Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Psych Shelf Exam > Geriatric Medicine > Flashcards

Geriatric Medicine Flashcards

You may prefer our related Brainscape-certified flashcards:
Psychology 101 flashcards GRE® Psychology flashcards
1
Q

What is treatment for pseudodementia in the elderly?

A
  1. psychotherapy
  2. senior centers, groups
  3. SSRI in low dose
  4. nortrypteline of SSRI doesn’t work bc least anticholinergic of the TCAs
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What drug is used to increase appetite and cause sedation for people that are depressed with sleep disturbances?

A

mirtazepine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are the age related effects of alcohol?

A
  1. decreased alcohol dehydrogenase leading to higher BAL

2. increased CNS sensitivity to alcohol

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Visual hallucinations early in dementia suggest what diagnosis?
What medication should be avoided?

A

Lewy body dementia- avoid antipsychotics

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What antipsychotics are safest for geriatric population?

A

olanzapine
quetiapine

[can use short term resperidone, haloperidol]

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What anxiolytics are used for psychiatric manifestations of dementia?

A
  1. low dose SSRI

2. benzos only for short-term acute episodes and monitor for paridoxical agitation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What mood stabilizers are used in dementia?

A

lamotrigine, valproic acid, carbamazepine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What are the IQ cut-offs for mild, moderate, severe, and profound mental retardation?

A

55-70 is mild
40-55 is moderate
25 to 39 is severe
under 25 is profound

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

A child presents with MR, obesity, almond shaped eyes and hypogonadism. What is the likely diagnosis?

A

Prader-Willi

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is the most common inherited cause of MR?

A

Fragile X resulting from FMR-1 gene defect

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

How long must symptoms be present for a child to be diagnosed with ODD?
What age does it usually present?

A

6 months of negativism, hostility and defiant behavior

Can begin as early as 3, but usually observed by age 8

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What 3 things are often comorbid with ODD?

A
  1. substance abuse
  2. mood disorders
  3. ADHD
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is treatment for ODD?

A
  1. psychotherapy

2. parent management skill training

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

How do boys and girls with conduct disorder differ?

A

Boys- vandalism, setting fire, fights, stealing

Girls- running away, sexually acting out, lying

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What are 4 risk factors for conduct disorder?

A
  1. punitive parenting
  2. biological factors
  3. hx of abuse
  4. psychosocial adversity
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is treatment for conduct disorder?

A
  1. family/community involvement
  2. consistent rules/consequences
  3. meds if aggression is present
17
Q

How long and how many symptoms must be present for ADHD diagnosis?
When must symptoms present by?

A

at least 6 symptoms that are present for 6months in a child before the age of 12

  1. inattentive symptoms
  2. hyperactive-impulsive symptoms
  3. mixed
18
Q

What percent of school aged children have ADHD?

A

5-12 percent

19
Q

What is first line treatment for ADHD?

A

CNS stimulants:

methylphenidate (concerta, ritalin, metadate, focalin), dextroamphetamine, amphetamine salts

20
Q

What non-stimulant can be used to treat ADHD?

A
  1. atomoxetine

2. clonidine, guanfacine [a2 agonists]

21
Q

When must abnormalities in functioning be present for autism to be diagnosed?

A

By age 3, they must demonstrate:

  1. problems with social interaction
  2. impairment in communication
  3. repetitive and stereotyped actions
22
Q

What percent of individuals with autism meet criteria for mental retardation?

A

70

23
Q

How is Tourettes classified?

By what age?

A

multiple motor and at least one vocal tic with onset before age 18
-many times a day, almost every day for over 1 year

24
Q

What 2 disorders are highly comorbid with tourettes?

A
  1. ADHD

2. OCD

25
Q

What drugs are used to treat Tourettes?

A
  1. respiredone
  2. alpha 2 agonists [clonidine, guanfacine]
  3. haloperidol, pimozide only in extreme cases
26
Q

What is enuresis?

What 2 drugs can treat it?

A

involuntary bed wetting after age 5 [2x a week for 3 months]

  1. DDAVP
  2. imipramine
27
Q

When is separation anxiety considered age appropriate?

A

7months to 6 years

28
Q

When does stranger anxiety peak?

A

8-12 months

Psych Shelf Exam (8 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions