Psych, behavioral, etc Flashcards
Retts disorder
X linked disorder
- almost exclusively in girls bc boys die in utero
- age 1-4, regression characterized by loss of development, loss of verbal abilities and mental retardation, ataxia and stereotyped handwriting
Neurotransmitter changes seen in anxiety
increased ACh
decreased GABA and 5HT
Neurotransmitter changes in alzheimers
decreased ACh
neurotransmitter changes seen in Huntingtons
decreased GABA and ACh
increased DA
Neurotransmitter changes seen in Parkinsons disease
decreased DA
Increased 5-HT and ACh
order of loss of oritentation
time >place > person
when do you see tactile hallucinations?
alcohol withdrawal and cocaine abusers
time course of delusional disorder
> 1month
time course of a manic episode?
> 1 week
difference between acute stress disorder and PTSD
acute stress 2days-1month
PTSD: >1 month
OCD egodystonic or syntonic?
dystonic~ know they have a problem
OCPD: egodystonic or syntonic?
syntonic! dont think they have a problem
schizoid- what is it?
personality disorder where they are socially withdrawn and content with isolation
schizotypal- what is it?
personality disorder eccentric appearance and odd beliefs with magical thinking
what is a major defense mechanism seem in borderline?
splitting
what is a serum indicator of alcohol intoxication?
gamma-glutamyltransferase
what is dronabinol used for?
pharmacologic form of marijuana
- used for antiemetic (chemotherapy) and appetite stimulants (in AIDS)
when will you see Delirium tremens?
2-5 days after the last drink in an alcoholic
what factors will vary PPV or NPV?
prevalence or pretest probability
whats greater, prevalence or incidence in chronic diseases?
prevalence
What is beneficence?
physicians have a special ethical duty to act in the patients best interest
What are the 4 payment methods between insurance plans and physicians?
- Capitation: dr paid a fixed amount per enrolee, promotes preventative med
- Fee for service
- Discount fee for service (less incentive)
- Salary
Priority of surrogates:
spouse> adult children > parents > adult siblings > other relatives
APGAR score
Appearance, pulse, grimace, activity, respiration
>7 = good
<4 = resuscitate
principal NT in REM sleep
ACh