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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
Hallucination
False sensory perception Alcohol withdrawal/cocaine intoxication —> formication
26
Nihilism
Thinks the world has stopped
27
Loss of ego boundaries
Not knowing where I end and you begin
28
Ideas of reference
Believes media is monitoring you
29
Thought blocking
Stops mid sentence
30
Thought broadcasting
Believes everyone can read his thoughts
31
Thought insertion
Believes others are putting thoughts into his head
32
Thought withdrawal
Believes others are taking thoughts out of his head
33
Concrete thinking
Can’t interpret abstract proverbs, just sees the facts
34
Synesthesia
Smell colors
35
Cataplexy
Loss of mm tone due to strong emotions
36
Paranoid personality disorder
Suspicious about everything | Use projection
37
Schizotypal personality disorder
“Magical thinking” Bizarre behavior Just that type to see dressed as a wizard
38
Schizoid personality disorder
“Recluse” don’t want to fit in Avoids
39
Antisocial personality disorder
Lie, steal, cheat, destroy property Impulsive without remorse Illegal activity
40
Conduct disorder personality disorder
<15yo with antisocial disorder
41
Histrionic personality disorder
Theatrical Sexually provocative Use repression
42
Borderline personality disorder
``` Perpetual teenager Splitting (love/hate) Projection Acting out Self mutilation ```
43
Narcissistic personality disorder
Pompous | No empathy
44
Dependent personality disorder
Clingy Submissive Low self confidence Regression
45
Obsessive compulsive personality disorder
Perfectionist Doesn’t show feelings Detail orientated Uses isolation
46
Avoidant personality disorder
Socially withdrawn | Afraid of rejection but wants to fit in
47
Kleptomania
Steals for the fun of it
48
Pyromania
Starts fires
49
Intermittent explosive disorder
Loses self control without adequate reason
50
Pathological gambling
Can’t stop | Affects others
51
Trichotillomania
Pull out their hair
52
Lewy body dementia
Stiff | Visual hallucinations
53
Normal pressure hydrocephalus
TrIAD: Incontinence Ataxia (magnetic gait) Dementia
54
Korsakoff psychosis
Alcoholic thiamine deficiency
55
Vascular “multi infarct” dementia
Sudden onset Uneven progression of deficits Stair step decline
56
Huntington’s
Caudate putamen Triplet repeat disorder Choreiform movements
57
Creutzfeldt-Jacob
Prion disease Die within one year Post cornea transplant
58
Pick’s disease
Frontal lobe atrophy | Disinhibition
59
Alzheimer’s
Decreased Ach in nucleus basalis of Meynert Bad ApoE Amyloid plaques Tangles of tau
60
Parkinson’s
``` Substantia nigra Bradykinesia Pill rolling tremor Shuffling gait Lewy bodies ```
61
Somatization
Think they have a different illness all the time | At least 4 organ systems
62
Hypochondriasis
Think they have the same illness all the time
63
Body dysmorphic disorder
Imagined physical defect
64
Pain disorder
Prolonged pain not explained by physical causes
65
Conversion
Neuro manifestations of internal conflict | Indifferent to disability
66
Malingering
Fake illness for monetary gains | Avoids medical treatment
67
Factitious
Fake illness to get attention | Seeks medical treatment
68
Munchausen
Need to be the caregiver | Mom fakes child’s illness to get attention
69
Munchausen by proxy
Mom makes child ill for gain | Move a lot
70
Amnesia
Can’t recall important facts
71
Dissociative fugue
No past Travel to new place Usually due to trauma
72
Multiple personality disorder
5-10 alters | Usually associated with incest
73
Depersonalization disorder
Out of body experience | Deja vu
74
Sublimation
Substitute acceptable for unacceptable
75
Imitation
Dress like someone else
76
Identification
Act like someone else
77
Displacement
Take anger out on someone else
78
Idealization
Wait for “ideal spouse” while they are beating up their own spouse
79
Transference
Patient views doctor as parent
80
Counter transference
Doctor views patient as child
81
Acting out
Expression of impulse | Tantrums
82
Regression
Immature behavior
83
Rationalization
Make excuses for all situations
84
Intellectualization
Act like know it all to avoid feeling emotions
85
Isolation of affect
Isolate feelings to keep on functioning
86
Suppression
Consciously block memory
87
Repression
Subconsciously block memory
88
Reaction formation
Unconsciously act opposite how you feel
89
Undoing
Doing exact opposite of what you used to do to fix a wrong
90
Compensation
Doing something different of what you used to do
91
Sadism
Gives pain
92
Masochism
Receives pain
93
Exhibitionism
Exposure to others
94
Voyeurism
Watching other people without their permission
95
Telephone scatalogia
Phone sex
96
Frotteurism
Rub penis against fully clothed women
97
Transvestite
Dress up as opposite sex | No identity crisis
98
Transsexual
Gender identity crisis
99
Fetish
Objects
100
Pedophilia
Children
101
Necrophilia
Corpses
102
Beastophilia
Animals
103
Can you die during alcohol withdrawal?
Yes
104
Can you die during opioid withdrawal?
No, just very painful

S. One (24 decks)

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