Psychiatric Disorders Flashcards

1
Q

The term embraces the totality of a person’s mental attributes, observable behavior and reportable experience.

A

Personality

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2
Q

An ensemble of poorly regulated emotions, impulsive and aggressive actions and repeated self-injury form the core aspects of this personality disorder.

A

Borderline personality disorder

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3
Q

At what age do we suspect any mental illness that appears for the first time to be either depression or dementia?

A

> 40 years

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4
Q

Most common symptom of anxiety attacks

A

palpitations (97%)

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5
Q

Refers to the fear of being in places or situations from which escape might be difficult or extremely embarrassing

A

Agarophobia

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6
Q

It is defined as imperative and distressing thoughts and impulses that persist in the patient’s mind despite a desire to resist and to get rid of them

A

Obsessions

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7
Q

Amnesia, disturbance of consciousness and hallucinations

A

Ganser Syndrome

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8
Q

This is the preoccupation with bodily functions or physical signs and sensations, leading to the fear or belief of having serious disease

A

Hypochondriasis

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9
Q

Of all the abnormal personality types, this personality is the one most likely to cause trouble in the family and community

A

Antisocial Personality Disorder

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10
Q

The manifestations of sociopathic behavior in children and adults are how many times more frequent in males compared to females?

A

5-10x

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11
Q

Refers to the conscious and deliberate feigning of illness or disability in order to attain a desired goal

A

Malingering

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12
Q

Indicators for hospitalization in anorexia nervosa

A

Bradycardia and hypotension

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13
Q

The satiety center is believed to lie in what part of the hypothalamus?

A

ventromedial

feeding center in the lateral hypothalamus

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14
Q

Refers to any major derangement in mental function in which the individual’s ability to perceive and interact with the environment in impaired.

A

Psychosis

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15
Q

It stands for a complex of disturbed feelings which may include aspects of despair, hopelessness, sense of worthlessness and thoughts of self-harm.

A

Depression

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16
Q

Which part of the brain is associated with greater frequency and severity of depression

A

left lateral frontal cortex, basal ganglia

(right hemisphere-mania; psychotic depression with hallucinations-right temporoparietal

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17
Q

This is the most important concern in patients with mid- and late-life depression

A

suicide

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18
Q

A disorder of mood consisting of prolonged episodes of depression, interrupted by or coexistent with episodes of mania

A

Bipolar disease

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19
Q

SSRI particularly useful in the treatment of depression that is characterized by overeating and hypersomnia

A

Fluoxetine

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20
Q

The most serious risk of MAO inhibitors

A

Hypertensive Crisis

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21
Q

AEDs with mood-stabilizing effect

A

Valproate, Gabapentin, Carbamazepine, Lamotrigine and Phenytoin

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22
Q

In extreme schizophrenia, the patients are mute or assume and maintain imposed postures or remain immobile

A

Catalepsy

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23
Q

Type of hallucinations which are hallmark of schizophrenia

A

Auditory hallucinations

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24
Q

T/F: In the majority of persons complaining of fatigue, one does not find true muscle weakness.

A

True

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25
Q

T/F: Severe fatigue that causes the patient consistently to go to be right after dinner and makes all mental activity effortful should suggest an associated depression.

A

True

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26
Q

Hallmark of anxiety disorder

A

Acute attacks

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27
Q

Defined as imperative and distressing thoughts and impulses that persist in the patient’s mind despite a desire to resist and to get rid of them

A

Obsessions

28
Q

An illness whose symptoms could be induced (and removed) by suggestion.

A

Hysteria

29
Q

T/F: Hysteria is a disease of women and sociopathy mainly of men.

A

True

30
Q

Preoccupation with bodily functions or physical signs and sensations, leading to the fear and belief of having serious disease

A

Hypochodriasis

31
Q

Best defined personality disorder and the most likely to cause trouble in the family and the community

A

Antisocial

32
Q

Most frequent psychiatric illness

A

Depression

33
Q

Proportion of PD patients complicated with depressive reaction

A

1/4

34
Q

T/F: Weeks or months of unremitting daily tension-type headaches in the context of a normal examination are highly suggestive of depression at any age.

A

True

35
Q

Most serious risk of MAO inhibitors

A

Occurrence of hypertensive crisis

36
Q

Type of hallucination which are the hallmark of schizophrenia

A

Auditory hallucinations

37
Q

Schizophrenia subtype which tends to occur at an earlier age than the other varieties

A

Disorganized (hebephrenic)

38
Q

Most frequent early symptoms of corticosteroid psychosis

A

Depression and insomnia

39
Q

Dopaminergic pathway associated with negative symptoms of schizophrenia

A

Mesocortical

40
Q

Third generation atypical neuroleptic that partially blocks the dopamine receptors

A

Aripiprazole

41
Q

T/F: When a patient meets the criteria for more than one personality disorder, clinicians should diagnose each.

A

True

42
Q

This disorder has been called ambulatory schizophrenia

A

Borderline personality disorder

43
Q

Personality disorder that may be a harbinger of schizophrenia

A

Paranoid personality disorder

44
Q

This personality disorder is frequently diagnosed in females with fragile X syndrome.

A

Schizotypal personality disorder

45
Q

Prevalence of tobacco withdrawal on those smokers who try to quit.

A

About 50%

46
Q

It is the primary adverse effect of cigarette smoking

A

Death

47
Q

Main objective of treatment in severe alcohol intoxication

A

Prevention of respiratory depression

48
Q

The importance of physical appearance is central to this disorder

A

Narcissistic personality disorder

49
Q

Up to how many % of schizophrenics commit suicide within first 10 years of their illness

A

10%

50
Q

Trinucleotide repeats seen in schizophrenia

A

CAG/CTG on chromosome 17 and 18

51
Q

Dopamine receptor especially important to the positive symptoms of schizophrenia

A

D2 receptors

52
Q

Most potent SSRI

A

Paroxetine

53
Q

Good prognostic factors associated with schizophrenia

A

Late onset, obvious precipitating factors, acute onset, good premorbid social/sexual/work history, mood disorder symptoms, married, family history of mood disorders, good family support, positive symptoms

54
Q

Schizophrenia subtype with the best course and outcome

A

Paranoid

55
Q

Schizophrenia subtype with the best course and outcome

A

Paranoid

56
Q

T/F: Jealous delusions are seen more frequently in men and erotomanic delusions are more frequently in females.

A

True

57
Q

T/F: Obsessive-compulsive disorder is ego-syntonic.

A

False (it is ego-dystonic)

58
Q

T/F: Bupoprion is contraindicated for use in eating disorders.

A

True

59
Q

The average time for relapse in stable patients with schizophrenia who discontinue their medication

A

6 months

60
Q

Atypical antipsychotic drug causing the least weight gain

A

Ziprasidone

61
Q

It is the only atypical antipsychotic drug indicated to reduce the risk of suicide

A

Clozapine

62
Q

It is the most important unwanted effect of antipsychotic drugs

A

Tardive dyskinesia

63
Q

How long should fluoxetine be discontinued before a MAOI can be administered to mitigate the risk of serotonin syndrome?

A

4 weeks

64
Q

Least sedating of all tricyclic antidepressant

A

Protriptyline

65
Q

The most important difference of fear from anxiety

A

Cause is known in fear

66
Q

T/F: Extrapyramidal side effects and tardive dyskinesia are virtually absent with the use of clozapine

A

True