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Wolfpacc Clues Complete > Psychiatry > Flashcards

Flashcards in Psychiatry Deck (105):
1

What is Autism?

Poor eye contact, repetitive movements, lack of verbal skills and bonding, symptoms since birth
Tx: Behavioral modification, use antipsychotic if have aggressive behavior

2

What is Asperger's?

Good communication skills, impaired relationships, no mental retardation

3

What is Rett's

Only in girls, decreased head growth, lose motor skills, hand-wringing, they are normal until 5 months of age
Tx: Behavioral therapy and physiotherapy

4

What is Childhood Disintegrative Disorder?

Kid stops talking and walking. (They lose all their milestones)

5

What is Selective Mutism?

Kid talks sometimes

6

What is Separation Anxiety Disorder?

Kid screams when mom leaves

7

What is Conduct Disorder?

Younger than 18 y/o with traits of antisocial disorder: aggressive, disregard for authority/rules, no sense of guilt/remorse, harms animals, illegal activity "bite is worse than bark". Behavioral therapy and antipsychotic

8

What is Oppositional Defiant Disorder?

Breaking the rules, defiant, noncompliant, resists authority, "bark is worse than bite". Teach appropriate child management skills

9

What is ADHD?

Over activity, short attention span, difficulty in school, must be identified in two different locations (home and school).
Tx: First line- methylphenidate and dectroamphetamine; Second line- Atomoxetine (SNRI)

10

How is Major Depression diagnosed?

Need 5 of 8 "SIGECAPS" for over 2 weeks
Sleep disturbance: wake in early or wake up late
Interest/ libido loss
Guilt
Energy Loss
Concentration Loss
Appetite Loss
Psychomotor Agitation
Suicidal Ideation (hopelessness)

11

What is Dysthymia?

Low level sadness >2 years, looks like depression
Tx: Psychotherapy and SSRI (example: fluoxetine, fluvoxamine, paroxetine, sertraline, citalopram)

12

What is cyclothymia?

Dysthymia with hypomania for more than 2 years
Tx: Lithium, Valproic Acid or Carbamazepine and psychotherapy

13

What is Double Depression?

Depression followed by dysthymia

14

What is Bipolar I?

Mania with or without depression for at least 1 week, as well as period of normal mood

Tx: First line - Lithium, Lamotrigine or Risperidone
Second line - Aripripezole, Divalproex, Quetiapine, Olanzapine, Psychotherapy and cognitive behavioral

Acute Mania: Hospitalize, mood stabilizer (Lithium), acute antipsychotic (Risperidone) and IM phenothiazine - if non-compliant

15

What is Bipolar II?

Depression and Hypomania (no psychosis)

16

What are Loose Associations?

Ideas switch subjects, incoherent

17

What is Tangentiality?

Wanders off the point

18

What is Circumstantiality?

Digresses but finally gets back to the point

19

What is Clanging?

Words that sound alike

20

What is Word Salad?

Unrelated combinations of words

21

What is Perseveration?

Keeps repeating the same words

22

What is Neologisms?

New words

23

What is Delusion?

Fixed false belief for more than one month and no effect to his normal living
Tx: Atypical antipsychotic and psychotherapy

24

What is Illusion?

Misinterprets stimulus

25

What are Hallucinations?

False sensory perception with absence of external stimuli, seen commonly in ETOH(alcohol) withdrawal and cocaine intoxication

26

What is Nihilism?

Feeling of "life is meaningless"

27

What is Loss of Ego Boundaries?

Where we lose sight and sense of our mind and body and its influences

28

What are Ideas of Reference?

Believes the media is monitoring you

29

What is Thought Blocking?

Stops mid-sentence

30

What is Thought Broadcasting?

Believes that everyone can read his thoughts

31

What is Thought Insertion?

Believes that others are putting thoughts into his head

32

What is Thought Withdrawal?

Believes that others are taking thoughts out of his head

33

What is Concrete Thinking?

Can't interpret abstract proverbs, only sees the facts

34

What is Synesthesia?

Smells colors

35

What is Cataplexy?

Loss of muscle tone due to strong emotions

36

What is a Paranoid Personality Disorder?

Suspicious about everything, they use projection as defense mechanism

37

What is Schizotypal Personality Disorder?

"Magical Thinking", odd/bizarre behavior, people leave them alone because they are weird but they will interact if approached. Brief psychotic episode

38

What is Antisocial Personality Disorder?

Lie, cheat, steal, destroy property, impulsive without remorse, illegal activity, aggressive towards others. Must be over 18 y/o

39

What is Schizoid Personality Disorder?

Recluse, they don't want to interact with others, emotional coldness

40

What is Conduct Disorder Personality Disorder?

Younger than 15 years old who have Antisocial personality disorder

41

What is Histrionic Personality Disorder?

Theatrical, sexually provocative, use repression

42

What is Borderline Personality Disorder?

"Perpetual Teenager", splitting (love/hate), projection, acting out, self-mutiliation, unstable relationships, impulsive

43

What is Narcissistic Personality Disorder?

Pompous, no empathy, thinks they deserve everything

44

What is Dependent Personality Disorder?

Clingy, submissive, low self-confidence, uses regression

45

What is Obsessive-Compulsive Personality Disorder?

Perfectionist, doesn't show feelings, detail oriented, uses isolation

46

What is Avoidant Personality Disorder?

Socially withdrawn, afraid of rejection but wants to fit in

47

What is Kleptomania?

Steals for the fun of it
Tx: Psychotherapy

48

What is Pyromania?

Sets fires for the fun of it

49

What is Intermittent Explosive Disorder?

Loses self-control, disproportional to circumstances?

50

What is Pathological Gambling?

Can't stop gambling, affects others

51

What is Trichotillomania?

They pull out their own hair and eat it

52

What is Lewy Body Dementia?

Stiff with visual hallucinations

53

What is Normal Pressure Hydrocephalus?

Incontinence, ataxia "magnetic gait" dementia

54

What is Korsakoff Psychosis?

Alcoholic Thiamine deficiency. Presents with confusion, Opthalmoplegia, ataxia, memory loss, confabulation and personality change
Tx: Vit B1

55

What is Vascular "multi-infarct" dementia?

Sudden onset, uneven progression of deficits, "stair step" decline

56

What is Huntington's?

Occurs in the caudate/putamen, Trinucleotide repeat disorder (Chromosome 4, CAG), choreiform movements, changes in personality, anticipation

57

What is Creutzfeldt-Jakob?

Prion induced disease, death within 1 year, post cornea transplant

58

What is Pick's Disease?

Frontal lobe atrophy, disinhibition

59

What is Alzheimer's disease?

Decreased Ach in nucleus basalis of Meynert,
bad Apo-E4,
Amyloid Plaques,
Neurofibrillary Tangles of Tau proteins

60

What is Parkinson's disease?

Located in the Substantia Nigra (lack of dopamine)
bradykinesia (slowness of movement)
pill rolling tremor,
shuffling gait,
Lewy Bodies (abnormal protein deposits in the brain)

61

What is Somatization?

Psychological trigger gets them sick, but no medical finding (Pain in 4 parts, 2 GI problems)
(Recurrent and multiple medical symptoms with no discernible organic cause)
Tx: Psychotherapy

62

What is Hypochondriasis?

They worry about having a serious illness (specific disease) they seek medical attention. For constant reassurance
Tx: Psychotherapy

63

What is Body Dysmorphic Disorder?

Imagined physical defect, causing impaired function in a social or occupational activity
Tx: SSRI

64

What is Pain Disorder?

Prolonged pain not explained by physical causes

65

What is Conversion?

Neurological manifestations of internal conflict, indifferent to disability, blindness/mutism triggered by a stressor. Patient is unconcerned about his impairment
Tx: Psychotherapy

66

What is Malingering?

Fake illness for monetary gain or getting out of jail, avoids medical treatment
Tx: Supportive Psychotherapy

67

What is Factitious?

Fake illness to get attention, seeks medical treatment, have a lot of medical knowledge.
Tx: Supportive psychotherapy

68

What is Ficticious Disorder by Proxy?

Mom makes the child or another person ill for emotional support, noted to move frequently

69

What is Amnesia?

Can't recall important facts

70

What is Dissociative Fugue?

No past memory at all, even if they see someone from the past - they have no idea
Travel to a new place, usually due to trauma

71

What is Multiple Personality Disorder?

They have 5-10 alters, usually associated with incest

72

What is Depersonalization Disorder?

"Out of Body" experiences, Deja Vu

73

What is Sublimation?

Where socially unacceptable impulses or idealizations are unconsciously transformed into socially acceptable actions or behavior

74

What is Imitation?

Replicating another's behavior

75

What is Identification?

To be like or to become like another (aspect, property or attribute of another)

76

What is Displacement?

Take anger out on an object or someone else. Not related with situation

77

What is Idealization?

They see only the good in someone despite evidence to the contrary

78

What is Transference?

Patient views doctor as parent

79

What is Countertransference?

Doctor views patient as child

80

What is Acting out?

expression of impulse, "Temper Tantrums"

81

What is Regression?

Immature behavior, go back in development

82

What is Reaction Formation?

Unconsciously act opposite to how you feel, "Tears on a clown"

83

What is Rationalization?

Make excuses for behavior in advance, (because of...)

84

What is Intellectualization?

Act like a "know it all" to avoid feeling situational emotions, gets all information available to be over-informed

85

What is Isolation of Affect?

Isolate feelings to keep on functioning

86

What is Suppression?

Consciously block memory

87

What is Repression?

Subconsciously block memory

88

What is Undoing?

Doing exact opposite of what you used to do to fix a wrong

89

What is Compensation?

Doing something different of what you used to do

90

What is Sadism?

Gives physical and psychological pain

91

What is Masochism?

Receives pain (Humiliation)

92

What is Exhibitionism?

Exposure to others

93

What is Voyeurism?

Watching other people without their permission

94

What is Telephone Scatologia?

Phone Sex

95

What is Frotteurism?

Rubs penis against fully clothed women

96

What is a Transvestite?

Dress up as opposite sex, no identity crisis

97

What is a Transsexual?

Gender Identity crisis

98

What is a fetish?

High attraction for inanimate objects

99

What is a Pedophile?

Attracted to children sexually, watching child pornography

100

What is a Necrophile?

Someone who has sex with corpses

101

What is a Beastophile?

Someone who has sex with animals, women prefer dogs, they can smell their estrogen

102

What is Justification?

Making excuses for behavior afterwards

103

Can you die during ETOH withdrawal?

Yes

104

Can you die during Opiod Withdrawal?

No, just very painful

105

What is Isocarboxazid?

Atypical depression: Hypersomnia, anxiety, sensitivity to rejection, hypochondriasis