cram for exam Flashcards

1
Q

Criticism of DSM-5 (5)

A

too many diagnosis
combined some
added some
comorbidity

lowered criteria for many diagnosis

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2
Q

Critisism of pathologising (6)

A
over pathologising what are constructs of our society
should adapt society
lose uniqueness of person
focus on diagnosis
negative effect on person
stigma
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3
Q

Suicide etiology (6)
Heritability
Socio cultural
Trait

A
heritability 48%
socio-cultural : eg celebrity, economy, social isolation
impulsiveness (action)
hopelessness
low reasons to live
poor problem solving
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4
Q

Suicide prevalence (2) and high sup populations (4)

A
ideation 9%
attempt 2.5%
male
elderly
divorced, widowed
1/3 depression
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5
Q

Suicide neurobiological (2)

A

serotonin

high activity hpa axis

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6
Q

Suicide treatment (3)

A

underlying mental illness
CBT
hotlines

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7
Q

Aging - mild neurocognitive disorder symptoms (2)

A

lower functioning but not impaired independence

between third and sixth percentile

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8
Q

Aging - major neurocognitive disorder symptoms (3)

A

severe decline
below third percentile
interfere with independence

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9
Q

Aging - Fronto-temporal dementia symptoms (6)

A

decreased empathy, inhibition, executive functioning

increased apathy, hyper orality, compulsion

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10
Q

Aging - Fronto-temporal dementia brain

A

decreased neurons in prefrontal and temporal lobes

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11
Q

Aging - Fronto-temporal dementia - death

A

5-10 years

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12
Q

Aging - vascular (4)

A

cerebalvascular (stroke)
symptom vary
rapid onset , stepped deteriation

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13
Q

Aging - Dementia with lewy bodies

comorbidity and brain,

A

80% of people with parkinsons

lewy bodies

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14
Q

Aging - Dementia with lewy bodies symptons (4)

A

fluctuating cognitive symptoms
hallucinations
dellusions
intense dreams - movement and vocalising

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15
Q

Aging - Dementia with lewy bodies - pills not to use

A

anti psychotics - sensitive to side effects

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16
Q

Dementia - Treatment

4 types and descriptions

A

calm, routine, caring environment

Psycho-education: family therapy to increase quality of life and manage plus enjoy whats left.

cognitive: music, word games, thinking activities
reality: calender, date, menu,days activities, news, talk about interests and families

validation: agree with them even when wrong and distract
medication: not significantly helpful

17
Q

Aging - Delirium: description (9)

A

confusion
varies throughout day
sudden onset

fragmented, undirected thoughts and speech
attention diffuculty
lethary
hyperactivity
mood swings
disorientation
18
Q

Aging Delirium - causes (8)

A
underlying medical problem:
over medication
full anesthetic
malnutrition
dehydration
brain infection
high fever
head trauma
endocrine problems
19
Q

Aging - Delirium prognosis

A

reversible if treat underlying medical condition

can be fatal if not treated

20
Q

Dementia - general differences from delirium

A

gradual onset and progressive deterioation
increases with age (delirium high in very young and old)
decreased short-term memory
it is a disease
non reversible
likely to die from bronchial pneumonia