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1
Q

classical conditioning

A

natural response

involuntary

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2
Q

reinforcement

A

target behavior followed by reward or removal of aversive

form of operant

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3
Q

transferance

A

patient to physician

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4
Q

common appearance of dissociation

A

sexual abuse

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5
Q

fixation

A

remaining at childish level

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6
Q

common times for intellecutalization

A

cancer diagnosis with survival stats

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7
Q

isolation

A

separating feelings from ideas and events

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8
Q

projection

A

unacceptable internal impulse on external source (husband wants to cheat and accuses wife)

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9
Q

reaction formation

A

replacing a warded-off idea with opposite

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10
Q

regression

A

involuntary turning back maturation

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11
Q

repression

A

involuntarily witholding (diff than suppression)

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12
Q

splitting

A

all good or all bad

seen in boderline personality disorder

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13
Q

sublimation

A

replacing unacceptable with course of action

aggression towards father into sports, mature defense

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14
Q

irreversible changes from deprivation in infant

A

> 6 months

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15
Q

vulnerable child syndrome

A

parents perceive child as especially susceptible

follows serious illness (missed school and excess services)

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16
Q

age ADHD

A

before 12

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17
Q

associations autism

A

increased head/brain size

more common in boys

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18
Q

genetics Rett

A

de novo mutation MECP2

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19
Q

treatment conduct disorder and antisocial personality disorder

A

psychotherapy like CBT

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20
Q

fear of separation normal until

A

3-4 yo

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21
Q

Tourette

A

before 18 and for 1 year

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22
Q

associations Tourette

A

OCD and ADHD

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23
Q

disruptive mood dysregulation disorder

A

before age 10
temper outbursts, constantly angry
treat with psychostims and antipsychotics

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24
Q

order of loss in disorientation

A

time place person

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25
Q

dissociative fuge

A

abrupt travel

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26
Q

associations dissociative disorder

A

sexual abuse, PTSD, depresion, substance abuse, borderline personality, somatoform

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27
Q

EEG delirium

A

slowed EEG

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28
Q

EEG dementia

A

normal

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29
Q

common causes dementia like presentation in elderly

A

hypothyroid and depression

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30
Q

visual hallucination

A

medical illness

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31
Q

tactile hallucination

A

alcohol withdrawal and stimulant use

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32
Q

hypogogic and hypnopompic

A

seen in narcolepsy

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33
Q

psychosis/schizo in teens

A

cannabis use

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34
Q

imaging schizophrenia

A

ventriculomegaly

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35
Q

delusional disorder

A

> 1 month

does not impair function

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36
Q

antidepressants in bipolar

A

precipitate mania

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37
Q

cyclothymic

A

milder lasting at least 2 years

mild depressive and hypomanic symptoms

38
Q

dysthymia

A

persistent depression lasting at least 2 years

39
Q

sleep changes major depressive disorder

A

decreas slow wave sleep
decrease REM latency
increase REM early
increase total REM

40
Q

atypical depression features

A

mood reactivity, reversed vegetative symptoms, leaden paralysis, interpersonal rejection sensitivity

41
Q

risk factors postpartum psychosis

A

history of bipolar or psychotic disorder, first pregnancy, family history, discontinuation of psychotropic medication

42
Q

Kubler Ross

A 
denial
anger
bargaining
depression
acceptance
43
Q

simple hallucinations in grief

44
Q

adverse ECT

A

disorientation, temporary HA, partial anterograde/retrograde amnesia
safe in pregnancy

45
Q

panic disorder risk

46
Q

specific phobia time

A

> 6 months

47
Q

time PTSD

48
Q

time of diagnosis personality disorder

A

early adulthood

49
Q

association cluster B personality disorders

A

mood disorders and substance abuse

50
Q

treatment borderline

A

dialectical behavior therapy

51
Q

avoidant personality

A

hypersensitive to rejection

52
Q

treatment somatic symptoms disorder

A

regular visits with same physician and psychotherapy

53
Q

fractures in anorexia

A

metatarsal stress fracture

54
Q

refeeding syndrome

A

increase insulin leading to hypophosphatemia and cardiac complications

55
Q

risk binge eating

56
Q

differential diagnosis sexual dysfunction

A

drugs
medical disorders
psychological

57
Q

sleep terror

A

N3 sleep/non-REM
no memory of arousal episode
most common in children

58
Q

narcolepsy cause

A

decreased hypocretin in lateral hypothalamus

59
Q

sensitive indicator of alcohol use

60
Q

treatment amphetamine intox

A

benzos for agitation and seizures

61
Q

most common complication PCP

62
Q

treatment PCP

A

benzos

rapid acting antipsychotic

63
Q

flashbacks from drugs

A

LSD

also causes anxiety

64
Q

teeth clenching

A

ecstasy NMDA

65
Q

life threatening NDMA

A

hypertension, tachy, hyperthermia, hyponatremia, serotonin syndrome

66
Q

complications alcoholism

A

cirrhosis, hepatitis, pancreatitis, peripheral neuropathy, testicular atrophy

67
Q

treatment alcoholism

A

disulfuram, acamprosate, naltrexone

68
Q

confusion, opthalmoplegiaa, ataxia

A

Wernicke encephalopathy

69
Q

precipitation Wernicke

A

giving dextrose before B1

70
Q

delirium tremens

A

2-4 days after last drink

respiratory alkalosis, hyperactivity

71
Q

side effects CNS stimulants

A

nervousness, agitation, anxiety, insomnia, anorexia, tachycardia, hypertension

72
Q

high potency antipsychotics

A

trifluoperazine, fluphenazine, haloperidol

73
Q

corneal deposits antipsychotic

A

chlorpromazine

74
Q

retinal deposits antipsychotics

A

thioridazine

75
Q

hours to days after antipsychotics

A

muscle spasm, stiffness, oculogyric crisis

acute dystonia

76
Q

days to months after antipsychotics

A

akathisian (restlessness)

parkinson (bradykinesia)

77
Q

treatment acute dystonia and tardive dyskinesia

A

benztropine

78
Q

-pine antispychotics

A

metabolic syndrome

most commonly olanzapine

79
Q

adverse clozapine

A

agranulocytosis and seizures

80
Q

mechanism lithium

A

inhibition of phosphoinositol

81
Q

lithium toxicity

A

commonly from thiazides

82
Q

buspirone MOA

A

stimulates 5HT1A

used in GAD, takes 1-2 weeks for effect

83
Q

adverse SNRI

84
Q

MOA cyproheptadine

A

5HT2 receptor antagonist

85
Q

more common anticholinergic

A

tertiary-amitriptyline

86
Q

tyramine and MAO inhibitors

A

tyramine displaces other NT into synaptic cleft

87
Q

contraindication MAO

A

SSRI, TCA, St. Johns wort, meperidine, dextromethorphan

88
Q

Mirtazapine

A

alpha2 antagonist, HT2/3 antagonist

89
Q

varenicline

A

nicotinic Ach partial agonist

90
Q

vilazodone

A

inhibits HT1A

91
Q

vortioxetine

A

a1/3

can cause serotonin syndrome

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