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Lange Adult Psychopath Flashcards

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1
Q

Cotard syndrome

A

Nihilistic delusions - lost possessions, may also feel like they lost blood, heart, intestines, world has been reduced to nothingness

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2
Q

Capgras syndrome

A

Delusion of doubles characterized by belief that people have been replaced by identically appearing imposters

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3
Q

Fregoli delusion

A

Variation of delusion of doubles - belief that familiar people assume guise of strangers

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4
Q

Folie a deux

A

Shared psychotic disorder

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5
Q

Post partum psychosis apepars when?

A

Within 1 week of delivery

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6
Q

Most cases of post partum psychosis will eventually manifest as?

A

BPAD

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7
Q

Mainstay tx of catatonia is?

A

Benzos or ECT

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8
Q

What are the contraindications to ECT?

A

No ABSOLUTE contraindications. However, may be dangerous to do ECT on patient with space occupying mass. May increase intracranial pressure.

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9
Q

What is the most common sleep distrubance (there are many sleep distrubances) in major depression?

A

Early morning awakenings.

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10
Q

Levels of what are increased in depression? What is decreased?

A

Coristol is increased. Catecholamines, sex hormones, and immune function is decreased.

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11
Q

Untreated DT mortality rate?

A

30%

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12
Q

What is Kluver Bucy syndrome?

A

Docility, lack of fear response, anterograde amnesia, hypersexuality, hyperphagia.

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13
Q

Mobius syndrome

A

Congenital absence of the facial nerves and nuclei with resulting bilateral facial paralysis.

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14
Q

What lobes are preferentially atrophied in Picks disease

A

Frontal and temporal lobes

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15
Q

Dry mouth, dizziness, urinary hestiancy due to which antideprssant?

A

Due to anticholienrgic and adrenergic effects of TCAs such as imipramine

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16
Q

Classic triad of NPH

A

ataxia, confusion, incontience.

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17
Q

What lobes are preferentially atrophied in Alzheimers

A

Frontal and parietal

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18
Q

What does CT scan show for NPH?

A

Dilated ventriles cue to increased pressure waves impinging wtihin ventricular system

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19
Q

Cerebellar atrophy is seen most commonly in which disorders?

A

Alcoholism and congenital disorders

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20
Q

Alcohol dependence criteria can be met without what qualifier

A

Physiologic dependence

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21
Q

Duration of disturbance for brief psychotic disorder is

A

Less than 1 month

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22
Q

Timing difference between Acute Stress Disorder and PTSD

A

If sx persist after 4 weeks => PTSD

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23
Q

How long do sx have to be present for GAD dx?

A

6 months

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24
Q

Lifetime incidence of suicide in schizophrenia patients is

A

10%

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25
Q

Clozapine has been which to be effective in what kind of patients and also, shows what kidn of benefit

A

Tx refractory depression. Shown to decrease suicidality

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26
Q

Projection

A

Primitive defense mechanism in which one assigns emotions to another person to defend against presence of emotions within oneself

27
Q

Best long term tx for borderline personality patients

A

Individual psychotherapy and good social support

28
Q

What can calm an agitated patient with delirum?

A

Antipsychotic like haldol

29
Q

What is the rate of completed suicide in MDD?

A

15%

30
Q

what % of people with MDD with attempt suicide

A

30%

31
Q

Sexual sadism vs masochism

A

Sadism = you give the punishment, masochism = you receive the punishment

32
Q

Narcolepsy

A

affects ppl in teens/twenties. Disorder of REM sleep mechanisms, characterized by cataplexy (sudden loss of muscle tone following intense emotion)

33
Q

What is pre-menstrual dysphoric disorder and how it diferent from PMS?

A

remits after menses. Sx are more disruptive and cause more distress than purely PMS

34
Q

How long is the average untreated depressive MDD episode? How long if treated?

A

6 to 13 months, with tx duration decreases to 3 months. Tx also decreases risk of recurrence in future.

35
Q

How does naloxone work?

A

Blocks CNS opioid receptors

36
Q

What is the best pharm tx for PTSD?

A

SSRI. May use antipsychotics in conjunction, esp if psychotic sx are present. Avoid benzos.

37
Q

Factitious disorder is

A

UNCONSCIOUS desire to have sick role. CONSCIOUS production of sx

38
Q

What % of impotence cases in 30-50 years old is psychological?

A

90%

39
Q

Levels of what are lower in impulsive, violent, aggressive, suicide patients?

A

Serotonin or 5HIAA

40
Q

which antidepressant also used for headahces?

A

TCAs.

41
Q

Which antidepressant shown to have a slightly higher rate to induce manic switch?

A

TCAs more so than specific SSRIs

42
Q

What are pseudoseizures and how are they different from seizures?

A

They are psychogenically induced behavior that resembles epileptic activity but EEG is normal. Often occurs in reaction to stress or in setting o personality disorder, affective disorders or conversion reactions. Not uncommon for patients to have concurrent seizure disorder.

43
Q

Wernicke Korsikoff manifests with?

A

Anterograde amnesia, loss of immediate or short term mem

44
Q

What is confabulation

A

Fluent fabrication of fictiious responses in compensation of memory loss

45
Q

What is formication

A

Particular type of tactile hallucination in which one has sensation of bugs crawling on or under skin. Seen in cocain intoxication or alcohol withdrawal

46
Q

What does neuroimaging show for OCD?

A

increased activity (metabolism) in caudate nucleus, frontal lobes, and cingulum

47
Q

What are the first things to respond to antidepressants. What responds later?

A

Energy, sleep, appetite respond first. Later by libido, hopelessness and SI

48
Q

Voyeurism

A

deriving sexual pleasure from secretly watching someone undress or do other sexual activity

49
Q

Frotteurism

A

Recurrent, intense sexual fantasies and behaviors involving rubbing or touching nonconseting adult

50
Q

What does the locus ceereulum do. When is it active. What does it contain most of?

A

It’s the alarm center in the brain. It is hyperactive in anxiety states. Contains most of NE containing neurons in brain

51
Q

What does the amygdala and hippocampus do/what is it a part of

A

Part of the limbic system. Involved in fear/anger responses and memory formation, respectively

52
Q

Where is most serotonin in the CNS synthesized?

A

Dorsal and medial raphe nucleus of the brain stem

53
Q

Nuccleus accumbens is located in striatum and involved with?

A

sensations of reward and pleasure as well as addictive behaviors

54
Q

What part of the brain synthesizes dopamine

A

Substantia niagra

55
Q

Serotonin syndrome

A

Tachycardia, flushing, fever, myoclonic jerks, HTN, oscular oscillations. And more severe = hyperthermia, autonomic instability, coma and death

56
Q

Cocaine withdrawal

A

dysphoric mood, hypersomnia, fatigue and increased appetitie.

57
Q

Blockade of what receptor by atypical antipsychotics causes orthostatic hypotension, dizziness and ssedation?

A

alpha-1 R

58
Q

Blockade of dopaminergic receptors in what areas are responsbile for reduction of schiz positive symptoms?

A

Mesolimbic and mesocortical areas

59
Q

Blockade of D2 receptor in what pathway is responsbiel for EPS?

A

nigrostriatal

60
Q

blockade of D2 receptor in what pathway responsbiel for prloactnimea

A

Tubero-infundibular

61
Q

Blockade of what R causes sedation and weight gain with antipsychotics

A

Histamine

62
Q

Antipsychotics also block what receptor to case sedation, dry mouth and constipation

A

Cholinergic receptors

63
Q

Projective identification defense mechanism

A

Can be thought of as a self fulfilling prophecy - patient’s unacceptable feelings are projected to another but the other acts in a way that they become true. For example, patient ocntineus to cancel all appts and then you terminate her as a patient.

Psych Shelf (13 decks)

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