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Step 1 > Psych > Flashcards

Psych Flashcards

1
Q

Delirium

A

Changes in sensory (delerium=sensorium)

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2
Q

Dementia

A

DeMENtia and MEMory loss

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3
Q

Schizophrenia

Time, symptoms

A

> 6 Months
Delusions, hallucinations, disorganized speech, catatonic behavior, Negative symptoms (flat affect, anhedonia, asociality, etc.)

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4
Q

Brief Psychotic Disorder

A

< 1 Month, typically stress related. Symptoms like schizophrenia

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5
Q

Schizophreniform Disorder

A

1-6 months, schizophrenic symptoms

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6
Q

Schizoaffective Disorder

A

2 weeks or hallucinations/delusions WITHOUT major depression or mania

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7
Q

Describe the 4 Schizophrenia spectrum disorders in terms of shortest to longest occurance

A

Schizoaffective– 2 weeks
Brief Psychotic Disorder– 1 Month
Schizophreniform disorder– 1 -6 Months
Schizophrenia– >6 Months

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8
Q

Delusion Disorder

A

Fixed false belief >1 month WITHOUT functional impairment

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9
Q

Manic Episode

A

1 Week

3 symptoms of DIG FAST

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10
Q

Hypomanic

A

> 4 days with mood disturbance that does not cause marked impairment with no psychotic features

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11
Q

Bipolar Disorder

A

BP I requires manic episode

BP II requires Hypomanic AND depressive (BP II with 2 requisites)

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12
Q

Cyclothymic Disorder

A

> 2 years fluctuating between hypomanic and mild depressive

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13
Q

Major Depressive Disorder

A

6-12 months

5 symptoms of SIG E CAPS that includes depressed mood or anhedonia)

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14
Q

Persistent Depressive Disorder (dysthymia)

A

> 2 years mild depression

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15
Q

Postpartum “Blues”

A

Very common. Typically resolves within 10 days

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16
Q

Postpartum depression

A

Depressed affect, anxiety, poor concentration

17
Q

Postpartum psychosis

A

Delusions, hallucinations, thoughts of harming baby

18
Q

Risk Factors for Suicide

A

SAD PERSONS:
Sex (male), Age (young adult or elderly), Depression, Previous attempt, ethanol (or other drugs), Rational thinking loss (psychosis), Sickness (medical), Organized Plan, No spouse or other social support, Stated future intent

Schizophrenics and BP disorder at increased risk

19
Q

Anxiety Disorder

A

> 6 months of anxiety incongruent with stressor that interferes with daily function.
CBT, SSRIs

20
Q

Panic Disorder

A

Attack followed by 1 month or more of persistant worry of attack, worrying about consequences of attack, or behavioral change related to attacks.
Symptoms are systemic manifestations of fear.
Treatment: CBI, SSRIs———Benzodiazepines acutely

21
Q

Social Anxiety Disorder

A

Exaggerated fear of social situation
Treatment: CBT, SSRIs, venlafaxine
or if only occasional attacks, benzodiazepine or B-blocker

22
Q

Agoraphobia

A

Fear of open spaces, leaving home, etc.

CBT, SSRIs, MAO inhibitors

23
Q

Generalized Anxiety Disorder

A

> 6 months unrelated to particular stressor

CBT, SSRIs, SNRIs

24
Q

Adjustment Disorder

A

<6 months following stressor

CBT, SSRIs

25
Q

Clusters of Personality Disorders

A

A, B, C Weird, Wild, Worried

26
Q

Paranoid Personality Disorder

A

Cluster A

Pervasive distrust; PROJECTION defense mechanism

27
Q

Schizoid Personality Disorder

A

Cluster A
Social Withdrawal
SchizoiD = Distant

28
Q

Schizotypal Personality Disorder

A

Cluster A
Eccentric with odd beliefs
SchizoTypal= magical Thinking

29
Q

Antisocial Personality Disorder

A

> 18yo
Violation of rights of others, criminality, impulsive. Sociopath

If <18 it is conduct disorder

30
Q

Borderline Personality Disorder

A

Unstable mood and interpersonal relationships; self mutilating, suicidality, sense of emptiness
SPLITTING is major defense mechanism

31
Q

Histrionic Personality Disorder

A

Excessively emotional, sexual, concerned with appearance

32
Q

Narcissistic

A

Grandiosity, lack empathy, desires excessive admiration.

33
Q

Avoidant Personality Disorder

A

Hypersensitive to rejection, withdrawn but desires relationships with others (vs schizoid)

34
Q

Obsessive-compulsive Personality Disorder

A

Obsessed with order, behavior is consistant with own beliefs

35
Q

Dependent

A

Clingy, low self-confidence

Patient stuck in abusive relationships

36
Q

Anorexia Nervosa

A

BMI <18.5
Intense fear of gaining weight
Loss of pulsatile GnRH secretion—>amenorrhea

37
Q

Bulimia Nervosa

A

Binge Eating with compensation. Maintains appropriate weight

38
Q

Binge Eating Disorder

A

Bing Eating WITHOUT compensation

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