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Flashcards in Psych Deck (24)
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1

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

Criteria A for schizophrenia

2

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

1 month or more

3

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

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

4

What percentage of monozygotic twins are affected with schizophrenia?

> 40%

5

What pathway might cause excess dopamine in schizophrenia?

mesolimbic

6

What are 2 antipsychotics used to treat schizophrenia?

Risperidone, prochlorperazine

7

What are different mood disorders?

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

8

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

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

9

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

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

10

What is a mixed episode?

Manic behavior, racing thoughts with depressive feelings

11

How is MDD defined?

Two or more episodes, separated by 2 or more months

12

What is dysthymia?

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

13

What is bipolar I?

Disorder in which at least one manic or mixed episode occurs

14

What is bipolar II?

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

15

Can antidepressants by themselves be used to treat bipolar?

No, that should be avoided

16

Why must bipolar treatment be done extremely carefully?

Because a switch from depression to mania can occur

17

What is cyclothymia?

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

18

What are a couple of treatments for delirium?

Low dose risperidone, diazepam

19

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

Aphasia, apraxia, agnosia, executive functioning disturbance

20

What are a couple of treatments for dementia?

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

21

Can TCA's be prescribed for phobias?

no

22

What is another form of factitious disorder?

Munchausen's syndrome

23

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

65%

24

What does IMPULSE stand for regarding borderline personality disorder?

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