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PANCE Prep > Psychology > Flashcards

Psychology Flashcards

1
Q

DSM-5 Criteria of Anorexia Nervosa

A

Restriction of energy intake to requirements
Fear of weight gain
Severe body image disturbance

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2
Q

Clinical Presentation of Anorexia Nervosa

A 
Dry Skin
Cold intolerance/hypothermia
Blue hands/feet
Constipation
Bloating
Delayed puberty
Amenorrhea (primary/secondary)
Fainting
Orthostatic hypotension
Lanugo hair
Scalp hair loss
Early satiety
Weakness/fatigue
Short stature
Osteopenia
Breast atrophy
Atrophic vaginitis
Pitting edema
Cardiac murmurs (MVP)
Sinus bradycardia
Food related obsessions (hoarding)
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3
Q

Diagnostics of Anorexia Nervosa

A 
CBC
CMP
Thyroid panel
UA
Prolactin
FSH
Bone density
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4
Q

Complications of Anorexia Nervosa

A 
Hypokalemia
Hyponatremia
Metabolic alkalosis
Elevated BUN
Inability to concentrate urine
Decreased GFR
Ketouria
Osteopenia
Amenorrhea
MVP
Long QT syndrome
Heart failure
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5
Q

Treatment of Anorexia Nervosa

A

CBT
Medications for co-morbid disorders
Atypical anti-psychotics (help with weight gain)
+/- hospitalization

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6
Q

DSM-5 Criteria for Bulimia Nervosa

A

Recurrent binge eating
Recurrent inappropriate compensatory behaviors
These items at least once/week for 3 months
Self evaluation influenced by body shape/weight

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7
Q

Clinical Presentation of Bulimia Nervosa

A 
Mouth sores
Pharyngeal trauma
Dental caries
Heartburn/chest pain
Esophageal rupture
Impulsivity
Irregular periods
Muscle cramps/weakness
Bloody diarrhea
Bleeding/easy bruising
Weakness/fainting
Swollen parotid glands
Hypotension
Russell's sign
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8
Q

Treatment of Bulimia Nervosa

A 
CBT
Fluoxetine (Prozac)
TCAs
Topiramate (Topamax)
Ondansetron (Zofran)
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9
Q

Clinical Presentation of Obesity (Binge Eating Disorder)

A

BMI >30
Overeating
Lack of exercise
Loss of control over eating

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10
Q

Diagnostic Criteria of Obesity (Binge Eating Disorder)

A

Recurrent episodes of binge eating 2 days/week for 6 months
Eating larger amounts of food
Eating until uncomfortably full
Eating to excess when not hungry
Eating alone
Feeling disgusted, guilty, depressed after eating episode

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11
Q

Treatment of Obesity (Binge Eating Disorder)

A 
Behavior modification therapy
Food diaries
Develop new eating patterns
Group therapy
SSRIs: paroxetine (Paxil), sertraline (Zoloft), citalopram (Celexa)
Sympathomimetics: amphetamine, dextroamphetamine, phentermine, phedimetrazine, benzphateamine
Orlistat (Xenical)
Surgery: gastric bypass, gastric sleeve
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12
Q

Define Addiction

A

Psychological and/or physical dependence that results in substance seeking behavior

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13
Q

Define Physical Dependence

A

Physiological changes that occur with drug use and result in withdrawal symptoms with abstinence

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14
Q

Define Psychological Dependence

A

The craving/desire for the substance independent of the physiologic withdrawal symptoms

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15
Q

Clinical Presentation of Alcohol Use/Abuse

A 
Slurred speech
Ataxia
Facial flushing
Erratic behavior
Loss of inhibition
Euphoria
Acne rosacea, palmar erythema, hepatomegaly, Dupuytren contracture
Testicular atrophy, gynecomastia
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16
Q

Withdrawal Symptoms of Alcohol Abuse

A 
Tremulousness
Psychomotor symptoms
Abnormal perception
N/V
Seizures
Hallucinations
Delirium tremens
17
Q

Diagnostics of Alcohol Abuse

A 
Elevated GGT
Elevated AST
Elevated ALT
Elevated LDH
Elevated MCV
Decreased BUN
Decreased LDL
Decreased RBC volume
18
Q

Treatment of Alcohol Use/Abuse

A 
Education
Coping skills
Relaxation therapy
Health/nutritional counseling
Lifestyle changes
AA
Benzodiazepines (Valium, Librium)
Thiamine, folic acid, multivitamin
\+/- antipsychotic
Disulfiram (Antabuse)
19
Q

CAGE Questionnaire

A

Cut down on drinking
Annoyed by criticism of drinking
Guilty feelings about drinking
Eye-opener

20
Q

Clinical Presentation of Opioid Use/Abuse

A 
Drowsiness
Impaired concentration
Bradycardia
Hypotension
Constricted pupils
Slurred speech
Flushing
21
Q

Withdrawal of Opioid Use/Abuse

A 
Lacrimation
Rhinorrhea
Diaphoresis
Yawning
Anxiety
HTN
Tachycardia
N/V
Abdominal cramps
Muscle/joint pain
Diarrhea
22
Q

Treatment of Opioid Use/Abuse

A 
Naloxone
Slow taper of methadone or clonidine
Promethazine/dicyclomine (GI distress)
Naltrexone
Buprenorphine
23
Q

Clinical Presentation of Acute Intoxication of Stimulants

A 
Agitation/aggression
Impaired judgment
Euphoria
HTN
Tachycardia
Dilated pupils
Hallucinations
24
Q

Withdrawal Symptoms of Stimulant Use/Abuse

A 
Fatigue
Headache
Diaphoresis
Muscle cramps
Hunger
25
Q

Treatment of Stimulant Use/Abuse

A

Benzodiazepines

+/- antipsychotics

26
Q

Treatment of Nicotine Use/Abuse

A

Transdermal patches
Gum/lozenges
Bupropion
Chantix

27
Q

DSM-5 Criteria for Schizophrenia

A 
Delusions
Hallucinations
Bizarre behavior
Disorganized speech
Grossly disorganized behavior
Social/occupational dysfunction
28
Q

Positive Symptoms of Schizophrenia

A

Delusions
Hallucinations
Bizarre behavior

29
Q

Negative Symptoms of Schizophrenia

A 
Flat affect
Apathy
Poor grooming
Social withdrawal
Anhedonia
Poor eye contact
Poverty of speech
30
Q

Treatment of Schizophrenia

A

Second generation antipsychotics
Family psychoeducational intervention
Social skills training
CBT

31
Q

Examples of Second Generation Antipsychotics

A 
Rispiridone (Risperdal)
Olanzapine (Zyprexa)
Quetiapine (Seroquel)
Aripripraole (Abilify)
Clozapine (Clozaril)
32
Q

Major Side Effect of Clozapine (Clozaril)

A

Agranulocytosis

33
Q

Examples of First Generation Antipsychotics

A

Haloperidol (Haldol)
Chlorpromazine (Thorazine)
Thioridazine (Mellaril)

PANCE Prep (1 decks)

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