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Flashcards in psych final Deck (46)
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1

who can get conduct disorder

kids under 18 who show personality disorder sxs

2

very introverted voluntary withdrawal from social interactions, little pleasure in activity

schizoid

3

schizoid sxs (withdrawal) plus magical thinking and odd behavior, ideas of reference

schizotypal (willy wonka)

4

begins as withdrawal from close friends and social activities, then delusions, catatonia, flat or inappropriate affect, apathy, anhedonia (marijuana increases your risk of this disease 6x)

schizophrenia

5

schizo criteria are met for at least 2 wks plus either depressive or manic episode

schizoaffective disorder

6

what is the difference between OCD and OCPD

OCD knows they have a problem

7

what is best treatment for bulimia nervosa

CBT, fluoxetine (and maybe naltrexone which decreases endorphins with purging)

8

medical conditions that can present as psych sxs

lupus, DM, hyponatremia, thyroid dysfunction, IBD, MS, asthma, COPD, pheochromocytoma, B12 deficiency

9

medications for dementia

donepezil (AChE inh), memantine(NMDA inh)

10

timeframe for diagnosing schizophrenia

6 mo

11

fast speech and lots of jumping topic to topic

flight of ideas

12

which mental illnesses have high rates of suicide

schizophrenia!, bulemia, anorexia, borderline, depression in rural elderly white males

13

how can you tell the difference in geriatrics: demetia versus depression

depressed people have insight, dementia people don't know that anything is wrong

14

off label use for this med which is indicated for depression in elderly: mirtazepine

increase apetite

15

off label use for this med which is indicated for depression in elderly: SNRI's

pain

16

off label use for this med which is indicated for depression in elderly: trazodone

promotes sleep

17

this is a feature of schizophrenia where pt is talking and suddenly doc can't follow patients train of thought

loose associations

18

this is a feature of schizophrenia where pt is talking and suddenly stops because they can't talk as fast as they think

poverty of speech

19

schizophrenic sxs must be present for how long before dx

6 mo

20

sxs that meet schizophrenia criteria that last from 1-6 mos

schizophreniform

21

nonbizzare ideas that a person fixates on (like being followed poisoned infected)

delusional disorder

22

how long do you need nonbizzare sxs to dx delusional disorder

1 mo

23

how long do you need nonbizzare sxs to dx delusional disorder

1 mo

24

sympathetics fire in response to stressful stimuli and what is released

catecholamines, serotonin, glucocorticoids, dopamine, immune system is inhibited

25

how is CAD related to psychiatric illness

depression is a risk factors for CAD and MI

26

pt presents with acute abdominal pain and psychosis

acute intermittent porphyria

27

cluster b disorder with no regard for law or rights of others

antisocial

28

cluster b disorder with black and white thinking

borderline

29

cluster b disorder with attention seeking behavior

histrionic

30

cluster b disorder with grandiosity and need for admiration

narcisitic