Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Psychiatry > TMS > Flashcards

TMS Flashcards

1
Q

How deep does the electric field penetrate the heads surface?

A

2-4 cm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What does the train represent?

A

The number of repetitive pulses in a quick succession.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Why do we get the motor threshold?

A

It is used to determine the goal treatment intensity and we base it on the level of tolerability

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is the goal of mapping?

A

To locate the motor cortex and the motor threshold so that we can use the motor threshold to determine the intensity of the treatment.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is the nasion and inion?

A

Nasion is the point where the nasal and frontal bone connect

Inion is the projecting part of the occipital bone at the base of the skull.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What should the measurements for the nasion to cap be between

A

Between 1 to 2.5 cm. No greater than 2.5 cm.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What does c3 and f3 represent

A

C3 is left side motor cortex for right hand

F3 is left dorsolateral prefrontal cortex

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Why is the motor cortex important?

A

It helps us find the dlpfc!

The goal is to move the index finger (but any finger moment is sufficient)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What are the steps involved in the BEAM method?

A

Measure the distance from nasion to onion and Tragus to tragus (making sure it is going through the cz/vertex)

Then take 20% of the tragus to tragus and measure laterally from the vertex and that gives you c3

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

In the 5 cm rule, where do you place your marks on the diagonal line

A

4.5 cm, 5 cm, and 5.5 cm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What amplitude do you start at when testing for motor threshold?

A

40% or 50%

Keep going until you see a response and then

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Where do you usually start treatment intensity at?

A

80% of MT

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

If the patients MT is between 20 and 40 what should your treatment intensity goal range be?

A

100 to 120%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

If the patient motor threshold is between 40 to 50, the treatment intensity goal should be?

A

100 to 110% of the motor threshold 

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

How much time do you want to take to increase to the goal Treatment intensity

A

Do you want to slowly increase over the course of 3 to 5 days

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

If having difficulty finding the motor threshold, what amplitude should you not go over?

A

60 

17
Q

What are the two most important things when it comes to TMS treatment?

A

Making sure the patient can tolerate the treatment and making sure that we can get the patient the most pulses throughout the course of their treatment 

18
Q

On the brains way device, what amplitude do you not want to exceeded?

A

40, patients typically tolerate 25 to 35 

19
Q

At what point should you do remapping

A

Close to the 15th treatment

20
Q

At what point should you do remapping

A

Close to the 15th treatment

21
Q

How much of a gap should there be when the coil is placed on the head?

A

It should not go beyond your distal, interphalangeal point 

22
Q

When doing rem mapping, which side should you start on?

A

You should start on the right side and complete the birth and then complete the left side. 

23
Q

During re-mapping, if the motor threshold is 35 or lower what percentage can you go up to?

A

Can go higher than 120 if tolerated 

24
Q

During remapping if the motocross hold is 35 or higher, what goal percentage should you shoot for?

A

Do not go over 110% unless as a psychiatrist, you see that they can tolerate it and will benefit from a higher intensity 

25
Q

What is the machine average for a mag venture?

A

40

26
Q

What is the machine average for brains way?

A

About 30

27
Q

At remapping, if depression symptoms have not improved. What can you do?

A

You can double down by adding left sided theta. 

28
Q

How many sessions are included in a TMS treatment?

A

36 sessions typically done over six weeks and the patient should show up about five days out of the week 

29
Q

What should you do if you have double down on the left side to help with depression treatment and there is still no improvement?

A

You can either consider changing devices or a violate for other aspects that may be contributing to their poor progress (bio, psycho,social, spiritual)

30
Q

Went to consider brains way

A

When the patient has OCD, patient with personality disorders, patients who are doing a second round of TMS and they responded well but the effects were not long lasting from magventure 

31
Q

What to do when giving treatment and depression is improving but anxiety has gotten worse

A

You can add the default 10 Hz protocol to the right side

If there is time constraints- then you can switch theta bursts to the left and 10hz to the right but only if depression has improved 

32
Q

What to do if depression and anxiety has gotten worse at remapping?

A

Consider adding left sided theta and right sided 10 hz

Or if they already have 10hz on the right side- then consider adding left sided theta burst or a device change

33
Q

What is the ideal improvement we want to see in MDD

A

50% decrease in phq9 or at least 5 point reduction in depressive scale

Typically will see improvement in sleep

34
Q

When to consider the 1 Hz protocol?

A

When anxiety is the main concern.

There is a 10 min option for less severe anxiety and a 20 min option (double the pulses but more of a time commitment)

35
Q

Ideal improvement for anxiety ?

A

50 % decrease on GAD7

36
Q

How would you add the 1 hz protocol?

A

You would do the default bilateral protocol and then add 1 Hz protocol to the right side.

37
Q

What can you do if the primary concern is ptsd/trauma?

A

Do the standard and add 10Hz to the right side (addds 15 minutes)

38
Q

Time required for each part of the protocol

A

10hz- 15 minutes
Theta burst- 3 minutes
1 hz - 10-20 minutes

Psychiatry (5 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions