Psych Shelf Diagnoses

Front 1

Criteria for schizophrenia

Back 1

Two of the following for 1 month:
-delusions
-hallucinations
-disorganized speech
-disorganized or catatonic behavior
-negative symptoms
Must cause significant disruption
Total illness (incl prodromal or residual for 6 mo)
Sx not from medical cause

Front 2

Criteria for catatonic type schizo

Back 2

2 of:
-motor immobility
-excessive purposeless motor activity
-extreme negativism or mutism
-peculiar mvmts or posturing
-echolalia or echopraxia

Front 3

Rx for schizo

Back 3

-Typical or atypcal neuroleptics. Try for at least 4 weeks before switching.
-Behavioral therapy

Front 4

Criteria for schizophreniform

Back 4

Schizo with sx from 1 to 6 mo

Front 5

Rx for schizophreniform

Back 5

hosp + 3-6 mo of antipsychotics + psychotherapy

Front 6

Criteria for Schizoaffective

Back 6

-Schizo + major depressive, manic or mixed episode
-Delusions or hallucinations for 2 weeks without mood sx
-Mood sx for substantial portion of psychotic illness
-Not from a medical cause

Front 7

Rx for schizoaffective

Back 7

Hospitalization, antipsychotics and antidepressants or mood stabilizers

Front 8

Dx of brief psychotic disorder

Back 8

psychotic sx for less than 1 mo
not from medical cause.

Front 9

Dx of delusional disorder

Back 9

nonbizarre fixed delusions for 1 mo
doesn't meet schizo
doesn't impair life

Front 10

Rx for delusional disorder

Back 10

antipsychotic, even though usually not successful

Front 11

Criteria for major depressive episode

Back 11

5 of the following for at least 2 weeks:
-depressed mood
-anhedonia
-change in appetite or weight
-worthlessness/guilt
-sleep disturbances
-diminished concentration
-psychomotor aggitation/retardation
-fatigue
-PDW or SI

Front 12

SIG E CAPS

Back 12

sleep
interest
guilt
energy
concentration
appetite
psychomotor
suicide

Front 13

Criteria for a manic episode

Back 13

persistent elevated.irritable mood for at least one week with 3 of the following:
-distractibility
-inflated self esteem
-increased goal-directed activity
-decreased need for sleep
-flight of ideas
-pressured speech
-excessive pleasurable but high risk activities

Front 14

DIG FAST

Back 14

distractablilit
insomnia
grandiosity
flight of ideas
activity/agitation
speech
thoughtlessness

Front 15

Differences btw manic and hypomanic episode

Back 15

Manic episode if causes impairment, hospitalization or has psychotic features

Front 16

Rx for atypical depression

Back 16

MAOI

Front 17

Criteria for bipolar 1

Back 17

one manic or mixed episode

Front 18

4 mood stabilizers for bipolar 1

Back 18

Li, carbamazepine, VPA, olanzapine

Front 19

Criteria for bipolar 2

Back 19

one or more major depressive episodes with at least one hypomanic episode

Front 20

Criteria for dysthymic

Back 20

depressed mood most days for 2 years without major depressive episode, psychosis or 2+ month period w/o sx
2 of the following:
-poor concentration
-hopelessness
-appetite changes
-sleep changes
-fatigue
-low self esteem

Front 21

CHASES

Back 21

dysthymic:
-concentration
-hopelessness
-appetite
-sleep
-energy
-self-esteem

Front 22

Criteria for cyclothymia

Back 22

2 years of many hypomanic and depressive sx without sx-free period of greater than 2 months and without MDD or Bipolar

Front 23

Rx of panic disorder

Back 23

short course of benzos initially, then SSRIs (paroxetine, sertraline), CBT

Front 24

Dx of specific phobia

Back 24

persistent specific fear
exposure bring immediate response
recognized to be excessive
>6 mo if under 18yo

Front 25

Rx of specific phobia

Back 25

desensitization

Front 26

Rx of social phobia

Back 26

Paxil, beta blockers

Front 27

Beta blockers for panic d/o or social phobia?

Back 27

Social phobia only

Front 28

Dx of OCD

Back 28

Obsessions or compulsions
Pt recognizes that O or C is excessive
causes distress or interferes w daily fn

Front 29

Criteria of obsessions

Back 29

recurrent and persistent intrusive thoughts or impulses that cause anxiety
attempt at suppression
person knows thoughts are from their own mind

Front 30

Criteria of compulsions

Back 30

repetitive behaviors in response to obsession
aimed at reducing distress, but no realistic link between behavior and distress

Front 31

Rx of OCD

Back 31

high dose SSRI
TCAs
Behavioral treatent (expsure and response prevention)
ECT or cingulotomy

Front 32

Dx of PTSD

Back 32

At least 1 mo of:
-experence of potentially harmful trauma
-reexperience of event
-avoidance of associated stimuli
-numbing of responsiveness
-increased arousal

Front 33

Rx of PTSD

Back 33

TCAs (imipramine, doxepin)
SSRIs, MAOI
Anticonvulsants

Front 34

Dx of acute stress disorder

Back 34

Sx of PTSD within 1mo of the trauma and last for less than 1 mo

Front 35

Dx of generalized anxiety disorder

Back 35

Excessive worry about daily events for 6mo+, difficulty controlling it.
3 of:
-restlessness
-fatigue
-difficulty concentrating
-irritability
-muscle tension
-sleep disturbance

Front 36

Rx of generalized anxiety disorder

Back 36

Buspirone
Benzos short term
SSRIs
Venlafaxine

Front 37

Dx of adjustment disorder

Back 37

emotional or behavioral sx w/in 3mo of stressful event that cause severe distress or impairment
not bereavement
resolve within 6mo of removal of stressor

Front 38

Rx of adjustment disorder

Back 38

supportive psychotherapy

Front 39

Dx of schizoid personality

Back 39

voluntary social withdrawal + 4 of:
-no desire for close relationships
-chooses solitary activities
-little interest in sex
-pleasure in few activities
-few close friends
-indifference to criticism
-emotional coldness

Front 40

Dx of schizotypal personality

Back 40

Eccentric behavior/thought + 5 of:
-Ideas (not delusions) of reference
-magical thinking
-illusions
-suspiciousness
-inappropriate or restricted affect
-odd apearance or behaviour
-few friends
-odd thinking or speech
-social anxiety

Front 41

Rx of Cluster A disorders

Back 41

psychotherapy

Front 42

Rx of antisocial

Back 42

psychotherapy, worry about addiction with pharm

Front 43

Criteria of substance abuse

Back 43

1 year with one of the following:
Failure to fulfill obligations
Use in dangerous situations
Recurrent legal problems
Continued use despite social problems

Front 44

Criteria of substance dependence

Back 44

3 of the following within 12 months:
tolerance
withdrawal
using more than intended
inability to cut down
significant time in use/obtaining/recovering
decreased non-drug activities
continued use despite medical/psych problem

Front 45

Time of DTs

Back 45

72hrs after last drink

Front 46

Rx for DTs

Back 46

benzos

Front 47

Dx of Wenicke's

Back 47

Ataxia
Confusion
Eye mvmt abns

Front 48

Dx of Korsakoff's

Back 48

Impaired recent memory
Anterograde amnesia
+/- confabulation

Front 49

Rx of cocaine w/d

Back 49

Supportive

Front 50

Rx of cocaine OD

Back 50

benzos, antipsychotics

Front 51

Rx of amphetamine OD

Back 51

benzos, antipsychotics

Front 52

Rx of amphetamine w/d

Back 52

Supportive

Front 53

Rx of PCP OD

Back 53

Monitor
Acidify urine
benzos
Haldol

Front 54

Rx of barbiturate OD

Back 54

ABCs
Charcoal
Alkalinize urine

Front 55

Rx of benzo OD

Back 55

ABCs
Charcoal
Flumazenil

Front 56

Side effect of flumazenil

Back 56

lowers seizure threshold

Front 57

Rx of benzo w/d

Back 57

long acting benzo
carbamazepine or tegretol for sz ctrl

Front 58

Rx of opiate W/D

Back 58

clonidine or buprenorphine
methadone taper if severe

Front 59

Effect of opiods on pupils

Back 59

constricts
EXCEPT meperidine (dilates)

Front 60

Dx of B12 dementia

Back 60

diminished position and vibratory sense
megaloblasts on CBC
dementia

Front 61

Dx of alzheimer's

Back 61

Memory impairment plus one of:
Aphasia
Apraxia
Agnosia
Diminished executive function

Front 62

Senile plaques are made of

Back 62

amyloid protein

Front 63

Neurofibrillary tangles are made of

Back 63

tau proteins

Front 64

Dx of Pick's

Back 64

frontotemporal dementia
like alzheimers but more personality changes early
intraneuronal inclusions (pick bodies)

Front 65

MRI findings of huntington's

Back 65

caudate atrophy

Front 66

What not to use in delirium

Back 66

benzos

Front 67

Dx of conduct disorder

Back 67

3 acts of following in 1 yr:
Agression
Destruction
Lying
Rule violation

Front 68

Dx of ODD

Back 68

6 months of 4 of the following:
Temper
Arguments
Defying rules
Annoying
Easily annoyed
Spiteful
Blaming others

Front 69

Dx of ADHD

Back 69

6 sx of anattentiveness or hyperactivity for 6 mo
In 2 settings
Before age 7

Front 70

Rx of ADHD

Back 70

stumulants, SSRIs, psychotherapy

Front 71

Dx of autism

Back 71

6 of following:
-impaired nonverbal communication
-failure to develop peer relationships
-failure to share
-lack of emotional reciprocity
-delayed speech
-repetitive language
-lack of spontaneous play
-rituals
-preoccupation with parts

Front 72

Dx of asperger's

Back 72

2 of:
failure to dev peer relationships
impaired nonverbal communication
lack of sharing
lack of emotional reciprocity

stereotyped behaviors
NL LANGUAGE + CogDev

Front 73

Dx of Ret's

Back 73

Nl for 5 months then:
decreased had circ, loss of skills, hand wringing, seizures

Front 74

Dx of child disintegrative

Back 74

nl for 2 yrs then loss of language, social, bowel, play or motor
+ 2 of:
impaired social, language and stereotyped behaviors

Front 75

Dx of tourette's

Back 75

motor and voacal tics
many times a day for >1yr
onset before 18y
impairment

Front 76

Rx of tourette's

Back 76

haldol, pimozide

Front 77

Dx of enuresis

Back 77

involuntary voiding after 5yo
at least 2x/wk for 3 mo or causes impairment

Front 78

Rx of enuresis

Back 78

DDAVP or TCAs

Front 79

Dx of encopresis

Back 79

involuntary pooping after 4y
1x/mo for 3 mo

Front 80

Dx of Somatization D/O

Back 80

2 GI sx
1 Sexual Sx
1 pseudoneuro Sx
4 pain Sx
onset before 30yo

Front 81

Rx of somatization D/O

Back 81

often will not see psychiatrist, PCP should minimize 2' gain

Front 82

Dx of conversion D/O

Back 82

sx not intentionally produced
sx cause impairment or distress (impairment if belle indifference)
not limited to pain or sexual sx

Front 83

Rx of conversion

Back 83

psychotherapy

Front 84

Dx of hypochondriasis

Back 84

frequent misinterpretations of sx as disease
worried about disease, not x
>6mo

Front 85

Rx of body dysmorphic d/o

Back 85

SSRI

Front 86

Dx of factitious d/o

Back 86

SX intentionally created for primary gain

Front 87

Dx of malingering

Back 87

Sx intentionally created for 2' gain

Front 88

Rx of intermittent explosive

Back 88

SSRIs
Li

Front 89

Rx of anorexia

Back 89

paroxetine
mirtazepine

Front 90

Rx of bulemia

Back 90

SSRI
TCA

Front 91

Psychologist who focused on infant attachment

Back 91

Bowlby

Front 92

Psychologist who focused on stable sense of self

Back 92

Kohut

Front 93

Locus ceuleus makes and does what

Back 93

NE, fight or flight

Front 94

Where is Broca's area

Back 94

L frontal lobe

Front 95

What CSF change is seen in aggression

Back 95

low 5HT

Front 96

What is the cause of a new onset of behavioral problems, separation anxiety or OCD in a child

Back 96

PANDAS after GBS

Front 97

Brain area affected in Alzheimer's

Back 97

Nucleus of Meynert

Front 98

Kluver Bucy syndrome

Back 98

personality change
hypersexuality
no fear

Front 99

What do the Ant, Post, Lat, VM, and supraoptic hypothal do

Back 99

Ant: Sex
Post: arousal/reticular activation sys
Lat: Hunger
VM: satiety
supraoptic: vasopressin, oxytocin

Front 100

What hormone is used to differentiate sz from pseudosz

Back 100

Prolactin goes up in sz, not in pseudo

Front 101

Timeline of the baby blues

Back 101

day 2-4 to 2wks postpartum

Front 102

End of 2l bereavement

Back 102

2mo

Front 103

Which antidepressant to use in bipolar?

Back 103

buproprion

Front 104

Psychologist who focused on intrapersonal relationships

Back 104

Sullivan

Front 105

Depression's affect on REM

Back 105

decreased REM latency

Front 106

Rx for panic d/o

Back 106

benzo + antidep

Front 107

Rx for OCD

Back 107

high dose SSRI

Front 108

Rx of opioid w/d sx

Back 108

clonidine

Front 109

Rx of akathesia

Back 109

B blocker

Front 110

4 antidepressants without sexual sides

Back 110

trazodone
nefazodone
mirtazipine
buproprion

Front 111

suffixes of TCAs

Back 111

_____ipramine
______triptyline

Front 112

TCA used for OCD

Back 112

clomipramine

Front 113

Rx for depression with ADHD

Back 113

buproprion

Front 114

Rx for negative sx of schizo

Back 114

olanzipine
clozapine

Front 115

What causes priaprism

Back 115

low dose trazodone

Front 116

Meds to combat sexual sides of SSRIs

Back 116

cyproeptadine
yohimbine
bethanechol
amantidine
buproprion

Front 117

What analgesic changes the Li level and how

Back 117

NSAIDs increase level

Front 118

Serious side of tegretol

Back 118

aplastic anemia

Front 119

serious side of clozapine

Back 119

agranulocytosis

Front 120

Antidepressants that cause significant anticholinergic effects

Back 120

TCAs

Front 121

Drugs that effects warfarin and how

Back 121

SSRIs increase coag times
esp sertraline, paroxetine, fluvoxamine

Front 122

Rx for ADHD with tics

Back 122

clonidine

Front 123

Rx for narcolepsy

Back 123

stimulants, SSRI or TCA

Front 124

Rx for catalepsy

Back 124

SSRI or TCA

Front 125

Antipsychotic with an effect on sz threshold

Back 125

Clozapine decreases threshold

Front 126

Rx for NMS

Back 126

dantrolene
bromocriptine
amantidine

Front 127

Rx for enuresis

Back 127

imipramine