2ndyear Reviews Flashcards

1
Q

loosening of associations

A

unrelated/unconnected

disorder in the logical progression of thoughts

no train of thought

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2
Q

flight of idea

A

rapid succession of fragmentary thoughts or speech

abrupt change in content, speech is incoherent

mania

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3
Q

psychotic

A

loss of reality

delusions, hallucinations

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4
Q

neurotic

A

no loss of reality

real, intraspyschic conflicts that cause anxiety

obsession, phobia, compulsion

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5
Q

functional

A

no known structural damage

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6
Q

tangentially

A

digressive, irrelevant manner of speech where central idea is never communicated

** goes on a tangent**

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7
Q

circumstantiality

A

disturbance in associative thought in which patients digress into unnecessary thoughts before getting to central idea

schizophrenia, obsessional disturbance, dementia

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8
Q

thought blocking

A

interruption in train of thinking before idea is finished and patient completely forgets what is said

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9
Q

word salad

A

incoherent mixture of words and phrases (no connection at all)

seen in severe schizophrenia

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10
Q

hallucinations

A

false sensory perception occurring in absence of external stimuli

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11
Q

delusions

A

false belief

based on incorrect inferences about external reality

maintained despite being told it is false

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12
Q

orientation

A

awareness of oneself and surroundings

A and O x 3 (person, place, time) (+ situation)

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13
Q

insight

A

conscious recognition of one’s condition

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14
Q

8 main topics of MSE

A
Appearance/behavior  
Speech
Mood 
Thought
Perception 
Cognitive behavior 
Insight
Judgement
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15
Q

what medication causes agranulocytosis?

A

clozapine

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16
Q

types of psychotherapy (6)

A
psychoanalysis 
group therapy
family therapy 
marital therapy 
biofeedback 
cognitive therapy
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17
Q

group therapy

A

goal is to change behavior
variety of disease in group is good

works for almost every disease

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18
Q

psychoanalysis

A

brings suppressed memories into present personality

free association

access the unconscious

sigmund freud

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19
Q

family therapy focus

A

improving relationships in the family structure

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20
Q

marital therapy

A

alleviate emotional distress and disability

promote well being but can still lead to divorce

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21
Q

biofeedback

A

autonomic nervous system under voluntary control

see emotions

relaxation techniques and EMG used

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22
Q

cognitive therapy assumes

A

patient problem is based on perception of environment

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23
Q

cognitive triad of depression

A
  1. negative self thought
  2. negative view of world
  3. believe that world will not change
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24
Q

SOME signs of anxiety disorder

A

trembling, shaking, tachycardia, sweating, diarrhea

parathesia (pins and needles)

dread, insomnia, upset stomach

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25
Q

drugs (categories) used to treat anxiety

A
  1. Benzos
  2. SSRI
  3. TCA
  4. MOI

s.e. are worse at higher doses

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26
Q

types of anxiety disorders

A
  1. GAD
  2. Panic Disorder (agoraphobia)
  3. Phobic disorders
  4. OCD
  5. Social Anxiety disorder
  6. Acute Stress Disorder
  7. PTSD
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27
Q

generalized anxiety disorder

A

fear, worry, tension with out panic attacks (>6 months)

benzos + SSRIs

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28
Q

agoraphobia

A

fear of leaving home, somewhat specific (spaces)

afraid of getting a panic attack in public

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29
Q

panic disorder

A

SUDDEn

may be triggered by thought, person, situation

patient is quick to freak out

treated with SSRI + Benzo

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30
Q

physical symptoms of panic disorder

A

tachycardia, hyperventilation, SOB, can pass out

feel scared, out of control

no psychotic ideation

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31
Q

are benzos good for anxiety disorders

A

NO

they will mellow you so you calm down but doesn’t treat the persistent fear

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32
Q

social anxiety disorder

A

afraid of humiliation, won’t answer questions

fear of being ridiculed or making mistakes

treat with CBT

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33
Q

obsession

A

a repetitive thought

eats at you inside

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34
Q

compassion

A

action that is taken to reduce the obsession

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35
Q

OCD

A

obsessions and compulsions

patient is aware this is a problem

Fluvoxamine -Treatment

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36
Q

acute stress disorder

A

witness, participate, know someone who has been thru traumatic event

onset of anxiety secondary to event

short (less than one month)

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37
Q

PTSD

A

exposure to some sort of event, functionally impaired for more than one month

SSRI treatment, symptom specific (wolters), trauma focused CBT

38
Q

positive symptoms

A

gain of function

hallucinations, delusions

39
Q

negative symptoms

A

loss of function

abnormal affect
avolition,
alogia…

40
Q

neologism

A

creating new words

41
Q

paranoid delusions

A

persecutory delusions

control grandeur

42
Q

ideas of reference

A

everything is referring to them

43
Q

clang association

A

rhyming and punning but the associations don’t make sense

44
Q

how is schizo diagnosed

A

from the history

look for hallucinations

s/s change overtime

45
Q

treatment of schizo

A

antipsychotics

esp. haldo and geodon + atypical

46
Q

side effects of antipsychotics

A

EPS

TD

47
Q

EPS symptoms

A
Dystonia 
Akanthesia 
Parkinsonism 
Akinesia 
Occulolytic (eyes roll back)
48
Q

tardive diskenesia

A

lip smacking

comes

49
Q

BMI levels for anorexia

A

mild: >17
moderate: 16-17
severe: 15-16
extreme: <15

50
Q

physical exam findings of anorexia

A

brittle nails, thin hair, langue, no periods, continual fractures

51
Q

diagnostic labs for anorexia

A
cholesterol 
thyroid 
dehydration 
leukopenia 
TSH - could be hyperthyroidism
52
Q

anorexia treatment

A

no meds
SSRI can help depression
atypical antipsychotics
CBT, psychotherapy, family

53
Q

bulimia nervosa

A

no lab test but will have electrolyte abnormalities

normal weight but cycles of purging

54
Q

bulimia physical findings

A
perimylolysis (dental erosion) 
parotid enlargement 
oral damage 
gastric tears 
electrolyte imbalance (K+)  

normal weight

55
Q

SIG E CAPS + M

A
Sleep
Irritability 
Guilt
Energy 
Concentration 
Appetite loss 
Psychomotor retardation 
Suicide 
Mood
56
Q

dysthymic disorder

A

aka persistent depressive disorder

depressed for over 2 years
similar symptoms but not as extreme as MDD

insidious onset (up and down)

57
Q

treatment of PDD

A

can use SSRI, SNRI but side effects

typically CBT is best

58
Q

MDD

A

discrete onset but not insidious

depressed mood and loss of interest for 2+ weeks

59
Q

personality disorders

A

engrained in you

genetic aspect and environmental aspect

pattern of behavior that deviates markedly from set expectation of culture

60
Q

cluster a

A

paranoid
schizotypical
shizoid

61
Q

cluster b

A

antisocial
borderline
histrionic
narcissistic

62
Q

cluster c

A

OCD
dependent
avoidant

63
Q

paranoid personality

A

excessive suspiciousness

distrust of other

no basis

precursor of schizophrenia

64
Q

schizoid PD

A

will not look you in the eye

detached from social groups, solitary `

65
Q

schizotypical

A

development to schizophrenia

odd beliefs and magical thinking

66
Q

antisocial PD

A

always in trouble with no remote

disregard for feelings of others

popular in prison population

67
Q

narcissistic personality disorder

A

think they are special, unique

no empathy, no cure

grandiose, excessive admiration

68
Q

borderline personality disorder

A

self mutilation, threats, impulsive
instability

psychotherapy and pharmacotherapy (SSRI and SNRI)

69
Q

avoidant

A

people who tend to stay away from everyone

can’t take criticism

70
Q

dependent personality disorder

A

needs other to make decisions

71
Q

OCPD

A

everything has to be in place, lined up,

don’t think they are irrational

no obsessions or compulsions

72
Q

DIGFAST

A

bipolar disorder - mania

Distractibility 
Increased goal activity  
Grandiose
Flight of ideas
Activity 
Sleep disturbance 
Talkative
73
Q

mania main symptom

A

flight of ideas

ALSO abnormally elevated mood and increased goal activity

74
Q

bipolar I

A

manic episode (1 week) + depressive episode

75
Q

in a manic phase what might someone do>

A

promiscuity
waste money
drive like maniac

req. hospitalization

76
Q

bipolar II

A

hypomanic episode with depressive episode

77
Q

best drug given for bipolar disorder?`

A

lithium

also valproate

78
Q

lithium concentration is increased by which drugs

A
NSAIDs
ARBS 
Prozac 
Ace 
Thiazides (hydrochlorothiazide)
79
Q

lithium concentration is decreased by

A

pregnancy
theophyllanine
diuretics

80
Q

somatic symptoms disorders (SSD)

A

multiple systems
early onset
normal tests

81
Q

disorders that violate clinical tests but there is no intent to deceive

A

somatic symptom disorder

conversion disorder

82
Q

disorders where there is an intent to deceive

A

malingering

factitious

83
Q

conversion disorder

A

sensory problem with no clinical diagnosis

typically blind, deaf, paralyzed

la belle indifference

1 s/s abnormal

84
Q

la belle indifference

A

lack of concern for severity of symptoms

conversion disorder

85
Q

body dimorphic disorder

A

barbie syndrome

obsessed with perceived flaws
repetitive actions to check appearance

multiple plastic surgeries, form of OCD

86
Q

factitious disorder

A

purposefully making yourself sick or faking sick for attention

can be munhausen by proxy

87
Q

what drug is given to patients with NMS

A

dantrolene

muscle relaxant (decreases CK levels)

88
Q

which drug requires continual WBC (CBC_

A

clozapine

bc agranulocytosis

89
Q

serotonin syndrome

3 maj. effects

A

cognitive effects (HA, confusion, coma, hallucinations)

autonomic (hyperthermia vasoconstriction, tachycardia)

somatic (muscle twitching, tremors)

90
Q

NMS

A

super high fever

stiff rigid muscles

HTN and death