Term
| First-line pharmacotherapy for depression |
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Definition
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Term
| Antidepressants a/w hypertensive crisis? |
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Definition
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Term
| Galactorrhea, impotence, menstrual dysfunction and decreased libido |
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Definition
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Term
| A 17yo girl has left arm paralysis after her boyfriend dies in a car crash. No medical cause is found. |
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Definition
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Term
Name the defense mechanism:
1. A mother who is angry at her huband yells at her child.
2. A pedophile enters a monastery. |
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Definition
1. Displacement
2. Reaction formation |
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Term
Name the defense mechanism:
1. A woman calmly describes a grisly murder.
2. A hospitalized 10yo begins to wet his bed. |
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Definition
1. Isolation
2. Regression |
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Term
| Life-threatening muscle rigidity, high fever and rhabdomyolysis |
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Definition
| Neuroleptic malignant syndrome |
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Term
Amenorrhea
Low body weight <85%)
Bradycardia
Abnormal body image in a young woman |
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Definition
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Term
| A 35yo man has recurrent episodes of palpitations, diaphoresis and fear of going crazy. |
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Definition
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Term
| The most serious side effect of clozapine. |
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Definition
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Term
| A 21yo man has 3 months of social withdrawal, worsening grades, flattened affect and concrete thinking. |
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Definition
Schizophreniform disorder
-A Dx of schizophrenia requires >/= 6 months of symptoms |
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Term
| 3 Key side effects of atypical antipsychotics |
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Definition
-Weight gain
-Type 2 DM
-QT Prolongation |
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Term
A young weight lifter receives IV haloperidol and complains that his eyes are deviated sideways.
-Dx?
-Tx? |
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Definition
Dx: Acute dystonia (oculogyric crisis)
Tx: Benztropine or Diphenhydramine |
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Term
| Medication to avoid in patients with a history of alcohol withdrawal seizures |
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Definition
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Term
| A 13yo boy has a history of theft, vandalism and violence toward family pets. |
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Definition
Conduct disorder
-A/w Antisocial personality disorder in adults |
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Term
| A 5 month old girl has decreased head growth, truncal discoordination and decreased social interaction. |
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Definition
Rett's Syndrome
-Loss of milestones is commonly seen. |
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Term
A patient hasn't slept for days, lost $20,000 gambling, is agitated, and has pressured speech.
-Dx?
-Tx? |
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Definition
Dx: Acute mania.
Tx: Mood stabilizer (e.g., lithium) |
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Term
| After a minor "fender bender," a man wears a neck brace and requests permanent disability |
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Definition
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Term
| A nurse presents with severe hypoglycemia; blood analysis reveals no elevation in C-peptide |
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Definition
| Factitious disorder (Munchausen syndrome) |
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Term
| A patient continues to use cocaine after being in jail, losing his job, and not paying child support |
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Definition
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Term
| Medication to avoid in patients with PTSD |
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Definition
BZDs (high addiction potential)
-These patients commonly have a Hx of substance abuse |
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Term
| A woman who was abused as a child frequently feels outside of, or detached from, her body |
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Definition
| Depersonalization disorder |
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Term
A schizophrenic patient takes haloperidol for 1 year and develops uncontrollable tongue movements.
-Dx?
-Tx? |
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Definition
Dx: Tardive dyskinesia
Tx:
-Decrease dose or stop haloperidol.
-Consider an atypical antipsychotic (e.g., Risperidone, Clozapine) |
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Term
| A man with major depressive disorder is counseled to avoid tyramine-rich foods with his new medication |
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Definition
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