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Exam I Cram Flashcards

(47 cards)

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1
Q

what is Transference?

A

feelings of the pt toward the physican

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2
Q

what is Countertransference?

A

feelings of the physician toward the patient

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3
Q

______ assessment questions should be included in an initial psychiatric evaluation

A

spiritual

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4
Q

what is Mood?

A

pt’s reported emotional state

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5
Q

what is Affect?

A

observed emotional range of pt (can be congruent or incongruent with reported mood)

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6
Q

what is concentration?

A

capacity to maintain attention despite distracting stimuli

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7
Q

In a pt presenting with psychiatric symptoms or if you need to monitor for side effects, what labs may be useful?

A
  • electrolytes (Na, K)
  • renal function
  • liver function
  • TSH
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8
Q

describe EEG findings in dementia

A

decreased alpha power in occipital lobe

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9
Q

decreased alpha power in occipital lobe on EEG

A

dementia

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10
Q

what assessment tool helps monitor the symptoms in a pt with schizophrenia?

A

positive and negative symptoms scale (PANSS)

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11
Q

which neuropsychological cognitive screening tool is more sensitive to mild-severe cognitive impairment?

A

MOCA

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12
Q

which neuropsychological cognitive screening tool is only sensitive to severe cognitive impairment?

A

MMSE

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13
Q

________ is used to identify relevant medical conditions that may be presenting with psychiatric symptoms

A

ANotherMEDICalCONDITion

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14
Q

what psychiatric condition may Herpes present with?

A

gustatory hallucinations

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15
Q

what is the psychosexual stage associated with ages birth - 18 months?

A

oral

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16
Q

Oral is the psychosocial stage associated with ages…

A

birth-18mo

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17
Q

what is the Ericksonian stage for those 60+ y/o?

A

Ego Integrity vs Despair

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18
Q

Ego Integrity vs Despair is the _______ stage for those 60+ y/o?

A

Ericksonian

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19
Q

abstract thought and understanding underlying principles are most possible in what development stage?

Study These Flashcards
A

Formal Operations (Piaget)

20
Q

_________ has provided several models for the development of psychopathology including risk factor identification

Study These Flashcards
A

systems theory

21
Q

Civil Commitment requires…

Study These Flashcards
A
  1. serious psychiatric disorder
  2. risk of harm to self or others
  3. hospitalization is the least restrictive option
22
Q

four elements of determining a patient’s capacity to make medical decisions?

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A
  1. understanding
  2. expressing a choice
  3. appreciation
  4. reasoning
23
Q

give examples of justifiable reasons to terminate a patient relationship

Study These Flashcards
A

failure to pay
threatening behavior
failure to keep appts
non-compliance
abuse of meds

24
Q

what should be done when terminating a patient relationship? (3)

Study These Flashcards
A
  • formally inform pt (certified mail) with reasoning
  • provide emergency services x30 days
  • referral recommendation
25
autism spectrum disorder includes a diverse presentation population and treatment options include... (2)
- applied behavioral analysis - 2nd generation antipsychotics
26
ADHD has three types and the best evidence for treatment remains...
stimulant medication
27
Tic disorders have varied presentations with ____ being the most studied
Tourette's
28
primary treatments of positive and disorganized psychotic conditions?
FGAs and SGAs
29
FGAs and SGAs are the primary tx of positive and disorganized psychotic conditions, however only _______ has significant success in addressing negative sx
Clozapine
30
Catatonia management can include what three treatment options?
- general - acute - malignant
31
depersonalization / derealization disorders: - avoid (2) - instead use (2)
- antipsychotics and benzos - CBT (desensitization/flooding) or hypnosis
32
Types of ADHD?
1. combined presentation 2. predominantly inattentive presentation 3. predominantly hyperactive/impulsive presentation
33
duration of sx in MDD vs. PDD?
- MDD: >2 weeks of recurring episodes with >5 SIGECAPS - PDD: >2 years of episodes with >2 SIGECAPS
34
herbal and supplement options have been shown some efficacy in treating ______
MDD
35
what are some herbal and supplement options that have been shown some efficacy in treating MDD (6)
- omega-3 FAs - folic acid - inositol - SAMe (S-adenosyl-I-methionine) - St Johns Wort - B12
36
all antidepressants have a ___% response rate with a ____% remission rate for MDD
- 66% - 33-40%
37
Differentiate between BPD I and BPD II
- BPD I: at least one manic episode (3+ DIGFAST sx) -- NO depressive episodes required - BPD II: at least one HYPOMANIC and one DEPRESSIVE episode--there has NEVER been a manic episode
38
What is Cyclothymic Disorder?
milder form of BPD -- 2 years of hypomanic sx that do not meet criteria for an episode and depressive sx that do not meet criteria for a depressive episode - remissions are not longer than 2 months
39
what is one of two psychiatric medications that decreases suicide rates?
lithium
40
therapeutic level of Lithium?
0.6-1.2 mmol/L
41
FDA approved options for GAD include... (5)
- Paroxetine - Escitalopram - Duloxetine - Venlafaxine - Buspirone
42
what reduces relapse rates following medication d/c in pts with OCD?
CBT
43
what should NOT be used in PTSD d/t progression of trauma related sx?
benzos
44
somatic sx disorder is typically managed by who? - appt schedule?
- PCPs instead of psychiatrists - regularly scheduled brief appts
45
differentiate between factitious disorder, conversion disorder (an example of a somatic sx disorder), and malingering?
- Factitious: intentional sx, unconscious motivation - Conversion: unconscious sx, unconscious motivation - malingering: intentional sx, intentional motivation
46
weight restoration in anorexia nervosa pts is challenged by...
- overcoming metabolic resistance - avoiding refeeding syndrome
47
primary treatments of enuresis?
behavioral systems alarm pads imipramine

Psych (4 decks)

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