RSL - Behavioural psych Flashcards

1
Q

ADHD: CNS

A

Decreased: Frontal lobe volume / metabolism

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2
Q

Conduct disorder vs Oppositional defiant

A

CD: Violates societal norms
OD: Absence of serious violation of social norms

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3
Q

Rett syndrome

A

Age 1-4; X-linked (only seen in girls; boys die in utero); regression characterized by loss of development, loss of verbal abilities, intellectual disability, ataxia, stereotyped hand wringing

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4
Q

NT change in disease: alzheimers

A

Low Ach,

high Glutamate

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5
Q

NT change in disease: Anxiety

A

High NE,

low GABA / 5-HT

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6
Q

NT change in disease: Depression

A

Low NE, 5-HT, dopamine

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7
Q

NT change in disease: Huntingtons

A

Low GABA, Ach,

High dopamine

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8
Q

NT change in disease: Parkinsons

A

Low Dopamine,

High Ach

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9
Q

Visual hallucinations: Association

A

Medical illness

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10
Q

Auditory hallucinations: association

A

Psychiatric illness

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11
Q

Olfactory hallucinations: association

A

Aura of psychomotor epilepsy and in brain tumors

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12
Q

Tactile hallucinations: association

A

Alcohol withdrawal, cocaine abuse

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13
Q

Hypnagogic hallucination

A

Occurs while going to sleep

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14
Q

Hypnopompic Hallucination

A

occurs when waking from sleep

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15
Q

Schizophrenia diagnostic criteria

A

≥2 Symptoms greater than 6 months; (≥ 1 core)
Core: Dellusions, Hallucinations, Disorganized speach
Bonus: disorganized behaviour, negative symptoms

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16
Q

tangentality

A

Shifting off topic

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17
Q

Flight of ideas

A

Rapid shifting of thoughts

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18
Q

Clang association

A

rhyme

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19
Q

Word salad

A

no meaningful word associations

20
Q

Manic episode time

A

≥1 week

21
Q

Manic episode: Symptoms

A

DIG FAST

Distractibility, Irresponsibility, Grandiosity, Flight of ideas, Active/agitation, Sleep deprivation, Talkative

22
Q

Depression symptoms:

A
SIGECAPS
Sleep disturbance
Loss of Intrest
Guilt
Energy loss / fatigue
Concentration
Appetite loss
Psychomotor retardaion / agitation
Suicidal idealization
Depressed mood
23
Q

Depression sleep;

A

increased total REM, repeated nightmares

24
Q

Greif vs depression

A

Intermittant / constant
Thoughts of Deceased / thoughts of self
Retained self esteem / self loathing

25
Q

Atypical depression

A

Shows mood reactivity (can have improved mood in light of positive event)

26
Q

Disruptive mood dysregulation disorder

A

Temper outbursts ≥3x/week,
reaction disproportionate to situation,
sad/irritable almost every day,
diagnose before 18 yrs

27
Q

Malingering

A

consciously fakes in order to get secondary gain

28
Q

Factitious

A

consciously fakes in order to get primary gain (sick role) (munchausen syndrome / by proxy)

29
Q

Cluster A personality disorders

A

Schizoid, Schizotypal, Paranoid

30
Q

Cluster B personality disorders

A

Histronic, Anti-social, Borderline, Narcissistic

31
Q

Cluster C personality disorders

A

Avoidant, Dependent, Obsessive-compulsive

32
Q

russell sign

A

Dorsal hand calluses from inducing vomitting

33
Q

Narcolepsy: brain stuff

A

Decreased hypocretin production in lateral hypothalamus

34
Q

Cataplexy (+ disease associated)

A

Loss of all motor tone following strong emotional stimulus such as laughter. Seen in narcolepsy

35
Q

Narcolepsy: treatment

A

Daytime stimulants, nightime Sodium oxybate

36
Q

Stages of overcoming substance addiction

A
  1. Precontemplation
  2. Contemplation
  3. Preperation
  4. Action
  5. Maintenance
  6. Relapse
37
Q

Depressents: general intoxication

A

Mood elevation, decreased anxiety, disinhibition, respiratory depression

38
Q

DTs treatment

A

Benzodiazepines

39
Q

Opioid overdose

A

Pinpoint pupils, seizures, respiratory and CNS depression

40
Q

Flumazenil

A

Benzodiazepine overdose (antagonist)

41
Q

Cocaine overdose treatment

A

Benzos, alpha blockers

42
Q

PCP intoxication

A

Belligerance, impulsivity, fever, vertical / horizontal nystagmus, homicidality, seizures

43
Q

PCP OD treatment

A

benzodiazepines, rapid acting antipsychotics

44
Q

Buprenorphine

A

Partial opioid agonist

45
Q

Wernicke-korsakoff syndrome: Wernicke encephalopathy

A

Triad: confusion, opthalmoplegia, ataxia

46
Q

Wernicke-korsakoff syndrome: Korsakoff psychosis

A

Irreversible memory loss, confabulation, personality change

47
Q

Wernicke-korsakoff syndrome: Pathophys

A

Periventricular hemorrhage / necrosis of mamillary bodies