Geriatric and Peds Psych Flashcards
What is perseveration?
Repeating phrases or behavior
Sign of Alzheimers
What is agnosia?
Inability to recognize objects
What is apraxia?
Loss of purposeful movement
What is aphasia?
Loss of language
What are two meds for moderate to severe Alzheimers?
Memantine (Namenda)
Namzaric
How do most Alzheimers meds work?
Increase acetylcholine in body by cholinesterase inhibitor
What are three meds used to treat mild to moderate Alzheimers?
What are side effects?
galantamine (Razadyne)
rivastigmine (Exelon)
donepezil (Aricept)
These drugs slow progression for 3–6 months only.
Side effects are GI (n/v/diarrhea, weight loss)
What is medical term for mental retardation?
Intellectual Disability
What are the 4 degrees of intellectual disability?
Mild=mid-elementary level, may live independently and have a family
Moderate=1st-2nd grade, may live independently but need lots of help
Severe=one word
Profound=nonverbal
What are the different degrees of autism spectrum disorder?
1—3
1=Socially awkward but speech normal
2=speech deficit, repetitive behaviors, socially impaired
3=Nonverbal or severely limited in speech, odd noises, repetitive/restrictive behavior, aggression most common in this level
What is usually the first noticeable sign of autism?
Loner
Uncomfortable socially
No touch
What is disruptive mood dysregulation disorder?
A type of depressive disorder
Temper tantrums
Angry, irritable
Can be mistaken for bipolar in kids
What is 2 manifestations of OCD in kids?
Trichotillomania (hair pulling, twirling)
Excoriation (skin picking)
What is reactive attachment disorder?
Trauma/neglect based behavior
Kids don’t require or respond to comfort
Irritable
Sad
Fearful
Socially unresponsive
What is rumination disorder?
Throwing up into mouth and re-chewing it
What is enuresis?
Bed wetting
What is encopresis?
Involuntary or intentional pooping in pants
What is oppositional defiant disorder?
How is this different from conduct disorder?
Loses temper
Easily annoyed
angry
Argumentative
Defiant
Deliberately annoys others
Blames other for their behavior
Vindictive
Conduct disorder is similar except there is violent, illegal behavior that goes with it
What are behaviors in conduct disorder?
Same bad attitude as oppositional defiant disorder PLUS at least 3 of the following:
Bullying
Fist fights
Cruelty to people and animals
Steals
Sexually assaults
Fire setting
Destroys property
Lies
Runs away
What is biggest caution when kids start an antidepressant?
May increase suicide risk
What is a better way to say a patient is “noncompliant”?
Treatment nonadherence
What is anosognosia?
Inability of the person to recognize their illness
What is meant by a patient has “serious mental illness”?
Problems in many different areas
What are types of impulse control disorders?
Kleptomania
Pyromania
Gambling disorder
Trichotillomania
Intermittent explosive disorder (recurrent, unpremeditated episodes of rage disproportionate to situation)
What is the caution when using anticholinergic meds in elderly?
Increases risk of cognitive decline
Avoid if possible
SSRIs in elderly increase their risk for what?
Bone fractures/hip fractures
Bleeding
What is the Beers Criteria list?
Meds dangerous in elderly patients
