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Behavioral > Chapter 9 ( Psychatric Disorders ) > Flashcards

Chapter 9 ( Psychatric Disorders ) Flashcards

1
Q

Rett syndrome ?

A

Have autism spectrum disorders features
Girls > boys
Microcephaly
Hand wringing motion

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2
Q

Social and communication disorder ?

A

Communication disorder without RRBs

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3
Q

When to use Antipsychotics in autism spectrum disorders ?

A

For Aggression only

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4
Q

Tourette syndrome ? Onset ? Present in ? Presentation ? Associated with ? Ttt ?

A

Mean onset is age 7 , must be < 18

Men > women 3:1

Multiple motor and vocal tics that occurs many time per day and can be simple or complex

Increased level of dopamine
ADHD
OCD

Haloperidol
Pimozide
Clonidine

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5
Q

Mechanism and ttt of ADHD ? Duration of symptoms ?

A

Dopaminergic and noradrenergic imbalance

Methylphenidate
Dextroamphetamine
Atomoxetine
Guanfacine

> 6 months

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6
Q

Schizophrenia age of onset ?

A

In men : 15-25y

In women : 25-35y

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7
Q

Biochemical theories of Schizophrenia?

A

⬆️ Dopamine —> positive symptoms
⬆️ Serotonin —> positive and negative symptoms
⬇️ Nicotine —> Cognition impairment
⬇️ GABA —> hyperactivity of dopaminergic neurons

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8
Q

Schizophrenia associated neuropathology ?

A

⬆️ ventricles
⬇️ symmetry , limbic system , prefrontal cortex , thalamus
⬆️/⬇️ basal ganglia and cerebellum

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9
Q

Biochemical changes with major depressive disorder ?

A

⬇️ NE , dopamine , serotonin

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10
Q

Biochemical changes of Bipolar disorder ?

A

⬆️ dopamine and serotonin

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11
Q

Ttt of panic attacks and disorder ?

A

For attacks : benzodiazepines ( fast )

For disorder : SSRIs ( slow )

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12
Q

Ttt of generalized anxiety disorder ?

A

SSRIs

Buspirone

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13
Q

Ttt of phobias ?

A

Behavioral modification technique such as :
Systemic desensitization
Flooding

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14
Q

Ttt of obsessive compulsive disorder ?

A 
Antidepressants 
Behavioral modification ( exposure and response prevention )
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15
Q

Brain activity in OCD ?

A

Increased frontal lobe metabolism

Increased activity in the caudate nucleus

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16
Q

Biochemical change in body dysmorphic disorder ?

A

⬇️ serotonin

17
Q

Irresistible urge to pull one’s own hair ?

A

Trichotillomania

18
Q

Difficulty parting with one’s possessions regardless of their value

A

Hoarding disorder

19
Q

Symptoms of stress disorders ? Ttt?

A 
Phobic avoidance 
Hypervigilance 
Increased startle reflex 
Mood instability 
Sleep disturbances 
Dissociative symptoms

Ttt : exposure therapy and SSRIs

20
Q

Onset and duration of PTSD and ASD ?

A

PTSD onset at any time and duration > 1 month

ASD onset > 3 days , < 1 month and duration < 1 month

21
Q

Onset and duration of Adjustment disorder ?

A

Onset within 3 months of stressor

Duration < 6 months

22
Q

Medical complications of anorexia nervosa ? Ttt ?

A 
Abnormal electrolytes 
Lanugo hair 
Abnormal hormones 
Low blood pressure 
Heart failure 
Osteoporosis 
Ttt: 
Hospitalization 
Behavioral modification 
SSRIs 
Family therapy
23
Q

Signs of repetitive emesis in bulimia nervosa ?

A

Abrasions and callous in fingers/hands
Esophageal tears ( mallory weiss )
Enlarged parotid glands
Dental cavities

24
Q

Excessive thoughts ,feelings and behavior related to the somatic symptoms , > 6 months , functioning is impaired ?

A

Somatic symptom disorder

25
Q

The belief that one has an underlying illness despite constant reassurance , > 6 months , no somatic symptoms ?

A

Illness anxiety disorder

26
Q

Development of neurological symptoms following psychological stressor that can not be medically explained , la belle indifference ?

A

Conversion disorder

27
Q

Conscious production of signs and symptoms of mental or physical illness, unconscious motivation ?

A

Factitious disorder

28
Q

Conscious production of signs and symptoms of mental or physical illness , conscious motivation ?

A

Malingering

29
Q

Presence of >= 2 distinct identities , will have lapses in memory ?

A

Dissociative identity disorder

30
Q

Recurrent experiences of being detaches from or outside one’s body , causes significant impairment ?

A

Depersonalization disorder

31
Q

Sudden unexpected travel , inability to recall one’s past or confusion of identity ?

A

Fugue

32
Q

Cluster A personality disorders ?

A

Odd , Eccentric type :
1- Paranoid
2- Schizoid
3- Schizotypal

33
Q

Cluster B personality disorders ?

A 
Dramatic and emotional : 
1- Histrionic
2- Narcissistic 
3- Borderline 
4- Antisocial
34
Q

Cluster C personality disorders?

A

Anxious and fearful :
1- Avoidant
2- Obsessive-compulsive
3- Dependent

Behavioral (11 decks)

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