Diagnoses - OCD (and related) Flashcards
A genetic susceptibility for OCD is suggested by evidence that there is a familial link with (4x)
TIC DISORDERS
Principal behavioral technique for OCD (4x)
EXPOSURE & RESPONSE PREVENTION
What is the most common pattern of obsessions in pts with OCD? (x2)
CONTAMINATION
25 y/o with OCD diagnosed 2 years ago is likely to benefit from what medicine (in addition to psychotherapy)? (2x)
CLOMIPRAMINE
A 20 year old male pt presents to his physician for a physical examination because he is worried that he may have contracted an infectious disease. He states that his worry is interfering with his ability to complete work assignments. He states that he counts to 100 repetitively in order to distract himself from this worry. He has no prior medical or psychiatric history. He does not abuse substances and is not involved in any relationships. Which of the following regions of the pt’s brain is most likely to show increased activity on PET scan? (2x)
CAUDATE
Name for tics comprised of obscene gestures (2x)
COPROPRAXIA
Neurosurgical approach that treats refractor OCD targets what structure?
CORTICO-STRIATAL-THALAMO-CORTICO- CIRCUITRY
Difference between childhood onset OCD and adult onset
PSYCHIATRIC COMORBIDITY BURDEN IS GREATER
Pt with OCD resistant to entering treatment is a candidate for:
MOTIVATIONAL INTERVIEWING
According to DSM-IV-TR, compulsive skin picking would be:
IMPULSE CONTROL D/O NOS
Episodic OCD with variable severity of Sxs, independent of Tx, is more common in:
BIPOLAR MOOD DISORDER
Which TCA has consistently been found to be useful in long term treatment and relapse prevention of OCD?
CLOMIPRAMINE
Repetitive behaviors that the pt feels compelled to perform ritualistically, while recognizing the irrationality and absurdity of the behaviors, describes:
COMPULSIONS
Persistently intrusive inappropriate idea, thought, impulse, or image that causes marked distress is
OBSESSION
Pt w OCD started on 100mg sertraline, at 4 week f/u increased to 150mg b/ o no response. Week 10, pt reported no improvement. Next step?
INCREASE SERTRALINE TO 200MG
Hx of OCD, Zoloft only partially effective. Next:
TRY ANOTHER SSRI
What is an effective treatment for obsessive compulsive disorder?
ESCITALOPRAM
Anterior capsulotomy and/or cingulotomy are indicated and demonstrated effective for pts with what severe incapacitating disorder?
OCD
Pt is hoarding, home filled with filth, acknowledges she is keep a lot of things (hoarding)
HOARDING DISORDER
Which condition is least likely to respond to hypnosis?
OCD
40 y/o pt complains of repetitive, continuous hand-washing throughout day to the point of chafing skin. Pt denies fear of germs or any obsessive thoughts, cannot explain continuous washing. Dx?
OCD
Psych MD asks a patient, “are there things you must do in a particular way or order?”which this question, psych MD is trying to elicit?
COMPULSIONS
Man obsesses about killing his g/f. Instead of killing, picks his face w/ a pin. Medication:
FLUVOXAMINE
Pt with contamination fears and hand washing rituals is treated with response prevention combined with:
EXPOSURE THERAPY
35 M w/ severe OCD, failed multiple meds, CBT and ECT, what next?
CINGULOTOMY
What condition is frequently associated with OCD?
TOURETTE SYNDROME
What statement reflects current thinking about neurological procedures for intractable OCD?
AT PRESENT, THERE IS LITTLE EVIDENCE TO SUGGEST THAT ANY ONE PROCEDURE IS SUPERIOR TO ANOTHER.
