Behavioural Disorders Flashcards

1
Q

gender more commonly affected by personality disorders

A

F

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

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

A

over 18 yr

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

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

A

paranoid

schizoid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

give examples of cluster B personality disorders

A

antisocial
borderline
histrionic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

give examples of cluster C personality disorders

A

avoidant
dependent
anankastic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

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

A

anankastic cluster C

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

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

A

avoidant cluster C

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

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

A

paranoid cluster A

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

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

A

histrionic cluster B

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

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

A

false, they’re separate things

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

what is the management of borderline personality disorder

A

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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

what age range does oppositional defiant disorder ODD occur in?

A

<12yr aka primary school age

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

what age range does conduct disorder occur in?

A

12-18 year aka secondary school age

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

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

A

developmental appropriate anxiety

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

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

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

21
Q

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

22
Q

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

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?

25
what neurotransmitters are implicated in ASD?
glutamate, GABA and 5-HT
26
what areas of the brain are implicated in ASD?
frontal lobe cerebellum amygdala
27
what is the triad of ASD
social interaction + communication + restricted interests
28
what other behavioural disorder is present in 65% of people with ASD
ADHD
29
describe the tone of voice in autism
monotone
30
how does autism affect language?
language is good but communication is bad
31
what is ecolalia? (it is a feature of ASD)
repeating words back to the person saying them
32
what is the name of the diagnostic assessment tool for autism
ADOS
33
what is the management of insomnia in autism
melatonin
34
what is the management of aggression of DSH in autism
risperidone
35
what is the management of a tic disorder in autism
antipsychotic
36
what area of the brain is underactive in ADHD?
frontal lobe
37
in ADHD, there is an increase in the concentration of ____ transporters
dopamine
38
what transmitters are decreased in ADHD
norepinephrine (stress) | serotonin
39
what is the triad of ADHD
inattention, hyperactive, impulsive
40
in adults with ADHD, what component of the ADHD triad is increased even more and what component is less noticable
increased inattention | decrease hyperactivity
41
what age must symptoms be present from for a diagnosis of ADHD
5yr
42
what is the 1st line management of mild ADHD
non-drug management eg. parent education, social skill training
43
what is the 1st line management of severe or moderate ADHD?
methylphenidate aka ritalin | or dexamphetamine
44
what is the mechanism of methylphenidate ritalin and dexamphetamine
stimulants: block DA transporter to >DA
45
what is the 2nd line mx of severe or moderate ADHD?
atomoxetine SNRI
46
what is the mechanism of the SNRI atomoxetine in the management of ADHD?
increases norepinephrine