Block 2 April Flashcards Preview

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Flashcards in Block 2 April Deck (45):
1

Diagnostic criteria for intellectual disability:

IQ at or below 70

2

brief episode of intense fear accompanied by physical symptoms:

panic attack

3

anxiety or distress over leaving home:

Agoraphobia

4

increased activity where in OCD?

frontal cortex

5

aggression to people and animals

destruction of property

deceitfulness or theft

serious violations of rules

childhood or adolescent onset

conduct disorder

6

loses temper

argues with adults

deliberately annoys people

blames others

touchy or easily annoyed

anger and resent

spiteful or vindictive

oppositional defiant disorder

7

Treatment of anxious alcoholics:

buspirone

8

Mania lasting 7 days

Bipolar 1

9

Hypomania lasting 4 days

Bipolar 2

10

Tx for adolescent depression

SSRIs for at least 1 year

**Tricyclics are contraindicated

11

Cluster A personality disorders:

weird

12

Cluster B personality disorders:

wild

13

Cluster C personality disorders:

worried

14

pervasive distrust and suspiciousness of others

Paranoid

cluster A

15

detatchment or disinterest in social relationships

schizoid

cluster A

16

acute discomfort with and reduced capacity for close relationships

magical thinking

schizotypal

cluster A

17

instability of interpersonal relationships

impulsivity

intense episodic dysphoria

borderline PD

cluster B

18

grandiosity

need for admiration

lack of empathy

narcissistic

cluster B

19

disregard and violation of the rights of others

antisocial PD

cluster B

**kind of like conduct disorder after adolescence

20

excessive emotionality and attention seeking

Histrionic PD

cluster B

21

pervasive pattern of social inhibition

Avoidant PD

cluster C

22

pervasive need to be taken care of

dependent PD

cluster C

23

preoccupation with orderliness

Obsessive compulsive PD

cluster C

24

only agents to have anti-suicide effects in bipolar disorder

clozapine

lithium (first line)

25

mood stabilizers

Lithium

Divalproex

Carbamazepine

26

Pathophysiology of schizophrenia:

increased dopamine

27

First atypical (2nd gen) antipsychotic:

clozapine

28

benefit of 2nd gen antipsychotics

treat positive AND negative sx

29

lots of outpatient visits

frequent hospitalizations

repetitive subspecialty referrals

lots of diagnoses

multiple meds

Somatic Symptom disorder

30

Physical symptoms following stress event

ie. paralysis after witnessing death

Conversion disorder

31

intentionally exaggerates or induces signs and symptoms of illness

motivation is to assume the sick role

no other incentive for illness

Factitious disorder

32

severe factitious disorder

Munchausen syndrome

33

use of approximate answers in factitious disorder

Ganser's syndrome

34

lying about illness motivated by external incentives

Malingering

35

most common side effect of SSRIs:

sexual dysfunction

36

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

Mirtazepine

37

antidepressant

no weight gain

less sexual side fx

not good for anxiety unless smoker

busproprion

38

Genetic polymorphism linked to Major Depressive Disorder

5HTTLPR

39

Long + Long promoter on 5HTTLPR gene = ?

low depression

40

1st line for MDD?

SSRIs

41

Dopamine-norepinephrine reuptake inhibitor?

What is it NOT used for?

Bupropion

Anxiety (CONTRAindicated)

42

Also blocks post synaptic serotonin receptor:

mirtazapine

43

More effective than SSRIs/SNRIs but lethal in OD:

tricyclics

44

monoamine oxidase inhibitor

phenelzine

45

blocks NMDA receptors

ketamine