Psyched Out
Saying someone is AOx4 means they are aware of these 4 things
What is the person, place, time, and reason for evaluation?
Brief feelings of joy at the sight of a butterfly may indicate this quality of atypical depression
What is mood reactivity?
4 or more mood cycles in a year meet criteria for this type of BP disorder
What is rapid cycling?
Borderline Bradley attends this therapy to improve his behavior in interpersonal relationships
What is dialectical behavioral therapy (DBT)?
Tender nodules on the pads of fingers and toes (Osler nodes) point to this pathology
What is infective endocarditis?
Ability to predict prognosis and treatment response refers to this quality of a psychiatric diagnosis
What is Validity? (Reliability is consistency/agreement of diagnosis)
The psychiatrist recommends that the newly diagnosed depressed patient try sertraline for at least this long
What is 4 weeks? (4 - 8 weeks)
These 3 things differentiate mania from hypomania
What are duration, delusions/hallucinations, impairments in occupational or social functioning?
Greg is always right and deserves endless praise, he couldn’t possibly have this cluster B personality disorder
What is narcissistic personality disorder? (others are BPD, Antisocial, and Histrionic)
A bit chilly, this formula can be used to assess respiratory compensation in metabolic acidosis
What is Winter’s Formula? PCO2 = 1.5 [HCO3 -] + 8 +/- 2
This class of disorders involves disconnection from self, personal history, and sensory perceptions
What are dissociative disorders?
An 8 year old with 18 months of temper tantrums and persistent irritability could have this condition
What is disruptive mood dysregulation disorder (DMDD)?
This medication reduces cravings in alcoholics with liver problems by restoring the GABA-Glutamate balance
What is Acamprosate? (renally excreted)
The odd one out, this personality doesn’t really care for social interaction
What is Schizoid personality disorder?
This syndrome has a defect in platelet adhesion and an abnormal ristocetin test
What is Bernard-Soulier syndrome? (GpIb deficiency – lower platelet to vWF adhesion)
These are three major factors to weigh in making a psychiatric diagnosis
What are symptoms, duration, and function?
These are the sleep EEG findings seen in depression
What is decreased slow wave (delta) and increased REM sleep?
This mood-stabilizing medication may lower the INR in a patient on Warfarin
What is Carbamazepine? (CYP3A4 Inducer, reduce effect of warfarin)
“Horse avalanche pie kites” - says the man with schizophrenia, displaying this phenomenon
What is word salad?
In emphysema, increased activity of this enzyme leads to increased lung compliance
What is elastase?
This refers to speech that is interrupted before a thought is completed (e.g. forgot what I was going to say)
What is blocking?
This is a severe form of depression with loss of pleasure and/or inability to respond to pleasurable stimuli
What is depression with melancholic features?
These are two common blood tests to assess for alcoholism
What are elevated GGT > 35 and AST>ALT elevation?
This clinical stage of schizophrenia has an insidious onset with subtle behavioral changes such as social withdrawal
What is the prodromal stage?
Ipsilateral adduction failure causing disconjugate eye movements in internuclear ophthalmoplegia indicates that this structure may be damaged
What is the medial longitudinal fasciculus (MLF)?