PANCE Blueprint Psychiatry - All Smarty
PANCE psychiatry flashcard lesson sets
combined (Smarty PANCE)
What makes something Hypomania = not significant impairment, mild symptoms, NO
hypomania vs. psychotic features, NO
mania? need to hospitalize.
1. ≥2 years (≥1 yr in pediatrics) many periods of hypomania
and depressive sx occur
Cyclothymic DSM 5 criteria? 2. No history of MDD
3. No history of manic or hypomanic
4. The mood swings last >50% and no period ≥ 2 months of asx
Cyclothymic disorder think... Moody people
Tx of cyclothymic disorder? Same as for BP I and II
Tx of BP II? Same as for BP I
A mood disorder in which a Major depressive disorder
person experiences, in the
absence of drugs or a medical
condition, two or more
weeks of significantly
depressed moods, feelings of
worthlessness, and diminished
interest or
pleasure in most activities.
Mood disorder involving Persistent depressive disorder (dysthymia)
persistently
depressed mood, with low
self-esteem,
withdrawal, pessimism, or
despair, present for at
least 2 years, with no
absence of
symptoms for more than 2
months.
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,6/11/25, 10:42 AM PANCE Blueprint Psychiatry - All Smarty PANCE psychiatry flashcard lesson sets combined (Smarty PANCE)
A disorder marked by Premenstrual dysphoric disorder
repeated episodes of
significant depression and
related
symptoms during the week
before menstruation
Mood disturbances, somatic Suicidal behaviors
complaints, feeling
hopelessness,
worthlessness,
helplessness
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,6/11/25, 10:42 AM PANCE Blueprint Psychiatry - All Smarty PANCE psychiatry flashcard lesson sets combined (Smarty PANCE)
This medication inhibits MAO Inhibitors inhibit chemicals that remove neurotransmitters
chemicals that remove in the body.
neurotransmitters in the
body?
This medication increases the Tricyclic antidepressants increase the available
available amount of neurotransmitters in the brain.
amount of neurotransmitters in
the brain?
This medication blocks the Selective Serotonin Reuptake Inhibitors (SSRIs)
reabsorption of the block the reabsorption of serotonin in the brain.
neurotransmitter at the
cellular level in the brain?
This treatment induces brief Electroconvulsive therapy (ECT) induces brief
seizures seizures through the use of electric currents passed
through the use of electric
through the brain.
currents passed through the
brain?
Major depressive disorder a.k.a. unipolar
What is major depressive depression, is a serious mental disorder characterized by
disorder?
by persistent sadness and a loss of interest in the
activities of daily life, like working, studying,
participating in hobbies, eating, and sleeping.
1. At least 2 weeks
2. At least 5 symptoms of SIGECAPS
DSMV criteria for MDD?
3. At least 1 has to be depressed mood or anhedonia
4. Never have had episodes of hypomania or mania
● Sleep (more or less)
● Interest
● Guilt
● Energy (less)
SIGECAPS?
● Concentration (less)
● Appetite (more or less)
● Psychomotor
● Suicide
1. CBT + SSRIs & then SNRIs
1st, 2nd, and 3rd line for 2. Bupropion or mirtazapine (Remeron)
MDD? 3. TCAs or MAOIs
How long does it take for 2-6 weeks
SSRIs to work?
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, 6/11/25, 10:42 AM PANCE Blueprint Psychiatry - All Smarty PANCE psychiatry flashcard lesson sets combined (Smarty PANCE)
MDD vs. persistent A mild but long-term form of depression (at least two years)
depressive disorder?
What is persistent depressive A mild but long-term (chronic) form of depression for > 2 years
disorder?
What are other names Formerly termed chronic major depressive disorder and
previously used for dysthymic disorder
persistent depressive
disorder?
Mood disorder involving persistently depressed mood, with low
DSM-5 criteria for persistent
self-esteem,
depressive disorder?
withdrawal, pessimism, or despair, present for at least 2
years, with no absence of symptoms for more than
2 months.
Affected patients may be habitually gloomy, pessimistic,
Symptoms of persistent humorless, passive,
depressive disorder? lethargic, introverted, hypercritical of self and others,
and complaining. Patients with PDD are also more likely
to have underlying anxiety disorders, substance use
disorders, or personality (ie, borderline personality) disorders.
Treatment of persistent Antidepressants + psychotherapy
depressive disorder?
Significant depressive symptoms occurring prior to
What is premenstrual
dysphoric disorder? menses during the majority of cycles, leading to
distress or impairment
During what phase of the Symptoms occur during the luteal phase of the
menstrual cycle menstrual cycle and resolve with menstruation.
do symptoms of PMDD
manifest?
Manifestations are similar to those of premenstrual
How is premenstrual
syndrome but are more severe, causing clinically
syndrome different from
significant distress and/or marked impairment of
premenstrual dysphoric
social or
disorder?
occupational functioning
What is the prevalence of Prevalence is estimated at 2 to 6% of menstruating
premenstrual dysphoric women in a given 12-month interval.
disorder?
What is the first line treatment SSRIs (fluoxetine 10 mg, sertraline 50 mg qd, etc)
for are first-line for the treatment of PMDD. Other treatments
premenstrual dysphoric
include OCPs, dietary supplements, and CBT
disorder?
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