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27 Cards in this Set

  • Front
  • Back
First line pharmacotherapy for depression
SSRIs
Antidepressant associated w/ hypertensive crisis
MAOi
Galactorrhea, impotence, mentraul dsyfunction and decreased libido
Pt on dopamine antagonist
A 17 y.o. girl has left arm paralysis after her boyfriend dies in a car crash. No medical cause is foun.
Conversion disorder
A mother who is angry at her husband yells at her child. Defense mech?
Displacement
A pedophile enters a monastery. Defense mech
Reaction formation
A woman calmly describes a grisly murder
Isolation
A hospitalized child begins to wet the bed. Defense mech?
Regression
Life threatening muscle rigidity, fever, and rhabdomyolysis
Neuoleptic malignant syndrome
Amenorrhea, bradycardia, and abnormal body image ina young female
Anorexia
A 35 year old man has episodes of palpitations, diaphoresis, and fear of going crazy
Panic disorder
The most serious side effect of clozapine
agranulocytosis
A 21 yr old man has 3 months of social withdrawl, worsening grades, flattened affect, and concrete thinking
Schizophreniform disorder (dx of schizophrenia requires at least 6 months of symptoms)
Key side effects of atypical anyipsychotics
Weight gain, type 2 DM, QT prolongation
A young weightlifted receives haldol and complains that his eyes are deviated sideways. Dx? Tx?
Acute dystonia (oculogyric crisis). Treat w/ benztropine or diphenhydramine
Medication to avoid in pts w/ a history of alcohol withdrawl seizures
Neuroleptics
A 13 yr old boy w/ a history of theft, vandalism, and violence toward pets
conduct disorder
A five month old girl has decreased head growthm truncal dyscoorination, and decreased social interaction
Rett's disorder
A pt hasn't slept for days, lost $20,000 gambling, is agitated, and has pressured speech. Dx? Tx?
Acute mania. Mood stabilizer (ie lithium)
After a minor fender bender, a man wears a neck brace and requests permanent disability
Malingering
A nurse presents w/ severe hypoglycemia; blood analysis shows no elevation in C-peptide
Facticious disorder (Munchausen syndrome)
A pt continues to use cocaine after being in jail, losing his job, and not paying child support.
Substance abuse
A violent patient has vertical and horizontal nystagmus
PCP
A woman who was abused as a child frequently feels outside of or detached from her body
Depersonalization disorder
A man has repeated, intense urges to rub his body against unsuspecting passengers on a bus
Frotteurism (a paraphillia)
A schizophrenic pt takes haldo for one year and develops uncontrollable tongue movements? Dx? Tx?
Tardive dyskinesia. Stop or decrease haldo and consider another antipsychotic (risperdal, clozapine)
A man unexpectedly flies across the country, takes a new name, and has no memory of his prior life
Dissociative fugue