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MS3 > Psych 12 > Flashcards

Psych 12 Flashcards

1
Q

What is the distinguishing feature between dissociative amnesia and other conditions resulting in memory loss

A

Procedural memory is preserved

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2
Q

How do you distinguish binge-purge anorexia from bulimia

A

In anorexia patients have significantly low body weight vs. bulimia where patients have normal body weight

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3
Q

Define binge eating

A

Excessive food intake within a 2 hour period accompanied by a sense of loss of control

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4
Q

Time frame of bulimia

A

Binge eating and compensatory behaviors occur at least once a week for 3 months

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5
Q

Tx of anorexia

A

SSRI do not work

CBT, family therapy, supervised eating group

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6
Q

Tx of Bulimia

A

Fluoxetine is only FDA approved

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7
Q

Binge-eating disorder vs. Bulimia

A

Patients with binge-eating disorder suffer from distress over their binge eating by do not try to control their weight by purging or restricting

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8
Q

Time frame of binge eating disorder

A

Binge eating occurs at least once a week for 3 months

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9
Q

What are the sleep stages

A 
To remember EEG waves THINK: BATS Dream Big
♣	Awake (eyes open)
•	Beta waves
♣	Awake (eyes closed)
•	Alpha waves
•	Meditating
♣	Non-REM N1
•	Theta waves
•	Light sleep
♣	Non-REM N2
•	Sleep spindles and K complexes
•	Bruxism (teeth grinding)
♣	Non-REM N3
•	Delta waves (lowest frequency)
•	Deepest sleep
•	Sleep-walking, night terrors, bed wetting 
♣	REM sleep
•	Beta waves
•	Loss of motor tone
•	Dreaming
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10
Q

What are types of insomnia disorder

A
  • Difficulty initiating sleep
  • Frequent nocturnal awakenings
  • Early morning awakenings
  • Waking up feeling fatigued and unrefreshed
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11
Q

Tx of insomnia

A

CBT is first-line

Benzos, Non-benzo hypnotics, Trazodone, amitriptyline, Doxepin

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12
Q

DSM criteria and time frame for hypersomnolence disorder

A

o Excessive sleepiness despite at least 7 hours of sleep, with at least one of the following:
♣ Recurrent periods of sleep within the same day
♣ Prolonged, nonrestorative sleep > 9 hours
♣ Difficulty being fully awake after awakening
o Occurs at least 3 times per week for at least 3 months

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13
Q

Tx of hypersomnolence disorder

A

Modafinil or stimulants

Amphetamine-like antidepressants such as atomoxetine are second line

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14
Q

Time frame for narcolepsy

A

o Recurrent lapses into sleep or naps

♣ Minimum 3x per week for 3 months

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15
Q

What is it called when you have hallucinations when going to sleep and when waking from sleep

A

HypnaGogic = Going to sleep

HyponopoMic = waking froM sleep

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16
Q

What substance can be used to test for narcolepsy

A

Low CSF levels of hypocretin

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17
Q

What is cataplexy

A

Brief loss of muscle tone precipitated by strong emotion (e.g. laughter excitement)

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18
Q

Tx of cataplexy

A

Sodium oxybate (drug of choice)

TCAs, SSRI/SNRI

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19
Q

What is Delayed sleep phase disorder

A

o Chronic or recurrent delay in sleep onset and awakening times with preserved quality and duration of sleep

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20
Q

What is advanced sleep phase disorder

A

o Normal duration and quality of sleep with sleep onset and awakening times earlier than desired

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21
Q

What part of the brain coordinates circadian rhythm

A

Suprachiasmic nucleus in the hypothalamus

22
Q

What disorders occur in Non-REM sleep

A

Sleepwalking, sleep terrors, nightmare disorder

23
Q

Describe a sleep terror episode

A

o Recurrent episodes of sudden terror arousals
o Difficult to arouse during an episode
o After episode, patients usually return to sleep without awakening
o Dreams are not remembered

24
Q

Describe nightmare disorder

A

o Recurrent frightening dreams that occur during the second half of the sleep episode
o Terminate in awakening with vivid recall

25
Q

What is REM sleep behavior disorder

A
  • Repeated arousals during sleep associated with vocalization or complex motor behavior (dream enacting behaviors) occurring during REM
  • Characterized by lack of muscle atonia during REM sleep
26
Q

Tx of REM sleep behavior disorder

A

o Discontinue causative medication
o Clonazepam
o Melatonin

27
Q

What is Restless leg syndrome

A

• Urge to move legs accompanied by unpleasant sensation in the legs, characterized by relief with movement, aggravation with inactivity, and only occurring or worsening in the evening

28
Q

Tx of restless leg syndrome

A

o Dopamine agonists and benzos are first line

29
Q

Appearance of Prader Willi patients

A

o Obese, small stature, almond-shaped eyes

30
Q

Presentation of fetal alcohol syndrome

A

o Growth retardation
o CNS involvement (structural, neurologic, functional)
o Facial dysmorphology (smooth philtrum, short palpebral fissures, thin vermillion border)

31
Q

What is language disorder

A

• Difficulty acquiring and using language due to expressive and/or receptive impairment

32
Q

What is speech sound disorder

A

• Difficult producing articulate, intelligible speech

33
Q

What is social communication disorder

A
  • Challenges with the social use of verbal and nonverbal communication
  • If restricted/repetitive behaviors, activities, or interest also present, diagnose autism spectrum disorder
34
Q

Symptoms of ADHD

A

• Two symptom domains: inattentiveness and hyperactivity/impulsivity
• At least 6 inattentive symptoms
o Fails to give close attention to details or makes carless mistakes
o Difficult sustaining attention
o Does not appear to listen
o Struggles to follow through on instruction
o Difficulty with organization
o Avoids or dislikes a lot of thinking
o Loses things
o Easily distracted
o Forgetful in daily activities

And/or

•	At least 6 hyperactive symptoms
o	Fidgets or squirms
o	Difficulty remaining seated
o	Restless
o	Difficulty engaging in activities quietly
o	Acts as if driven by a motor
o	Talks excessively
o	Blurts out answer before question complete
o	Difficulty waiting or taking turns
o	Interrupts or intrudes upon others
35
Q

Time frame for ADHD

A

• Symptoms > 6 months and present in two or more settings

36
Q

DSM Criteria for Autism spectrum disorder

A

♣ Problems with social interaction and communication
• Impaired social/emotional reciprocity (cannot hold convos)
• Deficits in nonverbal communication (decreased eye contact)
• Interpersonal/relational challenges
♣ Restricted, repetitive patterns of behavior, interests, and activities
• Intense, peculiar interests
• Inflexible adherence to rituals
• Stereotyped, repetitive motor mannerisms (hand flapping)
• Hyper/hyporeactivity to sensory input

37
Q

Diagnostic criteria for Tourette disorder

A

o Multiple motor tics and at least one vocal tic for > 1 year

• Vs. Chronic tic disorder
o Either motor or verbal tics (but not both) for > 1 year

38
Q

Recurrent defecation into inappropriate places

A

Encopresis

39
Q

Effects of Dopamine and Serotonin on sexual function

A

Dopamine enhances libido

Serotonin inhibits sexual function

40
Q

Medications used to treat erectile dysfunction

A

Phosphodiesterase inhibitors (Sildenafil) - still requires stimulation to reach erection

Alprostadil (injected into corpora cavernosa or transurethral) acts locally and produces an erection without stimulation

41
Q

Medications used to treat premature ejaculation

A

SSRI and TCAs

42
Q

Medications used to treat male hypoactive sexual desire disorder/female sexual interest/arousal disorder

A

Testosterone

43
Q

• Sexual fantasies/urges/behaviors involving sexual acts with prepubescent children (<13 y/o)

A

Pedophilic disorder

44
Q

• Sexual arousal from touching or rubbing against a nonconsenting person

A

Fortteuristic disorder

45
Q

• Sexual arousal from observing unsuspecting nude, or disrobing individuals

A

Voyeuristic disorder

46
Q

• Sexual arousal from exposure of one’s genitals to an unsuspecting person

A

Exhibitionistic disorder

47
Q

• Sexual arousal from exposure of one’s genitals to an unsuspecting person

A

Sexual masochism disorder

48
Q

• Sexual arousal from the physical or psychological suffering of another person

A

Sexual sadism disorder

49
Q

• Sexual arousal from either the use of nonliving objects or nongenital body parts

A

Fetishistic disorder

50
Q

Transvestic disorder

A

Sexual arousal from crossdressing

MS3 (88 decks)

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