Psych III

Question 1

What developmental screening test is used for preschoolers?

Answer 1

Denver II

Question 2

What IQ is severe IDD described by? mild? moderate? profound?

Answer 2

50-70 = mild IDD
35-50 = moderate IDD
20-35 = severe IDD
< 20 = profound IDD

Question 3

What drugs are given for autism spectrum?

Answer 3

Risperidone

SSRIs

Question 4

What is the most common pediatric behavioral disorder?

Answer 4

ADHD

Question 5

What is prescribed for ADHD? What side effects may occur?

Answer 5

CNS Stimulants = Adderall, Ritalin, Focalin

SE = sleep problems, delayed growth, moodiness, decreased appetite

Question 6

How many essential features does a child need to present with to be diagnosed with ADHD?

Answer 6

6

Question 7

What do ADHD and Bipolar manifestations have in common?

Answer 7

irritability
hyperactivity
restlessness
impulsiveness

Question 8

What percentage of older adults in the US live in long-term care facilities?

Answer 8

5%

Question 9

What do we use to diagnose depression in older adults?

Answer 9

15 question Geriatric Depression Scale

Question 10

What should we assess before diagnosing an older adult with dementia?

Answer 10

depression - it can manifest as forgetfulness, agitation, irritability, etc.

Question 11

1st line tx for antidepressants in older adults? 2nd line? side effects?

Answer 11

1st line - SSRIs watch bone density

2nd line - Tricyclics watch cardiac function

Question 12

What is the rule of thumb for prescribing medications for older adults?

Answer 12

start low and go slow

Question 13

What are the BEERS criteria?

Answer 13

it examines potential inappropriate medication use in older adults

Question 14

Which has a worse prognosis, type 1 alcoholism or type 2?

Answer 14

TYPE I has a worse prognosis than type II

Question 15

What is a type I alcoholic? type II?

Answer 15

1 - long time drinker that is aging (worse prognosis)

2 - late life drinker (better prognosis)

Question 16

What tool can we use to screen older adults for alcoholism?

Answer 16

MAST-G (Michigan Alcohol Screening Test - Generic)

Question 17

What are some “hidden” symptoms of alcoholism in older adults?

Answer 17

bruising/falls
malnutrition
blurred vision
confusion

Question 18

When will alcohol withdrawal set in after the last drink?

Answer 18

8 hours

Question 19

What is the treatment for alcohol withdrawal?

Answer 19

5-7 day detox
Naltrexone (long term)
Diazepam

Question 20

How do you score a Mini-Cog exam?

Answer 20

0 = dementia
1-2 words remembered and abnormal clock = dementia
1-2 words remembered and normal clock = NO dementia

Question 21

What is the difference between addiction and dependence?

Answer 21

addiction - brain disease

dependence - physical condition

Question 22

What qualifies as binge drinking?

Answer 22

4 drinks for women
5 drinks for men
in 2 hours (23% of drinkers)

Question 23

What qualifies as heavy drinking?

Answer 23

5 or more drinks on the same occasion on 5 or more days in the past 30 days (6.5% of drinkers)

Question 24

What are the top 5 used psychoactive substance es in the DSM-5?

Answer 24

1. alcohol
2. caffeine
3. cannabis (most widely used illicit drug in the world)
4. hallucinogens
5. inhalants

Question 25

What is the leading drug problem in North America?

Answer 25

alcohol misuse

Question 26

Is genetic predisposition a determinant to alcohol use?

Answer 26

NO

Question 27

What happens if you OD on alcohol?

Answer 27

CNS depression and death

Question 28

What is the enzyme we have that breaks down alcohol?

Answer 28

Alcohol Dehydrogenase

Question 29

What drug blocks the alcohol dehydrogenase in the body and is "enforced sobriety"

Answer 29

Antabuse (Disulfiram) - causes vomiting, pain, h/a

Question 30

What qualifies as "one drink"

Answer 30

beer - 12oz wine - 5oz 80 proof liquor - 1.5oz malt liquor - 9oz

Question 31

What's the big deal about drinking?

Answer 31

anxiety, vitamin B mabsorption, breast/colon/esophageal/larynx/liver/rectal cancers

Question 32

What do we use to manage alcohol withdrawal?

Answer 32

CIWA scoring

Question 33

What drugs are given based on CIWA criteria?

Answer 33

Lorazepam, Librium, Mag Sulfate, Vitamins

Question 34

What should you NOT give during alcohol withdrawal if the pt develops delirium tremens 2-3 days post last drink?

Answer 34

HTN, tremors, fever NO benzos

Question 35

What is the treatment for alcoholism?

Answer 35

Naltrexone - reduces craving Acamprosate - abstinence Disulfiram - makes alcohol an instant hangover

Question 36

What happens when you OD on CNS stimulants? What do you give for withdrawal?

Answer 36

OD - agitation, tachycardia, arrhythmias, convulsions (NOT fatal) W/D - benzos

Question 37

What happens when you OD on hallucinogens? What do you give for withdrawal?

Answer 37

OD - intense trips/panic no tx when coming down

Question 38

What happens when you OD on synthetics (opiates)? What do you give for withdrawal?

Answer 38

OD - respiratory depression and PINPOINT pupils (life threatening) W/D - DILATED pupils (NOT life threatening)

Question 39

What is the opioid withdrawal scale?

Answer 39

COWS

Question 40

What drug blocks withdrawal symptoms of opiates?

Answer 40

Buprenorphine

Question 41

What drug is the antidote for opioids?

Answer 41

Naloxone

Question 42

What drug is the detox (synthetic opioid) tool to helps get someone off opiates?

Answer 42

Methadone

Question 43

What percent of patents with PTSD recover?

Answer 43

30%

Question 44

What is a non-pharmacological intervention for PTSD?

Answer 44

EMDR - eye movement desensitization and reprocessing

Question 45

Diagnosis of PTSD requires that symptoms last LONGER than _______.

Answer 45

30 days

Question 46

What criteria must be present to dx anorexia nervosa?

Answer 46

1 - restricting calories that leads to significantly low body weight 2 - intense fear of gaining weight 3 - disturbed body image

Question 47

What is often a symptom of anorexia but is NOT part of the DSM-5 criteria?

Answer 47

amenorrhea

Question 48

Describe the 2 subtypes of anorexia.

Answer 48

restricting (never purged or binged in the last 3 months) purging

Question 49

Which type of anorexia usually is diagnosed when the pt was overweight first?

Answer 49

purging restricting anorexics usually have normal weight

Question 50

How much food does a purging anorexic usually eat? Bulimic?

Answer 50

anorexic - normal amount of food bulimic - larger than normal amounts of food

Question 51

A low amount of this hormone may lead to bulimia.

Answer 51

serotonin

Question 52

What are the DSM-5 criteria for bulimics?

Answer 52

1 - binge eating larger than normal amounts of food 2 - recurrent compensatory behavior (ipecac syrup, vomiting, laxatives, etc.) 3 - evaluation of self is based on weight 4 - at least 1x/week for 3 months

Question 53

What are some objective signs of bulimia?

Answer 53

Russell's sign - calluses on knuckles loss of tooth enamel HYPOnatremia HYPOkalemia

Question 54

What is the initial goal to manage anorexia and bulimia?

Answer 54

medical stabilization - get them to 90% of average body weight

Question 55

What two drugs are often given to recovering bulimics?

Answer 55

Zyprexa, Abilify

Question 56

What condition may ipecac syrup cause?

Answer 56

cardiomyopathy

Question 57

What kind of food is eaten during a binge?

Answer 57

high carbs

Question 58

How long do feeding disorders like Pica and Rumination disorder have to last to be diagnosed?

Answer 58

at least 1 month

Question 59

Personality vs. Temperament.

Answer 59

personality - product of environment (nurture) that is shaped later in development but is still permanent temperament - biologically determined (nature) that is shaped early in childhood

Question 60

When do personality traits become disorders?

Answer 60

when they become maladaptive and rigid

Question 61

What personality disorder is in each cluster?

Answer 61

Cluster A (3) - paranoid, schizoid, schizotype Cluster B (4) - antisocial, borderline, histrionic, narcissistic Cluster C (3) - avoidant, dependent, obsessive-compulsive

Question 62

Which personality disorders are in Cluster A - give the mnemonic and general overview of each

Answer 62

Paranoid - SUSPECT - highly suspicious and unforgiving Schizoid - DISTANT - they don't really care about anyone and do not work well with others (not as odd as schizotype) Schizotypal - ME PECULIAR - these guys are odd, think magically, don't have close friends and 10% COMMIT SUICIDE

Question 63

Which personality disorders are in Cluster B - give the mnemonic and general overview of each

Answer 63

Antisocial - CORRUPT - childhood history before 15 years old of conduct disorder. Suicide threats and recklessness. Borderline - I DESPAIRR - suicidal and self harming (75% female), emptiness and rage Histrionic - PRAISE ME - drama queen, attention seeking, "I'm broken and fragile and I'm okay with that" Narcissistic - SPEEECIAL - grandiose thinking, entitled, arrogant

Question 64

Which personality disorders are in Cluster C - give the mnemonic and general overview of each

Answer 64

Avoidant - CRINGES - avoids all relationships and social situations for fear of rejection Dependent - RELIANCE - neediness is the hallmark, can't be alone Obsessive-Compulsive - LAW FIRMS - OCD behavior that is acceptable to the person

Question 65

What test captures and groups data for dx of personality disorders?

Answer 65

MMPI-2 60-90 minutes to complete and difficult to cheat