Psychiatry Flashcards

0
Q

How is major depression diagnosed?

A

Need 5 “SIGE CAPS” > 2 weeks

Sleep disturbances: wake in am
Interest / Libido loss
Guilt
Energy loss
Concentration loss
Appetite loss
Psychomotor agitation
Suicide: hopelessness
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1
Q

What is Autism?

A

Repetitive movements, lack of verbal skills and bondings, sx since birth

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2
Q

What is Asperger’s?

A

Good communication, impaired relationships, no mental retardation

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3
Q

What is Rett’s?

A

Only in girls, DECREASED head growth, lose motor skills, hand-wringing, normal until 5mo

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4
Q

What is chikdhood disintegrative disorder?

A

Kids stops walking / talking

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5
Q

What is Selective Mutism?

A

Kid talks sometimes

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6
Q

What is separation anxiety disorder?

A

Kis screams when mom leaves

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7
Q

What is conduct disorder?

A

Aggressive, disregard for rules, no sense of guilt, harm animals, illegal activity “bite”

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8
Q

What is oppositional defiant disorder?

A

Defiant, noncompliant, directed at autorithy “bark”

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9
Q

What is attention deficit hyperactivity disorder?

A

Overactivity, difficulty in school

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10
Q

What is dysthymia?

A

Low level sadness >2 yr

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11
Q

What is Cyclothymia?

A

Dysthymia w/ hypomania

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12
Q

What is double depression?

A

Depression followed by dysthymia

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13
Q

What is bipolar I?

A

Depression and Mania

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14
Q

What is. Bipolar II?

A

Depression and hypomania (no psychosis)

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15
Q

What are loose associations?

A

Ideas with subjects, incoherent

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16
Q

What is Circumstantiality?

A

Digresses, but finally gets back to the point

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17
Q

What is tangeability?

A

Wanders off the point

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18
Q

What is Clanging?

A

Words that sound alike

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19
Q

What is word salad?

A

Unrelated combination of words

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20
Q

What is perseveration?

A

Keeps repeating

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21
Q

What is neologisms

A

New words

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22
Q

What is delusion?

A

False belief

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23
Q

What is Illusion?

A

Misinterprets stimulus

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24
Q

What is Hallucination?

A

False sensory perception, EtOH withdrawal/ Cocaine intox => formication

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25
Q

What is Nihilism?

A

False sensory perception

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26
Q

What is Loss of ego boundaries?

A

Not knowing where I end and you begin

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27
Q

What are ideas of reference?

A

Believe the media is monitoring you

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28
Q

What is thought blocking?

A

Stops mid-sentence

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29
Q

What is thought broadcasting?

A

Believes everyone can read his thoughts

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30
Q

What is thought insertion?

A

Believes others are putting thoughts into his head

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31
Q

What is thought withdrawal?

A

Believes others are taking thoughts out of his head

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32
Q

What is concrete thinking?

A

Can’t interpret abstract proverbs, just sees the facts

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33
Q

What is Synesthesia?

A

Smell colors

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34
Q

What is Cataplexy?

A

Loss of mm tone due to strong emotions

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35
Q

What is paranoid personality disorder?

A

Suspicious about everything, use projection

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36
Q

What is schizotypal personality disorder?

A

“Magical thinking” , bizarre behavior

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37
Q

What is Schizoid personality disorder?

A

“Recluse” dont want to fit in

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38
Q

What is antisocial personality disorder?

A

Lie, steal, cheat, destroy property, impulsive w/o remorse, illegal activity

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39
Q

What is histrionic personality disorder?

A

Theatrical, sexually provocative, use repression

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40
Q

What is conduct disorder personality desorder?

A
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41
Q

What is borderline personality disorder?

A

“Perpetual teenager”, splitting (love/hate), projection, acting out, self mutiliation

42
Q

What is narcissistic personality disorder?

A

Pompous, no empathy

43
Q

What is Dependant personality disorder?

A

Clingy, submissive, low self- confidence, regression

44
Q

What is obsessive-compulsive personality disorder?

A

Perfectionist, doesn’t show feelings, detail oriented, uses isolation

45
Q

What is Avoidant personality disorder?

A

Socially withdrawn, afraid of rejection but wants to fit in

46
Q

What is Kleptomania?

A

Steals for the fun of it

47
Q

What is Pyromania?

A

Starts fire

48
Q

What is intermittent explosive disorder?

A

Loses self-control without adequate reason

49
Q

What is pathological gambling?

A

Cant stop gambling, affects others

50
Q

What is trichotillomania?

A

Pull out their hair

51
Q

What is Lewy body dementia?

A

Stiff, visual hallucinations

52
Q

What is normal pressure hydrocephalus?

A

TrIAD = incontinence, agaxia “magnetic gait”, dementia

53
Q

What is Korsakoff psychosis?

A

Alcoholic Thiamine deficiency

54
Q

What is vascular “multi infarct” dementia?

A

Sudden onset, uneven progression of deficits, “stair step” decline

55
Q

What is Huntington’s?

A

In caudate/putamen, triplet repeat disorder, choreiform movements, ^personality

56
Q

What is. Creutzfeldt-Jacob?

A

Prion induced, die within 1 year, post cornea transplant

57
Q

What is pick’s disease?

A

Frontal lobe atrophy, disinhibition

58
Q

What is Alzheimer’s?

A

Lower ACh in nucleus basalis of. Meynert, bad ApoE, amyloid plaques, tangles of tau

59
Q

What is parkinson’s?

A

In substantia nigr, bradykinesi, pill-rolling tremor, shuffling gait, Lewy bodies

60
Q

What is somatization?

A

Think they have a different illness all the time (at least 4 organs systems)

61
Q

What is Hypochondriasis?

A

Think they have the same illness all the time

62
Q

What is body dysmorphic disorder?

A

Imagined physical defect

63
Q

What is pain disorder?

A

Prolonged pain not explained by physical causes

64
Q

What is conversion?

A

Neuro manifestation of internal conflict, indifferent to disability

65
Q

What is Malingering?

A

Fake illness for monetary gain, avoids medical treatment

66
Q

What is factitious?

A

Fake illness to get attention, seeks medical treatment

67
Q

What is Munchausen?

A

Needs to be caregiver, MOm fakes child’s illness to get attention

68
Q

What is Munchausen by proxy?

A

Mom makes child ill for gain, move a lot

69
Q

What is amnesia?

A

Can’t recall important facts

70
Q

What is dissociative fugue?

A

No past, travel to new place, usually due to trauma

71
Q

What is multiple personality disorder?

A

Have 5-10 alters, usually associated w/ incest

72
Q

What is sepersonalization disorder?

A

“Out of body” experience, deja vu

73
Q

What is sublimation?

A

Substitute acceptable for unacceptable (boxer vs fighting)

74
Q

What is imitation?

A

Dress like someone else

75
Q

What is identification?

A

Act like someone else

76
Q

What is displacement?

A

Take anger out on someone else

77
Q

What is idealization?

A

Wait for “ideal spouse” while they are beating you up

78
Q

What is transference?

A

Patient views doctor as parent

79
Q

What is contratransference?

A

Doctor views patient as child

80
Q

What is acting out?

A

Expression of impulse, “tantrums”

81
Q

What is regression?

A

Immature behavior

82
Q

What is rationalization?

A

Make excuses for all situations

83
Q

What isintellectualization?

A

Act like a “know it all” to avoid feeling emotions

84
Q

What is isolation of affect?

A

Isolate feelings to keep on functioning

85
Q

Suppression?

A

Consciously block memory

86
Q

What is Repression?

A

Subconsciously block memory

87
Q

What is reaction formation?

A

unconsciously act opposite to how you feel (tears of a clown)

88
Q

What is undoing?

A

Doing exact opposite of what you used to do to fix a wrong

89
Q

What is compensation?

A

Doing something different of what you used to do

90
Q

What is sadism?

A

Give pain

91
Q

What is masochism?

A

Receives pain

92
Q

What is exhibitionism?

A

Exposure to others

93
Q

What is voyeurism?

A

Watching other people without their permission

94
Q

What is telephone scatalogia?

A

Phone sex

95
Q

What is frotteurism?

A

Rub penis against fully clothed women

96
Q

What is transvestite?

A

Dress up as opposite sex, no identity crisis

97
Q

What is transsexual?

A

Gender identity crisis “man trapped in a woman’s body”

98
Q

What is a Fetish?

A

Objects (vibrators, dildos, shoes)

99
Q

What is a pedophile?

A

Children (watching child pornography)

100
Q

What is a necrophile?

A

Corpses

101
Q

What is a Beastophile?

A

Animals

102
Q

Can you die during EtOH withdrawal?

A

Yes

103
Q

Can you die during opiod withdrawal?

A

No, just very painful