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FA - Psychiatry > Psyc5 > Flashcards

Psyc5 Flashcards

Schizophrenia Dissociative disordes Manic episodes Hypomanic episode Bipolar Cyclothymic disorder

1
Q

To be diagnosed with Schizophrenia, you must have periods of psychosis, disturbed behavior and though, and decline in functioning for atleast ___ months.

A

6 months

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2
Q

What is schizophrenia associated with pathologically?

A

INcreased dopaminergic activity

DEcreased dendritic branching

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3
Q

What are the “positive” symptoms of schizophrenia?

A

Delusions
Hallucinations - often auditory
Disorganized speech - loose associations
Disorganized or Catatonic behavior

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4
Q

What are the “negative” symptoms of schizophrenia?

A

Flat affect
Social withdrawal
Lack of motivation
lack of speech or thought

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5
Q

To diagnose schizophrenia you must have __ of the following positive or negative symptoms.

A

2

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6
Q

What is brief psychotic disorder?

A

< 1 month, usually stress related

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7
Q

What is Schizophreniform disorder?

A

1-6 months

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8
Q

What is Schizoaffective disorder?

A

At least 2 weeks of stable mood with psychotic symptoms, plus a major depressive, manic, or mixed episode

2 subtypes:

  • Bipolar
  • Depressive
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9
Q

What is the lifetime prevalence of Schizophrenia?

A

1.5%

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10
Q

Schizophrenia is more common in men or women? Blacks or white?

A

Equal for all

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11
Q

Who presents earlier, men or women?

A

Men (late teens early 20s)

Women (late 20s early 30s)

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12
Q

What characterizes a Delusional disorder?

A

Fixed, persistent, nonbizarre belief system lasting > 1 month

Functioning otherwise not impaired

Example: Women who genuinely believes she is married to a celebrity

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13
Q

What is a Shared Psychotic Disorder (Folie å deux)?

A

Development of delusions in a person in a close relationship with someone with delusional disorder.

Often resolves upon seperation

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14
Q

What is dissociative identity disorder?

A

AKA - multiple personality disorder

Presence of 2 or more distinct indentities or personality states

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15
Q

What sex is Dissociative identity disorders associated with?

A

Women

Often associated with history of Sexual Abuse

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16
Q

What disorder is associated with persistent feelings of detachment or estrangements from one’s own body, a social situation, or the environment?

A

Depersonalization disorder

17
Q

What is a Dissociative Fugue?

A

Abrupt change in geographic location with inability to recall the past, confusiong about personal identity, or assumption of a new identity

18
Q

What is a Dissociative Fugue often associated with?

A

Traumatic circumstances
-natural disasters, wartime, trauma

Leads to significant distress or impairment

NOT the result of substance abuse or general medical condition

19
Q

What is a Manic Episode?

A

Distinct period of abnormally and persistently elevated, expansive, or irritable mood and abnormally and persistently increased actiity of energy lasting ATLEAST 1 WEEK

20
Q

Diagnosis of a Manic episode requires hospitalization or at least 3 of the following:

A 
"manics DIG FAST"
Distractability
Irresponsibilty (hedonistic)
Grandiosity
Flight of ideas
Activity Increased/Agitation Psychomotor
Talkativeness or pressured speech
21
Q

What do you call a manic like episode that is not severe enough to cause marked impairment of hospitalization

A

Hypomanic episode

22
Q

Are there psychotic features in a hypomanic episode?

A

no

23
Q

What is Bipolar disorder?

A

Presence of at least 1 manic (bipolar I) or hypomanic (bipolar II) episode. Depressive symptoms always occur eventually

24
Q

Use of what can lead to INcreased mania in bipolar patients?

A

Anti-depressants

25
Q

What is the treatment of bipolar?

A 
Mood stabilizers
 -Lithium
 -Valproic acid
 -Carbamazepine
Atypical Antipsychotics
26
Q

What is a Cyclothymic disorder?

A

Dysthymia and hypomania

Milder form of bipolar disorder lasting AT LEAST 2 Years

FA - Psychiatry (13 decks)

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