Exam II Cram Flashcards

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1
Q

_______ receptor agonists can cause sleep related behavior side effects

A

Benzo

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2
Q

Benzo receptor agonists can cause…

A

sleep related behavior side effects

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3
Q

______ deficiency is one of the possible criteria for narcolepsy

A

Hypocretin-1 deficiency

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4
Q

_______ agonists are the tx of choice for restless leg syndrome

A

dopaminergic agents

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5
Q

Phosphodiesterase inhibitors for Erectile Disorder should not be used with…

A

nitrates

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6
Q

______ for Erectile Disorder should not be used with nitrates

A

Phosphodiesterase inhibitors

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7
Q

the majority of children with _______ do not have the condition in adulthood

A

gender dysphoria

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8
Q

pedophilic disorder is associated with a hx of…

A

childhood sexual abuse

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9
Q

in pts <12 y/o with _____, the primary treatment is through parent training programs

A

ODD (oppositional defiant disorder)

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10
Q

if pts <12 y/o with oppositional defiant disorder, what is the primary tx?

A

parent training programs

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11
Q

what increases the risk of intermittent explosive disorder?

A

physical or emotional trauma during first 20 years of life

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12
Q

physical or emotional trauma during first 20 years of life increases risk for…

A

intermittent explosive disorder

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13
Q

______ is one of the few 1st generation antipsychotics that has FDA approval for conduct disorder

A

Haloperidol

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14
Q

Haloperidol is one of the few 1st generation antipsychotics that has FDA approval for…

A

conduct disorder

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15
Q

delirium is identified by…

A

waxing and waning acute changes in consciousness

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16
Q

_____ is identified by waxing and waning acute changes in consciousness

A

delirium

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17
Q

FDA approved tx for Alzheimers disease include _______ as well as ______, however, none have been shown to reverse or improve the condition

A

cholinesterase inhibs
memantine

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18
Q

FDA approved tx for Alzheimers disease include AChE inhibitors as well as memantine, however….

A

none have been shown to reverse or improve the condition

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19
Q

Neurocognitive disorder d/t TBI requires at least one of the following:

A
  • unconsciousness
  • amnesia
  • disorientation
  • neurologic signs
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20
Q

Neurocognitive disorder d/t _____ requires at least one of the following:
- unconsciousness
- amnesia
- disorientation
- neurologic signs

A

TBI

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21
Q

The ______ subtype presents with cognitive impairment initially followed by later Parkinsonism motor sx

A

Lewy body subtype of neurocognitive disorder

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22
Q

this subtype presents with motor symptoms and much later cognitive impairment

A

Parkinson’s subtype of neurocognitive disorder

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23
Q

differentiate between neurocognitive disorder d/t Lewy bodies vs. Parkinsons

A
  • LB: cognitive impairment followed later by Parkinsons
  • Parkinsons: motor symptoms followed much later by cognitive impairement
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24
Q

what increases the risk of a person developing schizotypal personality disorder?

A

family member with schizophrenia or other psychotic disorder

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25
Q

family member with schizophrenia or other psychotic disorder puts one at risk for…

A

schizotypal personality disorder

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26
Q

what has been shown to decrease self-harm and hospitalizations in pts with borderline personality disorder?

A

dialectical behavior therapy

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27
Q

dialectical behavior therapy has been shown to decrease _______ and ______ in pts with borderline personality disorder

A

self-harm
hospitalizations

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28
Q

dialectical behavior therapy has been shown to decrease self-harm and hospitalizations in pts with …

A

borderline personality disorder

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29
Q

what can help reduce sx for pts with obsessive compulsive personality disorder?

A

CBT

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30
Q

nearly all substance use disorders have ether same criteria EXCEPT for…

A

hallucinogen and inhalant use disorders

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31
Q

how do the criteria for hallucinogen and inhalant use disorders differ from nearly all substance use disorder criteria?

A

lack an appreciable withdrawal presentation or criteria

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32
Q

which disorders’ criteria lacsk an appreciable withdrawal presentation or criteria

A

hallucinogen and inhalant use disorders

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33
Q

what is the gold standard tx for alcohol withdrawal management to avoid delirium tremens

A

Benzodiazepines

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34
Q

Benzos are the gold standard tx for ______ to avoid delirium tremens

A

alcohol withdrawal

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35
Q

Benzos are the gold standard tx for alcohol withdrawal to avoid …

A

delirium tremens

36
Q

an ECG should be obtained prior to beginning _____ d/t risk of _____ and subsequent arrhythmia

A

methadone
QT prolongation

37
Q

an ______ should be obtained prior to beginning methadone d/t risk of…

A

ECG
QT prolongation

38
Q

________ have been greatest success in smoking cessation

A

combined and repeated tx efforts

39
Q

defense mechanisms operate to avoid ________, often at a loss of other emotional or relationship opportunities

A

anticipated dangers

40
Q

_________ operate to avoid anticipated dangers, often at a loss of other emotional or relationship opportunities

A

defense mechanisms

41
Q

defense mechanisms operate to avoid anticipated dangers, often at a loss of …

A

other emotional or relationship opportunities

42
Q

what is the cognitive distortion?
looking at things in absolute, black-and-white categories

A

all-or-nothing thinking

43
Q

what is the cognitive distortion?
dwelling on the negatives and ignoring the positives

A

mental filter

44
Q

what is the cognitive distortion?
insisting that accomplishments or positive qualities “don’t count”

A

discounting the positives

45
Q

what is the cognitive distortion?
assuming that people are reacting negatively to you when there is no evidence to support the assumptions

A

mind reading

46
Q

what is the cognitive distortion?
making a negative conclusion that goes far beyond the current situation

A

over-generalization

47
Q

what is the cognitive distortion?
arbitrarily predicting that things will turn out badly

A

fortune-telling

48
Q

what is the cognitive distortion?
blowing things out of proportion or shrinking their importance inappropriately

A

magnification or minimization

49
Q

what is the cognitive distortion?
reasoning from how you feel (I feel stupid so I must really be stupid)

A

emotional reasoning

50
Q

what is the cognitive distortion?
criticizing yourself (or others) with “shoulds” or “shouldn’ts”, “musts” or “oughts”, and “have tos”

A

“should” statements

51
Q

what is the cognitive distortion?
identifying with shortcomings “I’m a loser”

A

labeling

52
Q

what is the cognitive distortion?
blaming yourself for someitng you weren’t responsible for (and not considering more plausible explanations)

A

personalization and blame

53
Q

what are cognitive distortions?

A

inaccurate or false thoughts about self/world/others

54
Q

trauma focused therapies involve different types of behavioral techniques to reduce ______ sx

A

PTSD

55
Q

__________ involve different types of behavioral techniques to reduce PTSD sx

A

trauma focused therapies

56
Q

trauma focused therapies involve different types of ___________ to reduce PTSD sx

A

behavioral techniques

57
Q

_______ helps pts recognize and make changes in behaviors

A

motivational interviewing

58
Q

Deep brain stimulation of the __________ has FDA approval for OCD

A

ventral internal capsule / striatum

59
Q

__________ of the ventral internal capsule / striatum has FDA approval for OCD

A

Deep brain stimulation

60
Q

Deep brain stimulation of the ventral internal capsule / striatum has FDA approval for _____

A

OCD

61
Q

ECT has FDA approval for severe _____ episodes

A

MDD

62
Q

____ has FDA approval for severe MDD episodes

A

ECT

63
Q

ECT has FDA approval for severe MDD episodes as well as _______

A

catatonia

64
Q

____ has FDA approval for catatonia

A

ECT

65
Q

ECT has FDA approval for MDD and catatonia but has a risk of…

A

amnesia

66
Q

FDA approved ____ typically targets the DLPFC for MDD

A

TMS

67
Q

FDA approved TMS typically targets the _____ for MDD

A

DLPFC

68
Q

FDA approved TMS typically targets the _____ for OCD

A

ACG

69
Q

TMS is FDA approved for…

A

MDD and OCD

70
Q

suicide assessment includes evaluation of _____, _____, and _______

A

thoughts
plans
intent

71
Q

suicide assessment includes evaluation of thoughts, plans, and intent, as well as access to ______ and _____

A

means and prior attempts

72
Q

what alternative psychiatry treatments have shown similar efficacy to TCAs in treating MDD?

A

St Johns Wort
SAMe

73
Q

St Johns Wort and SAMe have shown similar efficacy to ______ in treating MDD

A

TCAs

74
Q

St Johns Wort and SAMe have shown similar efficacy to TCAs in treating ____

A

MDD

75
Q

__________ with an SSRI can benefit treatment refractory depression

A

folate augmentation

76
Q

folate augmentation with an SSRI can benefit ________

A

treatment refractory depression

77
Q

what alternative psych treatments have been associated with hepatotoxicity in some pts?

A

valerian
Kava

78
Q

Valerian and Kava have been associated with _______ in some pts

A

hepatotoxicity

79
Q

up to 89% of primary care visits have a…

A

psychiatric comorbidity

80
Q

drugs to use in pregnancy for psychiatric conditions?

A

Citolopram
Sertraline
Fluoxetine
Escitalopram

81
Q

drugs to use while breastfeeding for psychiatric conditions?

A

Sertraline
Paroxetine

82
Q

_____ is the principle for addressing combat stress

A

BICEPS

83
Q

what does BICEPS stand for in management of combat-operational stress reactions?

A

Brevity
Immediacy
Centrality/Contact
Expectancy
Proximity
Simplicity

84
Q

BICEPS is the principle for addressing…

A

combat stress

85
Q

_____ ethnic groups have highest rate of 2C19 poor metabolizers

A

Asian

86
Q

Asain ethnic groups have the highest rate of _____ poor metabolizers

A

2C19