General 1 Flashcards
Cultural syndrome of rage, violence, self-injury, amnesia to the events
Amok
Most prominent sx of amphetamine use
paranoia
orbitofrontal lesions
profane, irritable, irresponsible
medial frontal lesions
apathy, limited speech and movement
left frontal lesions
depression
right frontal lesions
mania
who developed separation-individuation
Mahler
MAO-A breaks down…
serotonin, NE, dopamine
MAO-B breaks down
dopamine
reversible MAO-A inhibitors
selegiline and moclobemide
preventing onset of dz
primary prevention
identify dz and promptly treat
secondary prevention
reducing deficits caused by illness
tertiary prevention
Lambert eaton antibodies
against voltage gated Ca channels
Gerstmann’s syndrome
left angular gyrus: acalculia, agraphia, R-L confusion, finger agnosia
cluster HA occur…
at night, and more common in males
increase TCA levels
antipsychotics and ritalin
PTSD dx criteria
1 intrusion sx, 1 avoidance, 2 arousal, 2 neg cognitions
Premack’s principle
high frequency behavior can reinforce low frequency behavior
how long does ECT sz need to last
25 sec
Not generally effects of ECT
delirium, HTN
criteria for cyclothymic disorder
hypomania + sub threshold depression x 2 years
effects of cocaine on dopamine
increases dopamine in mesocortical + limbic; decreases in corpus striatum
__% of bipolar pts have SUD
60
projective identification first described by
Otto Kernberg
actus reus
voluntary conduct
mens rea
evil intent
glossolalia
unintelligible jargon that has meaning to speaker only
dread of pain
algophobia
suicide rate in SCZ
10%
long term outcome in SCZ determined by
cognitive sx
social phobia involves fear of
embarrassment
avoidant personality disorder involves fear of
rejection
how many pts with social anxiety meet criteria for MDD
1 out of 3
pavor nocturnus
sleep terror disorder
gender most common for sleep walking?
males
dx of OSA
30 apneic episodes, lasting 10 sec or longer
REM sleep behavior disorder treated with
clonazepam and carbamazepine
% of DID pts meeting criteria for somatization?
40-60%
gender most likely to have delirium
males
decrease methadone levels (3 drugs)
phenytoin, St John’s wort, dextromethorphan
contraindications to bupropion (4)
seizure, anorexia, head trauma, use of MAOI in past 14 days
drugs that decrease TCA levels (4)
lithium, ascorbic acid, barbiturates, primidone
shortest half life of SSRI’s
fluvoxamine - 15 hrs
muscle biopsy - dermatomyositis
perifascicular atrophy and “ghost” fibers
genetics of AD
Apo E4 (19); presenilin 1 (14), presenilin 2(1), and APP
phenytoin SEs
hirsutism, gingival hypertrophy, cerebellar atrophy and ataxia
normal age to tolerate mother’s absence w/o distress
25 mos
unique properties of ziprasidone
blocks reuptake of serotonin and NE
dissociative amnesia
consists of localized or selective amnesia for a specific event (usually traumatic)
