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Y3 Pyschiatry > Behavioural Disorders > Flashcards

Behavioural Disorders Flashcards

1
Q

gender more commonly affected by personality disorders

A

F

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2
Q

what age must patients be to be diagnosed with a personality disorder

A

over 18 yr

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3
Q

give examples of cluster A “odd and eccentric” personality disorders

A

paranoid

schizoid

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4
Q

give examples of cluster B personality disorders

A

antisocial
borderline
histrionic

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5
Q

give examples of cluster C personality disorders

A

avoidant
dependent
anankastic

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6
Q

which personality disorder is this “orderliness, perfectionist, work devoted, overconscientious, stubborn, hoard money”

A

anankastic cluster C

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7
Q

which personality disorder is this “disregard/violate other’s rights, no fear or remorse, bad at reading social cues, impulsive, deceitful”

A

antisocial cluster B

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8
Q

which personality disorder is this “social inhibition, feel inadequate, hypersensitive, unwilling to get involved”

A

avoidant cluster C

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9
Q

which personality disorder is this “distrust, suspicious, think people are malevolent or deceiving them, overreact”

A

paranoid cluster A

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10
Q

which personality disorder is this “emotional, seek attention, provocative “

A

histrionic cluster B

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11
Q

which personality disorder is this “detachment from relationships, few expressed emotions, pick solitary over team/family, little pleasure in activities, indifferent to praise/criticism”

A

schizoid cluster A

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12
Q

which personality disorder is this “submissive, clingy, fear separation, find everyday decisions difficult, fear loss of support, seeks relationships”

A

dependent cluster C

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13
Q

which personality disorder is this “unstable relationships+ emotion+ self image, fear abandonment, transient stress, feel ‘empty’, DSH, impulsive (sex, spend, substance, binge), anger control, paranoia”

A

borderline BPD cluster B

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14
Q

antisocial personality disorder is a form of psychopathy. T or F

A

false, they’re separate things

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15
Q

what is the management of borderline personality disorder

A

DBT dialectal behavioural therapy +- antidepressant/ antipsychotic eg. olanzapine

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16
Q

what age range does oppositional defiant disorder ODD occur in?

A

<12yr aka primary school age

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17
Q

what age range does conduct disorder occur in?

A

12-18 year aka secondary school age

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18
Q

a child of primary school age believing in monsters under their bed is an example of ______

A

developmental appropriate anxiety

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19
Q

intrusive thoughts can be normal in a teenager and don’t require Tx / Ix. true or false

A

true

20
Q

sleep changes, mood swings and ritual type behaviour can be normal in a teenager and don’t require Tx / Ix. true or false

A

true

21
Q

in autism, which gender is more likely to be high functioning?

A

females

22
Q

70% of PTx with ASD have an IQ less than ____

A

70

23
Q

what hormone is found at lower levels in females with asperger’s

A

sex hormone binding globulin (hence increased free testosterone)

24
Q

what area of the brain is larger than normal in ASD?

A

amygdala

25
Q

what neurotransmitters are implicated in ASD?

A

glutamate, GABA and 5-HT

26
Q

what areas of the brain are implicated in ASD?

A

frontal lobe
cerebellum
amygdala

27
Q

what is the triad of ASD

A

social interaction + communication + restricted interests

28
Q

what other behavioural disorder is present in 65% of people with ASD

A

ADHD

29
Q

describe the tone of voice in autism

A

monotone

30
Q

how does autism affect language?

A

language is good but communication is bad

31
Q

what is ecolalia? (it is a feature of ASD)

A

repeating words back to the person saying them

32
Q

what is the name of the diagnostic assessment tool for autism

A

ADOS

33
Q

what is the management of insomnia in autism

A

melatonin

34
Q

what is the management of aggression of DSH in autism

A

risperidone

35
Q

what is the management of a tic disorder in autism

A

antipsychotic

36
Q

what area of the brain is underactive in ADHD?

A

frontal lobe

37
Q

in ADHD, there is an increase in the concentration of ____ transporters

A

dopamine

38
Q

what transmitters are decreased in ADHD

A

norepinephrine (stress)

serotonin

39
Q

what is the triad of ADHD

A

inattention, hyperactive, impulsive

40
Q

in adults with ADHD, what component of the ADHD triad is increased even more and what component is less noticable

A

increased inattention

decrease hyperactivity

41
Q

what age must symptoms be present from for a diagnosis of ADHD

A

5yr

42
Q

what is the 1st line management of mild ADHD

A

non-drug management eg. parent education, social skill training

43
Q

what is the 1st line management of severe or moderate ADHD?

A

methylphenidate aka ritalin

or dexamphetamine

44
Q

what is the mechanism of methylphenidate ritalin and dexamphetamine

A

stimulants: block DA transporter to >DA

45
Q

what is the 2nd line mx of severe or moderate ADHD?

A

atomoxetine SNRI

46
Q

what is the mechanism of the SNRI atomoxetine in the management of ADHD?

A

increases norepinephrine

Y3 Pyschiatry (15 decks)

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