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Psychiatry
First Aid: Psychiatry
| Question | Answer |
|---|---|
| Depression in an infant owing to continued sepration from caregivers, can result in failure to thrive. | Anaclitic depression |
| Disorder involving severe communication problems and difficulty forming relationships, characterized by repetitive behavior and unusual abilities. | Autistic disorder |
| Similar to autism but milder in presentation with patients having normal intelligence. | Asperger disorder |
| X-linked disorder seen only in girls involving loss of development and mental retardation starting at age 4. Stereotypical hand-wringing. | Rett disorder; sporadic mutation of MECP2 |
| What is the treatment of ADHD? | Methylphenidate (Ritalin) |
| What is the treatment of tourette's syndrome? | Haloperidol |
| What neurotransmitter changes are seen with depression? | Decrease in norepinephrine and serotonin |
| What neurotransmitter changes are seen with alzheimer's? | Decrease ACh |
| What neurotransmitter changes are seen with huntington's? | Decreased GABA and ACh |
| What neurotransmitter changes are seen with Parkinsons? | Decreased dopamine |
| What neurotransmitter changes are seen with schizophrenia? | Increased dopamine |
| What is the difference between and anterograde and retrograde amnesia? | anterograde, unable to form new memories after insult; retrograde, unable to recall things prior to insult |
| What is Korsakoff amnesia? | Thiamine deficiency leading to bilateral destruction of mamillary bodies resulting in anterograde amnesia; commonly seen in severe alcoholics. |
| Gradual decrease in cognition resulting in memory deficits. | Dementia |
| What's the difference between a hallucination, illusion, and delusion? | Hallucination, perception w/out external stimuli; illusion, misinterpretation of external stimuli; delusion, fixed, false belief. |
| Visual and auditory hallucinations are associated with this condition? | Schizophrenia |
| Olfactory hallucinations are associated with this condition? | Aura of epilepsy |
| Loose associations are associated with this condition. | Schizophrenia |
| What is the difference between manic and hypomanic mood disturbances? | hypomanic mood disturbances are not severe to cause marked impairment in social or occupational function. |
| This disorder is associated with limited emotional expressivity and content with social isolation. | Schizoid; distinct from avoidant personality in that they are content with isolation |
| Disorder associated with odd beliefs or magical thinking as well as an eccentric appearance. | Schizotypal |
| Disorder associated with excessive emotionality, attention seeking, and sexually provocative behavior. | Histrionic |
| Disorder associated with disregard for and violation of rights of others as well as criminality. | Antisocial |
| Excessive dieting or excersise with body image distortion. Disorder? | Anorexia nervosa; commonly adolescent girls |
| Binge eating followed by self induced vomiting or use of laxatives. Parotitis, enamel erosion, and electrolyte disturbances are various findings. | Bulimia nervosa; |
| Withdrawel from this substance is notable for insomnia, sweating, dilated pupils, and piloerection. | Opiods |
| Recently incarcerated patient presents with tachycardia, tremors, and anxiety 3 days after stabbing a man in a bar fight. Progresses to hallucinations and overall confusion. Diagnosis? | Deliriumm tremens (potentially fatal alcohol withdrawal); treated with benzodiazepines |
| Intoxication of this substance can cause severe respiratory depression. | Barbiturates (benzo's milder respiratory depression); treated with naloxone (opiod competitive inhibitor) |
Created by:
rahjohnson
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