Quiz Review Flashcards Preview

Psych > Quiz Review > Flashcards

Flashcards in Quiz Review Deck (33):
1

Lamotrogine

shown to be effective in treating the depressive phase of bipolar disorder
(trade name Lamictal)

2

Fluoxetine

an SSRI (Prozac) and runs the risk of a manic switch in patients with bipolar disorder.

3

Current research investigating the prevention of PTSD involves administration of what medication in close proximity to the experience of trauma?

Propanolol

(Medications that block autonomic arousal have been found in some instances to prevent the onset of PTSD in studies in the US and abroad)

4

First Line Treatments for patients with PTSD without significant comorbid conditions

CBT, and SSRI’s have the most evidence for efficacy in treating PTSD. There is also some evidence for the use of Mirtazepine (Remeron) and autonomic blocking agent. Exposure therapy has efficacy but must be used carefully and skillfully employed to avoid re-traumatizing the patient

5

Disulfiram

inhibits alcohol dehydrogenase resulting in the very unpleasant and potentially lethal “disulfiram” or “Antabuse” reaction in the presence of alcohol ingestion

6

buprenorphine

partial opiate agonist; has a potential role in both maintenance treatment and acute detoxification treatment of opioid dependence and has been combined in a formulation with a low dose of an opiate antagonist to reduce risk of IV drug use

7

Naltrexone

is another maintenance treatment for alcohol dependence thought to reduce alcohol cravings and risk of relapse when combined with appropriate psychosocial interventions.

8

Predictors of good outcome in schizophrenia

later age of onset, family hx of affective illness, normal size ventricles, female gender and good premorbid functioning

9

Predictors of poor outcome in schizophrenia

early age of onset, family history of schizophrenia, enlarged ventricles, and poor premorbid functioning. Males tend to have a poorer course although a female's course may worsen after menopause.

10

True or False. Auditory hallucinations are a potential presenting symptom in both major depressive disorder and bipolar disorder.

True. Both (unipolar) Major Depressive Disorder and Bipolar Disorder may present with psychotic features, although the nature and content of those hallucinations and delusions may differ in depression and mania (e.g., nihilistic and guilt/punishment themes in depression; expansive themes in mania).

11

comment on the use of antidepressants in bipolar disorder

thought to involve the risk of precipitating a manic episode, mixed manic-depressive symptoms, and/or more frequent mood cycling between mania and depression

12

Gender ratio for Major Depressive Disorder

more common in females

13

risk of having a chronic, unremitting course of MDD

< 20-25%

14

risk of recurrence of depression

increases following each successive episode of depression (50% after first, 70% after second, 90% after third

15

how many adults with major depressive disorder present with comorbid anxiety disorders?

more than half

16

how many adults with major depressive disorder present with predominantly physical symptoms (e.g., loss of appetite, headache, fatigue)?

more than half

17

Bupropion (Wellbutrin) mechanism

thought to inhibit reuptake of norepinephrine and dopamine without appreciable effects on serotonin

18

Mirtazepine (Remeron) mechanism

blockade of the alpha-2 adrenergic, 5-HT2 and 5-HT3 receptors

19

Fluoxetine (Prozac), sertraline (Zoloft), paroxetine (Paxil), citalopram (Celexa) and escitalopram (Lexapro) mechanism

inhibition of serotonin reuptake

20

Fluoxetine (Prozac) mechanism

inhibition of serotonin reuptake

21

sertraline (Zoloft) mechanism

inhibition of serotonin reuptake

22

paroxetine (Paxil) mechanism

inhibition of serotonin reuptake

23

citalopram (Celexa) mechanism

inhibition of serotonin reuptake

24

escitalopram (Lexapro) mechanism

inhibition of serotonin reuptake

25

Duloxetine (Cymbalta) and venlafaxine (Effexor) mechanism

inhibition of serotonin and norepinephrine reuptake

26

valproate

one of the FDA approved, first-line pharmacotherapies for bipolar disorder and would be highly unlikely to precipitate mania

27

true or false. Euphoria is a core feature of mania without which the diagnosis of bipolar disorder cannot be validly established

false. Together with other cardinal symptoms of bipolar disorder, euphoria OR intense irritability is necessary to establish the diagnosis.

28

female:male ratio for eating disorders

9:1

29

Peak onset of Anorexia Nervosa is

15-19 years

30

Point prevalence of Bulimia Nervosa is

2-4%

31

True or false. Criteria for Anorexia but not Bulimia include refusal to maintain weight > 85% ideal body weight for age and height

true

32

Well-documented physiological consequences of Anorexia Nervosa include

physiological effects may include low blood pressure, bradycardia, cardiac dysrhythmias, congestive heart failure (on rapid refeeding), low estradiol, low testosterone, “sick thyroid” syndrome, bone marrow suppression, loss of gray matter, and electrolyte disturbances.

33

True or False. BN is associated with comorbid depression and anxiety whereas AN is associated with borderline personality disorder

Both BN and AN are associated with high rates of comorbid depression and anxiety disorders. Although both BN and AN may be associated with Personality Disorders, there is a high rate of BN among individuals with borderline personality disorder as well as among individuals with a h/o severe trauma such as childhood sexual abuse.