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STEP 1 > psych > Flashcards

psych Flashcards

1
Q

ADHD onset before age:

A

12

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2
Q

decreased frontal lobe volume and metabolism is associated with what disorder

A

ADHD

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3
Q

separation anxiety disorder common age of onset

A

7-9 yo

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4
Q

coprolalia

A

involuntary obscene speech (associated with tourettes)

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5
Q

tourettes is diagnosed before what age

A

18

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6
Q

tourettes can only be diagnosed if motor/vocal tics persist for how long?

A

> 1 year

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7
Q

Tourettes drugs for intractable tics (4 drugs)

A

1) fluphenazine
2) tetrabenazine
3) pimozide
4) clonidine

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8
Q

Tourettes is assocaited with what two disorders

A

ocd and adhd

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9
Q

rett syndrome is apparent in girls age what

A

1-4

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10
Q

2 year old girl comes in with loss of development and loss of verbal abilities

A

Rett syndrome

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11
Q

Rett syndrome inheritance

A

X dominant

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12
Q

stages of change in overcoming substance addiction

A

1) precontemplation
2) contemplation
3) preparation/determination
4) action/willpower
5) maintenance
6) relapse

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13
Q

increased GGT

A

alcohol use

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14
Q

ALT and AST values in alcoholism

A

AST is 2x as much as ALT

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15
Q

rx delirium tremens

A

long acting benzodiazepines
chlordiazepoxide
lorazepam
diazepam

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16
Q

most effective treatment for alcoholism

A

AA

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17
Q

what is the triad for wernicke encephalopathy

A

confusion NOT confabulation (part of korsakoff encephalopathy)
opthalmoplegia (nystagmus)
ataxia

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18
Q

two areas of brain damaged by wernicke korsakoff

A

mamillary bodies

medial thalamus

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19
Q

onset of delirium tremens

A

2-4 days after last drink

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20
Q

onset of alcoholic hallucinosis

A

12-48 hours after last drink (1-2 days)

21
Q

heroin is what kind of drug

A

opioid

22
Q

methadone is what kind of drug

A

opioid

23
Q

morphine is what kind of drug

A

opioid

24
Q

pinpoint pupils

A

opioid intoxication

25
Q

rx. opioid intoxication

A

naloxone, naltrexone

26
Q

benzodiazepine intoxication rx

A

flumazenil

27
Q

barbiturates intoxication rx

A

barbiturates

28
Q

flashbacks

A

LSD intoxication

29
Q

perception of slowed time

A

marijuana intoxication

30
Q

vertical and horizontal nystagmus

A

PCP intoxication

31
Q

PCP intoxication rx

A

benzodiazepine / rapid acting antipyschotics

32
Q

what is the active form if marijuana

A

tetrahydrocannabinol

33
Q

order of what is lost in terms of orientation

A

1) time
2) place
3) person

34
Q

korsakoff syndrome has what kind of amnesia

A

anterograde > retrograde

35
Q

dissociative amnesia

A

inability to recall important personal information subsequent to severe trauma or stress

36
Q

dissociative fugue

A

abrupt travel/wandering during a period of dissociative amnesia

37
Q

what can present as pseudodementia in the elderly

A

depression and hypothyroidism

38
Q

what do you screen for and measure if an elderly person comes in for dementia

A

TSH
B12
depression

39
Q

tactile hallucinations occur with what substances abuse

A

alcohol withdrawal

cocaine abuse

40
Q

brief psychotic disorder lasts how long

A
41
Q

schizophreniform disorder lasts how long

A

1-6 months

42
Q

frequent cannibis use in teens is associated with what

A

pyschosis and schizophrenia

43
Q

delusional disorder lasts how long

A

> 1 month

44
Q

manic episodes last how long

A

at least 1 week

45
Q

manic episode mnemonic for symptoms

A

DIGFAST

distractability
irrepsonsibility
grandiosity
flight of ideas
acitivity/agitation
sleep decreased
talkativeness/pressured speech
46
Q

hypomanic episode must last how long

A

4 days consecutive

47
Q

what is cyclothymic disorder and how long does it have to last

A

dysthymia and hypomania = milder form of bipolar disorder

has to last 2 years!

48
Q

depressive has to be at least how long of symptoms

A

2 weeks

49
Q

how long does major depressive disorder usually last

A

6-12 months

STEP 1 (26 decks)

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