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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
tx for insomnia
sleep hygeiene CBT pharmacotherapy
26
pharmacotherapy for insomnia
Benzos- short term for 4-8 wks Non-benzos- zolpidem, eszopiclone and zaleplon (good short term) anti-depressants-trazodone, amitriptyline and doxepin
27
cataplexy
sudden loss of muscle tone bilaterally without LOC usually associated with intense emotion
28
hypnagogic hallucination
when going to sleep
29
hyponopomic hallucination
when transitioning from sleep
30
catalepsy
unprovoked muscular rigidity
31
tx for cataplexy
sodium oxybate (DOC) TCAs SSRI/SNRI
32
tx for hypersomnia
modafinil or stimulants (amphetamine or methylphenidate) antidepressants (atomoxetine) scheduled napping
33
central apnea and sleep-related hypoventilation tx
cpap/bipap sup O2 meds (acetazolamide, theophylline, sedative-hypnotics)
34
narcolepsy tx
``` sleep hygiene daytime naps avoid shift work amphetamines treat cataplexy ```
35
define parasomnias
abnormal behaviors, experiences or psychological events that occur during sleep or sleep wake transitions
36
tx for sleep walking
most don't need to be treated education, reassurance, sleep hygiene refractory cases- low dose benzo such as clonazepam
37
tx for sleep terrors
reassurance that it is self limited
38
tx for nightmare d/o
reassurance desensitization/imagery tehearsal medications- prazosin and antidepressants such as for PTSD cases
39
define REM sleep behavior d/o
repeated arousals during sleep associated w/ vocalization or motor behavior violent behaviors in sleep resulting in injury to patient or partner
40
tx for REM sleep behavior d/o
d/c likely causative med clonazepam is efficacious in most pts melatonin ensure enviro safety
41
meds that can contribute to REM sleep behavior d/o
TCAs, SSRI, SNRI, beta blockers
42
tx for restless leg syndrome
iron replacement if low ferritin remove offending agents dopamine AGONISTS and benzos are first line (bromocriptine, ropinirole)
43
mature defenses
altruism, humor, sublimation, suppression
44
neuoritc defenses
``` controlling displacement intellectulization isolation of affect rationalization reaction formation repression ```
45
immature defenses
acting out denial regression projection
46
define splitting
labeling ppl as all good or all bad (common in borderline PD)
47
define undoing
attempting to reverse a situation by adopting a new behavior
48
define altruism
performing acts the benefit others in toder to vicariously experience pleasure
49
define sublimation
satisfying socially objectable impulses in an acceptable manner
50
define suppression
purposely ignoring an unacceptable impulse or emotion in order to diminish discomfort and accomplish task
51
define displacment
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
define intellectulization
avoiding neg feelings by excessive use of intellectual functions and by focusing on irrelevant details
53
define isolation of affect
unconscious limiting the experience of feelings or emotions associated with stressful life event in order to avoid anxiety
54
define rationalization
explanations of an event in order to justify outcome or make acceptable
55
define reaction formation
doing opposite of an unacceptable impulse ex: man who is in love with his married coworker insults her
56
define repression
preventing thought or feeling from entering consciousness
57
difference between repression and suppression
repression is unconscious and suppression is conscious act
58
define acting out
giving in to an impulse even if socially inappropriate in order to avoid anxiety of suppressing the impulse
59
define regression
performing behaviors from an earlier stage of development in order to avoid tension associated with current stage
60
define projection
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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