Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Res Quizzes > Psychiatry > Flashcards

Psychiatry Flashcards

1
Q

DSMV criteria for a major depressive episode

A

2-wk duration of a change in previous functioning in which at least 5/9 symptoms must occur on more days than not, and at least 1 of the symptoms must be either depressed mood or loss of interest or pleasure:
SIGECAPS
Sleep disturbance (insomnia or hypersomnia)
Interest in activities decreased—anhedonia
Guilty feelings or feeling worthless
Energy decreased—fatigue
Concentration decreased or indecisiveness
Appetite change (gain or loss of weight)
Psychomotor agitation or retardation
Suicidal thoughts

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

mainstay of pharmacologic treatment of MDD

A

SSRI

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

criteria for dysthymia for adults?

A

-low-grade chronic depression occurring most of the day for more days than not and lasting at least 2 years without more than 2 months of symptom remission
-at least 2 of the following: sleep disturbance,
appetite change, low energy, poor concentration or indecisiveness, low self-esteem, and hopelessness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

criteria for dysthymia for adolescents or children

A

same as in adults but mood can be irritable instead of depressed, and the minimum duration is 1 year

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What defines a bipolar I disorder?

A

-manic + depressive episodes
-manic episode defined by >=7 days of euphoric mood or extreme irritability with at least 3 (4 if the mood is only irritable) of the symptoms DIGFAST:
Distractibility
Insomnia
Grandiosity
Flight of ideas
Activities (increased goal-directed activities) or
Agitation
Speech (increased or pressured speech)
Thoughtlessness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What defines a bipolar II disorder?

A

hypomanic episodes (defined as 4-7 days of DIGFAST) and major depressive episodes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Cyclothymia

A

sustained cycling of mood in which there are hypomanic episodes, but the depressive episodes do not meet criteria for a major depressive episode

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

AEDs used for bipolar disorders

A

valproic acid
carbamazepine
oxcarbazepine,
lamotrigine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

The signature feature of panic disorder

A

recurrent, unexpected panic attacks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Agoraphobia

A

intense anxiety about being in places or situations from which egress may be difficult or embarrassing, or in which assistance mightbe unavailable

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Treatment of panic disorder

A

Cognitive behavioral therapy (CBT) and exposure therapy +/- anxiolytic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

OCD is believed to be a neurobiological illness tied in part to

A

serotonergic dysregulation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Most effective treatment of OCD

A

combination of a serotonergic agent and CBT

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Acute Stress Disorder vs PostTraumatic Stress Disorder

A

ASD >= 2 days of symptoms

PTSD >= 1 month

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What characterizes Acute Stress Disordedr?

A
  • development of physiologic and psychological responses that occur following exposure to 1 or more situations involving death, serious injury, or a threat to physical integrity
  • > =3 dissociative symptoms
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

3 cardinal features of PTSD

A
  • hyperarousal
  • flashbacks of the initial trauma
  • psychic numbing , avoidance of reminders of thentrauma
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Treatment of PTSD

A

trauma-focused, exposure-based CBT

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Generalized anxiety disorder (GAD) is manifested by

A

symptoms associated with excessive anxiety and worry occurring more days than not during a time frame of at least 6 months resulting to functional impairment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Treatment of specific phobias

A

Behavioral or cognitive behavioral therapies

3 components: exposure, systematic desensitization, and participant modeling

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

4 main treatment approaches for social phobia:

A

exposure-based strategies, cognitive therapy, social skills training, and applied relaxation

21
Q

Somatic symptom disorders

A

Multiple somatic complaints not fully explained by a medical condition or substance use

22
Q

Conversion disorder

A
  • Voluntary but unconscious motor or sensory function deficits that suggest a general medical or neurologic condition
  • Symptoms do not fit known physiologic mechanisms
23
Q

Hypochondriasis

A

Preoccupation with having or acquiring a serious illness

24
Q

Factitious disorders

A

Physical or psychological symptoms that are purposely feigned to achieve the sick role (the primary gain) with potentialpersonal benefits (the secondary gain)

25
Q

Malingering

A

Physical or psychological symptoms purposely feigned and consciously motivated by an external incentive (the primary gain is receiving compensation, avoiding prosecution, or receiving another personal benefit)

26
Q

The neurotransmitter implicated in schizophrenia pathophysiology

A

dopamine

27
Q

Criterion A consists of active-phase symptoms of schizophrenia

A 
2/5 >=1 month
Delusions, hallucinations
Disorganized speech
Disorganized behavior
Catatonic signs
Negative symptoms (eg, blunted affect, social
withdrawal)
28
Q

Schizophrenia Criterion B

A

significant social, occupational, self-care, or educational dysfunction as the result of the symptoms and signs

29
Q

Criterion C

A

active-phase symptoms >=1 month (or less if being treated), but the total duration of illness, including prodromal and residual symptoms, >= 6 months

30
Q

Schizophrenia longitudinal course specifiers 4

A

1 episodic with interepisode residual symptoms
2 episodic with no interepisode residual symptoms
3 continuous
4 single episode

31
Q

Subtypes of Schizophrenia. Describe each.

A

Disorganized: Presence of disorganized speech and behavior along with flat or inappropriate affect and absence of catatonic signs

Paranoid: Presence of ≥1 delusions or auditory hallucinations in the absence of significant other active-phase symptoms Catatonic: Presence of ≥1 prominent catatonic signs

Undifferentiated: Presence of active-phase symptoms that do not meet criteria for any of the other 3 types above

Residual: Attenuated psychotic signs or negative symptoms that do not meet criterion A

32
Q

Schizophreniform disorder

A

essential clinical features of schizophrenia, which include prodromal, active-phase, and residual symptoms, lasting at least 1 month but no more than 6 months

33
Q

Schizophreniform good prognostic indicators 4

A

1

34
Q

What is a Schizoaffective disorder?

A

a major depressive or manic episode and also meet criterion A for schizophrenia concomitantly with the mood episode, but who have delusions or hallucinations without mood symptoms for >=2 weeks

35
Q

Brief psychotic disorder is

A

a syndrome of psychosis that lasts ≥1 day but ≤1 month and is not caused by a substance or general medical condition

36
Q

Subtypes of Delusional Disorder

A 
Erotomanic
Jealous
Grandiose
Somatic
Persecutory
Mixed
Uncharaccterized
37
Q

DSM V definition of personality disorder

A

an enduring pattern of inner experience and behavior that deviates markedly from the expectations of the individual’s culture, is pervasive and inflexible, has an onset in adolescence or early adulthood, is stable over time, and leads to distress or impairment

38
Q

PD Cluster types

A

Cluster A odd or eccentric character
Cluster B dramatic, emotional, or erratic
Cluster C anxious or fearful

39
Q

Cluster A Personality Disorders

A

Paranoid
Schizoid
Schizotypal

40
Q

Cluster B Personality Disorders

A

Antisocial
Borderline
Histrionic
Narcissistic

41
Q

Cluster C Personality Disorders

A

Avoidant
Dependent
Obsessive-compulsive

42
Q

Infancy Life stage
Freud:
Erikson:
Piaget:

A

Freud: Oral
Erikson: basic trust vs mistrust
Piaget: sensorimotor

43
Q

Toddler life stage
Freud:
Erikson:

A

Freud: Anal
Erikson: autonomy vs shame and doubt

44
Q

Preschool life stage
Freud:
Erikson:
Piaget:

A

Freud: phallic
Erikson: initiative vs guilt
Piaget: concerete operational

45
Q

School age life stage
Freud:
Erikson:

A

Freud: latency
Erikson: industy vs inferiority

46
Q

Early adolescence life stage
Freud:
Erikson:

A

Freud: genital
Erikson: identity vs role confusion
*eating disorders, schizophrenia, mood disorders, substance use

47
Q

Late adolescence life stage
Freud:
Erikson:

A

Freud:
Erikson: initmacy vs isolation

48
Q

Adulthood life stage

Erikson:

A

Erikson: generativity vs stagnation

49
Q

Erikson’s eighth stage

A

integrity versus despair

Res Quizzes (18 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions