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Neuro Module > Psychiatry > Flashcards

Psychiatry Flashcards

0
Q

Countertransference

A

Physician projecting feelings onto the patient

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1
Q

Transference

A

patient projecting feelings onto physician

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2
Q

Ego Defenses

A
  • tantrums
  • reaction formation
  • repression
  • sublimation (redirecting aggression)
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3
Q

ADHD

A

Onset <7yrs

  • limited attention
  • poor impulse control
  • hyperactivity, emotional lability
  • normal intelligence
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4
Q

Conduct Disorder

A

repetitive and pervasive behavior violating social norms
onset 18 then Antisocial Personality Disorder)
-physical aggression, theft…

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5
Q

Tourette’s Syndrome

A

Onset 1yr

-may be associated with OCD

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6
Q

Separation Anxiety Disorder

A

Commonly onset at 7-8yrs
Overwhelming fear of separation from home or figure
-poss lead to factitious complaints

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7
Q

Korsakoff’s Amnesia

A

caused by thiamine deficiency (Vit B1): alcoholism

  • destruction of mammary bodies
  • usually anterograde amnesia
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8
Q

Anterograde amnesia

A

inability to remember after CNS insult

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9
Q

retrograde amnesia

A

inability to remember before the CNS injury

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10
Q

Dissociative Amnesia

A

Inability to remember personal information

-person picks up and moves to a new place with a new life

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11
Q

Delerium

A

Usually 2* to other illness
-waxing/waning levels of consciousness (acute)
-rapid decrease in attention/arousal
**often VISUAL hallucinations (schizo –> AUDITORY)
disturbance in sleep-wake cycle
cognitive dysfunction

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12
Q

Dementia

A

Gradual decline in cognition without affecting consiousness

  • memory loss, aphasia, apraxia, agnosia, behavioral changes, impaired judgement
  • normal EEG
  • Alzheimers, cerebral infarcts, HIV, Pick disease, CJD, substance abuse
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13
Q

Psychotic disorder

A

distorted perception of reality (psychosis)
- delusions: fixed false beliefs
- hallucinations: sensory input w/o external stimuli
- disorganized thinking
(also illusions: misinterpreting external stimuli)
(loose associations: unrelated ideas are connected)

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14
Q

Schizophrenia

A 
Chronic disorder with periods of psychosis, disturbed thoughts/behavior, and decline in functioning that lasts >6mos
Needs 2:
-delusions
-hallucinations (usually AUDITORY)
-disorganized speech/loose associations
-disorganized/catatonic behavior
Also:
-flat affect
-social withdrawal
-lack of speech/thought
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15
Q

Brief psychotic disorder

A

sx of schizophrenia lasting <1mo

-usually stress related

16
Q

Schizophreniform Disorder

A

Sx of schizophrenia lasting 1-6mo

17
Q

Schizoaffective Disorder

A

> 2 weeks: psychotic sx, stabile mood, with major depressive or manic episode (bipolar and depressive subtypes)

18
Q

Delusional Disorder

A

> 1mo: fixed, persistent, non-bizarre belief system

normal functioning

19
Q

Shared Psychotic Disorder

A

Development of delusions in a person close to the person with delusional disorder

20
Q

Risk Factors for Suicide

A

-male
-teen/elderly
-depression
-past suicide attempt
-alcohol/drug abuse
-loss of rational thinking
-polypharmacy
-organized plan
-no social support
Women try more often, Men more successful

21
Q

Cluster A personality disorder

A 
"wierd"
Odd or eccentric inability to develop meaningful social relationships. No psychosis.
-Paranoid
-Schizoid
-Schizotypal
22
Q

Paranoid Personality Disorder

A

Cluster A:
pervasive distrust and suspiciousness
major defense: projection

23
Q

Schizoid Personality Disorder

A

Cluster A:
Voluntary social withdrawal
limited emotional expression
content with social isolation (not avoidant)

24
Q

Schizotypal Personality Disorder

A

Cluster A:

Eccentric appearance, odd beliefs, or magical thinking, interpersonal awkwardness

25
Q

Cluster B Personality Disorders

A 
"Wild"
dramatic, emotional, erratic
genetic association with mood disorders/substance abuse
-antisocial
-borderline
-historionic
-narcissistic
26
Q

Antisocial Personality Disorder

A 
Cluster B:
Disregard for and violation of rights of others
Criminality
M>F
Conduct disorder if <18yrs
27
Q

Borderline Personality Disorder

A

Cluster B:
Unstable mood and interpersonal relationships, impulsiveness, self-mutilation, boredom, sense of emptiness
F>M
major defense: splitting

28
Q

Histrionic Personality Disorder

A

Cluster B:
Excessive emotionality and excitability
Attention seeking, sexually provocative, overly concerned with appearance

29
Q

Narcissistic Personality Disorder

A

Cluster B:
Grandiosity, sense of entitlement
lacks empathy, requires excessive admiration
often demands the “best” and reacts poorly to criticism –> rage

30
Q

Cluster C Personality Disorders

A 
"Worried"
Anxious or fearful
Genetic association with anxiety disorders
-Avoidant
-Obsessive-Compulsive
-Dependent
31
Q

Avoidant Personality Disorder

A

Cluster C:
Hypersensitive to rejection, socially inhibited, timid, feelings of inadequacy
desires relationships with others (unlike Schizoid PD)

32
Q

Obsessive Compulsive Personality Disorder

A

Cluster C:
Preoccupation with order, perfectionism, and control
ego syntonic: behavior is consistent with one’s own beliefs and attitudes (vs. OCD)

33
Q

Dependent Personality Disorder

A

Cluster C:
Submissive and clinging, excessive need to be taken care of
Low self confidence

34
Q

Dementia with Lewy Bodies

A
  • prominent visual hallucination and parkinsonian features early
  • eosinophilic inclusion bodies in cerebral cortex and brainstem
35
Q

Frontotemporal Dementia

A
  • Tau inclusion bodies
  • Chromosome 17
  • disinhibition, shallow affect
  • loss of expressive language with severe naming difficulties
36
Q

Huntington Disease

A

Atrophy of Striatum (esp. caudate nucleus)

- autosomal dominant: chromosome 4

37
Q

Crutzfeld-Jakob Disease

A

Prion disease –> spongiform changes in brain

  • rapidly progressive dementia (months)
  • severe cerebellar and/or extrapyramidal signs with myoclonus
38
Q

Vascular dementia

A

risk factors: ↑ BP, diabetes, prior strokes

stepwise deterioration

Neuro Module (5 decks)

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