Step 1 First Aid: Psychiatry

Front 1

child is noncopmpliant in absence of criminality

Back 1

oppositional defiant disorder

Front 2

tx for tourettes

Back 2

haldol

Front 3

X linked disorder seen only in girls (why?)
mental retardation appearing at age 4

Back 3

Rett's

boys die in utero

Front 4

stereotyped hand-wringing in a little girl

Back 4

Retts

Front 5

gaba, NE and serotonin in anxiety

Back 5

NE up
GABA down
serotonin down

Front 6

decreased NE
decreased serotonin

Back 6

depression

Front 7

decreased GABA and Ach

Back 7

Huntingtons

Front 8

increased dopamine

Back 8

schizzophrenia

Front 9

decreased dopamin
Increased ach

Back 9

parkinsons

Front 10

anosognsoia

Back 10

lack of awareness that one is ill

Front 11

abrupt change in geographic location with inability to recall past
confusion about personal identity
assumption of a new identity
distress and impariment
not result of GME or substance abuse

Back 11

dissociative fuge

Front 12

formication

Back 12

sense of ants crawling on one's skin
common in DTs and cocain abusers

Front 13

hypnagogic

Back 13

while GOing to sleep

Front 14

psychosis 1-6 months

Back 14

schizophreniform

Front 15

psychosis les thn 1 month

Back 15

brief psychotic disorder

Front 16

how many positive symptoms are needed for schizo

Back 16

2

Front 17

schizo featuring atomatisms

Back 17

catatonic

Front 18

manic symtoms
no impairment
no psyhotic features

Back 18

hypomanic episode

Front 19

how long does dysthymia have to last

Back 19

2 years

Front 20

what aspects of sleep are slowed and sped up in depression

Back 20

increased REM (early and total)
decreased slow-wave, REM latency

Front 21

number of physical symptoms necessary in panic disorder

Back 21

4, and they have to peak within 10 minutes

Front 22

panic disorder criteria

Back 22

recurrent
intense fear and discomfort
peaking in 10 minutes
4 physical symptoms

Front 23

algophobia

Back 23

fear of pain

Front 24

gamophobia

Back 24

fear of marriage

Front 25

how long does acute stress disorder last

Back 25

2-4 weeks

Front 26

how long does PTSD have to last before it's official

Back 26

1 month

Front 27

difference between adjustment disorder and GAD

Back 27

< 6 months ofr adjustment disorder

Front 28

criteria for Muchausen's

Back 28

assume sick role to get medical attention (primary gain)
multiple hospital admissions
willingness to receive invasive procedures

Front 29

false belief of being pregnant associated with objective physical signs of pregnancy

Back 29

pseudocyesis

Front 30

tertiary gain

Back 30

what the caretaker gets from a patients complaints (e.g., physician on an interesting case)

Front 31

schizoid vs schizotypal

Back 31

schizoid is withdrawn; schizotypal is odd, eccentric

Front 32

Cluster A disorders
Cluster B disorders
Cluster C disorders

Back 32

Weird - Aloof
Wild - Bad
Worried - Chattering Teeth

Front 33

timing of psychotic symptoms in schizophreniform

Back 33

1-6 months (less than 1 is brief psychotic disorder

Front 34

what is a sensitivie test for alcohol use

Back 34

serum GGT

Front 35

tremor, tachycardia, HTN, malaise, nausea, seizures, delirium tremens, tremulousness, agitation, hallucinations

Back 35

alchohol withdrawal

Front 36

dilated pupils
piloerection
yawning

Back 36

opioid withdrawal

Front 37

psychomotor agitation, impaired judgment, pupillary dilation, HTN, tachycardia, arrhythmias, hallucinations

Back 37

amphetamine intoxication

Front 38

euphoria, tachycardia, hallucinations (including tactile), paranoid ideations, sudden cardiac death

Back 38

cocaine intoxictaion

Front 39

belligerence, impulsiveness, fever, psychomotor agitation, vertical and horizontal nystagmus, homicidality, psychosi

Back 39

PCP intoxication

Front 40

recurrence of intoxication symptoms due to reabsorption in GI tract, sudden onset of severe random, homicidal violence

Back 40

PCP withdrawal

Front 41

marked anxiety or depression, delusions, visual hallucinations, flashbacks, pupillary dilation

Back 41

LSD intoxication

Front 42

how long after last use can pot be detected in urine

Back 42

1 month

Front 43

anxiety, seizures, delirium, life-treatening cardiovascular collapse

Back 43

barbiturate withdrawal

Front 44

intoxication with a low safety margin, respiratory depression

Back 44

barbiturate intoxication

Front 45

amnesia, ataxia, somnolence, minor resporatory depression, additive effects with alcohol

Back 45

benzo intoxication

Front 46

rebound anxiety, seizures, tremor, insomnia

Back 46

benzo withdrawal

Front 47

how does ethanol cause hypoglycemia

Back 47

increased NADH/NAD, inhibits gluconeogenesiss

Front 48

when does delirium tremens peak

Back 48

2--5 days

Front 49

how to dreat deliriu tremens

Back 49

benzos

Front 50

learning in which a natural response is elicited by a learned stimulus

Back 50

classical conditioning

pavlov

Front 51

learning in which a particular action is elicited because it produces a reward

Back 51

operant conditioning

Front 52

negative reinforcement vs punishment

Back 52

negative reinforcement uses removal of bad stimulus to elicit behavior that causes the removal

punishment is bad outcome from a behavior in the hopes of stopping it

Front 53

effect of continuous reinforcement schedule

Back 53

rapidly extinguished (you stop using a vending machine if it lets you down once)

Front 54

partially remaining at a more childish level of development

Back 54

fixation

Front 55

separation of feelings from ideas and events, e.g., describing a murder in graphic detail with no emotional response

Back 55

isolation

Front 56

tx for anorexia

Back 56

SSRIs

Front 57

tx for bulimia

Back 57

SSRIs

Front 58

tx for anxiety

Back 58

barbiturate
benzos
buspirone
MAOis

Front 59

tx for ADHD

Back 59

methylphenidate
amphetamine

Front 60

tx for atypical depression

Back 60

MAOi

Front 61

tx for bipolar disorder

Back 61

lithium
valproate
carbamazepine

Front 62

tx for depression

Back 62

SSRIs
TCAs

Front 63

tx for depression with insomnia

Back 63

Make like Tryptophan

trazodone
mirtazapine

Front 64

tx for OCD

Back 64

SSRIs

Front 65

tx for panic disorder

Back 65

Beat Terror

TCAs
buispirone

Front 66

tx for schizophrenia

Back 66

antipsychotics

Front 67

tx for Tourettes

Back 67

Haloperiodl

Front 68

evolution of EPS side effects of antipsychotics

Back 68

4h - acute dystonia
4d - akinesia
4w - akathisia
4 mo - tardive

Front 69

pt on antipsychotics
rigidity
myoglobinuria
autonomic instability
hyperpyrexia

Back 69

neuoleptic malignant syndrome

Front 70

tx for neuroleptic malignant syndrome

Back 70

dantrolene
dopamine agonists

Front 71

low potency neurolpetics

Back 71

thioridazine
chlorpromazine

Calm Treaters

Front 72

high potency neuroleptics

Back 72

haloperidol
trifluoperazine

Front 73

atypical antipsychotics

Back 73

clozapine
olanzapine
risperidone
quetiapine
aripiprazole
ziprasidone

Front 74

MOA of atypicals

Back 74

block 5HT2 and dopamine

Front 75

uses of olanzapine

Back 75

ol over the place!

its MOA deals with Depression and Tourrettes

OCD
anxiety
depression
mania
Tourettes

Front 76

why are patients on clozapine monitored

Back 76

agranulocytosis

Front 77

lithium side effects

Back 77

LMNOP
Lithium causes
Movement (tremor)
Nephrogenic diabetes insipidus
HypOthyroidism
Pregnancy problems

Front 78

Buspirone MOA

Back 78

5HT1A receptors

Front 79

what causes serotonin syndrome

Back 79

SSRIs plus MAO inhibitors

Front 80

person on antidepressants
hyperthermia
muscle rigidity
cardiovascular collapse

Back 80

SSRIs and MAOIs, causing serotonin syndrome

Front 81

what kind of drug is doxepin

Back 81

TCA

Front 82

what kind of drug is amoxapine

Back 82

TCA

Front 83

rx for bedwetting

Back 83

imipramine

Front 84

TCA used for OCD

Back 84

clomipramine

keeping everything neat in the closet

Front 85

pscyh meds that cause atropine like effects

Back 85

TCAs

Front 86

rank in oder of decreasing anticholinergic effects:
nortirpytline
desipramine
amitriptyline

Back 86

amitriptyline
nortriptyline
desipramine

Front 87

TCA toxicity

Back 87

the Three Cs of TCas
Convulsion
Coma
Cardiotoxicity

Front 88

moa of venlafaxine

Back 88

inhibits reuptake of
serotonin
NE
dopamine

Front 89

oa of mirtazapine

Back 89

alpha 2 antagonist (increases release of NE and serotonin)
and
potent 5HT2 and 3 receptor antagonist

Front 90

side effects of mirtazapine

Back 90

weight gain, sedation, dry mouth

Front 91

moa of maprotiline

Back 91

blocks NE reuptake

Front 92

toxicity of maprotilne

Back 92

orthostatic hypotenion

Can't change directions on the MAP

Front 93

moa of trazodone

Back 93

primarily inhibits serotonin reuptake

Front 94

trazodone side effects

Back 94

priapism
postural hypotension

Front 95

rx that can be used for hypochondriasis

Back 95

atypical antidepressants

Front 96

what causes hypertensive crisis on MAOIs

Back 96

tyramine inestion
beta agonists

Front 97

drugs to avoid when you're on MAOIs

Back 97

beta agonists (hypertensive crisis)

SSRIs and meperidine (serotonin syndrome)

Front 98

moa of methylphenidate

Back 98

increased presynaptic NE vesicular release

otherwise not known