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S. One > Psychiatry > Flashcards

Psychiatry Flashcards

1
Q

How is major depression diagnosed?

A

Need 5 “SIGE CAPS” for >2 weeks

Sleep disturbances (wake in early AM)
Interest/libido loss
Guilt
Energy loss
Concentration loss 
Appetite changes (loss)
Psychomotor agitation 
Suicide or hopelessness
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2
Q

Autism

A

Repetitive movements
Lack of verbal skills and bonding
Symptoms since birth

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3
Q

Asperger’s

A

Good communication
Impaired relationships
No mental retardation

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4
Q

Rett’s

A 
Only in girls
Decreases head growth
Lose motor skills
Hand wringing 
Normal until 5 years
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5
Q

Childhood Disintegrative Disorder

A

Develop normally for first 2 years then behave autistic

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6
Q

Selective mutism

A

Kid talks sometimes

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7
Q

Separation anxiety disorder

A

Kid screams when mom leaves

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8
Q

Conduct disorder

A 
Aggressive 
Disregard for rules 
No sense of guilt
Harm animals 
Illegal activity

“Bite”

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9
Q

Oppositional defiant disorder

A

Defiant
Non compliant
Directed at authority

“Bark”

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10
Q

Attention deficit hyperactivity disorder

A

Over activity

Difficulty in school

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11
Q

Dysthymia

A

Low level sadness for > 2 years

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12
Q

Cyclothymia

A

Dysthymia with hypomania

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13
Q

Double depression

A

Depression followed by dysthymia

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14
Q

Bipolar I

A

Depression and mania (psychosis)

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15
Q

Bipolar II

A

Depression and hypomania (no psychosis)

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16
Q

Loose associations

A

Ideas switch subjects, incoherent

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17
Q

Tangentiality

A

Wanders off the point

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18
Q

Circumstanciality

A

Digresses but finally gets back to the point

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19
Q

Clanging

A

Words that sound alike

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20
Q

Word salad

A

Unrelated combinations of words

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21
Q

Perseveration

A

Keeps repeating the same words

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22
Q

Neologisms

A

New words

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23
Q

Delusion

A

False belief

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24
Q

Illusion

A

Misinterprets stimulus

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25
Q

Hallucination

A

False sensory perception

Alcohol withdrawal/cocaine intoxication —> formication

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26
Q

Nihilism

A

Thinks the world has stopped

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27
Q

Loss of ego boundaries

A

Not knowing where I end and you begin

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28
Q

Ideas of reference

A

Believes media is monitoring you

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29
Q

Thought blocking

A

Stops mid sentence

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30
Q

Thought broadcasting

A

Believes everyone can read his thoughts

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31
Q

Thought insertion

A

Believes others are putting thoughts into his head

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32
Q

Thought withdrawal

A

Believes others are taking thoughts out of his head

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33
Q

Concrete thinking

A

Can’t interpret abstract proverbs, just sees the facts

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34
Q

Synesthesia

A

Smell colors

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35
Q

Cataplexy

A

Loss of mm tone due to strong emotions

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36
Q

Paranoid personality disorder

A

Suspicious about everything

Use projection

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37
Q

Schizotypal personality disorder

A

“Magical thinking”
Bizarre behavior

Just that type to see dressed as a wizard

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38
Q

Schizoid personality disorder

A

“Recluse” don’t want to fit in

Avoids

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39
Q

Antisocial personality disorder

A

Lie, steal, cheat, destroy property
Impulsive without remorse
Illegal activity

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40
Q

Conduct disorder personality disorder

A

<15yo with antisocial disorder

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41
Q

Histrionic personality disorder

A

Theatrical
Sexually provocative
Use repression

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42
Q

Borderline personality disorder

A 
Perpetual teenager
Splitting (love/hate)
Projection 
Acting out 
Self mutilation
43
Q

Narcissistic personality disorder

A

Pompous

No empathy

44
Q

Dependent personality disorder

A

Clingy
Submissive
Low self confidence
Regression

45
Q

Obsessive compulsive personality disorder

A

Perfectionist
Doesn’t show feelings
Detail orientated
Uses isolation

46
Q

Avoidant personality disorder

A

Socially withdrawn

Afraid of rejection but wants to fit in

47
Q

Kleptomania

A

Steals for the fun of it

48
Q

Pyromania

A

Starts fires

49
Q

Intermittent explosive disorder

A

Loses self control without adequate reason

50
Q

Pathological gambling

A

Can’t stop

Affects others

51
Q

Trichotillomania

A

Pull out their hair

52
Q

Lewy body dementia

A

Stiff

Visual hallucinations

53
Q

Normal pressure hydrocephalus

A

TrIAD:
Incontinence
Ataxia (magnetic gait)
Dementia

54
Q

Korsakoff psychosis

A

Alcoholic thiamine deficiency

55
Q

Vascular “multi infarct” dementia

A

Sudden onset
Uneven progression of deficits
Stair step decline

56
Q

Huntington’s

A

Caudate putamen
Triplet repeat disorder
Choreiform movements

57
Q

Creutzfeldt-Jacob

A

Prion disease
Die within one year
Post cornea transplant

58
Q

Pick’s disease

A

Frontal lobe atrophy

Disinhibition

59
Q

Alzheimer’s

A

Decreased Ach in nucleus basalis of Meynert
Bad ApoE
Amyloid plaques
Tangles of tau

60
Q

Parkinson’s

A 
Substantia nigra 
Bradykinesia
Pill rolling tremor 
Shuffling gait
Lewy bodies
61
Q

Somatization

A

Think they have a different illness all the time

At least 4 organ systems

62
Q

Hypochondriasis

A

Think they have the same illness all the time

63
Q

Body dysmorphic disorder

A

Imagined physical defect

64
Q

Pain disorder

A

Prolonged pain not explained by physical causes

65
Q

Conversion

A

Neuro manifestations of internal conflict

Indifferent to disability

66
Q

Malingering

A

Fake illness for monetary gains

Avoids medical treatment

67
Q

Factitious

A

Fake illness to get attention

Seeks medical treatment

68
Q

Munchausen

A

Need to be the caregiver

Mom fakes child’s illness to get attention

69
Q

Munchausen by proxy

A

Mom makes child ill for gain

Move a lot

70
Q

Amnesia

A

Can’t recall important facts

71
Q

Dissociative fugue

A

No past
Travel to new place
Usually due to trauma

72
Q

Multiple personality disorder

A

5-10 alters

Usually associated with incest

73
Q

Depersonalization disorder

A

Out of body experience

Deja vu

74
Q

Sublimation

A

Substitute acceptable for unacceptable

75
Q

Imitation

A

Dress like someone else

76
Q

Identification

A

Act like someone else

77
Q

Displacement

A

Take anger out on someone else

78
Q

Idealization

A

Wait for “ideal spouse” while they are beating up their own spouse

79
Q

Transference

A

Patient views doctor as parent

80
Q

Counter transference

A

Doctor views patient as child

81
Q

Acting out

A

Expression of impulse

Tantrums

82
Q

Regression

A

Immature behavior

83
Q

Rationalization

A

Make excuses for all situations

84
Q

Intellectualization

A

Act like know it all to avoid feeling emotions

85
Q

Isolation of affect

A

Isolate feelings to keep on functioning

86
Q

Suppression

A

Consciously block memory

87
Q

Repression

A

Subconsciously block memory

88
Q

Reaction formation

A

Unconsciously act opposite how you feel

89
Q

Undoing

A

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

90
Q

Compensation

A

Doing something different of what you used to do

91
Q

Sadism

A

Gives pain

92
Q

Masochism

A

Receives pain

93
Q

Exhibitionism

A

Exposure to others

94
Q

Voyeurism

A

Watching other people without their permission

95
Q

Telephone scatalogia

A

Phone sex

96
Q

Frotteurism

A

Rub penis against fully clothed women

97
Q

Transvestite

A

Dress up as opposite sex

No identity crisis

98
Q

Transsexual

A

Gender identity crisis

99
Q

Fetish

A

Objects

100
Q

Pedophilia

A

Children

101
Q

Necrophilia

A

Corpses

102
Q

Beastophilia

A

Animals

103
Q

Can you die during alcohol withdrawal?

A

Yes

104
Q

Can you die during opioid withdrawal?

A

No, just very painful

S. One (24 decks)

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