with:
psychiatric symptoms, including irritability, agitation, psychosis
physical signs, including tachycardia, hypertension, hyperthermia, diaphoresis, and mydriasis

amphetamine intoxication

11

what is tx for acute and long-term management of panic disorder

immediate: benzodiazepines

long-term: SSRI/SNRI and/or CBT

12

which drug is an NDRI
(NE and Dopamine reuptake inhibitor)

Bupropion

13

what is a good next-line tx for SSRI-resistant depression

Bupropion, and NDRI

14

what are the benefits of a bupropion regimen

no serotonergic effects

favorable in pts prone to weight gain and hypersomnia (no weight gain, activating)

no sexual side effects

15

what is dx in medicated pt with:
sudden, sustained contraction of neck, mouth, tongue, or eye muscles

acute dystonia

16

how do you tx acute dystonia

Benztropine (anticholinergic) or diphenhydramine (antihistamine)

17

what is dx in medicated pt with:
subjective restlessness, inability to sit still

akathisia

18

how do you tx akathisia

beta blocker (propranolol)
or benzodiazepine (lorazepam)

19

what is dx in medicated pt with:
gradual-oust tremor, rigidity, bradykinesia

Parkinsonism

20

how do you tx drug-induced parkinsonism

benztropine or amantadine

21

what is dx in medicated pt with:
gradual onset after prolonged therapy (>6mo) of dyskinesia of the mouth, face, trunk, and extremities

tardive dyskinesia

22

how do you treat tar dive dyskinesia

no definitive tx,
but clozapine may help