Rare Disorder Presentations Flashcards

(54 cards)

1
Q

Narcolepsy

A

sleep-wake disorder characterized by a repeated sudden and irrepressible need to sleep during waking hours

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2
Q

These are the symptoms for which disorder?
Hallucinations
Sleep paralysis
Extreme daytime sleepiness
Automatic behaviors
cataplexy
REM sleep faster
Insomnia

A

Narcolepsy

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3
Q

What are the two criteria for a narcolepsy diagnosis?

A

A - recurrent periods of an irrepressible need to sleep at least 3x week for the past 3 months
B - Episodes of cataplexy, Hypocretin deficiency, or REM sleep in 15min

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4
Q

Narcolepsy is common/rare

A

rare

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5
Q

Can narcolepsy be cured?

A

No

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6
Q

Can narcolepsy be treated?

A

Yes!

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7
Q

What is used to treat narcolepsy?

A

anti-depressants

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8
Q

Sleepwalking

A

repeated episodes of getting up from bed while sleeping and walking around

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9
Q

Sleepwalking is common/rare

A

common

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10
Q

These are the symptoms for which disorder?
Recurring episodes of incomplete wakening from sleep (during first third of major sleep episode) – accompanied by sleepwalking or sleep terrors
Very little or no recall of dreams
Episodes cause significant distress or impairment
Disturbances are not caused by physiological effects of a substance
Coexisting disorders and medical conditions are not possible explanations for the episodes

A

Sleepwalking

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11
Q

Sleepwalking is more common in adults/children

A

children

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12
Q

True or false: Sleepwalking occurs during dreaming.

A

False

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13
Q

DID

A

Person has two different and autonomous personalities called alter-egos.

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14
Q

What is the assumed cause of DID?

A

Trauma

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15
Q

When is DID onset?

A

very young childhood

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16
Q

The symptoms below are that of which disorder?
– Two or more distinct personalities
– Serious amnesia
– insomnia, depression

A

DID

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17
Q

DID treatment

A

Manage stressors
Good suppport system
Integrative therapy
No real treatment/cure…

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18
Q

Symptoms of which disorder…
- Alarmed about personal health status
- anxiety sensitivity
- repeatedly checking body for signs of illness

A

Illness Anxiety Disorder

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19
Q

Excessive worry about having or developing a dehabilating or life-threatening illness
Absent somatic symboms or just mildly distressing
Must be present for at least 6 months

A

Illness Anxiety Disorder

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20
Q

What are the two types of Illness Anxiety Disorder?

A

Care-seeking treatment
Care-avoidant treatment

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21
Q

What are the treatments for Illness Anxiety Disorder?

A

Psychotherapy (CBT)
SSRIs / SSNIs

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22
Q

Excessive worry about having or developing about having an undiagnosed medical condition

A

Illness Anxiety Disorder

23
Q

A person consumes and craves objects that have no nutritional value

24
Q

Must consume the nonfood objects for at least one month (severe)
The comsuption of these foods has to be detrimental to your development (malnutrition)
Not a part of cultural practice
If it exists in another mental disorder, it must be clinically severe enough to have a separate disorder

25
What fraction of pregnant women deal with Pica
1/3
26
It is most common to develop Pica during childhood/adolescence/adulthood
childhood
27
Treatment for pica
Medical tests, vitamins, psychotherapy
28
Factitious Disorder has two types:
Self Imposed on Another
29
Symptoms of which disorder: Falsification of symptoms
Factitious disorder
30
Does factitious disorder involve malingering?
No
31
Risk factors for factitious disorder
Childhood trauma Loss Neglect
32
Symptoms of ____ include 4 of the following 6 for at least 6 months: - loses temper -
ODD
33
ODD onset is typically from _____ to ______
preschool; adolescence
34
Treatment of ODD includes
Parent training Problem-solving therapy Social Skills therapy
35
A mental health condition characterized by persistent difficulty discarding or parting with possessions, regardless of their actual value
Hoarding disorder
36
What is the main treatment for Hoarding Disorder?
CBT
37
Hoarding disorder onset begins in ______ and gets better/worse with age.
adolescence; worse
38
Risk factors for hoarding disorder
Genetics, comorbidity, traumatic life event, impulsive buying habits, SUDs
39
DSM-5 criteria for _____: -- Ongoing skin picking -- multiple attempts to stop the picking -- negative impact on life -- not due to another disorder
excoriation
40
Onset for excoriation
age 13-15
41
Two types of picking in excoriation:
Automatic Focused
42
Causes for excoriation
Genetics Changes in brain structure (sensations) Stress, anxiety, boredom
43
Excoriation is a type of ____
OCD
44
Treatments for excoriation
SSRIs Anticonvulsants Antipsychotics Nutraceuticals
45
Persistent and recurrent problematic gambling behavior leading to significant distress and dysfunction for at least 12 months
Gambling disorder
46
Gambling disorder tends to increase/decrease in amount and frequency
increase
47
True or false: 75% of those diagnosed with gambling disorder are likely to have another disorder
True
48
What is the hallmark symptom of dissociative amnesia?
Memory lapses
49
Symptoms of _________ A. Traumatic response to an event that causes you to forget it partially or completely B. Distress/impairment
Dissociative amnesia
50
Generalized amnesia
Lose all memories of self
51
Women/men are disporportionately affected by dissociative amnesia than the other gender.
Women
52
Is dissociative amnesia chronic or acute?
Chronic; once you forget, it's gone. Can't always retrieve memories.
53
What is the treatment for dissociative amnesia?
Psychotherapy
54
One with dissociative amnesia cannot remember key information about _______
themselves