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Neuro > Psych 0427FA > Flashcards

Psych 0427FA Flashcards

1
Q

NTs in anxiety

A

increase: NE
decrease: GABA, serotonin

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2
Q

NTs in depression

A

decrease: NE, serotonin, dopamine

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3
Q

NTs in alzheimer dementia

A

decrease: ACh

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4
Q

NTs in huntington

A

increase: dopamine
decrease: ACh, GABA

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5
Q

NTs in parkinson

A

increase: serotonin, ACh
decrease: dopamine

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6
Q

NTs in schizophrenia

A

increase: dopamine

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7
Q

mature ego defenses

A

Sublimation
Altruism
Suppression
Humor

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8
Q

ADHD tx

A

methylphenidate (ritalin)
amphetamines (dexedrine)
atomoxetine (nonstimulant SNRI)

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9
Q

Tourette’s tx

A

antipsychotics - haloperidol

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10
Q

causes of loss of orientation

A

time - place - person

alcohol
drugs
fluid/electrolyte imbalance
head trauma
hypoglycemia
nutritional deficiency
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11
Q

retrograde amnesia

A

inability to remember things that occurred before CNS insult

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12
Q

anterograde amnesia

A

inability to remember things that occurred after CNS insult (no new memory)

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13
Q

Korsakoff’s amnesia

A

classic ANTEROgrade amnesia caused by THIAMINE deficiency and assoc. destruction of mammillary bodies.

may also include some retrograde amnesia.
seen in alcoholics.
assoc. with confabulations.

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14
Q

dissociative amnesia

A

inability to recall important personal information, usu. subsequent to severe trauma or stress

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15
Q

childhood and EARLY onset disorders

A 
ADHD
oppositional defiant d/o
conduct d/o
Tourette's syndrome
separation anxiety d/o
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16
Q

pervasive developmental d/o

A

characterized by difficulties with language and early loss of or failure to acquire social skills

autism
asperger’s d/o
Rett’s d/o (girls)
childhood disintegrative d/o (boys)

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17
Q

cognitive d/o

A

significant change in cognition (memory, attention, language, judgment) from previous level of functioning

delirium
dementia

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18
Q

psychosis

A

distorted perception of reality

signs:
hallucinations
illusions
delusions
loose associations
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19
Q

visual hallucinations

A

more commonly a feature of MEDICAL ILLNESS

20
Q

auditory hallucinations

A

more commonly a feature of PSYCHIATRIC ILLNESS

21
Q

olfactory hallucinations

A

aura of psychomotor epilepsy.

or in brain tumors.

22
Q

tactile hallucinations

A

in alcohol withdrawal.

or in cocaine abuse.

23
Q

subtypes of schizophrenia

A

must be > 6 mos.

  1. paranoid (delusions)
  2. disorganized (referring to speech, behavior, affect)
  3. catatonic (automatisms)
  4. undifferentiated (mix of all types)
  5. residual
24
Q

brief psychotic d/o

A

< 1 month.

stress-related.

25
Q

schizophreniform d/o

A

1-6 mos.

26
Q

schizoaffective d/o

A

at least 2 wks of stable mood with psychotic sx PLUS major depressive, manic, or mixed episode - bipolar or depressive types.

27
Q

mood d/o

A

abn range of moods or internal emotional states and loss of control over them. severity of moods causes distress, impairment in social and occupational functioning.

major depressive d/o
bipolar d/o
dysthymic d/o
cyclothymic d/o

28
Q

dx of manic episode

A 
at least 3:
Distractibility
Irresponsibility
Grandiosity
Flight of ideas (racing thoughts)
goal-directed Activities, psychomotor Agitation
decreased need for Sleep
Talkativeness/pressured speech

“manics DIG FAST”

29
Q

tx of bipolar d/o

A

mood stabilizers - lithium, valproate, carbamazepine

atypical antipsychotics

30
Q

cyclothymic d/o

A

dysthymia (mild depression) and hypomania for AT LEAST 2 YRS

mild form of bipolar d/o

31
Q

dx of major depressive d/o

A 
"SIG E CAPS"
Sleep disturbance
loss of Interest (anhedonia)
Guilt or feelings of worthlessness
loss of Energy
loss of Concentration
Appetite and/or weight changes
Psychomotor retardation/agitation
Suicidal ideations

+ depressed mood

32
Q

tx of atypical depression

A

hypersomnia, overeating, mood reactivity.
most common subtype of depression.

MAO inhibitors, SSRI.

33
Q

ECT as tx

A

for major depressive d/o refractory to other tx.

and for pregnant women with major depressive d/o.

34
Q

RFs for suicide completion

A 
"SAD PERSONS"
Sex (male)
Age (teen or old)
Depression
Previous attempt
Ethanol or drug use
loss of Rational thought
Sickness (medical illness, 3+ Rx drugs)
Organized plan
No spouse
lack of Social support
35
Q

anxiety d/o

A

inappropriate fear/worry and anxiety (physical manifestations) when source of fear/worry is not real OR insufficient to account for severity of sx.
interfere with daily life.

panic d/o
phobias
OCD
PTSD
generalized anxiety d/o
36
Q

panic d/o

A

10-min long episodes.

at least 4:
Palpitations, paresthesias
Abd distress
Nausea, lightheadedness
Intense fear of dying, losing control
Chest pain, chills, choking, disConnectedness
Sweating, shaking, SOB
37
Q

tx of panic d/o

A

cognitive behav therapy (CBT)
SSRI
TCA
benzos

38
Q

tx of OCD

A

SSRI

clomipramine

39
Q

PTSD vs acute stress d/o

A

PTSD > 1 mo.

acute stress d/o lasts 2 days to 1 mo.

40
Q

tx of PTSD

A

psychotherapy

SSRI

41
Q

generalized anxiety d/o

A

pattern of uncontrollable anxiety for AT LEAST 6 MOS.

tx: benzos
buspirone
SSRI

42
Q

cluster A personality d/o

A

WEIRD: odd/eccentric
inability to develop meaningful social relationships
no psychosis

  1. paranoid
  2. schizoid
  3. schizotypal
43
Q

cluster B personality d/o

A

WILD: dramatic, emotional, erratic

  1. antisocial
  2. borderline
  3. histrionic
  4. narcissistic
44
Q

cluster C personality d/o

A

WORRIED: anxious, fearful

  1. avoidant
  2. obsessive-compulsive
  3. dependent
45
Q

schizos

A

schizoid pd < schizotypal pd < schizophrenia < schizoaffective

Neuro (15 decks)

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