Usmle Step 1 Mnemonics Psychiatry Flashcards ionicons-v5-c

Mature Defenses

Mature adults wear a SASH:Sublimination, Altruism, Suppression, Humor

Infant deprivation effect

4 W's: Weak, Wordless, Wanting (socially), Wary

Delirium

deliRIUM=changes in sensoRIUMT-A-DA management approach: Tolerate, Anticipate, Don't Agitate

Hallucination Types

hypnaGOgic-occurs while GOing to sleephypnoPOMPic-occurs while waking from sleep (POMPous upon awakening)

Manic Episode

Dx requires hospitalization or at least of 3 following:manics DIG FASTFlight of ideas, increased goal directed Activity/Agitation, decreased Sleep, Talkative

Major Depressive Disorder

SIG E CAPS (depression screening):Sleep disturbanceloss of InterestGuiltloss of Energy, ConcentrationAppetite changePsychomotor retardationSuicidal ideations

Risk factors for suicide completion

SAD PERSONSSex (male), Age (teen, eldery), DepressionPrevious attempt, Ethanol, loss of Rational thinking, Sickness, Organized plan, No spouse, Social support lacking

Panic DIsorder

PANICS:Palpitations/ParasthesiasAbd distressNauseaIntense fear of dyinglIght-headednessChest pain, Chills, ChokingSweating, Shaking, Shortness of breath

Cluster A Personality Disorder

Weird (Accusatory, Aloof, Awkward)schizoD=DistantschizoTypal=magical Thinking

Cluster B Personality Disorder

Bad to the Bone "wild"antiSOCial=SOCiopath

Cluster C Personality Disorder

Worried (Cowardly, Compulsive, Clingy)

Antipsychotics

High potency: Try to Fly High: Trifluoperazine, Fluphenazine, HaloperidolLow potency: Cheating Thieves are low: Chlorpromazine, Thioridazine

Antipsychotic Toxicities

Chlorpromazine-Corneal depositsThioridazine-reTinal depositsNeuroleptic malignant syndrome=think FEVERFever, Encephalopathy, Vitals unstable, Elevated enzymes, Rigidity

Atypical Antipsychotics

it's ATYPICAL for OLd CLOSets to QUIETly risper from A to Z: OLanzapine, CLOZapine, QUETiapine, RISPERidone, Aripripazole, Ziprasidone

Lithium

LMNOP:Lithium side effectsMovement (tremor)Nephrogenic diabetes insipidushypOthyroidPregnancy problems

Buspirone

i'm always anxious is the BUS will be ON time so i take BUSpirONe

SSRI's

FLashbacks PARalyze SEnior CITizensFLuoxetine, PARoxetine, SErtraline, CITalopram

MAOi's

MAO Takes Pride In ShanghaiTranylcypromine, Phenelzine, Isocarboxazid, Selegiline

TCA's

ADR for Tri-C's: Convulsions, Coma, Cardiotoxicity

Trazodone

ADR: priapism--trazoBONE