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27 Cards in this Set
- Front
- Back
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1st-line pharmacotherapy for depression.
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SSRIs
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Antidepressant associated w/ hypertensive crisis.
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MAOIs
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Galactorrhea, impotence, menstrual dysfuction, & ⇩ libido.
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patient on dopamine antagonist
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A 17 y/o female has left arm paralysis after her boyfriend dies in a car crash. No medical cause is found.
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Conversion disorder
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Name the defense mechanism:
A mother who is angry at her husband yells at her child. |
Displacement
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Name the defense mechanism:
A pedophile enters a monastery. |
Reaction formation
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Name the defense mechanism:
A woman calmly describes a grisly murder. |
Isolation
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Name the defense mechanism:
A hospitalized 10 y/o begins to wet the bed. |
Regression
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Life-threatening muscle rigidity, fever, & rhabdomyolysis.
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Neuroleptic malignant syndrome
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Amenorrhea, bradycardia, & abnormal body image in a young female.
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Anorexia
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A 35 y/o male has recurrent episodes of palpitations, diaphoresis, & fear of going crazy.
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Panic disorder
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The most serious side effect of clozapine.
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agranulocytosis
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A 21 y/o male has three months of social withdrawal, worsening grades, flattened affect, & concrete thinking.
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Schizophreniform disorder (diagnosis of schizophrenia requires ≥ 6 months of symptoms)
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Key side effects of atypical antipsychotics.
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weight gain
type 2 DM QT prolongation |
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A young weight-lifter receives IV haloperidol & complains that his eyes are deviated sideways. Diagnosis? Treatment?
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Acute dystonia (oculogyric crisis)
Treat w/ benztropine pr diphenhydramine |
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Medication to avoid in patients w/ a history of alcohol withdrawal seizures.
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Neuroleptics
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A 13 y/o male has a history of theft, vandalism, & violence toward family pets.
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Conduct disorder
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A 5-month-old girl has ⇩ head growth, truncal dyscoordination, and ⇩ social interaction.
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Rett's disorder
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A patient hasn't slept for days, lost $20,000 gambling, is agitated, & has pressured speech. Diagnosis? Treatment?
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Acute mania. Start a mood stabilizer (e.g. lithium)
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After a minor fender bender, a man wears a neck brace & requests permanent disability.
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Malingering
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A nurse presents w/ severe hypoglycemia; blood analysis reveals no elevation in C peptide.
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Factitious disorder (Munchausen syndrome)
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A patient continues to use cocaine after being in jail, losing his job, & not paying child support.
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Substance abuse
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A violent patient has vertical & horizontal nystagmus.
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Phencyclindine hydrochloride (PCP) intoxication
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A woman who was abused as a child frequently feels outside of or detached from her body.
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Depersonalization disorder
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A man has repeated, intense urges to rub his body against unsuspecting passengers on a bus.
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Frotteurism (a paraphilia)
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A schizophrenic patient takes haloperidol for one year and develops uncontrollable tongue movements. Diagnosis? Treatment?
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Tardive dyskinesia.
Treatment: ⇩ or discontinue haloperidol & consider another antipsychotic (e.g. risperidone, clozapine) |
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A man unexpectedly flies across the country, takes a new name, & has no memory of his prior life.
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Dissociative fuge
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