Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Psychiatry > Week 2 > Flashcards

Week 2 Flashcards

1
Q

How is Acute Distress Disorder diagnosed?

A

Symptoms lasting from 3 days to 1 month following exposure to trauma with ≥ 9 PTSD Symptoms.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

How long must symptoms persist for a diagnosis of PTSD to be made?

A

> 1 month

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

PTSD has way too many diagnostic criteria… What are the 6 general categories?

A
  • Exposure to Death, Serious Injury, or Sexual Violence
  • Re-experiencing
  • Avoidance of Associated Stimuli
  • Negative Change of Cognition / Mood
  • Alterations of Arousal / Reactivity
  • > 1 Month of Disturbance
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What are the 6 Potential Effects of Benzodiazepines?

A
  • Reduce Anxiety
  • Interfere with Memory Formation
  • Sedation
  • Treat Seizures
  • Treat Nausea and Vomiting
  • Relax Muscles
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is the gist of the three questions of the Audit-C?

A
  • How often?
  • How much?
  • Binge? {≥6}
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is Adjustment Disorder?

A

Is the development of emotional or behavioural symptoms in response to an identifiable stressor occurring within 3 months of the onset of the stressor. Once the stressor is gone symptoms cannot last more than 6 months. Symptoms must be clinically significant.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Post Traumatic Stress Disorder is more common in ______ even though ______ are more likely to experience trauma.

A

Women, Men

  • Likely due to the type of trauma {rape}.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What gene is significant in PTSD?

A

FKBP5

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What medications have been shown to reduce nightmares in PTSD?

A

Clonidine and Prazosin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is the Pharmacological treatment for PTSD?

A

SSRIs are first line.

May need to add AAP.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What drug should you not give someone following trauma?

A

Benzodiazepines. They make memory extinction harder and increase the proportion which develop PTSD.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What conditions are associated with OCD?

A

ADHD and Tic Disorders

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What bacteria is associated with OCD?

A

Group A Streptococci.

- GAS infection may result in antibodies which attack the Caudate.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What percentage of OCD presentations will remit by early adulthood?

A

40%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is Body Dysmorphic Disorder?

A

A preoccupation with ≥ 1 perceived defects that appear slight to others. Repetitive behaviours or comparing to others in response to their appearance concerns.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

How is ADHD treated?

A
  • Stimulants {Methylphenidate: Ritalin}

- Antidepressants, Antihypertensives, and Modafinil depending on the patient.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What are some risk factors of ADHD?

A
  • Low Birth Weight
  • EtOH
  • Smoking
  • Lead
  • Low SES
  • Large Family
18
Q

Higher rates of ______ are associated with ADHD.

A

Obesity

19
Q

Stimulants show a response in ___ of ADHD patients while non-stimulants show a response in ___ ADHD patients.

A

90%, 60%.

20
Q

Patients with Anorexia Nervosa must have a body weight ≤___ ideal.

A

85% {BMI 17.5}

21
Q

What are the two types of Anorexia Nervosa?

A
  • Restricting Type: No Binging / Purging in last three months.
  • Binge / Purging: Binging and Purging.
22
Q

___ of patients with Anorexia Nervosa are female and ___ of these patients will go on to develop Bulimia Nervosa.

A

90%, 50%.

23
Q

What is the most effective treatment for Anorexia Nervosa?

What is your goal for regaining weight?

A
  • Family Based Therapy
  • 0.25 - 2Kg per week

*Drugs are not primary treatment and should not be used alone.

24
Q

Bulimia Nervosa is associated with what two things?

A

Stimulant Misuse {30%} and Borderline Personality Disorder

25
Q

How is Bulimia Nervosa best treated?

A

Antidepressants, specifically high dose Fluoxetine along with CBT.

26
Q

What percentage of people with Anorexia Nervosa or Bulimia Nervosa recover?

A

50% {35%, 25%} improve, ~20% remain the same.

27
Q

What is involved with Binge Eating Disorder?

A

Binge Eating Disorder {BE} does not involve any compensatory behaviour and affects 5 - 13% of young women; 20 - 30% are obese seeking treatment.

28
Q

What is Lanugo Hair?

A

Super fine hair which is found on newborns and those who are severely malnourished – like those who are anorexic.

29
Q

What is Russell’s Sign?

A

The presence of scars and scrapes on the knuckles and back of the hand due to scraping of the teeth from self-induced vomiting.

30
Q

______ Swelling is seen with low BMI and malnutrition.

A

Parotid

31
Q

______ occur when stomach acid deteriorates the teeth.

A

“Moth-Eaten” Teeth

32
Q

Zinc is helpful in treating Anorexia Nervosa and helps them to regain weight faster. It is often low in ______ which may lead to?

A
  • Vegetarians

- Depression, OCD, Eating Disorder Behaviours.

33
Q

______ is a precursor to Serotonin and its deficiency, which often occurs in vegetarian diets and eating disorders, predisposes to addictions.

A

Tryptophan

34
Q

Know ideal body weight cut offs.

A

< 65% IBW — Increased Mortality
< 75% IBW — Inpatient Level of Care
< 85% IBW — AN {BMI <17.5}

35
Q

What elements form the Female Athlete Triad?

A

Disordered Eating
Amenorrhea
Osteoporosis

36
Q

People with Borderline Personality Disorder recognize that their hallucinations are not real and have good ______.

A

Insight

37
Q

What common characteristics do the Paraphilic Disorders share?

A

Recurrent and Intense Sexual Urges which are either acted upon or which cause significant distress or impairment.

38
Q

What is Zopiclone?

A

{Imovane} is a sedative hypnotic which is used for short periods to treat insomnia by acting as an agonist to the effects of GABA. Though not a benzodiazepine it acts very similar to them, and has similar side effects.

39
Q

What is Trazodone?

A

{Serotonin Antagonist & Reuptake Inhibitor/SARI} is an antidepressant which functions by antagonizing serotonin receptors and inhibiting reuptake of serotonin, norepinephrine, and dopamine. Trazodone has both anti-anxiety and sleep-inducing {hypnotic} effects and is used to treat anxiety, depression {second line}, and insomnia.

40
Q

What is Dialectical Behavioural Therapy?

A

Is a specific type of CBT initially used specifically for Borderline Personality Disorder but which has expanded its utility to also include treatment for Traumatic Brain Injuries, Eating Disorders, ADHD and Mood Disorders.

Psychiatry (4 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions