psych Flashcards
ADHD onset before age:
12
decreased frontal lobe volume and metabolism is associated with what disorder
ADHD
separation anxiety disorder common age of onset
7-9 yo
coprolalia
involuntary obscene speech (associated with tourettes)
tourettes is diagnosed before what age
18
tourettes can only be diagnosed if motor/vocal tics persist for how long?
> 1 year
Tourettes drugs for intractable tics (4 drugs)
1) fluphenazine
2) tetrabenazine
3) pimozide
4) clonidine
Tourettes is assocaited with what two disorders
ocd and adhd
rett syndrome is apparent in girls age what
1-4
2 year old girl comes in with loss of development and loss of verbal abilities
Rett syndrome
Rett syndrome inheritance
X dominant
stages of change in overcoming substance addiction
1) precontemplation
2) contemplation
3) preparation/determination
4) action/willpower
5) maintenance
6) relapse
increased GGT
alcohol use
ALT and AST values in alcoholism
AST is 2x as much as ALT
rx delirium tremens
long acting benzodiazepines
chlordiazepoxide
lorazepam
diazepam
most effective treatment for alcoholism
AA
what is the triad for wernicke encephalopathy
confusion NOT confabulation (part of korsakoff encephalopathy)
opthalmoplegia (nystagmus)
ataxia
two areas of brain damaged by wernicke korsakoff
mamillary bodies
medial thalamus
onset of delirium tremens
2-4 days after last drink
onset of alcoholic hallucinosis
12-48 hours after last drink (1-2 days)
heroin is what kind of drug
opioid
methadone is what kind of drug
opioid
morphine is what kind of drug
opioid
pinpoint pupils
opioid intoxication
rx. opioid intoxication
naloxone, naltrexone
benzodiazepine intoxication rx
flumazenil
barbiturates intoxication rx
barbiturates
flashbacks
LSD intoxication
perception of slowed time
marijuana intoxication
vertical and horizontal nystagmus
PCP intoxication
PCP intoxication rx
benzodiazepine / rapid acting antipyschotics
what is the active form if marijuana
tetrahydrocannabinol
order of what is lost in terms of orientation
1) time
2) place
3) person
korsakoff syndrome has what kind of amnesia
anterograde > retrograde
dissociative amnesia
inability to recall important personal information subsequent to severe trauma or stress
dissociative fugue
abrupt travel/wandering during a period of dissociative amnesia
what can present as pseudodementia in the elderly
depression and hypothyroidism
what do you screen for and measure if an elderly person comes in for dementia
TSH
B12
depression
tactile hallucinations occur with what substances abuse
alcohol withdrawal
cocaine abuse
brief psychotic disorder lasts how long
schizophreniform disorder lasts how long
1-6 months
frequent cannibis use in teens is associated with what
pyschosis and schizophrenia
delusional disorder lasts how long
> 1 month
manic episodes last how long
at least 1 week
manic episode mnemonic for symptoms
DIGFAST
distractability irrepsonsibility grandiosity flight of ideas acitivity/agitation sleep decreased talkativeness/pressured speech
hypomanic episode must last how long
4 days consecutive
what is cyclothymic disorder and how long does it have to last
dysthymia and hypomania = milder form of bipolar disorder
has to last 2 years!
depressive has to be at least how long of symptoms
2 weeks
how long does major depressive disorder usually last
6-12 months
