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MS3 > Psych 7 > Flashcards

Psych 7 Flashcards

1
Q

What is it called when patient consciously fakes symptoms in order to obtain secondary (external) gain

A

Malingering

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2
Q

What is it called when patient consciously fakes symptoms in order to obtain primary gain (sick role)

A

Factitious disorder

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3
Q

Bodily complaints with excessive, persistent thought and anxiety about symptoms

A

Somatic symtoms disorder

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4
Q

Time frame of somatic symptom disorder

A

At least 6 months

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5
Q

Describe conversion disorder

A
  • At least one neurological symptom (sensory or motor) which cannot be fully explained by a neurological condition (E.g. paralysis, weakness, blindness, mutism, paresthesias, seizures, globus sensation)
  • Patient is aware of but sometimes indifferent towards symptoms
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6
Q
  • Excessive preoccupation with acquiring or having some illness
  • Absent or minimal somatic symptoms
A

Illness anxiety disorder

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7
Q

Time frame of illness anxiety disorder

A

at least 6 months

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8
Q

Falsification of physical or psychological symptoms, or induction of injury or disease, in the absence of obvious external gain

A

Factitious disorder

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9
Q

Recurrent behavioral outbursts resulting in verbal and/or physical aggression against people or property

A

Intermittent explosive disorder

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10
Q

What laboratory finding is associated with intermittent explosive disorder

A

Low levels of serotonin (5-HIAA) in the CSF

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11
Q

Tx of intermittent explosive disorder

A

SSRI, anticonvulsants, or lithium

CBT

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12
Q

What other disorder do 65% of patients with kleptomania have?

A

Bulimia nervosa

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13
Q

Sx of neuroleptic malignant syndrome

A

Muscle rigidity, dystonia, akinesia, mutism, obtundation, agitation, high fever, sweating, increased BP and HR

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14
Q

Medication other than Dantrolene used to treat NMS

A

Bromocriptine

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15
Q

Factors indicative of poor prognosis in schizophrenia

A
  • Early/insidious onset of disease
  • Lack of precipitating factors/stressors
  • Poor premorbid functioning
  • Neurological signs and symptoms
  • Presence of social isolation
  • Family history of schizophrenia
  • Poor support system
  • Presence of negative sx
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16
Q

Criteria and time frame for delusional disorder

A

o >/= 1 delusions for >/= 1 month
o Other psychotic symptoms absent or not prominent
o Ability to function apart from delusion; behavior not obviously bizarre or odd

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17
Q

What is catatonia

A

o Diagnosis includes 3 or more of the following:
♣ Catalepsy (immobility)
♣ Stupor
♣ Waxy flexibility
♣ Mutism
♣ Negativism (resisting attempts to move patient and does opposite to what is asked)
♣ Posturing
♣ Mannerism
♣ Stereotypy (repetitive behavior)
♣ Agitation not influenced by external stimuli
♣ Grimacing
♣ Echolalia (meaningless repetition of another person’s spoken words)
♣ Echopraxia (meaningless repetition of the movements of others)

18
Q

Describe grandiose delusional disorder

A

Delusions of having great talents

19
Q

Which antipsychotics are available as long acting injectables

A

THINK: How Ridiculous, Paying For A hOle

H = Haloperidol
R = Risperidone
P = Paliperidone
F = Fluphenazine
A = Aripiprazole
O = Olanzapine
20
Q

What is the life time prevalence of schizophrenia

A

0.3-0.7%

21
Q

Is rapid onset of schizophrenia a good or poor prognostic factor?

A

Good

Insidious onset is a poor prognostic factor

22
Q

Is onset of schizophrenia at age 22 a good or poor prognostic factor?

A

Good

Onset age 20-25 is a good

23
Q

Name 3 drugs that can produce psychosis similar to schizophrenia

A

Amphetamines
PCP
LSD

24
Q

What psychotic feature is almost purely seen in psychiatric disorders (vs. medical causes of psychosis)

A

Auditory hallucinations

25
Q

Families of patients with schizophrenia, who are overtly hostile and overly controlling, affect the patient in which way?

A

Increased relapse rate

It is a myth that it causes paranoid type of schizophrenia

26
Q

Common cause of hyponatremia in schizophrenic patients

A

Psychogenic polydipsia

27
Q

What percentage of patients with a single psychotic episode will relapse off medication within 5 years

A

80%

28
Q

What psychiatric symptom is seen in 90% of all terminally ill patients

A

Delirium

Delusions, anxiety, and depression may also occur, but not with such overwhelming frequency

29
Q

Visual hallucination of a transparent phantom of one’s own body

A

Autoscopic psychosis

30
Q

Belief that familiar persons have been replaced by identical imposter who behave exactly like the original person

A

Capgras syndrome

31
Q

Delusion that the person is a werewolf or other animal

A

Lycanthropy

32
Q

The false perception of having lost everything, including money, status, strength, health, and internal organs

A

Cotard syndrome

33
Q

Psychotic disorder in which one person develops psychotic symptoms similar to the ones a long-term partner has been experiencing

A

Folie a deux

34
Q

What drug is Zyprexa

A

Olanzapine

35
Q

What drug is Abilify

A

Aripiprazole

36
Q

What drug is Seroquel

A

Quetiapine

37
Q

What drug is Zydis

A

Olanzapine

38
Q

What is disruptive mood dysregulation disorder (DMDD)

A

Chronic, severe, persistent irritability occurring in childhood and adolescence

39
Q

What is oppositional defiant disorder (ODD)

A

Pattern or irritability/anger, defiance/argumentativeness, or vindictiveness

Does not involve physical aggression or violating others’ basic rights

40
Q

Conduct disorder

A

The most serious disruptive behaviors, which violate the rights of other humans and animals

Precursor to antisocial personality disorder

41
Q

What drug is Prozac

A

Prozac/Fluoxetine

42
Q

What drug is Zoloft

A

Zoloft/Sertraline

MS3 (88 decks)

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