Lange facts Flashcards
mild mental retardation
50-70
moderate mental retardation
35-49
severe mental retardation
20-34
profound MR
<20
monozygotic twin bipolar prevalence
80-90%
somatization association
histrionic in female
antisocial in male
factitious by proxy is associated with
depressed, anxious, suicidal
HTN crisis tx
IV phentolamine, alpha adrenergic blocker
most common side effect with clozaril
seizures
wisconsin card sorting test use
ability to organize and process information
prevalence of schizo in relative
12%
temporal orientation test use
level of confusion
amok
patient insulted kills other patient, in malaysia
dhat
indian term referring to anxiety in discharge of semen
ganser
patient responds to answer by giving approximate or outright ridiculous answers
koro
malaysian term to anxiety that penis recede into te body and cause death
latah
malaysian or indonesian origin, more frequent in middle-aged women, caracterized by fear wit dissociation and catatonic features
DBT
treatment for chronically parasuicidal patients such as borderline personality disorder, cognitive, behavrioal supportive therapies
DBT
treatment for chronically parasuicidal patients such as borderline personality disorder, cognitive, behavrioal supportive therapies
anticholinergic effects toxicity treatment
amantadine can replace benztropine
anticholinergic effects toxicity treatment
amantadine can replace benztropine
MMPI-2 use
items designed to separate normal subjects from those with psych illness
denial type of defense
narcissistic defense
psychogenic state vs coma
psychogenic state: normal EEG normal DTR cold water nystagmus voluntary eye movements/saccades nl vital signs
coma: abnl EEG decreased DTR no cold water nystagmus or slowed no saccades, spontaneous and random
intelligence quotient
mental age/chrono age x 100
identification defense mechanism
unconscious defense incorporates qualities of other person, strengthen ego
catalepsy
immobile positiion that is fixed and maintained
MAOI cannot be used with which analgesic?
meperidine
first step in treating NMS
discontinue meds
how do you demonstrate physical dependence
naloxone injection: precipitates opiate withdrawal`
rey-osterrieth test
figure drawing patient is asked to draw again, looks for a second then patient has to draw it again after 30 secondsd and 5 minutes
mortality rate of anorexia
20%
mortality rate of anorexia
20%
length of bereavement
within 2 months of death does not go past 2 months
intoxication with huffers causes
depressed reflexes
side effect of divalproex sodium
hair loss
ADHD that does not respond to methylphenidate
discontinue and prescribe amphetamine compound
ADHD that does not respond to methylphenidate
discontinue and prescribe amphetamine compound
illicit substance that causes manic state
cocaine
illicit substance that causes manic state
cocaine
anxiety disorder and depression in children prevalence
50%
rett’s disorder twin prevalence
100%
percentage of children who develop adjustment disorder after type I diabetes diagnosis
33%
percentage of children who develop adjustment disorder after type I diabetes diagnosis
33%
first line treatment for tourette’s disorder
clonidine
prevalence of children with learning disorder having psych disorder
50%
psych illness prevalence with bed wetting
20%
psych illness prevalence with bed wetting
20%
laboratory abnormalities in anorexia related to cholesterol
hypercholesterolemia
laboratory abnormalities in anorexia related to cholesterol
hypercholesterolemia
age at which children know death is irreversible
7-8 years old
side effect of clonidine in tourette’s tx
sedation
cotard syndrome
nihilistic delusions, lost possessions an dbody organs
capras sydnrome
doubles delusion, people he knows replaced by identically appearing imposters
fregoli delusion
familiar people assume guise of strangers
fregoli delusion
familiar people assume guise of strangers
treatment of catatonia
benzos
prevalence of death if DT’s untreated
30%
prevalence of death if DT’s untreated
30%
prevalence of suicide in depression
15%
prevalence of suicide in depression
15%
treatment of bipolar
first line: lithium, lamotrigine, quetiapine
second line: valproic acid
treatment of bipolar
first line: lithium, lamotrigine, quetiapine
second line: valproic acid
treatment of severe tourette’s
can use antipsych
treatment of severe tourette’s
can use antipsych
lamotrigine levels are affected by…
oral contraceptives
lithium changes on EKG
t wave depression
lithium changes on EKG
t wave depression
non SSRI treatment of OCD
clomipramine
OCD SSRI not working
add antipsych
OCD SSRI not working
add antipsych
medication for nightmares in PTSD
prazosin
medication for nightmares in PTSD
prazosin
pancreatitis from bipolar treatment
divalproex sodium
personality disorder best treated with combined individual and group psychotherapy
borderline
personality disorder best treated with combined individual and group psychotherapy
borderline
contributions to neuro and psych
jean martin charcot
inventor of cathartic treatment or talking therapy
josef breuer
developer of self psych
heinz kohut
hypnosis founder
franz anton mesmer
hypnosis founder
franz anton mesmer
american law institute test
establishing an insanity defense
american law institute test
establishing an insanity defense
delusional disorder treatment
antipsychotic
delusional disorder treatment
antipsychotic
treatment of command hallucinations
antipsychotic first line
treatment of command hallucinations
antipsychotic first line
insomnia treatment for person with abuse history
diphenhydramine
best tx of OCD
clomipramine, SSRI
best tx of OCD
clomipramine, SSRI
GAD tx
buspirone
GAD tx
buspirone
comorbid with OCD
tic disorder
comorbid with OCD
tic disorder
nightmares in PTSD tx
prazosin/terazosin
nightmares in PTSD tx
prazosin/terazosin
pick’s disease tx
olanzapine
drug that causes hepatitis and liver failure
nefazodone
SSRI with short half life
paroxetine
length of tx time
8 weeks
blessed rating scale
scale used to ask family and friends patient’s functioning in environment
wada test
evaluates hemispheric language dominance prior to surgery amelioration of seizure focus
prevalence of 1 ep8isode of MDD with risk for future episodes
50%
medication used in people with substance abuse history
trazodone
first line tx of tourette’s, severe
atypical antipsycotic
repeated fire setting is associated with
conduct disorder
medication for bipolar pregnant patient
haldol
depressive mood of bipolar medication
lamotrigine
bipolar med for rapid cycling
valproic acid or carbamazepine
bipolar med for rapid cycling
valproic acid or carbamazepine
personality traits associated with partial epilepsy
hyperreligious thinking, altered sexual behaviors, moral behavior, heightened emotions
length of seizure for ECT
25 seconds