OCD Flashcards

1
Q

Types of obsessive thoughts x4

A

Checking
Symmetry
Taboo
Contamination

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2
Q

Target of ERP exposure and response prevention x2

A

To help know that obsessions do not lead to the feared outcome
Compulsions are not necessary in prevention of harm

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3
Q

Describe the cycle of OCD x4

A

Obsession > anxiety > compulsion > temporary relief

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4
Q

Pharmacological treatment of OCD x2

A

SSRIs
Clomipramine

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5
Q

Types of neuromodulation x3 and what they target x2

A

Deep brain stimulation
Stereotactic ablation
Transcranial magnetic stimulation
Targets prefrontal cortex and anterior cingulate cortex

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6
Q

Main treatment of OCD spectrum disorders x2

A

SSRIs
CBT

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7
Q

Screening tool for OCD and its components x5

A

YBOCS
Time spent
Interference
Distress
Resistance
Degree of control

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8
Q

Function of direct and indirect pathway and name the defect in OCD

A

Direct initiates and indirect inhibits thoughts and behaviors
Overactivation of the direct pathway

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9
Q

I MURDER mnemonic for obsessions

A

Intrusive
Mind based
Unwanted
Resistant
Distressing
Ego dystonic
Recurrent

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10
Q

Which neurotransmitter imbalances are responsible for OCD x3

A

Low serotonin
High dopamine and glutamate

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10
Q

Etiology of OCD x5

A

Genetics
Infections
Psychological trauma
Neurotransmitter level imbalance
Neurobiological circuit abnormalities

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11
Q

Triggers of PANDAS x4

A

Pediatric autoimmune neuropsychiatric disorder associated with streptococcal infection
1. The flu
2. Pneumonia
3. Common cold
4. Strep throat

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12
Q

Clinical features of OCD x5

A

Obsessions
Compulsions
Dissociation
Depression
Anxiety

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13
Q

Pathophysiology of PANDAS x5

A

Infection with strep> autoimmune response> antibodies cross reaction with basal ganglia> inflammation> OCD, tics and behavioral changes

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14
Q

Which drugs are used to augment SSRIs x2

A

Antipsychotics
Glutamatergic

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15
Q

Severity of OCD according to YBOCS x4

A

Mild: 8-15
Moderate: 16-23
Severe: 24-31
Extreme: 32-40

16
Q

Describe body dysmorphic disorder

A

An excessive preoccupation with perceived flaws or defects in appearance that are minor or non existent

17
Q

Describe trichotillomania

A

A compulsion to pull out one’s hair

18
Q

Describe excoriation disorder

A

A lot of time spent picking ones skin

19
Q

Describe 3 levels of insight in OCD

A

Absent- convinced OCD beliefs are true
Poor- thinks OCD beliefs probably true
Good- recognizes that OCD beliefs are not true