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Paychiatry > Dvt > Flashcards

Dvt Flashcards

1
Q

Derailment is which tjough abnormality

A

Form of thought
Loss of association(derailment)
Neologism
Both seem in schizo phrenia

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2
Q

Content of thought abnormality

A

Delusion

Obsession

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3
Q

Thought possesion abnormality

A

Insertion
Withdrawal
Broadcast

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4
Q

Stream of thought abnormality

A 
Flight of ideas-mania
Slowing-depression
Perseveration-organic mental d/o
Thought block-anxiety,schizofrenia 
Circumstantiality-
Tangentiality
Lang association mania
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5
Q

Mood disorders types

A

With psychosis-if delusions and hallucinations present__loss of reality contact

Without psychosis-if delusion hallucinations absent

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6
Q

Major neurotransmitter abnormal in psychotic disorders

A

Dopamine

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7
Q

Major neurotransmitter abnormal in neurotic disorders

A

Serotonin dysregulation

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8
Q

Drug of choice for psychosis

A

Antipsychotics

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9
Q

Doc for neurotic disorders

A

Ssri

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10
Q

Diagnostic criteria for ocd

A

Compulssioj present for 1 hour/day

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11
Q

Von goghs schizophrenia

A

Self mutialatiin in schizophrenia

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12
Q

Ptroffs schizophrenia

A

Mental retardation and schizophrenia

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13
Q

Pseudo neurotic schizophrenia

A

Pan anxiety

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14
Q

Oneirophrenia

A

Oneroid(waking dream)

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15
Q

Types of depression

A 
1-major 
2-dysthymia—depression morethan 2 yrs
3-psychotic —with hallucinations and delusions 
4-neurotic —dysthimia
5-bipolar—with h/o mania or hypomania
6-endogenous-with strees factor
7  exogenous—with stress factor
8 reactive-exogenous 
9-melancholia-endogenous 
10-empty nest syndrome -depression in parents when ynger child leaves home
11-seasonal depression -winter
12-anaclitic depression —infants
13 atypical depression = hysteroid dysphoriA—increased sleep appetite and wt gAin
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16
Q

Personality in emotional coldness

A

Schizoid

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17
Q

Personality in magical thinking delusion hallucinations

A

Schizotypal

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18
Q

Personality in suspiciousness

A

Paranoid

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19
Q

Personality in emotional liability and attention serking

A

Histrionic

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20
Q

Personality in Self love boastfullbess

A

Narcissistic

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21
Q

Personality in emotional dysregulation relationship problems suicide attempt

A

Borderline

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22
Q

Personality in violent agreesive prisoners

A

Antisocial

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23
Q

Shy introvert

A

Aviident

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24
Q

Personality in cant tske descion

A

Dependent

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25
Q

Personality in perfectionist rules regulations

A

Anankastic

26
Q

Only fluctuating dementia

A

Lewy body dementia (LBD)

27
Q

Delirium on top of dementia

A

Beclouded dementia

28
Q

Dx of autism

A

Impairments in communication and interaction and restrictive ,repetivw behavior

29
Q

Aspegers syndrome

A

Normal language and iq in autism chila

30
Q

Retts syndrome

A 
Acquired skills(milestones)normal upto 5 months11 yr  and then lost
Only in females
31
Q

Acquired akulla. Ormal upto 2-3 yrs then lost

A

Hellers syndrome/child disintegrative disorder

32
Q

Drug of choice in alcohol withdrawm

A

Benzodiazepines

Add thiamine to prevent encephalopathy

33
Q

Doc for opium withdrawal

A

Buprenorphine,methadone,clonididne

34
Q

Psychotic disorders

A 
Schizo phrenia
Acute psychosis
Brief psychotic disorder
Schizophreniform disorder 
Delusional disorder
35
Q

Neurotic disorder

A 
General anxiety disorder 
Panic disorder 
Phobia
OCD
Bdd
Hoarding disorder 
Trichitillomania
Skin picking do
Impulse control do
PTSD
Somatoforms
Dissociative
Conversion
36
Q

In psychotic form which therapy better

A

Pharmacotherapy>psychotherapy

37
Q

In neurotic do which therapy bettrr

A

Psychotherapy >pharmacotherapy

38
Q

Schizophrenia

A

Key feature–dekusion hallucination abnormal behaviour
Duration__1 MONTH ICD
6 MONTHS DSM

DOC
atypical antipsychotics

39
Q

Delusional disorder

A 
Only delusion
No sociooccupational impairment 
Duration 1 month DSM
3 months ICD
Ex antipsychotics 
Insight oriented psychotherapy
40
Q

Major depressive disorder =depression

A 
Sad mood
Lack of interest
Guilt
Decrease energy
Decreased concentration 
Decrease appetite
Pma decreases
Sleep decrees 
Suicidal

DURATION 2WKS ICD
DSM 2 WKS
DOC SSRI
PSYCHOTHERAPY CBT

41
Q

Mania

A 
Distractsbility
Increased interest
grandiosity
Flight of ideas
Activity increased
Sleep decreased
Talkitiveness

DURATION 1 wk
Doc anti manic_valproate
Rapid controlantipsychotics
No psychotherapy

42
Q

GAD

A

Free floating anxiety
6 months
doc SSRI
Cbt

43
Q

Phobia

A

Morbid and irrational fear with panic like symptoms
1 month
SSRI
Systemic desensitization (exposure therspy)

44
Q

Ocd

A

Obessons_repetitive distressing
Ego dystonic
Ego alien unwanted intrusive +compulsions
Dx–compulsion must be for 1 hr per day 2wk ocd
Doc
SSRI>CLOMIPRAMINE>RISOERIDONE>LAMOTREGINE >MEMANTINE>ECT>psychotherapy
Erp exposure and RESPONSE interventions

45
Q

Body dysmorphic disorder

A

Part of my body is disfigured
Doc
If ocd ssri
If delusional antipsychotics

46
Q

Trichotillomania

A

Hair pulling
Doc ssri
Habit reversal

47
Q

Ptsd

A

Hyper arousal,intrusiveness, avoidance
1 month DURATION
SSRI
Therapy trauma focused cbt

48
Q

Somatisation

A

Multiple symptoms
6 months for dx
SSRI
CBT

49
Q

Somatoform pain

A

Only pain
6 months
SSRI
CBT

50
Q

Hypochondriasis

A

Present with diagnosis
6 months
SSRI
CBT

51
Q

Conversion disorder

A

Sensory motor loss of function
SSRI
Psychodynanic psychotherapy
Resolve the unconscious coflict

52
Q

Paranoid schizophrenia

A

Delusion, hallucination first rank symptoms personality intact

53
Q

Catatonia

A

Motor symptoms
Waxy flexibility
Posturing
Negativism

54
Q

Hebephrenia

A

Disorganized speech

Disorganized behaviour socially inappropriate

55
Q

Simple schizophrenia

A

Mainly negative symptoms

Socillay withdrawn

56
Q

Delirium organic

A 
Acute 
Fluctuating 
Altered sensorium 
Disoriented
Remote memory normal
57
Q

Dementia

A 
Chronic > 6months
Progressive
Clear sensorium
Oriented
Remote memory lost
58
Q

Dementia types

Lewy body dementia

A

Visual hallucination
Movement problems
Fluctua

59
Q

Frontotemporal dementia

A

Personality and behavioural changes

Memory affected late

60
Q

Cjd

A

Rapidly progressive dementia

Myoclonus

61
Q

Vascular demntia

A

Step ladder progression

Emotional incontinence

62
Q

Normal pressure hydrocephalus

A

Dementia
Urinary incontinence
Ataxia

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