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Pance Re-Up > Psychology #2 > Flashcards

Psychology #2 Flashcards

1
Q

What is the time frame for PTSD in which the event could have occurred?

A

Any time in the past!

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2
Q

Treatment for PTSD

A

SSRI + CBT

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3
Q

In PTSD, what drug can be used for insomnia? Which drug for nightmares?

A

Trazodone

Prazosin

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4
Q

What is the time frame in which the event occurs in acute stress disorder?

A

Less than 1 month ago and symptoms last less than 1 month

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5
Q

Treatment for acute stress disorder

A

Counseling and psychotherapy

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6
Q

If the symptoms of acute stress disorder last longer than 1 month, what should you do?

A

Treat as PTSD = SSRI + CBT

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7
Q

What psych condition has the highest mortality rate?

A

Anorexia Nervosa

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8
Q

Explain anorexia nervosa and a patient that has the condition

A

-Failure to maintain normal weight
-Behaviors to keep low weight
-Ego-Syntonic
-Restrictive and Binge-Eating/Purging Types

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9
Q

What are some common exam findings in a patient with anorexia nervosa?

A

Lanugo (fine, downy hair)
Dry Skin
Salivary gland hypertrophy
Amenorrhea
Osteopenia
Hypotension
Bradycardia
Russel’s Sign: callouses on hand
BMI 17.5 or less
Body weight: <85% ideal

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10
Q

In anorexia nervosa, what is the weight of the patient?

A

BMI 17.5 or less

weight < 85% ideal

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11
Q

What do labs show in anorexia nervosa?

A

Hypokalemia
Metabolic alkalosis

From Vomiting

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12
Q

Treatment for anorexia nervosa

A

Admit if weight < 75%

Psychotherapy

SSRI’s (they help with weight gain)

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13
Q

What is the difference between anorexia and bulimia

A

Bulimia nervosa patients are able to maintain an normal weight or are overweight

Ego-dystonic

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14
Q

Exam findings of a patient with bulimia?

A

Teeth pitting or enamel erosion

Russell’s Sign

parotid gland hypertrophy

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15
Q

Lab findings of bulimia nervosa

A

Hypokalemia
Metabolic alkalosis
Increased amylase (parotid gland hypetrophy)

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16
Q

What are the two criteria for bulimia nervosa?

A

Recurrent episodes of binge eating followed by compensatory behaviors

17
Q

Treatment for bulimia nervosa

A

Psychotherapy + Fluoxetine (only medication used in treating this)

18
Q

What is refeeding syndrome?

A

Result of fluid and electrolyte shifts during aggressive nutritional rehabilitation

19
Q

What is the HALLMARK symptom of refeeding syndrome?

A

Hypophosphatemia

20
Q

Binge eating disorder is not associated with _______, but a treatment option, besides psychotherapy is ______

A

Compensatory behaviors

Topiramate, or appetite suppressants such as stimulants like Adderall

21
Q

Schizophrenia is a disorder of abnormal thinking, emotion, and behavior. What is the difference in presentation (age wise) between men and women?

A

Men - early 20’s
Women - late 20’s

22
Q

What are some things that show a better prognosis in schizophrenia?

A

Late onset, acute onset, positive symptoms, no family history, good support system

23
Q

What are some things that show a worse prognosis in schizophrenia?

A

early onset, gradual onset, negative symptoms, male gender, family history, bad support system

24
Q

What is the pathophysiology to explain the positive symptoms in schizophrenia?

A

Due to excess dopamine in the mesolimbic pathway

25
Q

In schizophrenia, what is seen on a CT scan? Although not frequently done

A

Ventricular enlargement (lateral and third) and decreased grey matter and cortical volume

26
Q

What are the diagnostic criteria for schizophrenia?

A

2 or more symptoms for at least 6 months. One must be positive (hallucinations, delusions, disorganized speech) and one negative (flat affect, alogia, avolition, anhedonia, asociality, absence of normal cognition)

27
Q

First line treatment for schizophrenia

A

2nd gen (atypical) antipsychotics
–Risperidone
–Olanzipine
–Quetiapine
–Aripiprazole
–Ziprasidone

28
Q

What is the MOA of 2nd gen antipsychotics and how long should you try them before determining efficacy?

A

Dopamine and serotonin antagonists

4 weeks

28
Q

What is the MOA of 2nd gen antipsychotics and how long should you try them before determining efficacy?

A

Dopamine and serotonin antagonists

4 weeks

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