psychiatry (F.A.) Flashcards Preview

need to knows > psychiatry (F.A.) > Flashcards

Flashcards in psychiatry (F.A.) Deck (46)
Loading flashcards...
1
Q

Schitzophrenia vs Schitzoaffective vs Bipolar Disorder Type I

A
  • schitzophrenia= mania but NO MOOD disorder (ex: “mood is terrific”
  • schitzoaffective= mania AND MOOD disorder (but has the be one instance he had MANIA without MOOD disorder)
  • bipolar disorder type I- mania and mood must ALWAYS go together
2
Q

Ego defense: fixation

A

partially remaining at a more childish level

3
Q

Ego Defense: Idealization

A

thinking of yourself and everyone extremely positively.

while ignoring any flaws

4
Q

Ego Defense: splitting

A

people are either “all good” or “all bad” at times

5
Q

Ego Defense: sublimation VS reaction formation

A

sublimation- mature; replacing unacceptable wish with action that does not conflict with wish (ex:channel agression into sports)
reaction formation- immature; doing the opposite of how you feel

6
Q

Ego defense: suppression vs repression

A

suppression- mature; temporary; intentional

repression- immature, unintentional witholding of an idea from conscious

7
Q

ego defense: isolation

A

removing your affect/feelings from idea/events

-like retelling a murder with no affect

8
Q

Rett Syndrome

A

X-linked dominant, only seen in girls, mutation of MECP2, causes regression around 1-4 yo and characterized by hand wringing

9
Q

Oppositional Defiant Disorder

A

defiant behavior against authority

10
Q

disruptive mood dysregulation disorder

A

onset before age 10, severe/recurrent tantrums, with constant irritability in between

11
Q

Learning Disorder

A

difficulty in ONE subject with success in others

12
Q

depersonalization/derealization disorder vs dissociative amnesia

A

detachment from one’s body and environment.

vs forgetting key features of your identity and other personal information

13
Q

schitzophrenia vs schitzophreniform vs bried psychotic

A

brief psychotic lasts less than a month (but v rare so always check for substance abuse)
shizophreniform lasts 1-6 mo

14
Q

Delusional disorder

A

delusional symptoms (false belief) for greater than 1 month without any other functioning problems.

15
Q

Manic symptoms

A
DIG FAST 
Disorganized speech 
Irresponsibility 
Grandiosity 
Flight of thoughts 
increased Activity/Agitation 
Sleep decreased 
Talkative
16
Q

Cyclothymic Disorder

A

milder Bipolar Disorder lasting atleast 2 years

17
Q

postpartum blues vs post partum depression

A

blues is less than 10 days
depression is greater than 2 weeks
blues just need followup
depression can warrant SSRIs and CBT

18
Q

Dysthmic Disorder

A

milder depression for 2+ years

19
Q

PTSD vs Acute Stress Disorder

A

PTSD is greater than 1 month of symptoms (treat with CBT or SSRIs or venlafaxine)
Acute Stress Disorder lasts between 3 days and 1 month (pharmacotherapy not indicated but CBT maybe)

20
Q

Cluster A disorders

A

“weird”
paranoid
schitzoid- “aloof” but likes it that way
schitzotypal- magical thinking, weird clothing

21
Q

Cluster B disorders

A

“wild”
antisocial - (under 18= conduct disorder), violent/criminal
borderline- splitting, suicide, unstable
histrionic- attention seeking, appearance obsessed
narcissistic- grandiosity

22
Q

Cluster C disorders

A

“Worried”
avoidant- want interpersonal relationship but fear of rejection
Obsessive compulsive personality- perfection and order
dependent- clingy and submissive

23
Q

malingering vs facitious disorders

A

both consciously FAKE an illness, but the motive differs
malingering is for external gain
facititous is for internal gain- to assume sick role

24
Q

somatic symptom disorder

A

not consciously faking illness
constant illness/pain
do consistent out patient follow up

25
Q

conversion disorder

A

stressor causes loss unrelated of sensory/motor function

- mutism

26
Q

illness anxiety

A

preoccupation with having SERIOUS illness

27
Q

anorexia vs bulemia nervosa vs binge

A

anorexia: BMI<18.5
BN: BMI> 18.5
bulemia and anorexia may show binge/purge pattern
Binge eating has no purge pattern (remember, purge is any compensatory behavior)

28
Q

refeeding syndrome

A

occurs with anorexia

causes spike in insulin, leading to hypophosphatemia with cardiac consequences

29
Q

electrolyte abnormalities of bulemia nervosa

A

hypokalemia

hypoCHLORemia

30
Q

sleep terror disorder vs nightmare

A

sleep terror- deep sleep of Nonrem 3, screaming and no memory in the morning
nightmare- REM, with memory

31
Q

alcohol withdrawal

A

3 hr+ = tremulousness
6hr+= withdrawal seizures
12 hr+= visual hallucinations
48 hr+= delirius tremens (autonomic hyperactivity- tachy/anxiety)

32
Q

alcohol intoxication markers

A

increased serum GGT (gamma glutamyltransferase)

AST> 2ALT

33
Q

opioid intoxication

A

pinpt pupils, respiratory/cns depression with lost gag reflex, euphoria

34
Q

opioid withdrawal

A

diarrhea, sweating, yawning, sweating, dilated pupils, goosebumps

35
Q

amphetamine intoxication

A

pupillary dilatation, htt and tachycardia, grandiosity and euphoria

36
Q

cocaine intoxication

A

pupillar dilatation, hallucinations, angina/SCD

37
Q

Phencyclidine intoxication (PCP)

A

violene, analgesia, nystagmus, tachy/htt

38
Q

LSD (lysergic acid diethylamide) intoxication

A

perceptual distortion, depersonalization

39
Q

MDMA (ecstacy)

A

hallucinations, teeth clenching, serotonin syndrome

40
Q

what class of drugs in PIMOZIDE

A

1st gen antipsychotic

41
Q

what are the suffixes for type 2 antipsychotics? an exception?

A

-“apine”, -“idone” exception: aripiprazole

42
Q

Buspirone
clinical use?
features?

A

5HT1a agonist
GAD (2nd line)
non addictive, non sedative, no tolerance, acts within 1-2 weeks

43
Q

-milnaciprans are what class of drugs?

A

SNRI (such as venlafaxine and duloxetine)

44
Q

Varencicline

clinical use?

A
  • partial nicotinic receptor ACh agonist

- smoking cessation

45
Q

Vilazodone

clinical use?

A

5HT reuptake inhibitor, 5HT1a partial agonist,

GAD, MDD

46
Q

Vortioxetine

clinical use?

A

inhibits 5HT reuptake, 5HT1 agonist, 5HT3 receptor antagonist
MDD