Block 2 April Flashcards

1
Q

Diagnostic criteria for intellectual disability:

A

IQ at or below 70

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2
Q

brief episode of intense fear accompanied by physical symptoms:

A

panic attack

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3
Q

anxiety or distress over leaving home:

A

Agoraphobia

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4
Q

increased activity where in OCD?

A

frontal cortex

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5
Q

aggression to people and animals

destruction of property

deceitfulness or theft

serious violations of rules

childhood or adolescent onset

A

conduct disorder

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6
Q

loses temper

argues with adults

deliberately annoys people

blames others

touchy or easily annoyed

anger and resent

spiteful or vindictive

A

oppositional defiant disorder

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7
Q

Treatment of anxious alcoholics:

A

buspirone

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8
Q

Mania lasting 7 days

A

Bipolar 1

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9
Q

Hypomania lasting 4 days

A

Bipolar 2

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10
Q

Tx for adolescent depression

A

SSRIs for at least 1 year

**Tricyclics are contraindicated

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11
Q

Cluster A personality disorders:

A

weird

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12
Q

Cluster B personality disorders:

A

wild

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13
Q

Cluster C personality disorders:

A

worried

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14
Q

pervasive distrust and suspiciousness of others

A

Paranoid

cluster A

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15
Q

detatchment or disinterest in social relationships

A

schizoid

cluster A

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16
Q

acute discomfort with and reduced capacity for close relationships

magical thinking

A

schizotypal

cluster A

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17
Q

instability of interpersonal relationships

impulsivity

intense episodic dysphoria

A

borderline PD

cluster B

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18
Q

grandiosity

need for admiration

lack of empathy

A

narcissistic

cluster B

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19
Q

disregard and violation of the rights of others

A

antisocial PD

cluster B

**kind of like conduct disorder after adolescence

20
Q

excessive emotionality and attention seeking

A

Histrionic PD

cluster B

21
Q

pervasive pattern of social inhibition

A

Avoidant PD

cluster C

22
Q

pervasive need to be taken care of

A

dependent PD

cluster C

23
Q

preoccupation with orderliness

A

Obsessive compulsive PD

cluster C

24
Q

only agents to have anti-suicide effects in bipolar disorder

A

clozapine

lithium (first line)

25
Q

mood stabilizers

A

Lithium

Divalproex

Carbamazepine

26
Q

Pathophysiology of schizophrenia:

A

increased dopamine

27
Q

First atypical (2nd gen) antipsychotic:

A

clozapine

28
Q

benefit of 2nd gen antipsychotics

A

treat positive AND negative sx

29
Q

lots of outpatient visits

frequent hospitalizations

repetitive subspecialty referrals

lots of diagnoses

multiple meds

A

Somatic Symptom disorder

30
Q

Physical symptoms following stress event

ie. paralysis after witnessing death

A

Conversion disorder

31
Q

intentionally exaggerates or induces signs and symptoms of illness

motivation is to assume the sick role

no other incentive for illness

A

Factitious disorder

32
Q

severe factitious disorder

A

Munchausen syndrome

33
Q

use of approximate answers in factitious disorder

A

Ganser’s syndrome

34
Q

lying about illness motivated by external incentives

A

Malingering

35
Q

most common side effect of SSRIs:

A

sexual dysfunction

36
Q

5HT2/3 blocker with less sexual side effects and less anxiety:

A

Mirtazepine

37
Q

antidepressant

no weight gain

less sexual side fx

not good for anxiety unless smoker

A

busproprion

38
Q

Genetic polymorphism linked to Major Depressive Disorder

A

5HTTLPR

39
Q

Long + Long promoter on 5HTTLPR gene = ?

A

low depression

40
Q

1st line for MDD?

A

SSRIs

41
Q

Dopamine-norepinephrine reuptake inhibitor?

What is it NOT used for?

A

Bupropion

Anxiety (CONTRAindicated)

42
Q

Also blocks post synaptic serotonin receptor:

A

mirtazapine

43
Q

More effective than SSRIs/SNRIs but lethal in OD:

A

tricyclics

44
Q

monoamine oxidase inhibitor

A

phenelzine

45
Q

blocks NMDA receptors

A

ketamine