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Psych 2016 > Quick Learn FA > Flashcards

Quick Learn FA Flashcards

1
Q

Which hallucination most common w/ schizophrenia?

A

Auditory

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2
Q

If visual hallucinations, think what?

A

Drug intoxication
Drug and alcohol withdrawal
Delirium

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3
Q

If olfactory hallucination, what associated?

A

Epilepsy

- think aura

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4
Q

What are ideas of reference?

A

Interpreting innocuous events as having personal significance.

Seen in Schizophrenia

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5
Q

Risk of Schizo if a monozygotic twin gets it?

A

50%

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6
Q

Lifetime prevalence of Schizophrenia?

A

0.3-0.7%

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7
Q

Schizo is likely related to ????

A

Increased dopamine activity

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8
Q

What Dopamine pathway, blocked by AS, causes Parkinsonian/EPS SE’s?

A

Nigrostriatal

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9
Q

What pathway, blocked by AS, causes hyperprolactinemia which may result in gynecomastia, galactorrhea, sexual dysfunction and menstrual irregularities?

A

Tuberoinfundibular

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10
Q

What pathway with excessive dopamine activity is responsible for + Schizo symptoms?

A

Mesolimbic

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11
Q

What pathway with inadequate dopamine activity is responsible for negative symptoms?

A

Prefrontal cortical

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12
Q

Core symptoms of NMS and SS?

A
  1. Altered Mental Status
  2. Rigidity
  3. Hyperthermia
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13
Q

How differentiate NMS and SS?

A

SS: quick on and off (24 hours)
- also hyper-reflexia, hyper-tonia

NMS: slow on and off (7-10 days +)
- also hypo/brady-reflexia

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14
Q

Anti-cholinergic Toxicity shares similarities with NMS and SS. What are Similarities and differences?

A

Similar: altered mental status, hyperthermia

Different: normal reflexes

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15
Q

Bipolar I vs. II

A

I: mania + major depression
(however MDD not required for diagnosis).

II: 1+ major depressive episode + at least one hypomanic epidose

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16
Q

What is psychiatric disorder w/ highest genetic link?

- concordance rate for monozygotic twin?

A

Bipolar I

- 40-70%

17
Q

Persistent Depressive Disorder

A
  • depressed mood majority of the time most days for at least 2 years (adult)…kids/adolescent = 1 year
  • not been without at least 2 symptoms for > 2 months during the two years
    (can’t have had manic/hypomanic episode)
18
Q

To be diagnosed with persistent depressive disorder you must have at least __ of the following symptoms:

A 
Concentration                       at least 2
Hopeless
Over/under eat
Sleep: insomnia/hypersomnia
Low energy, fatigue
Low self-esteem
19
Q

Define bipolar II

A

recurrent major depressive episodes with at least 1 hypomanic episode

20
Q

Define cyclothymic disorder

A

Alternating hypomania with mild-moderate depressive symptoms for at least 2 years
- can’t be symptom free for >2 months during those two years
(not quite hypomania and not quite major depression)

21
Q

Cognitive Behavioral Therapy

A

Examines relationship between cognition (thoughts), emotions and behavior

22
Q

Timing of panic attacks?

A

Abrupt surge of intense anxiety, peaking within minutes

- usually resolve w/in 30 minutes

23
Q

Panic Disorder

A

Recurrent, unexpected panic attacks
- without an identifiable trigger
1+ panic attacks + >1 month of continuous worry about future attack

24
Q

Panic Disorder

- treatment

A

SSRI + CBT

(substitute TCA clomipramine, imipramine if SSRI not effective)

25
Q

When give BDZ for panic disorder?

A

Clonazepam, lorazepam

- until other meds reach full efficacy

26
Q

Agoraphobia develops with what other condition?

A

Panic disorder

27
Q

Treat agoraphobia?

A

SSRI + CBT

28
Q

Social anxiety disorder?

A

Fear of scrutiny by others
Fear of acting
Embarrassment, humiliation, rejection

29
Q

Most common psych disorder in women? in men?

A

Phobias in women
Substance-related for men
(phobias are #2 for men)

30
Q

How treat specific phobias?

A

CBT

31
Q

How treat social anxiety disorder?

A

CBT

if meds needed, SSRI

32
Q

What non-standard med can you give for public speaking or performance anxiety?

A

Beta-blockers

Psych 2016 (14 decks)

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