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Flashcards in Psychiatry Deck (64)
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1

How long does a panic attack typically last?

10-20 minutes

2

What type of hallucinations are most common in schizophrenia auditory, visual or olfactory?

Auditory - hearing voices

3

What causes anorexic patients to have osteopenia?

A decrease in estrogen.

4

When treating psychiatric patients are benzodiazepines used more commonly for acute or chronic treatment?

acute

5

What is the most common precipitating event for post traumatic stress disorder in women?

rape

6

A patient's wife complains that he is hypervigilante and has a hyperstartle response. What is the most likely diagnosis?

Post traumatic stress disorder

7

Are patients with specific phobias aware they are strange?

yes

8

A patient complains of having suddenly developed stage fright. It is very important to his career
that he be able to speak in front of groups. What medication might you treat him with?

beta blocker - propanolol

9

A donut shaped burn should make you think of what issue?

abuse either child or elder

10

What is the generic name for Prozac?

fluoxetine

11

How long must symptoms last before diagnosing ADD?

6 months

12

A patient's mother has recommended that he
see you. He lives on his own and is a computer programmer. He works from home. He has no friends and seldom leaves the house. She is concerned that clearly he would like to meet people, but he is terrified of doing so. What is the most likely diagnosis?

Avoidant personality disorder

13

A 6 year old boy seems to have all of the
symptoms of ADD while at school, but at home he has no problems. Does he have ADD?

No, symptoms must occur in both settings for diagnosis.

14

An 18 month old is not yet speaking. He does not point to objects. He does not make eye contact with others. What is the most likely diagnosis?

autism

15

List three positive symptoms of schizophrenia.

hallucinations, delusions, movement disorders

16

When is the typical onset of Tourette's syndrome?

3-8 years old

17

Is anorexia ego syntonic or ego dystonic? What about bulimia?

Anorexia is ego syntonic. Bulimia is ego dystonic.

18

List the three cluster A personality disorders.

"Mad" schizoid, schizotypal and paranoid.

19

Amenorrhea is defined by what time frame?

3 months if periods were previously regular and 6 months if they were irregular.

20

A 16 year old has just moved schools. He is quiet, moody and not like himself at all. Within six months he seems to have completely changed back to his previous personality. What is the most likely diagnosis?

adjustment disorder

21

You have a patient with major depressive disorder. Once his symptoms have completely resolved how long should you continue with treatment?

A six month minimum is recomended due to very high relapse rates.

22

What medication is often used to treat postpartum depression in a woman who is breast feeding?

Sertraline (Zoloft)

23

A patient has very strange magical thinking. What is the most likely diagnosis?

Schizotypal personality disorder

24

List four symptoms of serotonin syndrome.

Hyperthermia!, seizure, mental status change, tremor.

25

What is the term for a chronic mild depression which has lasted greater than two years?

dysthymia

26

What is necessary to diagnose a patient with bipolar 1?

One manic episode. They do not have to have the depressive episode for the diagnosis.

27

What is the major concern with using lithium?

It has a very narrow therapeutic window. Blood tests are needed every four weeks.

28

A patient believes that her fifteen year old daughter is sleeping with the mailman. She has no evidence of this. She has confronted her daughter who denies it. It is not interfering with her daily activities, but she does spend time thinking about it. What is the most likely diagnosis?

Delusional disorder

29

At what BMI should a patient be hospitalized for anorexia?

BMI of <17.5 or 20% below appropriate body weight.

30

What is the term for being afraid of being out in a terrible situation with no help available?

Agoraphobia