FA pg 506-510 Pysch

Question 1

long term deprivation of affection in infants result in

Answer 1

failure to thrive, poor language/social skills

lack of basic trust, reactive attachment disorder (infant withdrawn & unresponsive to comfort)

Question 2

what is the time frame for irreversible changes in deprivation in an infant

Answer 2

> 6months and severe deprivation can lead to infant death

Question 3

in child abuse who is the abuser in physical abuse and who is the abuser in sexual abuse

Answer 3

biological mother (physical) 
 Known to victim, usual male (sexual)

Question 4

what is the most common form of child maltreatment

Answer 4

Child neglect

Question 5

if you suspect child neglect, should you report it? Y or N

Answer 5

Y

Question 6

when a parent perceive a child as been susceptible to illness and injury and can result to missed school or overuse of medical services is called?

Answer 6

Vulnerable child syndrome

Question 7

limited attention span, normal intelligence and poor impulse control refers to

Answer 7

attention deficit hyperactivity disorder

Question 8

treatment for attention deficit hyperactivity disorder

Answer 8

methylphenidate, cognitive behavior therapy, atomoxetine, guanfacine, clonidine

Question 9

what disorder is associated with increase head/brain size and common in boys

Answer 9

Autism

Question 10

what is the Mode of inheritance for Rett syndrome and what gender is affected most

Answer 10

X linked dominant & girls

Question 11

stereotyped hand-wringing is associated with ———

Answer 11

Rett

Question 12

repetitive behavior violating the basic rights of others or social norms and destruction of property is associated with

Answer 12

conduct disorder/antisocial disorder

Question 13

tx of conduct and antisocial disorder

Answer 13

Psychotherapy such as CBT

Question 14

Enduring pattern of hostile, defiant behavior toward authority gures in the absence of serious violations of social norms refers to

Answer 14

Oppositional defiant disorder

Question 15

Overwhelming fear of separation from home or loss of attachment figure refers to

Answer 15

Separation anxiety disorder

common in age 7-9 yrs

Question 16

17 year old male Characterized by sudden, rapid, recurrent, nonrhythmic, stereotyped motor and vocal tics that persist for > 1 year is what path

Answer 16

Tourette syndrome (onset before 18yrs)

Question 17

what are the association and Tx for Tourette syndrome

Answer 17

Associated with OCD and ADHD.
TX psychoeducation, behavioral therapy. For intractable tics, low-dose high-potency antipsychotics (e.g., uphenazine, pimozide), tetrabenazine, and clonidine may be used.

Question 18

Coprolalia (involuntary obscene speech) found in only 10–20% of patients refers to

Answer 18

Tourette syndrome

Question 19

dif culties with language and failure to acquire or early loss of social skills refers to

Answer 19

Pervasive developmental disorders

Question 20

what are the neurotransmitter changes in Alzheimer disease

Answer 20

dec  ACh

inc glutamate

Question 21

what are the neurotransmitter changes in anxiety

Answer 21

inc NE,

Dec Gaba, 5-HT

Question 22

neurotransmitter changes in Huntington disease

Answer 22

dec Gaba, ach

inc dopamine

Question 23

what are the neurotransmitter changes in schizophrenia

Answer 23

inc dopamine

Question 24

define Orientation

Answer 24

Patient’s ability to know who he or she is, where he or she is, and the date and time.

Question 25

Causes of Loss of Orientation

Answer 25

alcohol, drugs, uid/electrolyte imbalance, head trauma, hypoglycemia, infection, nutritional de ciencies.

Question 26

list the order of orientation loss

Answer 26

Order of loss: 1st—time; 2nd—place; last— person.

Question 27

Inability to remember things that occurred before a CNS insult.

Answer 27

Retrograde amnesia

Question 28

nability to remember things that occurred after a CNS insult ( dec acquisition of new memory)

Answer 28

Anterograde amnesia

Question 29

Amnesia (anterograde > retrograde) caused by vitamin B1 de ciency and associated destruction of mammillary bodies. Seen in alcoholics. Confabulations are characteristic.

Answer 29

Korsakoff syndrome

Question 30

what is Dissociative amnesia

Answer 30

Inability to recall important personal information, usually subsequent to severe trauma or stress. May be accompanied by dissociative fugue (abrupt travel or wandering during a period of dissociative amnesia, associated with traumatic circumstances).

Question 31

Characterized by disorganized thinking, hallucinations (often visual), illusions, misperceptions, disturbance in sleep- wake cycle, cognitive dysfunction.
Usually 2° to other illness such as fever refers to

Answer 31

delirium

Question 32

Waxing and waning” level of consciousness with acute onset; rapid  in attention span and level of arousal.May be caused by medications (e.g.,
anticholinergics), especially in the elderly. Reversible refers to

Answer 32

delirium

Question 33

————is characterized by memory loss. Usually irreversible.

Answer 33

Dementia

Question 34

seeing a light that is not actually present refers to

Answer 34

Hallucination

Question 35

thinking aliens are communicating with you refers to what type of psychiatric problem

Answer 35

delusion

Question 36

what type of hallucinationOccurs while going to sleep. Sometimes seen in narcolepsy.

Answer 36

Hypnagogic

Question 37

Occurs while waking from sleep and sometimes seen in narcolepsy

Answer 37

Hypnopompic

Question 38

what type of hallucination is associated withthe sensation of bugs crawling on one’s skin

Answer 38

tactile

seen in alcoholic withdrawer and cocain abuse

Question 39

hallucination & delusion greater than 6 months is

Answer 39

schizophrenia

Question 40

what are the positive symptoms of schizophrenia (4)

Answer 40

ƒ Delusions
ƒ Hallucinations—often auditory
ƒ Disorganized speech (loose associations)
ƒ Disorganized or catatonic behavior

Question 41

what are the -ve symptoms of schizophrenia

Answer 41

at affect, social

withdrawal, lack of motivation, lack of speech or thought

Question 42

hallucination lasting less than 1month

Answer 42

Brief psychotic disorder

Question 43

hallucination lasting 1-6 month,

Answer 43

schizophreniform

Question 44

lasting > 2 weeks; psychotic symptoms with episodic superimposed major depression or mania (or both). Psychosis is present with and without mood disorder, but mood disorder is present only with psychosis refers to

Answer 44

Schizoaffective disorder

Question 45

a woman who genuinely believes she is married to a celebrity when, in fact, she is not is what disorder?

Answer 45

Delusional disorder

Fixed, persistent, false belief system lasting > 1 month. Functioning otherwise not impaired.

Question 46

Presence of 2 or more distinct identities or personality states. More common in women. what disorder?

Answer 46

Dissociative identity disorder

Question 47

list 6 association with Dissociative identity disorder

Answer 47

history of sexual abuse, PTSD, depression, substance abuse, borderline personality, somatoform conditions.

Question 48

what disorder is associated withPersistent feelings of detachment or estrangement from one’s own body, thoughts, perceptions, and actions

Answer 48

Depersonalization/ derealization disorde

Question 49

what is DIGFAST which is used for diagnosis and hospitalization in manic episode Stands for?

Answer 49

distractibility Irresponsibility,Grandiosity Flight of ideas, Agitation/inc Activity, Sleep (dec), talkativeness

Question 50

timeframe to diagnosis is….

Answer 50

Lasting at least a week

Question 51

what is hypomanic episode

Answer 51

Like manic episode except mood disturbance is not severe enough to cause marked impairment in social and/or occupational functioning or to necessitate hospitalization. No psychotic features. Lasts at least 4 consecutive days.