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adult psych ques L Flashcards

(74 cards)

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1
Q

Cotard syndrome

A

nihilistic delusional content (feel they have lost blood, heart, intestines, etc)
seen in many psychotic illnesses

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2
Q

Capgras syndrome

A

belief that people have been replaced by imposters

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3
Q

most cases of postpartum psychosis manifest as

A

bipolar disoder

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4
Q

features of catatonia

A

negativism
psychomotor slowing
echopraxia

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5
Q

mainstay of tx for catatonia

A

benzos or ECT

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6
Q

Arnold Chiari syndrome

A

hydrocephalus

cerebellar anatomic and functional abnormalities

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7
Q

Mobius syndrome

A

congenital absence of facial nerves and nuclei with bilateral facial paralysis

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8
Q

Pick disease

A

frontal and temporal lobe atrophy

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9
Q

Punchdrunk syndrome

A

acquired mvmt disorder assoc w traumatic damage to substantia nigra (for instance, from boxing)

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10
Q

what benzo has shortest half life and time of onset?

A

alprazolam (so good for acute panic attack)

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11
Q

whenever you prescribe a SSRI, what to keep in mind about effect?

A

takes 4-8 weeks

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12
Q

adjustment disorder-symptoms remit when

A

within 6 months

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13
Q

acute stress disorder

A

exposed to traumatic event

reexperiencing, numbing, increased arousal symptoms for up to 1 month after event

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14
Q

agoraphobia

A

tied to fear of having panic symptoms in public

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15
Q

schizoid personality disorder

A

reclusive and does not mind lack of social interaction

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16
Q

avoidant personality disorder

A

shy and fearful of social rejection

lack of socialization is distressing to them

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17
Q

schizotypal personality disorder

A

schizoid features but also bizarre thinking

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18
Q

most appropriate pharm therapy for tx of heroin addiction, even in preg

A

methadone

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19
Q

schizoaffective disorder

A

episodic mood symptoms and chronic psychotic symptoms outside of those mood episodes

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20
Q

narcissistic personality disorder characterized by

A

grandiosity, need for admiration, lack of empathy

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21
Q

wet wobbly and wacky

A

normal pressure hydrocephalus

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22
Q

is normal pressure hydrocephalus reversible?

A

potentially

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23
Q

dementia pugilistica

A

punchdrunk syndrome

is a type of dementia seen following repeated head trauma over years (like in boxers)

emotional lability, dysarthria, impulsivity

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24
Q

Lewy body dementia

A

hallucinations, parkinsonian features, extrapyramidal signs

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25
pseudodementia
symptoms consistent w memory difficulties but in the absence of a dementia (often seen in depression) usually have more depressive symptoms, have more insight into their symptoms than demented pts and will often have hx of dpression
26
Binswanger disease
subcortical arteriosclertoic encephalopathy | multiple sm infarcts in white matter w sparing of cortical regions
27
how to tx treatment refractory schizophrenia pts
clozapine (decreases suicidality too)
28
what do you have to watch out for with clozapine
agranulocytosis
29
identification defense mechanism
unconscious incorporation of someone else's traits into one's own manner (ex-adolescents having hairstyles similar to admired rock stars)
30
projection
assigning emotions to another person in a attempt to psychologically defence against the presence of those emotions within onself (ex-doctor may tell female pt he believes his female pt is attracted to him when in actuality he is attracted to her)
31
countertransference
feelings and attitudes originating from clinican that are evoked by the patient
32
what percent of pts with MDD commit suicide?
15
33
frotterism
pt is sexually aroused by touching a nonconsenting person
34
fetishism
sexual arousal connected to nonliving objects
35
restless leg syndrome falls under what category
dyssomnia, not otherwise specified
36
if untreated, major depressive episode will last how long
6-13 months
37
many heroins users have what
scarred veins
38
alcohol and PCP intoxication are assoc with what with the eye
nystagmus
39
methylene blue is used to treat
methemoglobinemia
40
first line mood stabilizers
lithium | valproic acid
41
how to tx acute depressive episodes of bipolar disorder
lithium, lamotrigine
42
hallmark for delirium
fluctuation in level of consciousness with deficits in attention (attention usu intact in dementia) also, acute onset
43
sensory gating deficits, short term memory difficulty, abnormalities in smooth pursuit eye mvmts
schizophrenia
44
antidepressants can induce mania: true or false
true
45
localized amnesia
memory loss surrounding discrete period of time, usu after traumatic event
46
continuous amnesia
forgets all events following trauma except for immediate past
47
retrograde amnesia
loss of memory for all events before a traumatic event
48
selective amnesia
inability to recall certain aspects of an event, though other memories of event may be intact
49
depressive disorder nos
impairing but do not fit any of official specified diagnoses
50
sleep paralysis
total or partial parlysis in sleep wake transition with narcolepsy pts
51
rabbit syndrome
fine, rhytmic mvmt of lips that is a late onset side effect of neuroleptics
52
depersonalization
feeling that one's identity is lost or feeling of being unreal or strange can occur with anxiety states
53
derealization
sense that one's surroundings are strange or unreal can occur w anxiety states
54
dissociative amnesia
loss of memory for period of time w/o loss of ability to form new memories usu associated w emotional trauma
55
prosopagnosia
inability to remember faces despite being able to recognize that they are faces
56
logorrhea
excessive talking smtimes seen in manic episodes
57
scanning speech
interrupted
58
derailment
abrupt interruption of idea and then after a period of time, beginning a new topic
59
apraxia
inability to perform previously learned motor skills
60
clang associations commonly seen in
mania
61
prosopagnosia
inability to recognize faces despite perception of all the components
62
what depressive symptoms are the first to respond to antidepressants
sleep, energy, appetite changes
63
what part of brain is hyperactive in anxiety states
locus ceruleus (makes NE)
64
withdrawal from caffeine symptoms
``` HA sleepiness irritable vomiting muscle aches/stiffness concentration problems ```
65
drug effects
study questions p51 on lange
66
PCP and other dissociative anesthetics' effects
``` vertical or horizontal nystagmus(rotary with ketamine) HTN tachycardia ataxia numbness high pain tolerance hyperacusis hyperthermia musc rigidity seizures death ``` presence of nystagmus helps distinguish PCP intoxication from other forms of psychosis severe agitation, rage, panic
67
amphetamine intoxication
euprhoia, interpersonal sensitivity, anxiety, tension, anger, impaired judgment, impaire social and occupational functioning ``` tachycardia/bardycardia pupillary dilation insomnia BP changes sweating or chills n/v ``` chronic use: dry skin, acne like lesions, chronic nose bleeds
68
alcohol withdrawal symptoms
``` autonomic instability (sweating, tachycardia) tremors insomnia n/v transient hallucinations/illusions psychomotor agitation anxiety seizures ```
69
review drug receptor sites
pg 52 lange
70
olanzapine's blockade of what receptors causes sedation, weight gain
histamine
71
atypical antipsychotics act at what receptors
dopamine, 5HT, alpha, histamine
72
rxn formation
turning unacceptable drives into their opposite
73
cyproheptadine
sometimes used in tx of most severe cases of serotonin syndrome 5HT2a antagonist
74
what's contraindicated w MAOIs
stimulants decongestatns serotonin amine precursors such as L dopa, L tryptophan antihypertensives methyldopa, guanethidine, reserpine

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