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Flashcards in psych Deck (49):
1

ADHD onset before age:

12

2

decreased frontal lobe volume and metabolism is associated with what disorder

ADHD

3

separation anxiety disorder common age of onset

7-9 yo

4

coprolalia

involuntary obscene speech (associated with tourettes)

5

tourettes is diagnosed before what age

18

6

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

> 1 year

7

Tourettes drugs for intractable tics (4 drugs)

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

8

Tourettes is assocaited with what two disorders

ocd and adhd

9

rett syndrome is apparent in girls age what

1-4

10

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

Rett syndrome

11

Rett syndrome inheritance

X dominant

12

stages of change in overcoming substance addiction

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

13

increased GGT

alcohol use

14

ALT and AST values in alcoholism

AST is 2x as much as ALT

15

rx delirium tremens

long acting benzodiazepines
chlordiazepoxide
lorazepam
diazepam

16

most effective treatment for alcoholism

AA

17

what is the triad for wernicke encephalopathy

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

18

two areas of brain damaged by wernicke korsakoff

mamillary bodies
medial thalamus

19

onset of delirium tremens

2-4 days after last drink

20

onset of alcoholic hallucinosis

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

21

heroin is what kind of drug

opioid

22

methadone is what kind of drug

opioid

23

morphine is what kind of drug

opioid

24

pinpoint pupils

opioid intoxication

25

rx. opioid intoxication

naloxone, naltrexone

26

benzodiazepine intoxication rx

flumazenil

27

barbiturates intoxication rx

barbiturates

28

flashbacks

LSD intoxication

29

perception of slowed time

marijuana intoxication

30

vertical and horizontal nystagmus

PCP intoxication

31

PCP intoxication rx

benzodiazepine / rapid acting antipyschotics

32

what is the active form if marijuana

tetrahydrocannabinol

33

order of what is lost in terms of orientation

1) time
2) place
3) person

34

korsakoff syndrome has what kind of amnesia

anterograde > retrograde

35

dissociative amnesia

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

36

dissociative fugue

abrupt travel/wandering during a period of dissociative amnesia

37

what can present as pseudodementia in the elderly

depression and hypothyroidism

38

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

TSH
B12
depression

39

tactile hallucinations occur with what substances abuse

alcohol withdrawal
cocaine abuse

40

brief psychotic disorder lasts how long

41

schizophreniform disorder lasts how long

1-6 months

42

frequent cannibis use in teens is associated with what

pyschosis and schizophrenia

43

delusional disorder lasts how long

>1 month

44

manic episodes last how long

at least 1 week

45

manic episode mnemonic for symptoms

DIGFAST

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

46

hypomanic episode must last how long

4 days consecutive

47

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

dysthymia and hypomania = milder form of bipolar disorder

has to last 2 years!

48

depressive has to be at least how long of symptoms

2 weeks

49

how long does major depressive disorder usually last

6-12 months