FA pg 506-510 Pysch Flashcards
long term deprivation of affection in infants result in
failure to thrive, poor language/social skills
lack of basic trust, reactive attachment disorder (infant withdrawn & unresponsive to comfort)
what is the time frame for irreversible changes in deprivation in an infant
> 6months and severe deprivation can lead to infant death
in child abuse who is the abuser in physical abuse and who is the abuser in sexual abuse
biological mother (physical) Known to victim, usual male (sexual)
what is the most common form of child maltreatment
Child neglect
if you suspect child neglect, should you report it? Y or N
Y
when a parent perceive a child as been susceptible to illness and injury and can result to missed school or overuse of medical services is called?
Vulnerable child syndrome
limited attention span, normal intelligence and poor impulse control refers to
attention deficit hyperactivity disorder
treatment for attention deficit hyperactivity disorder
methylphenidate, cognitive behavior therapy, atomoxetine, guanfacine, clonidine
what disorder is associated with increase head/brain size and common in boys
Autism
what is the Mode of inheritance for Rett syndrome and what gender is affected most
X linked dominant & girls
stereotyped hand-wringing is associated with ———
Rett
repetitive behavior violating the basic rights of others or social norms and destruction of property is associated with
conduct disorder/antisocial disorder
tx of conduct and antisocial disorder
Psychotherapy such as CBT
Enduring pattern of hostile, defiant behavior toward authority gures in the absence of serious violations of social norms refers to
Oppositional defiant disorder
Overwhelming fear of separation from home or loss of attachment figure refers to
Separation anxiety disorder
common in age 7-9 yrs
17 year old male Characterized by sudden, rapid, recurrent, nonrhythmic, stereotyped motor and vocal tics that persist for > 1 year is what path
Tourette syndrome (onset before 18yrs)
what are the association and Tx for Tourette syndrome
Associated with OCD and ADHD.
TX psychoeducation, behavioral therapy. For intractable tics, low-dose high-potency antipsychotics (e.g., uphenazine, pimozide), tetrabenazine, and clonidine may be used.
Coprolalia (involuntary obscene speech) found in only 10–20% of patients refers to
Tourette syndrome
dif culties with language and failure to acquire or early loss of social skills refers to
Pervasive developmental disorders
what are the neurotransmitter changes in Alzheimer disease
dec ACh
inc glutamate
what are the neurotransmitter changes in anxiety
inc NE,
Dec Gaba, 5-HT
neurotransmitter changes in Huntington disease
dec Gaba, ach
inc dopamine
what are the neurotransmitter changes in schizophrenia
inc dopamine
define Orientation
Patient’s ability to know who he or she is, where he or she is, and the date and time.
Causes of Loss of Orientation
alcohol, drugs, uid/electrolyte imbalance, head trauma, hypoglycemia, infection, nutritional de ciencies.
list the order of orientation loss
Order of loss: 1st—time; 2nd—place; last— person.
Inability to remember things that occurred before a CNS insult.
Retrograde amnesia
nability to remember things that occurred after a CNS insult ( dec acquisition of new memory)
Anterograde amnesia
Amnesia (anterograde > retrograde) caused by vitamin B1 de ciency and associated destruction of mammillary bodies. Seen in alcoholics. Confabulations are characteristic.
Korsakoff syndrome
what is Dissociative amnesia
Inability to recall important personal information, usually subsequent to severe trauma or stress. May be accompanied by dissociative fugue (abrupt travel or wandering during a period of dissociative amnesia, associated with traumatic circumstances).
Characterized by disorganized thinking, hallucinations (often visual), illusions, misperceptions, disturbance in sleep- wake cycle, cognitive dysfunction.
Usually 2° to other illness such as fever refers to
delirium
Waxing and waning” level of consciousness with acute onset; rapid in attention span and level of arousal.May be caused by medications (e.g.,
anticholinergics), especially in the elderly. Reversible refers to
delirium
————is characterized by memory loss. Usually irreversible.
Dementia
seeing a light that is not actually present refers to
Hallucination
thinking aliens are communicating with you refers to what type of psychiatric problem
delusion
what type of hallucinationOccurs while going to sleep. Sometimes seen in narcolepsy.
Hypnagogic
Occurs while waking from sleep and sometimes seen in narcolepsy
Hypnopompic
what type of hallucination is associated withthe sensation of bugs crawling on one’s skin
tactile
seen in alcoholic withdrawer and cocain abuse
hallucination & delusion greater than 6 months is
schizophrenia
what are the positive symptoms of schizophrenia (4)
Delusions
Hallucinations—often auditory
Disorganized speech (loose associations)
Disorganized or catatonic behavior
what are the -ve symptoms of schizophrenia
at affect, social
withdrawal, lack of motivation, lack of speech or thought
hallucination lasting less than 1month
Brief psychotic disorder
hallucination lasting 1-6 month,
schizophreniform
lasting > 2 weeks; psychotic symptoms with episodic superimposed major depression or mania (or both). Psychosis is present with and without mood disorder, but mood disorder is present only with psychosis refers to
Schizoaffective disorder
a woman who genuinely believes she is married to a celebrity when, in fact, she is not is what disorder?
Delusional disorder
Fixed, persistent, false belief system lasting > 1 month. Functioning otherwise not impaired.
Presence of 2 or more distinct identities or personality states. More common in women. what disorder?
Dissociative identity disorder
list 6 association with Dissociative identity disorder
history of sexual abuse, PTSD, depression, substance abuse, borderline personality, somatoform conditions.
what disorder is associated withPersistent feelings of detachment or estrangement from one’s own body, thoughts, perceptions, and actions
Depersonalization/ derealization disorde
what is DIGFAST which is used for diagnosis and hospitalization in manic episode Stands for?
distractibility Irresponsibility,Grandiosity Flight of ideas, Agitation/inc Activity, Sleep (dec), talkativeness
timeframe to diagnosis is….
Lasting at least a week
what is hypomanic episode
Like manic episode except mood disturbance is not severe enough to cause marked impairment in social and/or occupational functioning or to necessitate hospitalization. No psychotic features. Lasts at least 4 consecutive days.
