Psychotic Disorders — Flashcards

Flashcard 141: What MMSE score is widely used as the cutoff for diagnosis of delirium or dementia? _____

Answer: ≤23

Extra:  https://onlinemeded.org/spa/neurology/dementia/acquire?ref=anki 

Flashcard 142: Acute dystonia 2° to antipsychotics = _____ or benztropine (antimuscarinic) Akathisia 2° to antipsychotics = β-blockers, benztropine, or benzodiazepines

Answer: diphenhydramine (antihistamine)

Flashcard 143: Auditory hallucinations that directly tell the patient to perform certain acts are called _____ hallucinations

Answer: command

Extra:  https://onlinemeded.org/spa/psychiatry/psychotic-disorders/acquire?ref=anki 

Flashcard 144: Step-wise decline with periventricular (lacunar) infarcts = _____ dementia

Answer: vascular

Extra: Vascular dementia typically presents with a "step-wise" decline, where each sudden drop in cognitive function corresponds to a new ischemic event (e.g., lacunar infarcts).

Flashcard 145: The following are diagnostic criteria for _____: 1. Acute onset and fluctuating course 2. Inattention 3. Disorganized thinking OR Altered level of consciousness

Answer: delirium

Extra: Confusion Assessment Method (CAM) criteria for delirium. https://onlinemeded.org/spa/neurology/dementia/acquire?ref=anki

Flashcard 146: _____ is when a patient consciously fakes, profoundly exaggerates, or claims to have a disorder in order to attain a secondary (external) gain (e.g. avoid work, obtain compensation)

Answer: Malingering

Extra:  https://onlinemeded.org?ref=anki 

Flashcard 147: Breathing-related disorders are the most common of the _____ and include obstructive sleep apnea and central sleep apnea

Answer: hypersomnias

Extra:  https://onlinemeded.org/spa/psychiatry/sleep-disorders/acquire?ref=anki 

Flashcard 148: What do you suspect if pt. is having seizures/psychotic/hallucinating 48-72 hrs postop? _____

Answer: Delirium tremens

Extra:  https://onlinemeded.org/spa/surgery?ref=anki 

Flashcard 149: High-potency antipsychotics (e.g. haldol) are often given as _____ to treat acute agitation or psychosis

Answer: an intramuscular injection

Extra:  https://onlinemeded.org/spa/psychiatry?ref=anki 

Flashcard 150: At what age is gender dysphoria more likely to be enduring? _____

Answer: Adolescence

Extra:  https://onlinemeded.org/spa/psychiatry/gender-dysphoria/acquire?ref=anki