Lange Q&A Adult Psychopathology Flashcards Preview

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Flashcards in Lange Q&A Adult Psychopathology Deck (43)
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1

Prevalence of schizophrenia in the general population

1%

2

Schizophrenia monozygotic concordance rate

50%

3

Hallmark of Cotard syndrome

Psychotic/delusional theme that internal organs have been removed or are malfunctioning.

4

Folie à deux

A shared delusion aroused in someone via the influence of another person

5

Hallmark of Capgras syndrome

People have been replaced by identical appearing imposters (robots, aliens, etc)

6

Most common etiology of post-partum psychosis?

Bipolar disorder

7

Early sign of schizophrenia during the prodromal period

Progressive social withdrawal

8

Schizophreniform vs. schizophrenia

Schizophreniform = 1 - 6 months of symptoms that meet criteria for schizophrenia. Schizophrenia is > 6 months.

9

Common defense mechanisms utilized in patients with borderline personality disorder

Primitive defense mechanisms: denial, projective identification and splitting.

10

Bleuler's 4 A's of schizophrenia

Association, Affect, Ambivalence and Autism

11

Classic features of catatonia

Negativism, hypomotorism, echolalia and echopraxia.

12

Factors that differentiate delusional disorder from schizophrenia?

Nonbizzare delusions, lack of hallucinations, negative symptoms and disorganization.

13

Indications for ECT in major depression

High severity of symptoms, history of poor response to many medications and need for quick reversal of symptoms.

14

Most common sleep disturbance in patients with depression?

Early morning awakening

15

Biochemical changes observed in depression?

Increased cortisol. Decreased catecholamines, sex hormones and immune funtion.

16

Psychiatric illness with strongest genetic predisposition

Bipolar I disorder. 1st degree relatives have a 25% chance of getting any type of mood disorder.

17

Medical illness that commonly presents with psychiatric symptoms and abdominal pain.

Porphyria. Rule this out by checking urinary porphobilinogen.

18

Most common psychiatric illness that presents with visual hallucinations

Delirium

19

Klüver-Bucy syndrome

Severe damage to or disconnection of the amygdala resulting in docility, lack of fear, anterograde amnesia, hyperphagia and hypersexuality.

20

Pick disease

Frontotemporal dementia

21

Möbius syndrome

Congenital absence of facial nerves and nuclei resulting in bilateral facial paralysis

22

Function of superior temporal gyri

Processing auditory information to understand language

23

Treatment of choice of panic disorder with or without agoraphobia

Fluoxetine. SSRIs are as effective as benzodiazepines and do not have the addictive or withdrawal effects.

24

% of patients with depression who will have an abnormal dexamethasone suppression test?

50%. This is thought to be due to abnormal feedback control in the H-P-A axis due to depression. Note that this is even more prevalent in depressed patients with psychotic features.

25

% of patients who with depression who do not show an increase in TSH after TRH administration

30%

26

Differentiate schizoid from avoidant personality disorder.

In schizoid, patients do not mind the lack of social interaction. In avoidant, the lack of social interaction is distressing to the patient.

27

Dosage of methadone necessary to suppress opioid cravings.

At least 60mg/day

28

Next step in a woman with post-partum psychosis

Hospitalization, this is a psychiatric emergency due to risks to the fetus.

29

Common side effects associated with TCAs

Dry mouth, dizziness (with hypotension) and urinary hesitancy secondary to anticholinergic and adrenergic blockade.

30

Common side effects associated with SSRIs

GI upset, sexual dysfunction and agitation