Random Flashcards by michael destounis

Genes involved in BAD (8)

G30
G72
BDNF
COMT
XBP1
DISC1
CLOCK
BMAL1

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Insulin resistance in BAD (3)

Higher odds of a chronic course
Higher odds of rapid cycling
Decreased response to lithium

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Max LOC duration in mild TBI

30min

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Dementia bloodwork

?? See pics

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CMA Virtues of ethical physician (5)

Compassion
Honesty
Humility
Integrity
Prudence

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Crystal meth treatment

Contingency management

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No withdrawal syndrome (3)

PCP
Inhalants
Hallucinogens

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Assuming a normal distribution,
How many within 1, 2, 3 SDs?

1 = 68%
2 = 95%
3 = 99%

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Risk factors for recidivism (5)

Young age
Substance abuse
Prior criminal history/imprisonment
Negative peers
ASPD

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Normal MOCA score

26 or more / 30

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Normal MMSE score

27 or more / 30

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Gender dysphoria specifiers (2)

Posttransition
With disorder of sexual development

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PTSD specifiers (2)

With delayed expression
With dissociative symptoms

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PTSD specifiers (2)

With delayed expression
With dissociative symptoms

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Paraphilia Tx (4)

External control (prison)
Decrease libido (meds)
Psychotherapy
Treat comorbidities

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Pharm Tx of paraphilia (4)

SSRI
Cyproterone (T antagonist)
Medroxyprogesterone (decreases T)
Leuprolide (GnRH agonist, ablates T)

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Sclerosing panencephalitis

Measles

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EEG finding in CJD

Periodic sharp wave complexes
(Low sens., high spec.)

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Aspects of CBTi (line)

1st line
-sleep hygiene psychoed
-stimulus control
-sleep restriction
2nd line
-cognitive restructuring
-relaxation training

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Gold standard assessment for daytime sleepiness

Multiple sleep latency test

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Attribution errors in depression (3)

Internal > external (personalization)
General > specific (overgeneralization)
Fixed > changeable (negative prediction)

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IED age cutoff

6 or older

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IED outburst frequency

At least 2x per week x3mo (no injury/damage)
OR
3x in 12mo. if damage or injury

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IED relation with BPD/ASPD

Study These Flashcards

Level of impulsive aggression HIGHER in IED

Age when language differences stabilize, predicting later outcomes

4 years old

Normal to mispronounce “the late eight” until what age?

Age 8

Clear speech (sounds and words) by what age?

Age 5

Speech sound d/o rarely remits spontaneously after what age?

Age 8

Stuttering (childhood-onset fluency d/o) What % recover?

65-85%

Stuttering (childhood-onset fluency d/o) At what age does severity predict recovery vs persistence

Age 8

Somatic passivity

Experience of bodily sensations (action, thought, emotion) imposed by external agency Part of Schneider’s FRS

22q11.2 features (6)

Cardiac anomalies Hypoplastic thymus Hypocalcemia Immunodeficiency Low-set ears, ocular hypertelorism, bulbous nose 25% have SCZ

Cog deficits in SCZ (4)

Processing speed (#1) Memory Attention Executive functioning

Good prognosis in Del d/o (5)

Female Acute onset Start

Key components of HRT for tics (2)

Awareness training Competing response training

Alpha-synucleinopathy (3)

Parkinson’s LBD MSA

Six groups of sxs in anti-NMDAr encephalitis

Speech dysfunction Abn bhvr or cog dysfunction Movement disorder/Tremor/dyskinesia Seizures Decreased LOC Autonomic dysfn

Substances that cause nystagmus (5)

Alcohol NOT cannabis PCP Other hallucinogens Inhalant S/H/A

ECT mortality rate

2 per 100,000 treatments

Substances leading to tremors (5)

Alcohol withdrawal S/H/A withdrawal Cannabis withdrawal Hallucinogen intoxication Inhalant intoxication

Key components of HRT

Habit reversal therapy 1) awareness training 2) competing response training

HPA axis hyperactivity in MDD ass’d with (3)

Melancholia Psychotic features Suicide risk

Early onset in PDD is:

BEFORE Age 21

What is CBASP and when to use

Cognitive behavioral analysis system of psychotherapy 2nd line for acute and maintenance MDD

1st line ECT parameters (2)

Brief RUL Brief bifrontal

Duration of “brief” in ECT

0.5-2.0ms

ECT maintenance options (4)

Maintenance ECT New AD Lithium + nortriptyline Lithium + venlafaxine

ECT stimulus intensity targets

Up to 2x the ST ( bilateral) Up to 6x (RUL)

Dx of anti-NMDAr encephalitis 4/6 group of sxs

Abnormal bhvr or cognitive dysfn Speech dysfn Seizures Movement d/o Decreased LOC Autonomic dysfn or central hypovent.

PANDAS Dx criteria (5)

OCD and/or tic disorder Pediatric onset (age 3-puberty) Abrupt onset + episodic course Temporal relation with GAS infection (weeks, maybe months) Neuro abN (hyperactivity, choreiform movts, tics)

Bio factors implicated in GAD (4)

CCK GABA NE Glutamate

Cog domains affected in vasc NCD (2)

Complex attention (+proc speed) Frontal-executive fn

Progressive multifocal leukoencephalopathy in x and sxs:

HIV Clumsiness Difficulty speaking Weakness Later: Dementia & Speech/vision loss

CJD presentation (4)

Neurocognitive sxs Ataxia AbN movts (chorea, myoclonus, dystonia)

Major NCD due to TBI TBI has (4)

Posttraumatic amnesia LOC Disorientation and confusion Neurologic signs

FTD bv criteria (5)

Disinhibition Apathy Lack of empathy Hyperorality and dietary changes Perseverative, stereotyped or compulsive/ritualistic bhvr

FTD which cog domains are relatively spared? (2)

Learning and memory Perceptual-motor

Acute intermittent porphyria high levels of (3)

Urinary delta-aminolevulinic acid (ALA), porphobilinogen (PBG), and porphyrin

CRAFFT for addictions

Have you ever ridden in a CAR driven by someone (including yourself) who was “high” or had been using alcohol or drugs? Do you ever use alcohol or drugs to RELAX, feel better about yourself, or fit in? Do you ever use alcohol or drugs while you are by yourself, or ALONE? Do you ever FORGET things you did while using alcohol or drugs? Do your FAMILY or FRIENDS ever tell you that you should cut down on your drinking or drug use?Have you ever gotten into TROUBLE while you were using alcohol or drugs?

Random Flashcards

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