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Psych 13 Flashcards

1
Q

Time frame for ADHD diagnosis

A

6 months

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2
Q

What is the diagnosis: Apparently normal development throughout the first 2 years of life, followed by clinically significant loss of acquired skills

A

Autism spectrum disorder (childhood disintegrative disorder)

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3
Q

Rett Syndrome

A

Regression: loss of development, loss of verbal abilities, intellectual disability, ataxia, stereotyped hand-wringing

Regression occurs earlier than in childhood disintegrative disorder (maybe around 6 months old)

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4
Q

Most common reason for an adolescent to go to psych ed

A

Suicidality

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5
Q

Physical features of fetal alcohol syndrome

A

Facial dysmorphology (smooth philtrum, short palpebral fissures, thin vermillion border)

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6
Q

Tx of choice for eneuresis

A

Classic condition with a bell and a pad

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7
Q

Tx for Tourette

A

o Behavioral intervention – habit reversal therapy
o Medications:
♣ Alpha-2 agonists – Guanficine, Clonidin
♣ Antipsychotics

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8
Q

Severe side effects of stimulants

A

Tics

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9
Q

Most common reason for malpractice claims in psychiatry

A

Improper treatment

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10
Q

Drugs to treat OCD

A

SSRI = first line

Clomipramine (TCA) if SSRI doesn’t work

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11
Q

Time frame of separation anxiety in children/adolescents and in adults

A

> 4 weeks in children/adolescent

> 6 weeks in adults

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12
Q

What do you call belief that cues in the external environment are uniquely related to the individual (i.e. TV characters talking directly to me)

A

Ideas of reference

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13
Q

Describe delusion vs. illusion vs. hallucination

A

Delusion = false belief

Illusion = misinterpretation of an external stimulus

Hallucination = perception in the absence of external stimulus

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14
Q

Somatic sx associated with GAD

A

Fatigue, muscle tension

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15
Q

Time frame for specific phobia / social anxiety disorder

A

> 6 months

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16
Q

DSM Criteria for GAD

A
  • Excessive anxiety/worry about various daily events/activities >6 months
  • Difficulty controlling the worry
  • Associated >3 sx: restlessness, fatigue, impaired concentration, irritability, muscle tension, insomnia
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17
Q

Time frame for selective mutism

A

> 1 month

THINK: You SELECT a single (1) choice

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18
Q

Tx of social anxiety disorder

A

CBT = Tx of choice
SSRI = 1st line medication if needed
Benzos PRN, Beta blocker

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19
Q

Diagnostic criteria of adjustment disorder

A
  • Emotional or behavioral sx within 3 months in response to an identifiable stressful life even
  • Sx are not of normal bereavement
  • Sx resolve within 6 months after stressor has terminated
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20
Q

Time frame (onset and duration) of Acute Stress Disorder

A

Trauma occurred < 1 month ago

Symptoms last < 1 month

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21
Q

Tx for body dysmorphic disorder

A

SSRI and/or CBT

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22
Q

Components of mania

A

DIGFAST

D = distractibility
I = insomnia/impulsive behavior
G = grandiosity
F = flight of ideas
A = activity/agitation 
S = pressured Speech
T = thoughtlessness
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23
Q

Avg IQ

24
Q

DSM-5 criteria of panic disorder

A
  • Recurrent, UNEXPECTED panic attack without an identifiable trigger
  • One or more panic attacks followed by > 1 month of continuous worry or avoidance behaviors
  • Not caused by substance, other mental disorder, or medical condition
25
Differentiate between Bipolar I and Bipolar II
- Bipolar I = 1 manic episode +/- a hypomanic or depressive episode - Bipolar II = Hypomanic episode + major depressive episode
26
DSM Criteria of Schizoaffective Disorder
- Meet criteria for either a major depressive or manic episode during which psychotic sx consistent with schizophrenia are also met - Delusions or hallucinations for 2 weeks in the absence of mood disorder sx (to differentiate from mood disorder with psychotic features)
27
Time frame for delusional disorder
One or more delusions for at least one month
28
Tx of delusional disorder
Difficult to treat Antipsychotics, supportive therapy
29
Average age of onset of delusional disorder
After age 40 Vs. Schizophrenia which occurs in 20s
30
Intense anxiety that penis will recede into body, possibly leading to death
Koro
31
Sudden unprovoked outburts of violence, often followed by suicide
Amok
32
What classifies as atypical features of MDD
Hypersomnia, hyperphagia, reactive mood, leaden paralysis, and hypersensitivity to interpersonal rejection
33
What classifies as melancholic features of MDD
Anhedonia, early morning awakenings, depression worse in morning, psychomotor disturbance, excessive guilt, anorexia
34
What classifies as mixed features of MDD
Manic/hypomanic sx present during the majority of days of MDE: elevated mood, grandiosity, talkativeness/pressured speech, flight of ideas/racing thoughts, increased energy/goal-directed activity, excessive involvement in dangerous activities, and decreased need for sleep
35
Triad for Seasonal affective disorder
Triad for seasonal affective disorder: (1) Irritability (2) Carbohydrate craving (3) Hypersomnia
36
Effective treatment for catatonia
Electroconvulsive therapy (ECT)
37
Best treatment for a pregnant woman who is having a manic episode
ECT
38
What classifies as rapid cycling of bipolar
At least 4 mood episodes (manic, hypomanic, depressed) within 12 months
39
Diagnostic criteria of Persistent depressive disorder (dysthumia)
- Depressed mood for the majority of time most days for at least 2 years (vs. MDD which is episodic) - At least 2 of the following: poor concentration, hopelessness, poor appetite or overeating, insomnia or hypersomnia, low energy or fatigure, low self-esteem) - During the 2 year period, pt has not been without the above sx for > 2 months at a time - May also have MDD - Must never have had a manic or hypomanic episode (this would make diagnosis bipolar or cyclothymic disorder) THINK: Persistent Depressive Disorder (DD) = 2 Ds - 2 yrs depression - 2 listed criteria - Never asymptomatic for > 2 months
40
Diagnostic criteria for cyclothymic disorder
Hypomania + dysthymia - Numerous periods with hypomanic sx (but not a full hypomanic episode) and periods with depressive sx (but not full MDE) for at least 2 years - Pt must have never been sx free for > 2 months during those 2 years - No history of MDE, hypomania, or manic episode
41
Tx of cyclothymic disorder
Anti-manic agents (mood stabilizers and SGA) as used to treat bipolar
42
Describe in basic language Disruptive Mood Dysregulation Disorder (DMDD)
Chronic, severe, persistent irritability occurring in childhood and adolescence
43
Diagnostic criteria of Disruptive Mood Dysregulation Disorder (DMDD)
- Severe recurrent verbal and/or physical outbursts out of proportion to the situation - Outbursts >3 per week ad inconsistent with developmental level - Mood between outbursts is persistently angry/irritable most of the day nearly every day - Sx last for at least 1 year and no more than 3 months without sx - Symptoms in at least 2 settigs - Sx must have started before age 10 - No episodes meeting full criteria for manic/hypomanic episode lasting longer than 1 day
44
Tx of Disruptive Mood Dysregulation disorder (DMDD)
- Unsure because new diagnosis - Psychotherapy (parent management training = first line) - Stimulants, SSRIs, mood stabilizers, and SGA can treat sx
45
Diagnosis of mania
Manic sx 7 days minimum Or manic sx + psychosis Or manic sx + hospitalization
46
Time frame for dysthymia
2 years adults | 1 year kids
47
How many SIG E CAPS are needed for dysthymia vs. MDD
``` MDD = 5 or more Dysthymia = 2 or more ```
48
Can Bipolar II disorder have psychotic features
Yes, only if psychotic features ONLY present during depressed state of Bipolar II If psychotic features present during hypomanic state, that hypomania is bumped up to mania, which means BPII becomes BPI
49
Akathisia vs. RLS - which one resolves with movement
RLS Akithisia urge does not improve with movement
50
Which antipsychotic is known for Breast formation (increases prolactin via blocking dopamine)
Risperidone THINK: you whisper when you are trying to be sexy aka boobz
51
Which antipsychotic is known for QTc prolongation
Ziprasidone
52
Which 2 antipsychotics are known for Highest weight gain; sedating
Olanzapine and Quetiapine THINK: O and Q are both really round
53
How does Aripiprazole affect weight
Averages of weight change are "weight neutral" (individuals can gain or lose weight)
54
What SGA causes the least weight gain
Ziprasidone THINK: You are able to actually ZIP up pants because you are skinny
55
What is Zyprexa
Olanzapine
56
What is Seroquel
Quetiapine
57
What is Abilify
Aripiprazole

MS3 (88 decks)

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