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Behavioral Medicine > Final Review > Flashcards

Final Review Flashcards

1
Q

a score of less than what on the MMSE is cognitive impariment

A

23

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2
Q

What disorder has a manic espisode and depression.

A

Bipolar I

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3
Q

when a bipolar patient has is manic and has MDD symptoms, high risk of suicide.

A

Mixed episode

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4
Q

Disorder with a least one major depressive episode and hypomanic episode, never been manic or mixed

A

Bipolar II

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5
Q

All of these describe what type of symptoms
decreased need for sleep
flight of idea
talkativeness
excessive involvement in pleasurable activities

A

manic symptoms

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6
Q

what is an hypomanic episode?

A

similar to manic but only 4 days

no psychotic features

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7
Q

Numerous sx of depression AND hypomania w/o meeting criteria for major depressive nor hypomanic episode

A

cyclothymic disorder

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8
Q

gold standard for bipolar disorder

A

lithium

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9
Q

– 5 sx of depression in week before menses starts, sx improve w/i few days of onset, minimal postmenses

A

premenstrual dysphoric disorder

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10
Q

child with recurrent empers/ outburst, diagnosed before age 6 and before age 18

A

Disruptive mood dysregulation (DMDD)

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11
Q

how long must symptoms be present for MDD?

A

> 2 weeks

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12
Q

ADR of buproprion

A

lowers seizure threshold

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13
Q

BBW for SSRIs

A

suidicde <26 years old

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14
Q

what is a non-sedating and non-addictive med for GAD?

A

buspirone

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15
Q

Recurrent, persistent thoughts, impulses or images that are intrusive and inappropriate and cause distress

A

Obsessions

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16
Q

Repetitive behaviors or mental acts the person feels driven to perform in response to an obsession

A

Compulsions

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17
Q

Difficulties in social use of verbal and nonverbal communication. Difficulties understanding humor/ sarcasm.

A

social communication disorder

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18
Q

Same as autism EXCEPT:

No language delay, no cognitive development delay

A

Asperger’s

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19
Q

Slowed head growth, loss of hand skills, poor coordination, impaired language development w/ psychomotor retardation
No language delay or cognitive development

A

Rett’s Disorder

20
Q

Normal development x2 years followed by regression

Loss of previously acquired skills

A

Childhood Disintegrative Disorder

21
Q

2 types of simtulants used for ADHS

A

amphetamine (Adderrall)

Methylphenidate (Ritalin)

22
Q

Drug for ADHD that works like an antidepressant and helps w/ anxiety

A

Strattera

23
Q

Must have: 4 pain sx, 2 GI sx, 1 sexual sx, 1 neuro sx

**Sx cannot be explained by a medical condition

A

somatization disorder

24
Q

Intentional feigning of physical or psychological symptoms

-The motivation is to assume the “sick role”

A

factitious Disorder

25
Q

Preoccupation w/having or acquiring a serious illness
Somatic sx not present, present at least 6 mo.
Not better explained by another condition

A

Illness anxiety disorder

26
Q

lack of speech (negative symptom seen in schizophrenia)

A

alogia

27
Q

lack of initiative or motivaiton (seen in schizophrenia)

A

avolition

28
Q

(1) is a state of apparent unresponsiveness to external stimuli in a person who is apparently awake and
(2) is difficult to differentiate from diffuse encephalopathy and status epilepticus (get EEG)

A

Cataonia

29
Q

1st generation, typical antipsychotics for schizoprhenia that have lots of EPS effects and tardive dyskinesia

A

Haloperidol

Thorazine

30
Q

A severe, life threatening reaction to antipsychotic medication
Rigidity, Autonomic Instability (hypertension/tachycardia), Fever, Leukocytosis, Inc CPK

A

Neuroleptic malignant syndrome

31
Q

• Patient meets criteria for schizophrenia in addition to meeting criteria for major depression, a manic or mixed episode

A

Schizoaffective Disorder

32
Q
  • Non-bizarre delusions are present at least 1 month-things that occur in real life such as being followed, poisoned, infected, loved at a distance, or being deceived by a significant other
  • Outside of the delusions, behavior is not odd, bizarre or impaired
  • Patient has never meet criteria for schizophrenia
A

Delusional disorder

33
Q

Cluster A personality disorders

A

Paranoid
schizoid
schizotypal

34
Q

bluster B personality disorders

A

antisocial
borderline
histrionic
narcissitic

35
Q

cluster C personality disorders

A

avoidant
dependent
obsessive-compulsive

36
Q

Detachment from social relationships, restricted range of affect. Does not want relationships with other people

A

Schizoid

37
Q

Pervasive pattern of social and interpersonal deficits marked by acute discomfort with close relationships, cognitive distortions, odd behaviors and ideas

A

Schizotypal

38
Q

Pervasive pattern of disregard and violation of the rights of others since age 15 (dx at 18 y/o)
“Sociopath” → entitled, charming, ulterior motives, angry when they don’t get their way
Mgmt: Don’t argue, be aware of escalating mood, leave room if pt is agitated

A

Antisocial personality disorders

39
Q

Frantic efforts to avoid abandonment

  • -Splitting (alternating between extremes of idealization and devaluation)
  • -Unstable self image & sense of self
  • -Impulsive self damaging behavior
A

Borderline Personality Disorders

40
Q

Excessively emotional and attention seeking

Shallow emotions → THEATRICAL

A

Histrionic Personality disorder

41
Q

Believes they are special and unique and should only assoc w/ other special people

A

Narcissistic PD

42
Q

emotionally laden, uncontrolled outburst of aggressive behavior that is impulsive in nature

A

reactive aggression

43
Q

controlled, purposeful, and medmeditated aggression with little emotion

A

planned or predatory aggression

44
Q

Highest fatality rate of any psychiatric disorder

A

anorexia nervosa

45
Q

Recurrent episodes of binge eating → discrete period & lack of control once per week for 3 months

A

bulemia nervosa

46
Q

Eating w/i 2 hour periods amounts of food larger than what most people would eat in similar circumstance; sense of lack of control
3 of criteria (eating more rapidly than normal, feel uncomfortably full, eat large amounts when not hungry, eating along due to embarrassment, disgusted w/oneself

A

Binge eating disorder

47
Q

Combination of concussion, PTSD, MDD, chronic pain, and generalized anxiety disorder

A

Post depolyment syndrome

Behavioral Medicine (13 decks)

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