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Adams Principles of Neurology > Psychiatric Disorders > Flashcards

Psychiatric Disorders Flashcards

1
Q

The term embraces the totality of a person’s mental attributes, observable behavior and reportable experience.

A

Personality

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2
Q

An ensemble of poorly regulated emotions, impulsive and aggressive actions and repeated self-injury form the core aspects of this personality disorder.

A

Borderline personality disorder

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3
Q

At what age do we suspect any mental illness that appears for the first time to be either depression or dementia?

A

> 40 years

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4
Q

Most common symptom of anxiety attacks

A

palpitations (97%)

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5
Q

Refers to the fear of being in places or situations from which escape might be difficult or extremely embarrassing

A

Agarophobia

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6
Q

It is defined as imperative and distressing thoughts and impulses that persist in the patient’s mind despite a desire to resist and to get rid of them

A

Obsessions

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7
Q

Amnesia, disturbance of consciousness and hallucinations

A

Ganser Syndrome

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8
Q

This is the preoccupation with bodily functions or physical signs and sensations, leading to the fear or belief of having serious disease

A

Hypochondriasis

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9
Q

Of all the abnormal personality types, this personality is the one most likely to cause trouble in the family and community

A

Antisocial Personality Disorder

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10
Q

The manifestations of sociopathic behavior in children and adults are how many times more frequent in males compared to females?

A

5-10x

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11
Q

Refers to the conscious and deliberate feigning of illness or disability in order to attain a desired goal

A

Malingering

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12
Q

Indicators for hospitalization in anorexia nervosa

A

Bradycardia and hypotension

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13
Q

The satiety center is believed to lie in what part of the hypothalamus?

A

ventromedial

feeding center in the lateral hypothalamus

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14
Q

Refers to any major derangement in mental function in which the individual’s ability to perceive and interact with the environment in impaired.

A

Psychosis

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15
Q

It stands for a complex of disturbed feelings which may include aspects of despair, hopelessness, sense of worthlessness and thoughts of self-harm.

A

Depression

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16
Q

Which part of the brain is associated with greater frequency and severity of depression

A

left lateral frontal cortex, basal ganglia

(right hemisphere-mania; psychotic depression with hallucinations-right temporoparietal

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17
Q

This is the most important concern in patients with mid- and late-life depression

A

suicide

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18
Q

A disorder of mood consisting of prolonged episodes of depression, interrupted by or coexistent with episodes of mania

A

Bipolar disease

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19
Q

SSRI particularly useful in the treatment of depression that is characterized by overeating and hypersomnia

A

Fluoxetine

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20
Q

The most serious risk of MAO inhibitors

A

Hypertensive Crisis

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21
Q

AEDs with mood-stabilizing effect

A

Valproate, Gabapentin, Carbamazepine, Lamotrigine and Phenytoin

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22
Q

In extreme schizophrenia, the patients are mute or assume and maintain imposed postures or remain immobile

A

Catalepsy

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23
Q

Type of hallucinations which are hallmark of schizophrenia

A

Auditory hallucinations

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24
Q

T/F: In the majority of persons complaining of fatigue, one does not find true muscle weakness.

A

True

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25
T/F: Severe fatigue that causes the patient consistently to go to be right after dinner and makes all mental activity effortful should suggest an associated depression.
True
26
Hallmark of anxiety disorder
Acute attacks
27
Defined as imperative and distressing thoughts and impulses that persist in the patient's mind despite a desire to resist and to get rid of them
Obsessions
28
An illness whose symptoms could be induced (and removed) by suggestion.
Hysteria
29
T/F: Hysteria is a disease of women and sociopathy mainly of men.
True
30
Preoccupation with bodily functions or physical signs and sensations, leading to the fear and belief of having serious disease
Hypochodriasis
31
Best defined personality disorder and the most likely to cause trouble in the family and the community
Antisocial
32
Most frequent psychiatric illness
Depression
33
Proportion of PD patients complicated with depressive reaction
1/4
34
T/F: Weeks or months of unremitting daily tension-type headaches in the context of a normal examination are highly suggestive of depression at any age.
True
35
Most serious risk of MAO inhibitors
Occurrence of hypertensive crisis
36
Type of hallucination which are the hallmark of schizophrenia
Auditory hallucinations
37
Schizophrenia subtype which tends to occur at an earlier age than the other varieties
Disorganized (hebephrenic)
38
Most frequent early symptoms of corticosteroid psychosis
Depression and insomnia
39
Dopaminergic pathway associated with negative symptoms of schizophrenia
Mesocortical
40
Third generation atypical neuroleptic that partially blocks the dopamine receptors
Aripiprazole
41
T/F: When a patient meets the criteria for more than one personality disorder, clinicians should diagnose each.
True
42
This disorder has been called ambulatory schizophrenia
Borderline personality disorder
43
Personality disorder that may be a harbinger of schizophrenia
Paranoid personality disorder
44
This personality disorder is frequently diagnosed in females with fragile X syndrome.
Schizotypal personality disorder
45
Prevalence of tobacco withdrawal on those smokers who try to quit.
About 50%
46
It is the primary adverse effect of cigarette smoking
Death
47
Main objective of treatment in severe alcohol intoxication
Prevention of respiratory depression
48
The importance of physical appearance is central to this disorder
Narcissistic personality disorder
49
Up to how many % of schizophrenics commit suicide within first 10 years of their illness
10%
50
Trinucleotide repeats seen in schizophrenia
CAG/CTG on chromosome 17 and 18
51
Dopamine receptor especially important to the positive symptoms of schizophrenia
D2 receptors
52
Most potent SSRI
Paroxetine
53
Good prognostic factors associated with schizophrenia
Late onset, obvious precipitating factors, acute onset, good premorbid social/sexual/work history, mood disorder symptoms, married, family history of mood disorders, good family support, positive symptoms
54
Schizophrenia subtype with the best course and outcome
Paranoid
55
Schizophrenia subtype with the best course and outcome
Paranoid
56
T/F: Jealous delusions are seen more frequently in men and erotomanic delusions are more frequently in females.
True
57
T/F: Obsessive-compulsive disorder is ego-syntonic.
False (it is ego-dystonic)
58
T/F: Bupoprion is contraindicated for use in eating disorders.
True
59
The average time for relapse in stable patients with schizophrenia who discontinue their medication
6 months
60
Atypical antipsychotic drug causing the least weight gain
Ziprasidone
61
It is the only atypical antipsychotic drug indicated to reduce the risk of suicide
Clozapine
62
It is the most important unwanted effect of antipsychotic drugs
Tardive dyskinesia
63
How long should fluoxetine be discontinued before a MAOI can be administered to mitigate the risk of serotonin syndrome?
4 weeks
64
Least sedating of all tricyclic antidepressant
Protriptyline
65
The most important difference of fear from anxiety
Cause is known in fear
66
T/F: Extrapyramidal side effects and tardive dyskinesia are virtually absent with the use of clozapine
True

Adams Principles of Neurology (19 decks)

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