USMLE Step 1 Mnemonics-Psychiatry

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Mature Defenses
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Mature adults wear a SASH: Sublimination, Altruism, Suppression, Humor
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Infant deprivation effect
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4 W’s: Weak, Wordless, Wanting (socially), Wary
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Delirium
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deliRIUM=changes in sensoRIUM T-A-DA management approach: Tolerate, Anticipate, Don’t Agitate
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Hallucination Types
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hypnaGOgic-occurs while GOing to sleep hypnoPOMPic-occurs while waking from sleep (POMPous upon awakening)
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Manic Episode
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Dx requires hospitalization or at least of 3 following: manics DIG FAST Flight of ideas, increased goal directed Activity/Agitation, decreased Sleep, Talkative
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Major Depressive Disorder
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SIG E CAPS (depression screening): Sleep disturbance loss of Interest Guilt loss of Energy, Concentration Appetite change Psychomotor retardation Suicidal ideations
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Risk factors for suicide completion
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SAD PERSONS Sex (male), Age (teen, eldery), Depression Previous attempt, Ethanol, loss of Rational thinking, Sickness, Organized plan, No spouse, Social support lacking
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Panic DIsorder
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PANICS: Palpitations/Parasthesias Abd distress Nausea Intense fear of dying lIght-headedness Chest pain, Chills, Choking Sweating, Shaking, Shortness of breath
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Cluster A Personality Disorder
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Weird (Accusatory, Aloof, Awkward) schizoD=Distant schizoTypal=magical Thinking
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Cluster B Personality Disorder
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Bad to the Bone “wild” antiSOCial=SOCiopath
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Cluster C Personality Disorder
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Worried (Cowardly, Compulsive, Clingy)
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Antipsychotics
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High potency: Try to Fly High: Trifluoperazine, Fluphenazine, Haloperidol Low potency: Cheating Thieves are low: Chlorpromazine, Thioridazine
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Antipsychotic Toxicities
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Chlorpromazine-Corneal deposits Thioridazine-reTinal deposits Neuroleptic malignant syndrome=think FEVER Fever, Encephalopathy, Vitals unstable, Elevated enzymes, Rigidity
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Atypical Antipsychotics
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it’s ATYPICAL for OLd CLOSets to QUIETly risper from A to Z: OLanzapine, CLOZapine, QUETiapine, RISPERidone, Aripripazole, Ziprasidone
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Lithium
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LMNOP: Lithium side effects Movement (tremor) Nephrogenic diabetes insipidus hypOthyroid Pregnancy problems
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Buspirone
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i’m always anxious is the BUS will be ON time so i take BUSpirONe
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SSRI’s
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FLashbacks PARalyze SEnior CITizens FLuoxetine, PARoxetine, SErtraline, CITalopram
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MAOi’s
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MAO Takes Pride In Shanghai Tranylcypromine, Phenelzine, Isocarboxazid, Selegiline
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TCA’s
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ADR for Tri-C’s: Convulsions, Coma, Cardiotoxicity
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Trazodone
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ADR: priapism–trazoBONE

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