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KC2017 Behavioral Health > 2ndyear Reviews > Flashcards

2ndyear Reviews Flashcards

(90 cards)

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1
Q

loosening of associations

A

unrelated/unconnected

disorder in the logical progression of thoughts

no train of thought

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2
Q

flight of idea

A

rapid succession of fragmentary thoughts or speech

abrupt change in content, speech is incoherent

mania

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3
Q

psychotic

A

loss of reality

delusions, hallucinations

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4
Q

neurotic

A

no loss of reality

real, intraspyschic conflicts that cause anxiety

obsession, phobia, compulsion

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5
Q

functional

A

no known structural damage

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6
Q

tangentially

A

digressive, irrelevant manner of speech where central idea is never communicated

** goes on a tangent**

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7
Q

circumstantiality

A

disturbance in associative thought in which patients digress into unnecessary thoughts before getting to central idea

schizophrenia, obsessional disturbance, dementia

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8
Q

thought blocking

A

interruption in train of thinking before idea is finished and patient completely forgets what is said

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9
Q

word salad

A

incoherent mixture of words and phrases (no connection at all)

seen in severe schizophrenia

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10
Q

hallucinations

A

false sensory perception occurring in absence of external stimuli

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11
Q

delusions

A

false belief

based on incorrect inferences about external reality

maintained despite being told it is false

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12
Q

orientation

A

awareness of oneself and surroundings

A and O x 3 (person, place, time) (+ situation)

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13
Q

insight

A

conscious recognition of one’s condition

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14
Q

8 main topics of MSE

A 
Appearance/behavior  
Speech
Mood 
Thought
Perception 
Cognitive behavior 
Insight
Judgement
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15
Q

what medication causes agranulocytosis?

A

clozapine

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16
Q

types of psychotherapy (6)

A 
psychoanalysis 
group therapy
family therapy 
marital therapy 
biofeedback 
cognitive therapy
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17
Q

group therapy

A

goal is to change behavior
variety of disease in group is good

works for almost every disease

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18
Q

psychoanalysis

A

brings suppressed memories into present personality

free association

access the unconscious

sigmund freud

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19
Q

family therapy focus

A

improving relationships in the family structure

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20
Q

marital therapy

A

alleviate emotional distress and disability

promote well being but can still lead to divorce

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21
Q

biofeedback

A

autonomic nervous system under voluntary control

see emotions

relaxation techniques and EMG used

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22
Q

cognitive therapy assumes

A

patient problem is based on perception of environment

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23
Q

cognitive triad of depression

A
  1. negative self thought
  2. negative view of world
  3. believe that world will not change
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24
Q

SOME signs of anxiety disorder

A

trembling, shaking, tachycardia, sweating, diarrhea

parathesia (pins and needles)

dread, insomnia, upset stomach

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25
drugs (categories) used to treat anxiety
1. Benzos 2. SSRI 3. TCA 4. MOI s.e. are worse at higher doses
26
types of anxiety disorders
1. GAD 2. Panic Disorder (agoraphobia) 3. Phobic disorders 4. OCD 5. Social Anxiety disorder 6. Acute Stress Disorder 7. PTSD
27
generalized anxiety disorder
fear, worry, tension with out panic attacks (>6 months) benzos + SSRIs
28
agoraphobia
fear of leaving home, somewhat specific (spaces) afraid of getting a panic attack in public
29
panic disorder
SUDDEn may be triggered by thought, person, situation patient is quick to freak out treated with SSRI + Benzo
30
physical symptoms of panic disorder
tachycardia, hyperventilation, SOB, can pass out feel scared, out of control no psychotic ideation
31
are benzos good for anxiety disorders
NO they will mellow you so you calm down but doesn't treat the persistent fear
32
social anxiety disorder
afraid of humiliation, won't answer questions fear of being ridiculed or making mistakes treat with CBT
33
obsession
a repetitive thought | eats at you inside
34
compassion
action that is taken to reduce the obsession
35
OCD
obsessions and compulsions patient is aware this is a problem Fluvoxamine -Treatment
36
acute stress disorder
witness, participate, know someone who has been thru traumatic event onset of anxiety secondary to event short (less than one month)
37
PTSD
exposure to some sort of event, functionally impaired for more than one month SSRI treatment, symptom specific (wolters), trauma focused CBT
38
positive symptoms
gain of function hallucinations, delusions
39
negative symptoms
loss of function abnormal affect avolition, alogia...
40
neologism
creating new words
41
paranoid delusions
persecutory delusions control grandeur
42
ideas of reference
everything is referring to them
43
clang association
rhyming and punning but the associations don't make sense
44
how is schizo diagnosed
from the history look for hallucinations s/s change overtime
45
treatment of schizo
antipsychotics esp. haldo and geodon + atypical
46
side effects of antipsychotics
EPS | TD
47
EPS symptoms
``` Dystonia Akanthesia Parkinsonism Akinesia Occulolytic (eyes roll back) ```
48
tardive diskenesia
lip smacking comes
49
BMI levels for anorexia
mild: >17 moderate: 16-17 severe: 15-16 extreme: <15
50
physical exam findings of anorexia
brittle nails, thin hair, langue, no periods, continual fractures
51
diagnostic labs for anorexia
``` cholesterol thyroid dehydration leukopenia TSH - could be hyperthyroidism ```
52
anorexia treatment
no meds SSRI can help depression atypical antipsychotics CBT, psychotherapy, family
53
bulimia nervosa
no lab test but will have electrolyte abnormalities normal weight but cycles of purging
54
bulimia physical findings
``` perimylolysis (dental erosion) parotid enlargement oral damage gastric tears electrolyte imbalance (K+) ``` normal weight
55
SIG E CAPS + M
``` Sleep Irritability Guilt Energy Concentration Appetite loss Psychomotor retardation Suicide Mood ```
56
dysthymic disorder
aka persistent depressive disorder depressed for over 2 years similar symptoms but not as extreme as MDD insidious onset (up and down)
57
treatment of PDD
can use SSRI, SNRI but side effects typically CBT is best
58
MDD
discrete onset but not insidious depressed mood and loss of interest for 2+ weeks
59
personality disorders
engrained in you genetic aspect and environmental aspect pattern of behavior that deviates markedly from set expectation of culture
60
cluster a
paranoid schizotypical shizoid
61
cluster b
antisocial borderline histrionic narcissistic
62
cluster c
OCD dependent avoidant
63
paranoid personality
excessive suspiciousness distrust of other no basis precursor of schizophrenia
64
schizoid PD
will not look you in the eye detached from social groups, solitary `
65
schizotypical
development to schizophrenia | odd beliefs and magical thinking
66
antisocial PD
always in trouble with no remote disregard for feelings of others popular in prison population
67
narcissistic personality disorder
think they are special, unique no empathy, no cure grandiose, excessive admiration
68
borderline personality disorder
self mutilation, threats, impulsive instability psychotherapy and pharmacotherapy (SSRI and SNRI)
69
avoidant
people who tend to stay away from everyone can't take criticism
70
dependent personality disorder
needs other to make decisions
71
OCPD
everything has to be in place, lined up, don't think they are irrational no obsessions or compulsions
72
DIGFAST
bipolar disorder - mania ``` Distractibility Increased goal activity Grandiose Flight of ideas Activity Sleep disturbance Talkative ```
73
mania main symptom
flight of ideas ALSO abnormally elevated mood and increased goal activity
74
bipolar I
manic episode (1 week) + depressive episode
75
in a manic phase what might someone do>
promiscuity waste money drive like maniac req. hospitalization
76
bipolar II
hypomanic episode with depressive episode
77
best drug given for bipolar disorder?`
lithium also valproate
78
lithium concentration is increased by which drugs
``` NSAIDs ARBS Prozac Ace Thiazides (hydrochlorothiazide) ```
79
lithium concentration is decreased by
pregnancy theophyllanine diuretics
80
somatic symptoms disorders (SSD)
multiple systems early onset normal tests
81
disorders that violate clinical tests but there is no intent to deceive
somatic symptom disorder | conversion disorder
82
disorders where there is an intent to deceive
malingering | factitious
83
conversion disorder
sensory problem with no clinical diagnosis typically blind, deaf, paralyzed la belle indifference 1 s/s abnormal
84
la belle indifference
lack of concern for severity of symptoms conversion disorder
85
body dimorphic disorder
barbie syndrome obsessed with perceived flaws repetitive actions to check appearance multiple plastic surgeries, form of OCD
86
factitious disorder
purposefully making yourself sick or faking sick for attention can be munhausen by proxy
87
what drug is given to patients with NMS
dantrolene muscle relaxant (decreases CK levels)
88
which drug requires continual WBC (CBC_
clozapine bc agranulocytosis
89
serotonin syndrome 3 maj. effects
cognitive effects (HA, confusion, coma, hallucinations) autonomic (hyperthermia vasoconstriction, tachycardia) somatic (muscle twitching, tremors)
90
NMS
super high fever stiff rigid muscles HTN and death

KC2017 Behavioral Health (11 decks)

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