Exam 2 Flashcards

(57 cards)

1
Q

DSM5 Criteria for PTSD

A

exposure to traumatic event, intrusion with flashbacks, avoidance, negative mood, hyperarousal, duration of more then 1 month, distress, and not anything else

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2
Q

Duration of Symptoms for PTSD

A

more then 1 month

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3
Q

Acute Stress Disorder vs PTSD

A

3 days-1 month vs 1 month or more, m management of symptoms

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4
Q

PTSD Symptoms

A

nightmares, flashbacks, avoid certain situations, hyperarousal, hypervigilant, anger outbursts

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5
Q

Risk Factors for PTSD

A

history of depression, low education, previous trauma, dissociation, trauma, poor coping strategies

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6
Q

Trauma-informed care

A

need to understand patients life experiences to better deliver care

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7
Q

Goals of care for PTSD

A

reduce symptoms, improve function, regain life control

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8
Q

What med used for nightmares

A

Proazosins

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9
Q

What is dissociative identity disorder

A

mental disorder involving experiencing a discontinuity between thoughts, surrondings, actions, etc

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10
Q

What is Dissociative Amnesia

A

cannot remeber esentail detaisl from their past

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11
Q

Predisposing factors for dissociatve disease devolpment

A

genetics, stress, trauma, abuse

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12
Q

Depersonalization Vs Derealization

A

wathcing a movie of life, perceptual alteration

surroundings feel unreal, dreamlike

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13
Q

Define personality

A

way of thinking, feeling, behaving, unique

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14
Q

When does personality become a disorder

A

long term patterns of behavior and inner experiences that differ from what is expected

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15
Q

Personality clusters

A

A: odd, ecentric, paranoid
B: dramatic, emotional, antisocial
C: fearful, avoidant, dependent

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16
Q

Risk factors for developing personality disorder

A

genetic, enviornment, neglect, abuse

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17
Q

Tx for personality disorders

A

support, therapy, social skills, maybe meds

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18
Q

What is splitting

A

Black and white thining, all good or all bad

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19
Q

when does anxiety become a disorder

A

when it interferes with function, happens at random times, frequency and intensity increases

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20
Q

What part of ANS is stimulated in anxiety

A

SNS: fight or flight increased vitals

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21
Q

Acute vs Chronic Stress

A

reaction to one time trigger
reaction to ongoing trigger

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22
Q

Panic Attack Symptoms

A

sweating, trembling, SOB, chest pain, nausea, numbness

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23
Q

Obsession vs Compulsion

A

constantly thinking about something

constantly needs to do something

24
Q

Common obsessions in OCD

A

handwashing, praying, ordering, checking, counting, repeat words

25
First line meds for anxiety, ocd, panic
sedatative hypnotic benzodiasepins, beta blockers antidepressants like anxialytic
26
Somatic symptom disorder vs illness anxiety disorder
somatic: person has focus on physical symptoms illness: worry or fear that you have a serious disease
27
Functional vs Somatic
Functional: experience symptoms like weakness Somatic: worrying about getting hurt
28
Tx for somatic symptoms
therapy, support care, amitriptyline, selective serotonin reuptake inhibitor
29
what is mallingering
exageration of symptoms to gain beneifts or attention
30
factitious disorders and proxy
people pretending to be ill for attention\ proxy: person in control has other person sick to receive benefit
31
DSM5 criteria for eating disorders
Anorexia: starved body Bulimia: binge eat and self induced vomiting Binge eating: consuming lots of food in short time More then once a week for many months
32
Purging methods
self induced vomitting, ipecac syrup, laxative, diuretcs, excessive exercise
33
Normal BMI
18.5-24.9
34
Labs to monitor for eating disorders
electrolytes and CBC
35
Tx for eating disorders
nutrition rehab, therapy, lexdexamfetamine, anti obesity meds, SSRI's
36
Predisposing factors for ASD
genetics, enviornemnt, what pregnant person does (drugs, etc)
37
Functional levels of ASD
1,2,3 higher is worse and lower is better, high functioning vs full care
38
Symptoms of ASD
social problems, non verbal, repeated speech, adherence to routine, fixated interests, sensory input problems
39
Meds for ASD
risperidone, aripiprazole
40
DSM5 criteriafor ASD, ODD, ADHD, CD
ASD: social defiect, repetiton, fixation, sensory input problems ODD: lose temper, easily annoyed ADHD: fidgetness, inattention CD: aggression, destruction, theft
41
TX for ADHD and side effects
dopamine drugs or norepinephrine side effects are decreased appetite, weight, anxiety, growth delay, GI upstes
42
Characteristics of Conduct disorder
repeated pattern of conduct, aggression, destruction, theft, breaking rules
43
Comorbid conditions with oppositonal defiant disease
pattern of irritable, angry mood, argumentative, last 6 months
44
Comorbidities with ADHD
Inattention or hyperactivity
45
What is ACE
adverse childhood experiences traumatic events in childs life, different types of abuse, crime, mental illness, death, etc
46
Primary vs Secondary neurocognitive disorders
Primary: problem cuased by brain (alzhemiers) Secondary: caused by illness (trauma, stroke, etc)
47
What is Delirium and onset
abrupt change in brain function, onset of hours to days
48
What causes delirium
metabolic, endocrine, drug use, nutritonal defect
49
Delirium symptoms
disorienation, memory loss, anxiety, confusion
50
Reverisble vs Irreversible Brain disorders
Reversible: can be fixed with surgey meds, nutrition, etc Irreversible: cannot be fixed and is degenrative
51
Progression of Alzhemiers
Early: short term forgetrfullness, losing track of time, difficulty finding words Middle: difficulty communicating, forgetfulness, behavior changes Late: incontinent, long term memory lose, cannot recognize people or things
52
what is aphasia
difficulty speaking, thinkgin of words, word salad
53
what is apraxia
difficulty speaking, fine motor skills impaired, cant cay certain things or make noises
54
Types of dementia
Alzhemiers: short term memory loss Lewy Bodies: visual hallucinations Frontotemporal: language dysfunction, compulsive, apathy Vascular: impaired function and complex attention
55
what is lewy body dementia
visual hallucinations, REM sleep problems
56
classes of meds for Dementia
Cholsteratse Inhibitos: prevents breakdown of acteychloine in brain NMDA antagonists: block toxic effects of excess glutamate
57
Side effects of meds for dementia
GI upet, dizziness, headache