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Behavioral Medicine EOR > EOR > Flashcards

EOR Flashcards

1
Q

echolalia

A

repeats words or phrases

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2
Q

echopraxia

A

mimics behavior

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3
Q

5 A’s of schizophrenia (neg sx)

A 
anhedonia
affect (flat)
alogia (poverty of speech)
avolition (apathy)
attention (poor)
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4
Q

Effect of APS blocking dopamine in tuberoinfundibular pthwy

A

hyperprolactinemia which can cause gynecomastia, galactorrhea, sexual dysfn and menstrual irregularities

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5
Q

Effect of APS blocking nigrostriatal pthwy

A

parkinsonism/EPS (tremor, rigidity, slurred speech, akathesia, dystonia and abnrml mvts)

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6
Q

Associated w/ better prognosis for schizophrenia

A 
late onset
good social support
\+ sx
mood sx
acute onset
female
few relapses
good premorbid fn
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7
Q

tx for EPS (esp w/ high potency 1st gen APS)

A

anticholinergics (benztropine, diphenhydramine), benzos/beta-blockers (specifically for akathisia)

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8
Q

metabolic syndrom

A

SE of 2nd gen APS

↑ BP, blood sugar levels, body fat around waist, abnrl cholesterol levels

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9
Q

What 2nd gen APS are more “weight neutral”

A

aripiprazole or ziprasidone

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10
Q

Ataxia, confusion, ocular abnormalities

A

wernicke’s encephalopathy (vit B1)

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11
Q

impaired recent memory, anterograde amnesia, compensatory confabulation

A

korsakoff (occurs if wernicke’s encephalopathy is untreated)

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12
Q

Refeeding syndrome

A

pts reefed too quick- lookf for fluid retention and decreased phosphorus, magnesium and calcium

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13
Q

complications of refeeding syndrome

A

arrhythmias, respiratory failure, delirium and seizures

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14
Q

Anorexia mortality rate

A

cumulative and ~5% per decade d/t starvation, suicide, cardiac failure

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15
Q

Tx for anorexia

A

outpt unless 75-80% of ideal body weight

feed first-supervised weight gain programs, CBT, fam therapy,

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16
Q

DSM5 for anorexia

A

restriction
intense fear of gaining weight
disturbed body image

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17
Q

Duration criteria for bulimua

A

at least 1x/week for 3 mo

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18
Q

Diff from bulimia and anorexia

A

usually normal or over weight, sx are more distressing (egodystonic), bulimia has better prognosis

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19
Q

Define binge eating

A

2000 calories in 2 hrs (usually they eat faster than this)

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20
Q

Buimia mortality rate

A

2% per decade

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21
Q

Treatment for bulimia

A

antidepressants + therapy

SSRI- fluoxetine is ONYL FDA approved for bulimia

Nutritional counseling, CBT, fam therapy

AVOID bupropion d/t lower seizure threshold

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22
Q

Binge eating duration critreia

A

at least once a week for 3 months

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23
Q

DSM5 for binge eating

A 
recurrent ep of binge eating with at least 3 of the following:
eating rapidly
eating until uncomfortably full
eating large amts when not hungry
eating alone d/t embarrassment
feeling disgusted/depressed/guilty after
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24
Q

duration criteria for insomnia d/o

A

at least 3 days a week for at least 3 months

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25
Q

tx for insomnia

A

sleep hygeiene
CBT
pharmacotherapy

26
Q

pharmacotherapy for insomnia

A

Benzos- short term for 4-8 wks
Non-benzos- zolpidem, eszopiclone and zaleplon (good short term)
anti-depressants-trazodone, amitriptyline and doxepin

27
Q

cataplexy

A

sudden loss of muscle tone bilaterally without LOC usually associated with intense emotion

28
Q

hypnagogic hallucination

A

when going to sleep

29
Q

hyponopomic hallucination

A

when transitioning from sleep

30
Q

catalepsy

A

unprovoked muscular rigidity

31
Q

tx for cataplexy

A

sodium oxybate (DOC)
TCAs
SSRI/SNRI

32
Q

tx for hypersomnia

A

modafinil or stimulants (amphetamine or methylphenidate)
antidepressants (atomoxetine)
scheduled napping

33
Q

central apnea and sleep-related hypoventilation tx

A

cpap/bipap
sup O2
meds (acetazolamide, theophylline, sedative-hypnotics)

34
Q

narcolepsy tx

A 
sleep hygiene
daytime naps
avoid shift work
amphetamines
treat cataplexy
35
Q

define parasomnias

A

abnormal behaviors, experiences or psychological events that occur during sleep or sleep wake transitions

36
Q

tx for sleep walking

A

most don’t need to be treated
education, reassurance, sleep hygiene
refractory cases- low dose benzo such as clonazepam

37
Q

tx for sleep terrors

A

reassurance that it is self limited

38
Q

tx for nightmare d/o

A

reassurance
desensitization/imagery tehearsal
medications- prazosin and antidepressants such as for PTSD cases

39
Q

define REM sleep behavior d/o

A

repeated arousals during sleep associated w/ vocalization or motor behavior

violent behaviors in sleep resulting in injury to patient or partner

40
Q

tx for REM sleep behavior d/o

A

d/c likely causative med
clonazepam is efficacious in most pts
melatonin
ensure enviro safety

41
Q

meds that can contribute to REM sleep behavior d/o

A

TCAs, SSRI, SNRI, beta blockers

42
Q

tx for restless leg syndrome

A

iron replacement if low ferritin
remove offending agents
dopamine AGONISTS and benzos are first line (bromocriptine, ropinirole)

43
Q

mature defenses

A

altruism, humor, sublimation, suppression

44
Q

neuoritc defenses

A 
controlling
displacement
intellectulization
isolation of affect
rationalization
reaction formation
repression
45
Q

immature defenses

A

acting out
denial
regression
projection

46
Q

define splitting

A

labeling ppl as all good or all bad (common in borderline PD)

47
Q

define undoing

A

attempting to reverse a situation by adopting a new behavior

48
Q

define altruism

A

performing acts the benefit others in toder to vicariously experience pleasure

49
Q

define sublimation

A

satisfying socially objectable impulses in an acceptable manner

50
Q

define suppression

A

purposely ignoring an unacceptable impulse or emotion in order to diminish discomfort and accomplish task

51
Q

define displacment

A

shifting emotions from undesirable situation to one that is personally tolerable

ex: angry with mother then talks back to teacher next day and refuses to obey instructions

52
Q

define intellectulization

A

avoiding neg feelings by excessive use of intellectual functions and by focusing on irrelevant details

53
Q

define isolation of affect

A

unconscious limiting the experience of feelings or emotions associated with stressful life event in order to avoid anxiety

54
Q

define rationalization

A

explanations of an event in order to justify outcome or make acceptable

55
Q

define reaction formation

A

doing opposite of an unacceptable impulse

ex: man who is in love with his married coworker insults her

56
Q

define repression

A

preventing thought or feeling from entering consciousness

57
Q

difference between repression and suppression

A

repression is unconscious and suppression is conscious act

58
Q

define acting out

A

giving in to an impulse even if socially inappropriate in order to avoid anxiety of suppressing the impulse

59
Q

define regression

A

performing behaviors from an earlier stage of development in order to avoid tension associated with current stage

60
Q

define projection

A

attributing objectable thoughts or emotions to others

ex: husband who is attracted to other women accuses his wife of having an affair

Behavioral Medicine EOR (11 decks)

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