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Flashcards in Psych Deck (62):
1

Rhett disorder

X-linked; girls only (boys die); regression after around 4; loss of development; stereotyped hand-wringing

2

conduct vs antisocial personality disorder

conduct - before 18; may proceed to the latter - Dx: antisocial personality disorder

3

ADHD

onset before 12; Tx: amphetamine, methylphenidate, atomoxetine, beh therapy (BT)

4

coprolalia

10-20% of pts with Tourette

5

Tourette

motor and vocal tics for >1 year; ass. with ADHD and OCD; Tx: antipsyc and BT

6

separation anxiety

7-9yr/o; Tx: SSRI and BT

7

Huntingtons NT

incr. DA; decrease Ach and GABA

8

Parkinsons NT

decr in DA; incr in serotonin and Ach

9

schizophr NT

increase in DA

10

anxiety NT

NE incr; serotonin and GABA decr

11

korsakoff amnesia

in severe thiamine def (B1); anterograde; ass with confabulations; alcoholics

12

dissociative fugue

abrupt travelling/wandering with dissociative amnesia; ass with traumatic event

13

delirium

common in inpatient setting; waxes and wanes; acute onset; hallucinations; disorganized thinking; altered consciousness; abnormal EEG; If Tx with antipshyc: haloperidol

14

dementia

dradual onset; decr in cogntion and memory BUT no altered consciousness; pts can develop delirium; normal EEG; inc incidence with age; causes: NPH (normal pressure hypertention; vit B12 def; low TH; neurosyphilis, HIV (kinda)

15

visual and auditory hallucinations

visual - often medical disease; auditory- psych (schozoph)

16

tactile hallucinations

alcohol withdrawal - formication; cocaine- "cocaine crawlies"

17

hypnogogic vs hypnopompic hallucinations

gogic - while going to sleep; pompic- waking up

18

schizophrenia

>6month of at least two of positive and/or negative symptoms; inc in DA and decr in dendritic branching; presents earlier in males

19

brief psychotic episode

< 1 month, stress related

20

schozophreniform disorder

1-6 months (vs. >6 months in schizophrenia)

21

schizoaffective disorder

2 weeks of stable mood with psychotic symptoms plus either major depression or mania, or both (bipolar or depressive subdivisions)

22

delusional disorder

persistent, fixed untrue belief; > 1 month; functioning not impaired

23

manic episode

at least one week; causing impairment; Dx req hospitalization and at least 3 of DIG FAST (distractibilty, irresponsibility, grandiosity; flight of ideas, increase in activity, agitation, decr in need for sleep; talakative

24

hypomanic

not as severe as mania- no impairment, no hospitalization; lasts at least for 4 days

25

Bipolar II

depressive and hypomanic episodes; Tx: mood stabilizers, atypical antipsychotics; antidepress may lead to manic episode

26

Bipolar I

mania +/- depressive episode; Tx: mood stabilizers, atypical antipsychotics; antidepress may lead to manic episode

27

dysthymia - persistent depressive disorder

"depressive personality"; mood disorder consisting of the same cognitive and physical problems as in depression, with less severe but longer-lasting symptoms - at least 2 years

28

cyclothymic disorder

at least 2 years; dysthymia and hypomania; milder bipolar form

29

mojor depressive episode

2 weeks; at least 2 of SIG E CAPS; may last 6-12 months; changes in sleep cycle

30

SIG E CAPS

sleep disturbance; loss on interest (anhedonia); guilt/worthlessness; energy loss; concentration; appetite change (weight gain or loss); psychomotor retardation or agitation; suicidal ideation;

31

depression and sleep changes

decrease in slow wave sleep; decrease in REM latency with increase in total REM and inc of REM in early sleep cycle; repeated nighttime awakening; early morning awakening.

32

atypical depression

mood reactivity; reversed hyperinsomnia or weight gain; LEADEN PARALYSES - heavy feeling n legs and arms; interpersonal rejection sensitivity; Tx: MOA inhibitors; SSRIs.

33

post partum stuff: maternal "blues", depression, psychosis

all begin within 4 weeks of birth; resolves in 10 days - fatigue; lasts for 2 weeks or more - Anxiety and depressed affect; psychosis - lasts days to 4-6 weeks.

34

SAD PERSONS are more likely to commit suicide

Sex (male); Age (teen/elderly); depression; previous attempt; ethanol or drug use; loss of Raional thinking; Sickness (or prescr medications); Organized plan; No spouse (esp childless); Social support lacking

35

generalized anxiety disorder

at least 6 months; unrelated to specific cause; sleep, GI disturbance, fatigue, difficutly concentratinfg; Tx: SSRI, SNRI, buspirone, CT (cognitice therapy)

36

adjustment diorder

<6 months; known psycho-social stressor.

37

OCD (vs. OC personality disorder)

SSRI, clomipramine (OCPD- perfectionism and order but ego -syntonic)

38

PTSD

> 1 month; onset any time after event; Tx: SSRI, psychotherapy

39

acute stress disorder

3 days-1 month

40

personality disorders

present by early adulthood; Weird (ass with schizophrenia), Wild (ass with mood disorders and substnace abuse), Worried (ass with anxiety disorders)

41

ShizoiD (vs cluster C avoidant)

Distant (vs desiring relationships but being afraid of rejection)

42

schizoTypial

magical Thinking

43

paranoid

projection as defense mechanism

44

borderline

(self-mutilation, sense of emptiness); splitting as defense mechanism

45

schizo-disorders

schizoid
schizotypal - schizoid+ odd thinking
schizophrenic - greater odd thinking than schizotypal
schizoaffective - schizophrenic psychotic symptoms + bipolar or depressive mood disorder

46

bulimia nervosa

parotitis, alkalosis (from vomiting), electrolyte disturbance, dorsal hand calluses - Russel sign

47

transSEXualism vs transVESTism

seeking to be an opposite SEX vs dressing as an opposite sex (wearing a VEST)

48

sleep terror disorder

nightmares in non-REM sleep --> no memeory; waking up screaming ( vs, general nightmares - REM--> memory)

49

narcolepsy

decrease in orexin release from lateral hypothalamus; Tx: daytime stimulants (amphetamines, modafinil), nightitme sodium oxybate (GHB)

50

stages of overcoming substance addiction

1. precontemplation;
2. contemplation
3. preparation/determination
4. action/willpower
5. maintenance
6.relapse

51

alcohol

AST/ALT >2; elevated GGT levels

52

Delirium Tremens (DT)

"the shakes"; 5-15% mortality rate; is an acute episode of delirium that is usually caused by withdrawal from alcohol. BNZ are the treatment of choice; peaks at 25 days after last drink; 1. ANS hyperactivity; 2. psychotic symptoms 3. confusion

53

Opioids Od (depr)

morphine, heroin, methadone; euphoria, CNS depress., decrease in gag reflex; pinpoint pupils, seizures; Tx: naloxone, naltrexone

54

Opioid withdrawal (depr)

sweating, dilated pupils, piloerection - "cold turkey"; YAWNING; flu-like symptoms - fever, rhinrrhea; Tx: methadone, buprenorphine

55

barbiturates (depr)

low safety margin: Tx overdose with O2 and increase in BP; withdrawal- delirium and CV collapse

56

BNZ (depr)

for intoxication - Tx: supportive and FLUMAZENIL (competitve BNX antagonist)- but can trigger withdrawal symptoms (rebound anxiety, seizures)

57

cocaine intox Tx (angina, cardiac arrest, seizures)

BNZ

58

Nicotine withdrawal Tx

nicotine patch, gum, lozenges; atypical antidepress - bupropion; varenicline (chantix)

59

PCP intox and Tx

fever, impulsiveness, vertical and horizontal nystagmus; incr HR, suicidal ideation, seizures, delirium
Tx: BNZ, rapid-acting antipsych

60

LSD (lythergic acid diethylamine)

perceptual distortion, anxiety, paranoia, possible flashbacks.

61

marijuana

detectable in urrine for 4-10 days; withdrawal picks at 48hrs and lasts for 5-7 days; intox: perception of slowed time, increased in appetite, dry mouth, conjuctival injection ("red eye")

62

Dronabinol (THC isomer) use

antiemetic after chemo or increase appetite in AIDS