psych

Question 1

what happens to a baby who is deprived of affection? :(((((((

Answer 1

FTT
poor language/socialization skills
lack of trust
depression - withdrawn/unresponsive

Question 2

ADHD?

Answer 2

decreased frontal lobe volume/metabolism
tx: stimulants, CBT

** atomoxetine = alternative to stimulants

Question 3

tx of Tourette?

Answer 3

low dose high potency antipsychotics
tetrabenazine
clonidine

Question 4

neurotransmitter change in AD?

Answer 4

decreased ACh

increased glutamate

Question 5

neurotransmitter change in anxiety?

Answer 5

increased NE

decreased GABA, 5HT

Question 6

neurotransmitter change in depression?

Answer 6

decreased NE, 5HT, dopa

Question 7

neurotransmitter change in HD?

Answer 7

decreased GABA, ACh

increased dopa

Question 8

neurotransmitter change in PD?

Answer 8

decreased dopa

increased ACh

Question 9

neurotransmitter change in schizophrenia?

Answer 9

increased dopa

Question 10

what is the order of “loss” in loss of orientation? (person vs place vs time)

Answer 10

1st: time
2nd: place
3rd: person

Question 11

hypnagogic vs hypnapompic hallucinations?

Answer 11

hypnagogic: when going to sleep
hypnapompic: when waking up

Question 12

time requirements in psychotic d/os?

Answer 12

brief psychotic do: 1 mos

schizophreniform: 1-6 mos
schizophrenia: > 6 mos
schizoaffective: mood sx > 2 weeks (psychosis present w/o mood sx)

Question 13

delusional disorder?

Answer 13

lasts > 1 month

functioning cannot be otherwise impaired

Question 14

time requirements in mania d/os?

Answer 14

manic episode: > 1 week
hypomanic: at least 4 days

cyclothymic do: lasts at least 2 years

Question 15

sleep changes in depression?

Answer 15

decreased slow wave sleep
decreased REM latency
increased REM early in sleep cycle
increased total REM
repeated nighttime awakenings
terminal insomnia

Question 16

tx of atypical depression?

Answer 16

MAOis effective but bad SE profile

CBT and SSRIs first line

Question 17

tx of postpartum psychosis?

Answer 17

hospitalization and atypical antipsychotic

ECT if insufficient

Question 18

pathologic grief?

Answer 18

> 6 mos

meets major depressive criteria and/or has psychotic features

Question 19

tx of OCD?

Answer 19

CBT
SSRIs
clomipramine

Question 20

tx of PTSD?

Answer 20

CBT
SSRIs
venlafaxine

Question 21

cluster A personality dos?

Answer 21

paranoid
schizoid
schizotypal

Question 22

cluster B personality dos?

Answer 22

antisocial
borderline
histrionic
narcissistic

Question 23

cluster C personality dos?

Answer 23

avoidant
obsessive-compulsive
dependent

Question 24

electrolyte abnl in refeeding syndrome?

Answer 24

hypophosphatemia

Question 25

sleep terror disorder?

Answer 25

occurs in slow-wave sleep - no memory of arousal

usually self limited

Question 26

mechanism of narcolepsy?

Answer 26

decreased hypocretin (orexin) production in lateral hypothalamus
strong genetic component

Question 27

tx of PCP intox?

Answer 27

BZOs

antipsychotic

Question 28

dronabinol?

Answer 28

pharmaceutical form of marijuana

used as antiemetic and appetite stimulant

Question 29

when do DTs happen?

Answer 29

peak 2-4 days after last drink

Question 30

when does alcoholic hallucinosis happen?

Answer 30

12-48 hrs after last drink