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Flashcards in Psych Deck (24)
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1
Q

In a delusional order, what criteria must not have been met?

A

Criteria A for schizophrenia

2
Q

How long must sxs last to be called a delusional disorder?

A

1 month or more

3
Q

Greater than or equal to 2 of which sxs must be present during a month period to be called schizophrenia?

A

Delusions, hallucinations, disorganized speech, grossly disorganized behavior, negative sxs (lack of affect, alogia, etc.)

4
Q

What percentage of monozygotic twins are affected with schizophrenia?

A

> 40%

5
Q

What pathway might cause excess dopamine in schizophrenia?

A

mesolimbic

6
Q

What are 2 antipsychotics used to treat schizophrenia?

A

Risperidone, prochlorperazine

7
Q

What are different mood disorders?

A

Depressive (MDD, dysthymia), bipolar (I/II, cyclothymia)

8
Q

5 or more of what sxs must be present during a 2 wk period to diagnose major depressive episode?

A

MSIGECAPS: depressed Mood, increased/decreased Sleep, decreased Interest, Guilt, decreased Energy, decreased Concentration, increased/decreased Appetite, Psychomotor agitation/retardation, Suicidal ideation

9
Q

3 or more of what criteria must be present at least 1 wk to diagnose a manic episode?

A

GST PAID: Grandiosity, Sleep (decreased need), Talkative, Pleasurable activities, Painful consequences, Activity, Ideas (flight of), Distractable

10
Q

What is a mixed episode?

A

Manic behavior, racing thoughts with depressive feelings

11
Q

How is MDD defined?

A

Two or more episodes, separated by 2 or more months

12
Q

What is dysthymia?

A

Depressed mood most of day, for more days than not, for 2+ yrs

13
Q

What is bipolar I?

A

Disorder in which at least one manic or mixed episode occurs

14
Q

What is bipolar II?

A

Disorder in which there is at least 1 MDE and at least 1 hypomanic episode, but no history of manic or mixed episode

15
Q

Can antidepressants by themselves be used to treat bipolar?

A

No, that should be avoided

16
Q

Why must bipolar treatment be done extremely carefully?

A

Because a switch from depression to mania can occur

17
Q

What is cyclothymia?

A

The presence of numerous periods of hypomanic and depressive sxs for > or = 2 yrs, no MDE, manic or mixed episodes

18
Q

What are a couple of treatments for delirium?

A

Low dose risperidone, diazepam

19
Q

Dementia is defined by a memory impairment plus > or = to 1 of the following?

A

Aphasia, apraxia, agnosia, executive functioning disturbance

20
Q

What are a couple of treatments for dementia?

A

Cholinesterase inhibitors (rivastigmine, donepezil), antipsychotics (risperidone), antidepressants

21
Q

Can TCA’s be prescribed for phobias?

A

no

22
Q

What is another form of factitious disorder?

A

Munchausen’s syndrome

23
Q

Below what standard body weight should an anorexic be admitted to hospital?

A

65%

24
Q

What does IMPULSE stand for regarding borderline personality disorder?

A

Impulsive, Moody, Paranoid under stress, Unstable self-image, Labile intense relationships, Suicidal, Inappropriate anger, Vulnerable to abandonment, Emptiness