3.7 Flashcards

1
Q

what is the most common substance used in patients with schizophrenia

A

nicotine

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2
Q

positive symptoms in schizophrenia are thought to be due to what pathway

A

mesolimbic pathway

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3
Q

negative symptoms in schizophrenia are thought to be due to what pathway

A

mesocortical pathway

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4
Q

how long should symptoms be present in schizophrenia

A

6 months

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5
Q

what are the most common types of hallucinations in schizophrenia

A

auditory

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6
Q

what will be see on CT scan in schizophrenia

A

ventricular enlargement of lateral and third ventricles
decreased cortical volume

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7
Q

what personality disorders are in cluster A

A

schizoid personality disorder
schizotypal personality disorder
paranoid personality disorder

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8
Q

lifelong pattern of voluntary social withdrawal and anhedonic introversion

A

schizoid personality disorder

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9
Q

in what population does schizoid personality disorder most commonly occur

A

men; usually more severe in men

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10
Q

people with schizoid personality disorder and paranoid personality disorder may find therapy

A

threatening

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11
Q

Schizoid personality disorder mnemonic

A

SIR SAFE

Solitary lifestyle
Indifferent to praise or criticism
Relationships of no interest

Sexual experiences not of interest
Activities not enjoyed
Friends lacking
Emotionally cold and detached

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12
Q

characterized by odd, eccentric, bizarre behavior and peculiar thought patterns suggestive of schizophrenia without psychosis (no delusions/hallucinations)

A

schizotypal personality disorder

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13
Q

some people with what cluster A disorder may develop schizophrenia

A

schizotypal personality disorder

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14
Q

schizotype personality disorder mnemonic

A

UFO AIDER

Unusual perceptions
Friendless except for family
Odd beliefs, thinking, speech

Affect - inappropriate, constricted
Ideas of reference
Doubts others - suspicious
Eccentric - appearance/behavior
Reluctant in social situations, anxious

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15
Q

pervasive pattern of excessive distrust and suspiciousness of others, and often interpret their motives as malevolent

A

paranoid personality disorder

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16
Q

what is the hallmark feature of paranoid personality disorder

A

generalized distrust or suspiciousness

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17
Q

paranoid personality disorder mnemonic

A

GET FACT

Grudges held for long periods
Exploitation expected
Trustworthiness of others doubted

Fidelity of sexual partner questioned
Attacks on character are perceived
Confides in others rarely, if at all
Threatening meanings read into events

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18
Q

what personality disorders are cluster B disorders

A

antisocial personality disorder
borderline personality disorder
histrionic personality disorder
narcissistic personality disorder

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19
Q

pervasive socially irresponsible, exploitative and guiltless behaviors that deviate sharply form the norms, values, and laws of society, often violating the rights of others

A

antisocial personality disorder

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20
Q

in what population is antisocial personality disorder most common

A

males

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21
Q

in what disorder are patients impulsive, deceitful, and often violate the law without regard (may commit criminal acts)

A

antisocial personality disorder

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22
Q

many people with antisocial personality disorder have a history of

A

conduct disorder

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23
Q

how old do you have to be to be diagnosed with antisocial personality disorder

A

at least 18

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24
Q

antisocial personality disorder mnemonic

A

CORRUPTS

conduct disorder by 15 years and must be 18 years when diagnosed
Obligations not honored
Reckless and disregard of others safety
Remorselessness
Use others and Untruthful
Planning not meditated
Temper irritable and aggressive
Society laws violated/Social norms disregarded

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25
disorder characterized by instability of interpersonal relationships, self images, and emotions, hypersensitivity to rejection, as well as impulsivity, causing significant impairment or subjective distress
borderline personality disorder
26
hallmark features of borderline personality disorder
instability of interpersonal relationships, self-image, moods, and behavior as well as impulsivity
27
in what disorder do we see the concept of "splitting"
borderline personality disorder
28
what is splitting
black and white thinking - tend to view others as good or bad
29
B's in Borderline Personality Disorder
Bat - mood SWINGS Black and white thinking (splitting) Blown up reaction Broken - unstable relationships and fear of abandonment (breaking up) Bad behavior - impulsivity in self damaging behaviors
30
disorder characterized by being overly emotional, dramatic, seductive, and attention-seeking
histrionic personality disorder
31
in what population is histrionic personality disorder most commonly diagnosed
females
32
in what disorder do patients often exhibit childlike regressive behaviors (temper tantrum's, tearful outburst, dramatic accusations when upset)
histrionic personality disorder
33
H's in histrionic personality disorder
Hey look at me - attention seeking Hissy fits - self absorbed, temper tantrum's Hysterical - theatrical come Hither - inappropriate, sexually provocative, seductive Hype me up - seeks reassurance and praise
34
grandiose often excessive sense of self-importance, superiority, need for attention and admiration, and lack of empathy
narcissistic personality disorder
35
in what population in narcissistic personality disorder most common
males
36
what are the hallmarks of narcissistic personality disorder
grandiosity, notable lack of empathy, and lack of consideration for others. hypersensitivity to evaluation by others
37
in what personality disorder do people commonly react to rejection or criticism with rage
narcissistic personality disorder
38
in what personality disorder is the aging process extremely difficult
narcissistic personality disorder
39
what disorders make up the cluster C personality disorders
avoidant personalty disorder dependent personality disorder obsessive-compulsive personality disorder
40
characterized by a pervasive pattern of social inhibition due to an intense fear of rejection, with a longing to relate to others, affecting their daily lives
avoidant personality disorder
41
major difference between schizoid personality and avoidant personality disorder
schizoid - prefer to be alone avoidant - desire relationships but fear rejection
42
disorder characterized by the inability to assume responsibility, dependent or submissive, needy, and clinging behavior, fear of being alone and abandonment, and difficulty making day to day decisions
dependent personality disorder
43
in what disorder do patients typically have dependence on others to meet their emotional needs
dependent personality disorder
44
do patients with dependent personality disorder have good self confidence
no
45
do people with dependent personality disorder have a pessimistic outlook on life
yes
46
dependent versus borderline PD
borderline: reacts with rage when relationship threatened dependent: reacts with appeasement and submissiveness when relationship threatened
47
dependent vs histrionic PD
dependent: more stable relationships histrionic: more unstable relationships
48
disorder characterized by pervasive pattern of perfectionism, inflexibility, and orderliness with preoccupation with order and details without obsessions or compulsions
obsessive-compulsive personality disorder
49
in what disorder do patients fail to complete tasks in a timely fashion
obsessive-compulsive personality disorder
50
in what disorder do we see ego-syntonic behavior
obsessive-compulsive personality disorder
51
what is ego-syntonic behavior
they don't see anything wrong with their thoughts or behaviors or aware their behavior causes issues
52
in what disorder are patients often successful professionally but have poor interpersonal skills
obsessive-compulsive personality disorder
53
do patients with OCPD have recurrent obsessions or compulsions
no
54
what type of ego do patients with OCD tend to display
ego-dystonic
55
ego-dystonic behavior
aware they have a problem common in OCD
56
in schizoaffective disorder, does psychosis occur in the absence of a mood disorder
yes!!
57
in bipolar disorder with psychosis, does psychosis occur in the absence of a mood disorder
no
58
disorder in which maladaptive behavior or emotional symptoms develop after a stressful or non-life threatening event
adjustment disorder
59
after termination of the stressor, the symptoms persist no longer than _____ in adjustment disorder
6 months
60
neurodevelopment disorder characterized by persistent inattention, impulsivity, and hyperactivity that is not age-specific
attention deficit hyperactivity disorder
61
67% of people with ADHD also have
conduct or oppositional defiant disorders
62
what 2 NT play a key role in the areas of the brain responsible for regulating attention and executive function/what 2 NT play a key role in ADHD
dopamine norepinephrine
63
what might conduct disorder progress to
antisocial personality disorder
64
how old do you have to be to be diagnosed with conduct disorder
< 18 years
65
type of childhood disruptive behavior characterized by a persistent pattern of negative, angry or irritable mood, argumentative or defiant behavior, and intentional vindictiveness or spitefulness
oppositional defiant disorder
66
is oppositional defiant disorder associated with physical aggression, violating other's basic rights, or breaking laws
NO
67
how long do you have to have symptoms of oppositional defiant disorder before you are diagnosed
at least 6 months
68
presence of two or more distinct identities or states of personalities
dissociative identity disorder
69
in what population is dissociative identity disorder most common
women
70
abrupt change in geographic location with loss of identity or inability to recall the past
dissociative fugue
71
what drugs are the biggest causes of psychosis
cocaine methamphetamines
72
exposure to real, threatened, or perceived serious injury or sexual assault
PTSD
73
how long to symptoms have to last to be diagnosed with PTSD
symptoms last > 1 month or the event occurred > 1 month ago
74
collection of fluid within the arachnoid membranes
arachnoid cyst
75
is arachnoid cyst typically congenital or not
arachnoid cyst is typically congenital
76
most common presenting symptom of arachnoid cyst
unilateral headache
77
neuroleptic malignant syndrome is due to
too little dopamine
78
autonomic instability in neuroleptic malignant syndrome
tachycardia tachypnea hyperthermia fever blood pressure changes hyper salivation diaphoresis ***incontinence***
79
what type of muscle rigidity will people with neuroleptic malignant syndrome have
lead pipe muscle rigidity
80
pupils in neuroleptic malignant syndrome
regular sized pupils
81
reflexes in neuroleptic malignant syndrome
hyporeflexia
82
which antipsychotics are most likely to cause neuroleptic malignant syndrome
haloperidol fluphenazine perphenazine