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STEP ONE FINAL > Psych > Flashcards

Psych Flashcards

1
Q

Disulfiram

A

decreases alcohol consumption by in acetaldehyde and conditioning patient
Used with psychotherapy

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2
Q

Acamprosate

A

prevents alcohol relapse by lowering the activity of receptors for glutamate

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3
Q

Topiramate

A

stimulates GABA, blocks action of glutamte, slows dopamine release onto NAC

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4
Q

Naltrexone

A

reduces cravings for alcohol.

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5
Q

Flumazenil

A

Benzo receptor antagonist can prevent relapse.

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6
Q

Part of the brain that recieves dopamine and is responsibile for addiction

A

Nucleus accumbens

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7
Q

Important pathway for addiction

A

Mesolimbic (and mesocortical)

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8
Q

Most abused drug for all ages

A

alcohol

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9
Q

CAGE Questions

A

Cut down?
Annoyed?
Guilt?
Eye-opener?

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10
Q

Precontemplation

A

unaware and ambivalent

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11
Q

Contemplation

A

Aware and ambivalent

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12
Q

Preparation

A

Small steps towards quitting

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13
Q

Action

A

Change begins, trial and error

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14
Q

Maintenance

A

new behaviors practiced, attempt to avoid relapse

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15
Q

Largest risk factor for suicide

A

previous attempt

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16
Q

Drug Paranoia

A

Cocaine/Amphetamines

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17
Q

Withdraw Depression

A

Cocaine/Amphetamines

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18
Q

Drug induced arrhythmias

A

Cocaine

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19
Q

Drug induced violence

A

PCP

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20
Q

Mechanism of PCP

A

acts on N-methyl D aspartate glutamate receptors to prevent calcium influx and increase DA release

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21
Q

Vertical Nystagmus

A

PCP

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22
Q

pinpoint pupils

A

Opiates

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23
Q

Flu-like withdrawal

A

Opiates

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24
Q

Flashbacks

A

LSD

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25
Q

Withdrawal seizures

A

alcohol/benzo withdrawl

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26
Q

Death

A

Barbituate withdrawal

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27
Q

Highest incidence of STD

A

HPV

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28
Q

Higest prevalnce of STD

A

HSV

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29
Q

sexual pleasure from watching others who are naked

A

Voyeurism

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30
Q

sexual pleasure from other’s pain

A

sadism

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31
Q

sexual pleasure rom being abused or dominated

32
Q

male rubbing genitals on clothed female to acheive orgasm

A

frotteurism

33
Q

sexual pleasure from defecation

A

coprophilia

34
Q

sexual pleasure from urination

35
Q

Sexual dysfunctions

A 
Neuroleptics- decrease dopamine
alpha one blockers-delayed ejaculation
beta blockers-erectile dysfunction
tricyclics-erectile dysfunction
SSRI-retard ejaculation
36
Q

Sexual enhancement

A

Dopamine agonist
Trazodone
Sildenafil, vardenafil, tadalafil

37
Q

positive reinforcer

A

stimulus when applied following an operant response, strengthens the probability of that response occurring

38
Q

negative reinforcer

A

stimulus that, when removed following an operant response, strengthens the probability of the response occuring

39
Q

punishment

A

noxious stimulant that weakens the response

40
Q

Learned involuntary responses

A

Classical Conditioning

41
Q

Learned voluntary responses

A

Operant Conditioning

42
Q

patient projects feelings onto the physician

A

transference

43
Q

doctor projects feelings onto the patient

A

countertransference

44
Q

Expressing unacceptable feelings and thoughts through actions

A

Acting out

45
Q

Avoiding the awareness of some painful reality

46
Q

transferring avoided ideas and feelings to a neutral person or object

A

displacement

47
Q

Temporary, drastic change in behavior to avoid emotional stress

A

dissociation

48
Q

remaining at a more childish level of development

49
Q

modeling behavior after another

A

identification

50
Q

separating feelings from ideas of events

51
Q

expressing negativity as an indirect show of opposition

A

passive aggressive

52
Q

attributing an unacceptable internal impulse to an external source

A

projection

53
Q

proclaiming logical reasons for actions actually performed for other reasons

A

rationalization

54
Q

affect replaced by academic content

A

intellectualization

55
Q

replacing warded off idea with the oppostie

A

reaction formation

56
Q

turning back the maturational clock

A

regression

57
Q

involuntarily withholding an idea or feeling from conciousawareness

A

repression

58
Q

believing people all good or all bad

59
Q

momentary inability to remember

60
Q

action to reverse the unacceptable

61
Q

alleviating negative feelings with unsolictied generosity

62
Q

appreciating amusing nature of anxiety provoking situation

63
Q

replacing unacceptable wish with a course of action that is socially acceptable

A

Sublimation

64
Q

Intentionally withholding an idea or feeling from the concious mind

A

suppression

65
Q

Stages of Sleep and Associated Wave

A

Stage 1-theta
Stage2-Spindal and K waves
Stage3/4- delta
REM- saw tooth

66
Q

Nucleus in Hypothalamus regulating sleep wake cycle

A

suprachiasmatic

67
Q

Hormone related to the FEELING of sleepiness

A

Melatonin, not related to sleeping itself.

Made from tryptophan/serotonin pathway

68
Q

Narcolepsy Tetrad

A

Sleep Attacks
Cataplexy: sudden muscle paralysis
Hypnagonic/Hypnogonic Hallucinations
Sleep paralysis: unable to move upon waking

69
Q

Narcolepsy is due to a deficiency of…

A

hypocretin protein (orexin)

70
Q

Treatment for Narcolepsy

71
Q

Modafinil

A

nonaphetamine CNS stimulant, inhibits dopamine reuptake

72
Q

Ramelteon

A

MT1/MT2 receptor agonist used for insomnia

73
Q

Somnambulism

A

sleep walking

74
Q

Enuresis

A

bed wetting

75
Q

Bruxism

A

Teethgrinding

76
Q

Neurotransmitters of sleep

A

Serotonin: initiate sleep
Acetylcholine:higher during REM
Norepi:lower during REM
Dopamine: wakefulness

STEP ONE FINAL (8 decks)

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