Final Review

Question 1

a score of less than what on the MMSE is cognitive impariment

Answer 1

23

Question 2

What disorder has a manic espisode and depression.

Answer 2

Bipolar I

Question 3

when a bipolar patient has is manic and has MDD symptoms, high risk of suicide.

Answer 3

Mixed episode

Question 4

Disorder with a least one major depressive episode and hypomanic episode, never been manic or mixed

Answer 4

Bipolar II

Question 5

All of these describe what type of symptoms
decreased need for sleep
flight of idea
talkativeness
excessive involvement in pleasurable activities

Answer 5

manic symptoms

Question 6

what is an hypomanic episode?

Answer 6

similar to manic but only 4 days

no psychotic features

Question 7

Numerous sx of depression AND hypomania w/o meeting criteria for major depressive nor hypomanic episode

Answer 7

cyclothymic disorder

Question 8

gold standard for bipolar disorder

Answer 8

lithium

Question 9

– 5 sx of depression in week before menses starts, sx improve w/i few days of onset, minimal postmenses

Answer 9

premenstrual dysphoric disorder

Question 10

child with recurrent empers/ outburst, diagnosed before age 6 and before age 18

Answer 10

Disruptive mood dysregulation (DMDD)

Question 11

how long must symptoms be present for MDD?

Answer 11

> 2 weeks

Question 12

ADR of buproprion

Answer 12

lowers seizure threshold

Question 13

BBW for SSRIs

Answer 13

suidicde <26 years old

Question 14

what is a non-sedating and non-addictive med for GAD?

Answer 14

buspirone

Question 15

Recurrent, persistent thoughts, impulses or images that are intrusive and inappropriate and cause distress

Answer 15

Obsessions

Question 16

Repetitive behaviors or mental acts the person feels driven to perform in response to an obsession

Answer 16

Compulsions

Question 17

Difficulties in social use of verbal and nonverbal communication. Difficulties understanding humor/ sarcasm.

Answer 17

social communication disorder

Question 18

Same as autism EXCEPT:

No language delay, no cognitive development delay

Answer 18

Asperger’s

Question 19

Slowed head growth, loss of hand skills, poor coordination, impaired language development w/ psychomotor retardation
No language delay or cognitive development

Answer 19

Rett’s Disorder

Question 20

Normal development x2 years followed by regression

Loss of previously acquired skills

Answer 20

Childhood Disintegrative Disorder

Question 21

2 types of simtulants used for ADHS

Answer 21

amphetamine (Adderrall)

Methylphenidate (Ritalin)

Question 22

Drug for ADHD that works like an antidepressant and helps w/ anxiety

Answer 22

Strattera

Question 23

Must have: 4 pain sx, 2 GI sx, 1 sexual sx, 1 neuro sx

**Sx cannot be explained by a medical condition

Answer 23

somatization disorder

Question 24

Intentional feigning of physical or psychological symptoms

-The motivation is to assume the “sick role”

Answer 24

factitious Disorder

Question 25

Preoccupation w/having or acquiring a serious illness Somatic sx not present, present at least 6 mo. Not better explained by another condition

Answer 25

Illness anxiety disorder

Question 26

lack of speech (negative symptom seen in schizophrenia)

Answer 26

alogia

Question 27

lack of initiative or motivaiton (seen in schizophrenia)

Answer 27

avolition

Question 28

(1) is a state of apparent unresponsiveness to external stimuli in a person who is apparently awake and (2) is difficult to differentiate from diffuse encephalopathy and status epilepticus (get EEG)

Answer 28

Cataonia

Question 29

1st generation, typical antipsychotics for schizoprhenia that have lots of EPS effects and tardive dyskinesia

Answer 29

Haloperidol | Thorazine

Question 30

A severe, life threatening reaction to antipsychotic medication Rigidity, Autonomic Instability (hypertension/tachycardia), Fever, Leukocytosis, Inc CPK

Answer 30

Neuroleptic malignant syndrome

Question 31

• Patient meets criteria for schizophrenia in addition to meeting criteria for major depression, a manic or mixed episode

Answer 31

Schizoaffective Disorder

Question 32

* Non-bizarre delusions are present at least 1 month-things that occur in real life such as being followed, poisoned, infected, loved at a distance, or being deceived by a significant other * Outside of the delusions, behavior is not odd, bizarre or impaired * Patient has never meet criteria for schizophrenia

Answer 32

Delusional disorder

Question 33

Cluster A personality disorders

Answer 33

Paranoid schizoid schizotypal

Question 34

bluster B personality disorders

Answer 34

antisocial borderline histrionic narcissitic

Question 35

cluster C personality disorders

Answer 35

avoidant dependent obsessive-compulsive

Question 36

Detachment from social relationships, restricted range of affect. Does not want relationships with other people

Answer 36

Schizoid

Question 37

Pervasive pattern of social and interpersonal deficits marked by acute discomfort with close relationships, cognitive distortions, odd behaviors and ideas

Answer 37

Schizotypal

Question 38

Pervasive pattern of disregard and violation of the rights of others since age 15 (dx at 18 y/o) “Sociopath” → entitled, charming, ulterior motives, angry when they don’t get their way Mgmt: Don’t argue, be aware of escalating mood, leave room if pt is agitated

Answer 38

Antisocial personality disorders

Question 39

Frantic efforts to avoid abandonment - -Splitting (alternating between extremes of idealization and devaluation) - -Unstable self image & sense of self - -Impulsive self damaging behavior

Answer 39

Borderline Personality Disorders

Question 40

Excessively emotional and attention seeking | Shallow emotions → THEATRICAL

Answer 40

Histrionic Personality disorder

Question 41

Believes they are special and unique and should only assoc w/ other special people

Answer 41

Narcissistic PD

Question 42

emotionally laden, uncontrolled outburst of aggressive behavior that is impulsive in nature

Answer 42

reactive aggression

Question 43

controlled, purposeful, and medmeditated aggression with little emotion

Answer 43

planned or predatory aggression

Question 44

Highest fatality rate of any psychiatric disorder

Answer 44

anorexia nervosa

Question 45

Recurrent episodes of binge eating → discrete period & lack of control once per week for 3 months

Answer 45

bulemia nervosa

Question 46

Eating w/i 2 hour periods amounts of food larger than what most people would eat in similar circumstance; sense of lack of control 3 of criteria (eating more rapidly than normal, feel uncomfortably full, eat large amounts when not hungry, eating along due to embarrassment, disgusted w/oneself

Answer 46

Binge eating disorder

Question 47

Combination of concussion, PTSD, MDD, chronic pain, and generalized anxiety disorder

Answer 47

Post depolyment syndrome