psych

Question 1

ADHD onset before age:

Answer 1

12

Question 2

decreased frontal lobe volume and metabolism is associated with what disorder

Answer 2

ADHD

Question 3

separation anxiety disorder common age of onset

Answer 3

7-9 yo

Question 4

coprolalia

Answer 4

involuntary obscene speech (associated with tourettes)

Question 5

tourettes is diagnosed before what age

Answer 5

18

Question 6

tourettes can only be diagnosed if motor/vocal tics persist for how long?

Answer 6

> 1 year

Question 7

Tourettes drugs for intractable tics (4 drugs)

Answer 7

1) fluphenazine
2) tetrabenazine
3) pimozide
4) clonidine

Question 8

Tourettes is assocaited with what two disorders

Answer 8

ocd and adhd

Question 9

rett syndrome is apparent in girls age what

Answer 9

1-4

Question 10

2 year old girl comes in with loss of development and loss of verbal abilities

Answer 10

Rett syndrome

Question 11

Rett syndrome inheritance

Answer 11

X dominant

Question 12

stages of change in overcoming substance addiction

Answer 12

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

Question 13

increased GGT

Answer 13

alcohol use

Question 14

ALT and AST values in alcoholism

Answer 14

AST is 2x as much as ALT

Question 15

rx delirium tremens

Answer 15

long acting benzodiazepines
chlordiazepoxide
lorazepam
diazepam

Question 16

most effective treatment for alcoholism

Answer 16

AA

Question 17

what is the triad for wernicke encephalopathy

Answer 17

confusion NOT confabulation (part of korsakoff encephalopathy)
opthalmoplegia (nystagmus)
ataxia

Question 18

two areas of brain damaged by wernicke korsakoff

Answer 18

mamillary bodies

medial thalamus

Question 19

onset of delirium tremens

Answer 19

2-4 days after last drink

Question 20

onset of alcoholic hallucinosis

Answer 20

12-48 hours after last drink (1-2 days)

Question 21

heroin is what kind of drug

Answer 21

opioid

Question 22

methadone is what kind of drug

Answer 22

opioid

Question 23

morphine is what kind of drug

Answer 23

opioid

Question 24

pinpoint pupils

Answer 24

opioid intoxication

Question 25

rx. opioid intoxication

Answer 25

naloxone, naltrexone

Question 26

benzodiazepine intoxication rx

Answer 26

flumazenil

Question 27

barbiturates intoxication rx

Answer 27

barbiturates

Question 28

flashbacks

Answer 28

LSD intoxication

Question 29

perception of slowed time

Answer 29

marijuana intoxication

Question 30

vertical and horizontal nystagmus

Answer 30

PCP intoxication

Question 31

PCP intoxication rx

Answer 31

benzodiazepine / rapid acting antipyschotics

Question 32

what is the active form if marijuana

Answer 32

tetrahydrocannabinol

Question 33

order of what is lost in terms of orientation

Answer 33

1) time 2) place 3) person

Question 34

korsakoff syndrome has what kind of amnesia

Answer 34

anterograde > retrograde

Question 35

dissociative amnesia

Answer 35

inability to recall important personal information subsequent to severe trauma or stress

Question 36

dissociative fugue

Answer 36

abrupt travel/wandering during a period of dissociative amnesia

Question 37

what can present as pseudodementia in the elderly

Answer 37

depression and hypothyroidism

Question 38

what do you screen for and measure if an elderly person comes in for dementia

Answer 38

TSH B12 depression

Question 39

tactile hallucinations occur with what substances abuse

Answer 39

alcohol withdrawal | cocaine abuse

Question 40

brief psychotic disorder lasts how long

Question 41

schizophreniform disorder lasts how long

Answer 41

1-6 months

Question 42

frequent cannibis use in teens is associated with what

Answer 42

pyschosis and schizophrenia

Question 43

delusional disorder lasts how long

Answer 43

>1 month

Question 44

manic episodes last how long

Answer 44

at least 1 week

Question 45

manic episode mnemonic for symptoms

Answer 45

DIGFAST ``` distractability irrepsonsibility grandiosity flight of ideas acitivity/agitation sleep decreased talkativeness/pressured speech ```

Question 46

hypomanic episode must last how long

Answer 46

4 days consecutive

Question 47

what is cyclothymic disorder and how long does it have to last

Answer 47

dysthymia and hypomania = milder form of bipolar disorder has to last 2 years!

Question 48

depressive has to be at least how long of symptoms

Answer 48

2 weeks

Question 49

how long does major depressive disorder usually last

Answer 49

6-12 months