FA psych

eesohbel's version from 2016-07-31 22:11

personality disorders

Question Answer
cluster A personality disordersparanoid, schizoid, schizotypal
cluster B personality disordersborderline, histrionic, narcisstic, and antisocial
cluster C personality disordersobsessive compulsive, avoidant, dependent
characteristics of personality disorders. MEDIC maladaptive, enduring, deviate, inflexible, cause impairment
paranoiddistrustful, suspicious, interpret others' motives
schzioidisolated, detached loners. restricted emotional expression
schizotypal magical thinking, but lack delusions and hallucinations that would classify them as schizophrenic
borderlineunstable mood
histrionicexcessively emotional and attention seeking. sexually provocative
antisoicalmust have a prior diagnosis of conduct disorder
obsessive compulsivepreoccupied with perfectionism,
avoidantfear of being disliked or ridiculed
dependentsubmissive, clingy

mood disorders

Question Answer
definition of depressiondepressed mood or anhedonia and five or more signs/symptoms from SIG E CAPS for two week period
SIGECAPSsleep, interest, guilt, energy, concentration, appetitie, psychomotor, SI
atypical depressioncharacterized by weight gain, hypersomnia and rejection sensitivity
double depressionmajor depressive episode in patient with dysthymia
adjustment disorder with depressed moodconstellation of symptoms that resemble an MDE but do not meet the criteria. occurs within 3 months~ of an identifiable stressor but cannot less more than 6 months
dysthymiamilder, chronic depression present for at least two years. usually resistant to treatment
a/e of ECTpostictal confusion, arrhythmias, headache and anterograde amnesia
if stop SSRI and want to start patient on MAOI wait at least 2 weeks. 5 weeks if patient on fluoxetine.
bipolar Iinvolves at least one manic or mixed episode
bipolar IIat least one MDE and one hypomanic episode.
rapid cyclinginvolves four or more episodes (MDE, manic, mixed or hypomanic) in 1 year
cyclothymicchronic and less severe with alternating periods of hypomania and moderate depression for greater than 2 years
DIGFASTsymptoms of mania
DIGFASTdistractability, insomnia, grandiosity, flight of ideas, activities, sexual, talkativeness
acute therapy for bipolar maniaantipsychotics, lithium, valproate,
maintenance therapy for bipolar maniamood stabilizers
bipolar depressionmood stabilizers w/or without antidepressants. do mood stabilizers first to avoid inducing mania
medical conditions that can present w/depressionthyroid, PD, MS, cancer (pancreatic, oat cell carcinoma), dementia, HIV, OCPS, steroid use,
hypomanialasting greater than 4 days
definition of mania7 days of persistently elevated, expansive or irritable mood plus 3 DIGFAST symptoms

acute drug intoxication

Question Answer
opioidsrespiratory depression life threatening pupillary constirction
amphetaminespupillary dilations, hallucinations, delusions
PCPviolent behavior, dissociation, hallucinations, amnesia, nystagmus, ataxia
LSDvisual hallucinations, euphoria, dysphoric/pain, tachycardia/hypertension
cocainechest pain, seizures, mydriasis, tachycardia
methamphetamineviolent behavior, choreiform movements, tooth decay
marijuanaincreased appetite, impaired time perception, conjunctival injection
heroinmiosis, respiratory depression, depressed mental state, constipation, euphoria
MDMAeuphoria. hypertension, tachycardia, hyperthermia, serotonin syndrome and hyponatremia
bath saltssevere agitation and combativeness
inhalantsslurred speech, dizziness, transient euphoria, and loss of consciousness

treatment for acute drug intoxication

Question Answer
opioidsnaloxone and naltrexone
cocainehaloperidol along with specific medication ex. control hypertension
PCPbenzos or haloperidol
LSDsupportive counselling; traditional antipsychotics and benzos for anxiety

acute drug withdrawal

Question Answer
alcoholtremor, tachycardia, hypertension, malaise, nausea, seizures, DTs, agitation
opioidsdysphoria, insomnia, anorexia, myalgias, fever. not life threatening
PCPrecurrence of intoxication symptoms due to reabsoprtion in the GI tract; sudden onset of severe, random violence
barbituatesanxiety, seizures, delirium, life threatening cardio collapse

Cognitive disorders

Question Answer
DEMENTIASDegenerative diseases, Endocrine, Metabolic, Exogenous, Neoplasia, Trauma, Infection, Affective Disorders, Stroke/Structure
lab tests in dementiaCBC, RPR, CMP, TFTS, HIV, B12/folate, ESR, UA and head CT

Psychotic disorders

Question Answer
delusiona fixed false idosyncratic belief
hallucinationperception without an existing external stimulus
illusionmisperception of an actual external stimulus
subtypes of schizophreniaparanoid, disorganized, catatonic
paranoid schizophreniadelusions and or hallucinations are present. cognitive function is usually preserved. best overall prognosis
disorganized schizophreniaspeech and behavior patterns are highly disordered and disinhibited with flat affect. worst prognosis
catatonic schizophreniacharacterized by psychomotor disturbance w/2 or more of following excessive motor activity, immobility, extreme negativism, mutism, waxy flexibility, echolalia or echopraxia
positive symptoms of schizophreniahallucinations, delusions, disorganized speech, bizarre behavior
negative symptoms of schizophreniaflat affect, decreased emotional reactivity, poverty of speech, anhedonia
brief psychotic disordergreater than 1 day and less than 1 month
schizophreniform disordergreater than 1 month and less than 6 months
schizophreniagreater than 6 months with two or more of positive symptoms or negative symptoms or both with social or occupational dysfunction
schizoaffectiveschizophrenia + major affective disorder (MDD or BPD)

childhood and adolescent disorders

Question Answer
autistic disorderimpaired social interactions and communication with significant language and cognitive delays w/characteristic repetitive or restricted behaviors
asperger'sautism like without marked language or cognitive delays
Rett disorderneurodegenerative disorder of females w/progressive impairment after ~5 months of normal developmentz
childhood disintegrative disordersevere developmental regression after greater than 2 years of normal development
difference between conduct disorder and oppositional defiant disorderODD is for 6 months or more and conduct is for 1 year or more
mild MRIQ less than 70
coprolaliarepetition of obscene words
treatment for Tourette'sdopamine receptor antagonists, or clonidine


Question Answer
how to treat alcohol withdrawalbenzo taper, add haloperidol for hallucinations and psychotic symptoms, multivitamins and folic acid, administer thiamine before glucose to prevent Wernicke's

somatoform disorders

Question Answer
somatizationmultiple, chronic somatic symptoms from different oran systems with multiple GI, sexual, neurologic, and pain
conversionsymptoms or deficits of voluntary motor or sensory functions
hypochondriasispreoccupation with or fear of having a serious disease
body dysmorphicpreoccupation with an imagined physical defect or abnormality that leads to significant distress/impairment
somatoform pain disorderintensity or profile of pain is inconsistent with physiologic processes
malingeringpatient intentionally stimulate illness for personal gain

Lange questions

Question Answer
cotard syndromenihilistic delusional content. in addition to lost possessions; patient may feel they have lost blood, heart intestines
capgrasdelusion of doubles, belief that people have been replaced by identical imposters
folie a deuxshared psychotic disorder
fregolibelief that familar people assume the guise of strangers

Immature Defense mechanisms

Question Answer
acting outexpressing unacceptable feelings through actions
intellectualizationusing intellect to avoid uncomfortable feelings
passive agressionavoiding conflict by expressing hostility covertly
denialindividual refuses to accept reality because it is too distressing
splitting"all good or all bad"
displacementchanneling of one's unacceptable wishes into less anxiety producing ones
projectionone's unacceptable ideas or thoughts are seen as coming from another
projective idenitificationcan be thought of as a self-fulfilling prophecy
rationalizationprocess of making excuses to make an anxiety less distressing
reaction formationdescribes the process of turning unacceptable drives and desires into their opposite

mature defense mechanisms

Question Answer
altruisuminvolves acceptable actions that serve others and bring pleasure to the individual
humorexpressing unpleasant thoughts or feelings in a way that brings enjoyment and pleasure to others
subliminationchanneling impulses into social acceptable behaviors
supressionputting unwanted feelings aside to cope w/reality

anxiety disorders

Question Answer
social anxiety disorderanxiety restricted to social and performance situations, fear of scrutiny and embarassment
panic disorderrecurrent, unexpected panic attacks
specific phobiaexcessive anxiety about a specific object or situation
GADchronic multiple worries, anxiety, tension
GAD DSMexcessive worry greater or equal 6 months. 3 or more ofrestlessness, fatigue, difficulty concentration, irritability muscle tension, sleep disturbance

dissociative disorders

Question Answer
depersonalization/derealization disorderpersistent or recurrent experiences of 1 or both: depersonalization or derealization. intact reality testing
dissociative amnesiainability to recall important personal information, usually of a traumatic or stressful nature. not explained by another disorder
dissociative identity disordermarked discontinuity in identity and loss of personal agency with fragmentation into greater than 2 distnct personality states. associated with severe trauma/abuse
dissociative amnesia dissociative fugue subtypecharacterized by either seemingly purposeful travel or wandering


Question Answer
somatic symptom disordergreater than 1 somatic symptom causing distress and functional impairment. excessive thoughts or behaviors relation symptoms. greater than 6 months duration
treatment for somatic symptom disorderregularly scheduled visits
adjustment disordercharacterized by development of emotional or behavorial symptoms in response to an identiifable stressor occurs w/in 3 months of the stressor
indications for ECT therapy for depressiontreatment resistance, psychotic features present, emergency conditions (preg, refusal eat or drink imminent risk for suicide)
a/e ECTno absolute contraindications. increased risk (severe cardiovascular disease, space-occupying lesion, recent stroke)

other 2

Question Answer
somatic symptom disorderexcessive anxiety and preoccupation with greater than 1 unexplained symptom
illness anxiety disorderfear of having a serious illness despite few or no symptoms and consistently negative evaluations
conversion disorderneurologic symptoms incompatible with any neurologic disease; often acute onset associated w/stress
factitious disorderintentional falsification to inducement of symptoms w/goal to assume sick role
malingeringfalsification or exaggeration of symptoms to obtain external incentives (secondary gain)