Shit - Psych Flashcards

1
Q

Positive vs. negative

A
positive = do something
negative = take away something
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2
Q

Reinforcement vs punishment

A

Increase behaviour

Decrease behaviour

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3
Q

Reaction formation

A

UNCONSCIOUSLY replacing bad thoughts/idea with the opposite

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4
Q

Sublimation

A

CONSCIOULY replacing bad thoughts/idea with something SIMILAR to the wish but that doesn’t conflict with their views

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5
Q

Undoing

A

symbolically nullifying bad thing with confession/atonement

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6
Q

anaclitic depression

A

Isolated children become withdrawn/unresponsive

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7
Q

Conditions associated with tourettes

A

OCD

ADHD

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8
Q

ADHD Rx

A

Amphetamines:

Methylphenidate, atomoxetine (NRI), Clonidine (a2 agonist)

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9
Q

Tourette’s Rx

A

Low dose, high potency antipsychotics (i.e. flu)
Clonidine
Tetrabenazine (also used for Huntington’s)

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10
Q

Rett syndrome s/s

A

Girls

Progressive regression around 1-4; verbal, intellectual, ataxia, hand-writhing

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11
Q

Alzeimers NTS

A

Low Ach

High glutamate

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12
Q

Anxiety NTs

A

High NE
Low 5HT
Low GABA

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13
Q

Delerium vs dementia

A

Delerium = altered consciousness, acute onset, wax and wane, 2’, abnormal EEG

Dementia = decreased intellectual functioning with normal consciousness, gradual, usually irreversible, usually 1’, abnormal EEG

*reversible dementia via hypothyroidism, depression in elderly, B12 deficiency, NPH

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14
Q

Hallucination types:

A
Visual = medical
auditory = psych
tactile = alcohol or cocaine
olfactory = epilepsy
gustatory = epilepsy
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15
Q

Schizophrenia/brain

A

High DA activity

Decreased dendritic branching

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16
Q

Schiz timelines:

A

6 m = schizophrenia

Psychotic with mood on top = schizoaffective

17
Q

> 1month with ONLY delusions

A

Delusional disorder

[

18
Q

depersonalization vs. derealization

A

deperson = out of body

derealize = world seems fake

*both have reality-testing in tact

19
Q

hypomanic vs manic

A

Hypoamnic = no psychotic features, no marked impairment, ≥ 4 days

Manic = marked impairment, ≥1 week OR hospitalized

20
Q

Bipolar I vs. II vs. cyclothymia

A
I = mania ± depressive or hypomanic
II = hypomania + depressive
Cyclothymic = hypomania to dysthymia
21
Q

Rx of bipolar

A

MOOD STABILIZERS:

lithium, valproic acid, carbamazepine, atypical antipsychotics

22
Q

Dysthymia timeline

A

> 2 years

23
Q

DMDD Dx

A

Outbursts 3x/week, disproportional reactions, multiple places

Dx between 6 and 18 years

24
Q

Normal vs. pathological grief

A

Normal = shock, denial, anger, guilt, somatic symptoms, HALLUCINATIONS of their voice

Pathologic = >6 months, major depressive criteria, psychotic symptoms (other than the hallucinations)

25
Q

Venlafaxine treats:

A

Panic disorder

PTSD

26
Q

GAD timeline

A

> 6 months

27
Q

acute stress disorder vs adjustment disorder vs PTSD

A

Acute stress disorder = 3d-1m
Adjustment disorder = 6m for chronic stressor
PTSD = >1m

28
Q

Ego defences with personality disorders

A
Projection = Paranoid
Splitting = boarderline
29
Q

Russel’s sign

A

callouses on knuckles from bulimia

30
Q

Sleep hygiene vs stimulus ctrl

A

hygeine = caffeine, naps

stimulus = bed for sleep only

31
Q

Narcolepsy brain

A

Decreased hypocretin (orexin) production in lateral hypothalamus

32
Q

GHB for:

A

Narcolepsy daytime somnolence and cataplexy

33
Q

RX RLS

A

dopamine (can be a precursor to parkinson)

34
Q

RLS vs PLM

A
RLS = aware of pain and movement to relieve it
PML = unaware fo movements
35
Q

Benzo OD Rx

A

Flumazenil

36
Q

Withdrawal existential crisis =

A

amphetamines

37
Q

Wernicke encephalopathy s/s

A

Triad:

  • confusion
  • opthalamoplegia
  • ataxia
38
Q

Korsakoff

A

Confabulations
Memory loss
Personality changes

Periventricular hemorrhages and mamillary body degeneration

39
Q

DTs: s/s and timeline

A

2-4 days after last drink

Autonomic hyperactivity