UWORLD Flashcards Preview

Behavioral Science > UWORLD > Flashcards

Flashcards in UWORLD Deck (37)
Loading flashcards...
1

anxiety, insomnia, perceptual disturbances, tachycardia, seizures, psychosis - withdrawal from what?

benzos

2

agitation, tremors, tachycardia, HTN, possible progression to seizure and DT - withdrawal from what?

give what three things?

alcohol withdrawal

benzos, anticonvulsants, thiamine

3

Diagnosis of ADHD requires what:

presence of symptoms before age of TWELVE and SIX or more inattentive or hyperactive symptoms.

4

Dx of adjustment disorder with depressed mood.

Within 3 months of identifiable stressor with significant functional impairment and marked distress (v. normal sadness)

5

Time frame for GAD.

6 or more months

6

unstable and intense relationships, anger, self-destructive behavior - what personality disorder?

borderline PD

7

hypomania ad major depression

bipolar 2

8

dx/criteria od MDD

5+ sx for 2+ weeks: SIG E CAPS - depressed mood, sleep disorder, interst deficient (anhedonia), guilt, eergy-less,

9

hypotension, tachycardia, dry skin, menstrual irregularities, hypokalemia, elevated pancreatic enzymes

Bulemia Nervosa

10

tx for AN and BN

CBT, fluoxetine (SSRI), nutritional rehab

11

prominent mood symptoms and mania

Bipolar 1

12

treatment of treatment-resistant schizophrenia

clozapine

13

MOA of PCP

NMDA receptor antagonist, leading to excess release of excitatory neurotransmitters. (hallucinogen)

14

delusions or halllucinations for more than 2 weeks in absence of major depressive or manic episodes. Mood sx preset for majority of illness.

schizoaffective disorder


(schizophrenia has absence of mood sx for most of illness)

15

difference bw schiphrenia and schizoaffective

schizophrenia has NO mood symptoms at any point (no mania or depression)

16

psychosis and mood together v. delusions and hallucinations WITHOUT mood

bipolar and MAD (w/ mood sx) v. schizoaffective disorder (w/o mood sx for at least 2 weeks - only schizo hallucinations during this time, NO MOOD)

17

tx of GAD

SSRI (NOT benzos)

18

define schizophrenia criteria for dx

2 or more sx for 1 or more months (w/o tx) and more than one sx (delusions, hallucinations, disorganized speech)

continual disturbance for 6+ mo

19

two drugs to slow demenita

donepezil (AChE inhibitor) and memantine (NMDA inhibitor)

20

Never give elderly what type of drug?

Avoid anticholinergic medications which can impair cognitive function, ESPECIALLY in ELDERLY, (i.e. Benadryl , hydroxyzine***)

21

Black box warning for what antipsychotics (for dementia + psychosis)

olanzapine (Zyprexa), aripiprazole (Abilify), risperidone (Risperdal), or quetiapine - double risk of death!

22

Medication examples for tx of med addiction in elderly.

- Naltrexone –opiate antagonist to reduce cravings
- Buprenorphine, Benzodiazepines (i.e. valium/Diazepam taper)

23

Hill's DoC for geriatric depression

nortryptaline

24

CHASE

dysthymia (progressive depressive disorder)

Concentration
Hopelessness
Appetite
SELF ESTEEM
Energy

more than 2 years with no more than 2 mo WITHOUT symptoms

25

SIG E CAPS

Major Depressive Episode
Sleep
I...INTEREST LOSS
Guilt

Energy

Concentration
Appetite
P... PSYCHOMOTOR RETARDATION/AGITATION
Suicide

Episode = more than 2 weeks of 5/9 characteristics

26

DIG FAST

Mania:

Distractibility
Irresponsibility
Grandiosity - inflamed self esteem

Flight of ideas
Activity
Sleepless
Talkativeness - pressured speech

Episode = 1 or more weeks (BP1 is manic only, BP2 is hypomanic and Major Depressive Episode)

27

define cyclothymia

greater than two years of mild depression and hypomania sporadically (essentially dysthymia with intermittent hypomania)

28

tx for OCD (and 2nd line for BN)

fluvoxamine

29

tx for BN (1st line)

fluoxetine

30

give what three things for opioid withdrawal (intox = pinpoint pupils)?

buprenorphine, naltrexone, methadone.