First-episode psychosis management — Flashcards

Flashcard 1: Which extrapyramidal symptoms (e.g. due to antipsychotic use) occur within months to years? _____

Answer: Tardive dyskinesia

Flashcard 2: Typical and atypical antipsychotics may be used to treat intractable or distressing tics associated with _____ syndrome

Answer: Tourette

Flashcard 3: What is the treatment for borderline personality disorder? _____

Answer: Dialectical behavioral therapy

Flashcard 4: Brief psychotic disorder is usually _____ related

Answer: stress

Flashcard 5: What is the treatment for postpartum psychosis? _____

Answer: Hospitalization and antipsychotics

Flashcard 6: High-dose glucocorticoids may cause glucocorticoid-induced _____ (e.g. hypomania, confusion, hallucinations)

Answer: psychosis

Flashcard 7: Broca's aphasia

Answer: damage to inferior frontal gyrus of dominant frontal lobe

Extra: Nonfluent speech, intact comprehension. Mnemonic: Broca's Broken Boca (Boca = mouth in Spanish)

Flashcard 8: Key features of Wernicke's aphasia:

Answer: Fluent aphasia with impaired comprehension and repetition

Extra: - Characterized by fluent but nonsensical speech ("word salad"). - Location: Superior temporal gyrus (Brodmann area 22) of the dominant lobe. - Memory aid: Wernicke is Wordy but makes no sense.

Flashcard 9: Anatomical site of damage in global aphasia?

Answer: damage to both Broca's and Wernicke's areas (dominant frontal and temporal lobes)

Extra: Nonfluent speech, impaired comprehension.

Flashcard 10: Which brain system is directly linked to the sense of _____?

Answer: olfaction

Extra: Olfaction is unique among the senses because it bypasses the thalamus and projects directly to the limbic system (amygdala, hippocampus). This explains the strong association between smells and emotions/memories. In psychiatry, olfactory hallucinations can be associated with temporal lobe epilepsy or certain psychotic states.