Pyschopathology Flashcards
What reference book is used to diagnose mental disorders?
Diagnostic and Statistical Manual of Mental Disorders V (DSM V)
What are the 5 Axis of DMS-V?
- Axis 1: Psychological
- Axis 2: Personality disorders and mental retardation
- Axis 3: Medical conditions (incident related)
- Axis 4: Psychosocial and environmental disease
- Axis 5: Global assessment
Depression, anxiety, bipolar, ADHD, autism, Anorexia, and schizophrenia Are all examples of which axis?
Axis 1
Paranoid presonality disorder, narcisism, OCD and intellectual disabilities are which axis?
Axis 2
Brian injuries and medical disorders like alzheimers are which axis?
Axis 3
What are 5 components of the Mental status examination?
1-Mood (extremes) 2-Affect 3-Thought 4-Appearance 5-Cognitive function
What test measures surface activity of the brain by placing electrodes all over the head?
EEG (electroencephalogram)
What are 3 brain imaging techniques?
1-CT (Computed tomograph)
2-MRI (Magnetic resonance imaging)
3-PET (Positron emission tomography)
Which psychotic disorder is the most common and is Dopamine based?
Schizophrenia
*1% of pop. Usually in Poor urban pop.
Having a hard time enjoying yourself and feeling like the world is against you is called?
Anhadonic
Combining words is called?
Neologism
What are the 4 requirements to diagnose Schizophrenia according to DSM-V?
1-Symptoms for more than 6 months
2-Associated with deteriorating functions
3-Active pyschosis
4-Organic, no drug habit involved
What are the 4 subtypes of Schizophrenia?
1-Disorganized (blunt affect, incoherent, Bizarre motor patterns)
2-Catatonic (Rigid posture, gumby like)
3-Paranoid (positive symptoms, persucatory delusions)
4-Residual type (Negative symptoms, non-responsive)
Which type of Schizophrenia responds best to antipsychotics though it may be the scariest to be around?
Paranoid
What 4 things contribute to a poor prognosis for schizophrenia?
1) Chronic onset
2) Negative symptoms
3) Chronic/early onset need care with time
4) Life expectancy shortens (10-20 years shorter, many attempt suicide)
What 4 things are give the best prognosis for schizophrenia?
- Reactive/fast onset (manage stresses, quality of life improves)
- Positive symptoms (delusions, violence etc.)
- Onset late in life (over 30 yr old)
- No family history
What are 5 physical findings in those with Schizophrenia?
1-Enlarged ventricle pattern (atrophy) 2-Decrease in the corpus colusum (connecting hemispheres) 3-Frontal lobe perfusion 4-Altered startle reflex 5- Don’t Yawn
Which 3 neurotransmitters are most involved with schizophrenia?
1-Dopamine (D2 blockers to treat)
2-Serotonin/glutamate (H2 receptors)
3-Nicotine (agonists help with symptoms)
The general population has 1% Schizo, what are the percetanges for mono zygote towns, siblings, and children of Schizo?
1-Monozygote twins: 40-50%
2-Sibling/dizygote twin: 10%
3-1 parent: 10-15%
4-Both parents: 30-40%
“Atypical” antipsychotics block which receptors?
5HT2 (serotonin)
What are the 3 main side effects of D2/5HT2 receptor blockers?
1-Extrapyramidal side effects such as Tardive dyskinesia and Parkinson’s like tremors
2-Psychological (sleepiness)
3-Weight Gain
Which type of schizo drugs are the oldest, least expensive, have less extrapyramidal side effects and are more sedative and weight gaining?
Phenothiazines
*also have antiemetic (nausea) action
Chlorpromazine and Thioridizine are examples of what?
Phenothiazines
Which type of schizo drug has high extrapyramidal side effects, is widely used and lacks anticholinergic action?
Butyrophenones
*Haloperidol is an example
