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Flashcards in Psych Final Deck (74)
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1

REM Sleep Behavior Disorder

ROS: vocalizations and/or complex motor movements occur during REM sleep, REM w/o atonia is confirmed by PSG, disturbance not induced by a substance, common in older males, assoc w/ neurodegenerative dz's
Features: action-filled violent dream
Tx: clonazepam (benzo), modified sleep environment

2

Nicotine Withdrawal

ROS: dysphoric mood, restlessness/anxiety, difficulties concentration, irritability/anger, increased appetite, decreased HR

3

Anti-androgens for Paraphilias

Depo-provera used to decrease testosterone levels and thus libido

4

Acamprostate

Mechanism: NMDA receptor antagonist that reduces craving for ETOH by decreasing uncomfortable feelings assoc w/ protracted abstinence
Use: helps prevent the "slip" from happening in the first place bc the person feels euthymic and doesn't crave ETOH

5

Hallucination Persisting Perception Disorder

"Flashback" perceptual experiences long after LSD is metabolized
ROS: false perceptions of movement, intensification of color

6

Delirium Tremens

ROS: confusional state, severe and uncommon, seen after chronic use of heavy sedative (e.g. ETOH), assoc w/ high mortality rate

7

Sexual Masochism

Sexual arousal from receiving phychological/physical suffering

8

Narcolepsy

ROS: recurrent irresistible sleep occurring w/in the same day, at least 1 of - cataplexy, hypocretin deficiency, characteristic PSG abnormalities
Time: several times per wk for >3mo

9

Cannabis

Most commonly used illegal substance, rarely causes hallucinations, shorter acting than LSD (2-4 hrs) unless ingested, assoc w/ "amotivational syndrome"

10

Nightmare Disorder

ROS: extremely dysphoric dreams that typically involve threats to survival, security or physical integrity
Characteristics: awakening in 2nd half of sleep (during REM), rapid alertness, dream content well remembered, good recall of awakening
Tx: if needed antidepressants to decrease REM

11

Delayed Ejaculation

Marked delay in, or absence of ejaculation

12

Sodium Oxybate

*aka Xyrem
Schedule III tx cataplexy and somnolence, available via restricted distribution system

13

Central Sleep Apnea

ROS: multiple episodes of cessation of breathing per night caused by CNS dysregulation of breathing, no thoracic effort occurs
Tx: respiratory stimulants, nocturnal O2, etc.

14

Erectile Disorder

Problems maintaining or attaining an erection

15

Non-REM Sleep Arousal Disorder

ROS: repeated episodes of incomplete awakening from sleep w/ sleep walking or sleep terrors

16

Voyeurism

Sexual arousal from observing unsuspecting person either naked, in the process of disrobing, or engaging in sexual activity
*person must be @ least 18yo

17

Anorexia Nervosa

ROS: restriction of food that leads to being significantly underweight based on BMI < 18.5, intense fear of weight gain, body image disturbance
Subtypes: binge-eating/purging type, restricting type
Onset: usually in adolescence and have chronic course

18

CAGE ?s for ETOH

Cut back?
Annoyed with others?
Guilty about drinking?
Eye opener drink?

*>2 is suggestive of addiction

19

Periodic Limb Movements

ROS: repetitive muscle contractions during sleep, usually of lower limb, assoc w/ multiple sleep stage arousals, pt c/o daytime sleepiness but is UNAWARE of movements, confirm using PSG
Tx: anti-Parkinson's drugs, benzos, anticonvulsants

20

Bath Salts

ROS: agitation, paranoia, hallucinations, CP, tachycardia, HTN, suidicality
*designer drug containing in part amphetamine-like chemicals

21

Hypersomnolence Disorder

ROS: excessive sleepiness despite sufficient sleep (@ least 7 hrs), avg sleep episode = 9.5 hrs, nml PSG
Time: >3mo
Tx: stimulants to promote wakefulness

22

Antidepressant tx for Paraphilias

SSRIs are used to reduce libido, control impulses and reduce obsessions

23

Restless Leg Syndrome

ROS: urgent o move legs in response to uncomfortable sensations that occur/worsen during inactivity, nocturnal worsening of sx's, temp relief from discomfort by moving, pt is AWARE of sx's
Tx: anti-Parkinson's drugs to increase DA (also benzos, anticonvulsants, etc.)

24

Opioid Withdrawal

ROS: dysphoria, N/V/D, muscle aches, lacrimation and rhinorrhea, piloerectin, sweating, fever, yawning, pupillary dilation
*typically causes "flu-like" sx's

25

Frotteurism

Sexual arousal from touching or rubbing against a non-consenting person

26

Insomnia Disorder

ROS: difficulty initiating or maintaining sleep
Etiology: classical conditioning - bed gets assoc w/ wakefulness (due to poor sleep habits)
Time: >3mo

27

Aversion Therapy for Paraphilia

While engaging in or thinking about one's paraphilia, an actual stimulus is applied to the pt
-or-
While fantasizing about one's paraphilia, a pt imagines aversive consequences ("covert sensitization")

28

Cannabis Withdrawal

*"agitation"
ROS: irritability and nervousness, dysphoric mood, sleep disturbance, decreased appetite, HA, night sweats, stomach cramping, shakiness

29

Cannabis Intoxication

ROS: perceptual distortions, conjunctival injection, increased appetite, dry mouth

30

Naltrexone

Mechanism: opioid receptor blocker that reduces the pleasurable effects of ETOH
Use: helps person stop drinking after a few drinks when a "slip" occurs