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
1
Q
What is Autism?
A
Repetitive movements, lack of verbal skills and bondings, sx since birth
2
Q
What is Asperger’s?
A
Good communication, impaired relationships, no mental retardation
3
Q
What is Rett’s?
A
Only in girls, DECREASED head growth, lose motor skills, hand-wringing, normal until 5mo
4
Q
What is chikdhood disintegrative disorder?
A
Kids stops walking / talking
5
Q
What is Selective Mutism?
A
Kid talks sometimes
6
Q
What is separation anxiety disorder?
A
Kis screams when mom leaves
7
Q
What is conduct disorder?
A
Aggressive, disregard for rules, no sense of guilt, harm animals, illegal activity “bite”
8
Q
What is oppositional defiant disorder?
A
Defiant, noncompliant, directed at autorithy “bark”
9
Q
What is attention deficit hyperactivity disorder?
A
Overactivity, difficulty in school
10
Q
What is dysthymia?
A
Low level sadness >2 yr
11
Q
What is Cyclothymia?
A
Dysthymia w/ hypomania
12
Q
What is double depression?
A
Depression followed by dysthymia
13
Q
What is bipolar I?
A
Depression and Mania
14
Q
What is. Bipolar II?
A
Depression and hypomania (no psychosis)
15
Q
What are loose associations?
A
Ideas with subjects, incoherent
16
Q
What is Circumstantiality?
A
Digresses, but finally gets back to the point
17
Q
What is tangeability?
A
Wanders off the point
18
Q
What is Clanging?
A
Words that sound alike
19
Q
What is word salad?
A
Unrelated combination of words
20
Q
What is perseveration?
A
Keeps repeating
21
Q
What is neologisms
A
New words
22
Q
What is delusion?
A
False belief
23
Q
What is Illusion?
A
Misinterprets stimulus
24
What is Hallucination?
False sensory perception, EtOH withdrawal/ Cocaine intox => formication
25
What is Nihilism?
False sensory perception
26
What is Loss of ego boundaries?
Not knowing where I end and you begin
27
What are ideas of reference?
Believe the media is monitoring you
28
What is thought blocking?
Stops mid-sentence
29
What is thought broadcasting?
Believes everyone can read his thoughts
30
What is thought insertion?
Believes others are putting thoughts into his head
31
What is thought withdrawal?
Believes others are taking thoughts out of his head
32
What is concrete thinking?
Can't interpret abstract proverbs, just sees the facts
33
What is Synesthesia?
Smell colors
34
What is Cataplexy?
Loss of mm tone due to strong emotions
35
What is paranoid personality disorder?
Suspicious about everything, use projection
36
What is schizotypal personality disorder?
"Magical thinking" , bizarre behavior
37
What is Schizoid personality disorder?
"Recluse" dont want to fit in
38
What is antisocial personality disorder?
Lie, steal, cheat, destroy property, impulsive w/o remorse, illegal activity
39
What is histrionic personality disorder?
Theatrical, sexually provocative, use repression
40
What is conduct disorder personality desorder?
41
What is borderline personality disorder?
"Perpetual teenager", splitting (love/hate), projection, acting out, self mutiliation
42
What is narcissistic personality disorder?
Pompous, no empathy
43
What is Dependant personality disorder?
Clingy, submissive, low self- confidence, regression
44
What is obsessive-compulsive personality disorder?
Perfectionist, doesn't show feelings, detail oriented, uses isolation
45
What is Avoidant personality disorder?
Socially withdrawn, afraid of rejection but wants to fit in
46
What is Kleptomania?
Steals for the fun of it
47
What is Pyromania?
Starts fire
48
What is intermittent explosive disorder?
Loses self-control without adequate reason
49
What is pathological gambling?
Cant stop gambling, affects others
50
What is trichotillomania?
Pull out their hair
51
What is Lewy body dementia?
Stiff, visual hallucinations
52
What is normal pressure hydrocephalus?
TrIAD = incontinence, agaxia "magnetic gait", dementia
53
What is Korsakoff psychosis?
Alcoholic Thiamine deficiency
54
What is vascular "multi infarct" dementia?
Sudden onset, uneven progression of deficits, "stair step" decline
55
What is Huntington's?
In caudate/putamen, triplet repeat disorder, choreiform movements, ^personality
56
What is. Creutzfeldt-Jacob?
Prion induced, die within 1 year, post cornea transplant
57
What is pick's disease?
Frontal lobe atrophy, disinhibition
58
What is Alzheimer's?
Lower ACh in nucleus basalis of. Meynert, bad ApoE, amyloid plaques, tangles of tau
59
What is parkinson's?
In substantia nigr, bradykinesi, pill-rolling tremor, shuffling gait, Lewy bodies
60
What is somatization?
Think they have a different illness all the time (at least 4 organs systems)
61
What is Hypochondriasis?
Think they have the same illness all the time
62
What is body dysmorphic disorder?
Imagined physical defect
63
What is pain disorder?
Prolonged pain not explained by physical causes
64
What is conversion?
Neuro manifestation of internal conflict, indifferent to disability
65
What is Malingering?
Fake illness for monetary gain, avoids medical treatment
66
What is factitious?
Fake illness to get attention, seeks medical treatment
67
What is Munchausen?
Needs to be caregiver, MOm fakes child's illness to get attention
68
What is Munchausen by proxy?
Mom makes child ill for gain, move a lot
69
What is amnesia?
Can't recall important facts
70
What is dissociative fugue?
No past, travel to new place, usually due to trauma
71
What is multiple personality disorder?
Have 5-10 alters, usually associated w/ incest
72
What is sepersonalization disorder?
"Out of body" experience, deja vu
73
What is sublimation?
Substitute acceptable for unacceptable (boxer vs fighting)
74
What is imitation?
Dress like someone else
75
What is identification?
Act like someone else
76
What is displacement?
Take anger out on someone else
77
What is idealization?
Wait for "ideal spouse" while they are beating you up
78
What is transference?
Patient views doctor as parent
79
What is contratransference?
Doctor views patient as child
80
What is acting out?
Expression of impulse, "tantrums"
81
What is regression?
Immature behavior
82
What is rationalization?
Make excuses for all situations
83
What isintellectualization?
Act like a "know it all" to avoid feeling emotions
84
What is isolation of affect?
Isolate feelings to keep on functioning
85
Suppression?
Consciously block memory
86
What is Repression?
Subconsciously block memory
87
What is reaction formation?
unconsciously act opposite to how you feel (tears of a clown)
88
What is undoing?
Doing exact opposite of what you used to do to fix a wrong
89
What is compensation?
Doing something different of what you used to do
90
What is sadism?
Give pain
91
What is masochism?
Receives pain
92
What is exhibitionism?
Exposure to others
93
What is voyeurism?
Watching other people without their permission
94
What is telephone scatalogia?
Phone sex
95
What is frotteurism?
Rub penis against fully clothed women
96
What is transvestite?
Dress up as opposite sex, no identity crisis
97
What is transsexual?
Gender identity crisis "man trapped in a woman's body"
98
What is a Fetish?
Objects (vibrators, dildos, shoes)
99
What is a pedophile?
Children (watching child pornography)
100
What is a necrophile?
Corpses
101
What is a Beastophile?
Animals
102
Can you die during EtOH withdrawal?
Yes
103
Can you die during opiod withdrawal?
No, just very painful
