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43 Cards in this Set
- Front
- Back
Most definitive way to determine the level of intellectual disability in child |
Adaptive functioning |
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1. During development period 2. Includes intellectual deficits - thinking 3. And adaptive functioning deficits - social |
intellectual disability (aka intellectual development d/o) |
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Persistent pattern behavior in which basic rights of other or age appropriate societal norms are violated |
Conduct DO - 3/15: past year w/1: past 6 months |
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Inattention + hyperactivity and impulsivity (4) |
ADHD - 6 sx of BOTH for at least 6 months ( 17 and older: 5 sx) - sx before 12 years old - sx in 2 settings |
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Highest mortality rate of any mental illness |
eating disorders |
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Two core features across all eating disorders |
1. Bad eating habits 2. Bad body shape/weight image |
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Anorexia nervosa DMS- 5 (3) |
1. Restrict energy intake resulting in significant low body weight 2. Intense fear of gaining weight or persistent behavior that interferes w/ weight gain 3. Poor body image |
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Questionnaire: if pt answers 2 or more with yes - they definitely had eating disorder (AN or bulemia) |
SCOFF questionnaire |
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Anorexia nervosa - wt loss thru excessive dieting/ exercise for past 3 months |
Restricting type |
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Anorexia nervosa - wt loss by purging in last 3 months |
Binge - eating/ purging type |
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Anorexia nervosa DSM-5 severity levels BMI's |
Mild > 17 Mod 16-17 Severe 15 - 16 Extreme < 15 kg/m2 |
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Clear of all sx of anorexia / bulimia |
Full remission - keep on Medical record 5 years |
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Difference bt binge eating do and bulimia |
No compensation method in binge eating do |
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Eating of substance has potential medical risk |
PICA |
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Neurotransmitter that regulates arousal, wakefulness and appetite |
hypocretin |
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Loss of hypothalamic hypocretin- producing cells that causes CSF hypocretin 1 deficiency - tx? |
Narcolepsy - biology [ loss H-H cells - CSF -1 deficiency] - stimulants |
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Conscious Muscle weakness w/ narcolepsy triggered by strong emotion - tx? |
cataplexy - sodium oxybate |
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MC breathing related sleep DO |
Obstructive sleep apnea |
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Sleep disruption by non- synchronized sleep-wake cycle w/patients daily schedule -tx? |
Circadian rhythm sleep-wake DOs - Provigil/nuvigil (modafinil/armodafinil) |
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"night owls" - more alert at night, tired in AM |
Delayed sleep phase type |
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"early birds" - tired in PM. alert in AM |
Advanced sleep phase type |
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Affects ppl w/ unconventional work hours |
Shift work type |
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DO of abnormal behavioral, experiential or physiological events occurring w/ sleep, sleep stages or sleep-wake transitions |
parasomnia |
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Uncomfortable sensation causing desire to move legs that disrupts sleep - tx? |
Restless legs syndrome - dopamine agonist ( mirapex/ requip) |
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Increase confusion, irritability that increases towards the night - affects? |
sundowning - Alzheimer's w/ underlying dementia |
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benign senescent forgetfulness |
normal aging |
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depressed patient that seems to have dementia (forgetfulness, difficulty sleeping) (cat died 10 months ago example) |
pseudo-dementia |
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Dementia affects most (2) |
1. Alzheimer's 2. vascular - stroke |
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Alzheimer: probable vs possible? |
probable - genetic evidence + memory loss w/1 sx |
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Definite dx of alzheimer's |
autopsy |
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Ass w/ neurological DO - inappropriate, uncontrollable laughter/ crying |
Pseudobulbar affect (PBA) - |
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Progressive degenerative brain disease in athletes |
Chronic traumatic encephalopathy (CTE) - concussion - with or without sx |
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Loss of touch with reality |
psychosis |
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Mental disorder with high risk for suicide |
Schizophrenia |
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1. hallucinations 2. delusions 3 disorganized speech 4. crazy movement 5. neg. sx (A) |
schizophrenia >6 months w/ 1 sx |
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false beliefs that cannot be explained by patients culture or education cannot persuade patient the belief is false even with evidence |
delusions |
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sudden loss of touch with reality for 1 day to 1 month |
brief psychotic do |
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sx like schizophrenia: 1 month to 6 months |
schizophreniform do - full recovery |
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Caution with 1st line tx of schizophrenia? |
- clonzapine (2nd gen. antipsychotic dopamine receptor blocker) - may cause AGRANULOCYTOSIS ( low WBC granuoles) |
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Life threatening emergency caused by antipsychotic drugs - sx? - blood work w/ high CK? tx? |
Neuroleptic malignant syndrome (NMS) - delirium, rigid, fever. dysautonomia (sweating, tremor, tachy, labile BP - muscle damage (rhabdomyolosis) - dantrolene (relax muscles) |
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Procedure w/electric current is passed thru the scalp and specific brain parts to induce mal seizure |
ECT |
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Theory: Mental disease caused by deviation in personality, youth problems, uncontrolled internal drives caused by external factors |
psychological school |
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Theory: mental DO caused by pathological changes in brain (chemical or structural) - ECT? |
Biological school - Success of ECT supports this theory |