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71 Cards in this Set
- Front
- Back
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What percentage of high school students
Thought about Attempted Suicide? |
20% Thought about it
8% Attempted it What group is this? |
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What is the most common characteristic in HS students that attempted suicide?
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Frequent drug and alcohol abuse is the most common what in people that attempted sucicide?
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Medical illness is the significant factor in 70% (majority) of suicide in what patient group?
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What is the significant factor in the majority of elderly suicides?
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The majority (60%) of males use a ____ to commit suicide?
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What type of person is most likely to use a firearm to commit suicide?
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Females attempt suicide _____ times more than men, and rates peak between age _____.
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What population attempts suicide 2x more than males and peaks between the ages of 45-54?
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What are the medical disorders characteristics ass'd with suicide?
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Chronicity
Poor prognosis Disfigurement/Persistent pain These are characteristics of what? |
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What disorder increases the risk of suicide in children/aldolescents?
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Epilepsy increases the risk of suicide in what age group?
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What are the 5 elements of a suicide plan?
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Risk/Rescue Issues
Method Time Place Available Means These are the 5 elements of what? |
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Describe the diathesis-stress model?
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An individual has unique biological, psychological and social elements. These elements include strengths and vulnerabilities for dealing with stress.
What model does this describe? |
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What is forseeability?
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What is a comprehensive and resonable assessment of risk?
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Define reasonable care.
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Developing a comprehensive treatment plan and timely implementation based on the assessment of risk, is otherwise known as what?
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What type of disorder is Somatization disorder?
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One of the 5 types of Somatization disorders... S?
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What type of disorder is Conversion disorder?
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One of the 5 types of Somatization disorders... C?
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What type of disorder is Pain disorder?
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One of the 5 types of Somatization disorders... P?
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What type of disorder is Body Dysmorphic disorder?
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One of the 5 types of Somatization disorders... B?
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What type of disorder is Hypochondriasis?
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One of the 5 types of Somatization disorders... H?
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What is primary gain?
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What is unconscious expression of unacceptable feelings as physical symptoms to avoid facing them?
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What is secondary gain?
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Use of symptoms to benefit the patient is what type of gain?
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What are the symptoms and number required for a diagnosis of somatiform disorder?
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Pain-4
GI-2 Sexual/Repro-1 Pseudoneurological-1 These are the requirements for what diagnosis? |
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What category of symptoms are experienced in conversion disorder?
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Voluntary motor or sensory function symptoms with 1 neurological or other medical condition are the category of symptoms experienced in which disorder?
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Somatization patients have difficulty expressing and identifying what?
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Feeling states are difficult to express by which patients?
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Somatization patients should be instructed to use a what?
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A log book is a good suggestion for what type of patient?
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The goal of a log book for somatization patients is what?
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What can help a somatization patient make the connection between life stressors/emotional events with worsening physical symptoms?
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Hypochondriasis is the preoccupation with what?
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What is the fear of having, or the idea that one has a serious disease, based on the patient's misinterpretation of bodily symptoms/functions?
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Hypochondriacs express ____ and often appear ____, with 80% having a depression/anxiety disorder.
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Which patients express emotions and often appear anxious, with 80% also having a depression/anxiety disorder?
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What is the suggested prevalence of hypochondriacs?
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The suggested prevalence of patients with what disorder is 4-9%?
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Impairment from hypochondriasis is from the patient's fear of what?
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The fear of fear causes impairment in which patients?
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Impairment from somatization is from the patient's fear of what?
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The fear of pain or physical symptoms causes impairment in which patients?
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Hypochondriacs should be placed on a schedule to allow what?
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In order to make sure serious illness is not overlooked, what patients require a schedule?
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Body dysmorphic disorder is preoccupation with what?
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What condition is an imagined or exaggerated defect in physical appearance?
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In body dismorphic disorder the body part may ____ or ____.
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What may change or stay the same in body dismorphic disorder?
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What are the coexisting disorders and prevalence for BDD?
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90% Depressive d/o
70% Anxiety d/o 30% Psychotic d/o What disorder are these associated with? |
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Factitious disorder has an underlying motivation for what? Are they aware of it?
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Patients with what disorder have an underlying motivation to assume the sick role? They are unaware of this.
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What is factitious disorder by proxy?
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What do you call it when parents intentionally produce symptoms in their children?
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Morbidity from factitious disorder is often associated with what?
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The adverse effects of investigational surgeries, or complications of self-inflicted illnesses, can often cause what in a patient with factitious disorder?
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Is this patient factitious?
Lodging, Employment, Relationships Stable You've followed the patient awhile and the symptoms are new. |
What features would you notice in a patient WITHOUT factitious disorder?
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Factitious disorder is an example of what type of gain?
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Primary gain is associated with factitious disorder. Just know that.
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How do malingering patients present compared to factitious disorder?
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The actual physical symptoms are created in factitious disorder. However, in _____ patients, the symptoms are not physically present.
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What percent of fever of unknown origin is factitious?
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10% of what symptom of unknown origin is factitious?
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There is a distinct feature that separates Munchausen's from factitious disorder. What is it?
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In factitious disorder, a patient will actually take medications (insulin, blood thinners) or mix feces with urine to elicit TRUE PHYSICAL SYMPTOMS. In munchausen's the symptoms are faked.
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Greater than 5% of hospitalizations are from what cause?
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Munchausen's causes what percentage of hospitalizations?
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Malingering is more likely to be ____, with a history of ____.
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What condition is more likely to be temporary, with a history of antisocial personality traits?
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Factitious is more likely to have ____, pursue ____, with a history of ____.
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What condition is more likely to have varied symptoms, pursue painful tests, with a history of borderline personality traits?
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What is the most common malingered psychosis in criminal defendents?
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Feigned hallucinations are the most common what in criminal defendents?
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What are the criteria for mild cognitive impairment?
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Objective memory impairment
Normal general cognitive function Intact ADL Not demented What condition does this patient have? |
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In AD, noradrenergic neurons are lost from where?
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In AD, what neurons are lost from the locus ceruleus?
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In AD, cholinergic neurons are lost from where?
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In AD, what neurons are lost from the basal nucleus of Meynert of midbrain?
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In AD, senile plaques are made up of what?
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In this condition, Alpha-Beta amyloid makes up ____.
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In AD, neurofibrilary tangles are made up of what?
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In this condition, tau proteins make up ____.
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What causes vascular dementia?
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Multiple small infarcts from microvascular disease cause what condition with stepwise loss of function?
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What is the function of the substantia nigra?
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What provides dopamine to the basal ganglia?
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What is the neuronal loss in Parkinson's?
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The substantia nigra is lost in what disease?
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What percent of Parkinson's patients go on to develop dementia?
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30% of patients with Parkinson's will develop what condition?
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What is trouble speaking?
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What is apraxia?
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What is loss of ability to recognize people, things, objects?
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What is agnosia?
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What is the inability to eat?
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What is aphagia?
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What is the hallmark of delerium?
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Waxing and waning consciousness (or confused with lucid intervals) is the hallmark of what condition?
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Delerium is impairment of what?
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What is caused by impairment of cerebral metabolism?
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What is retrograde amnesia?
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Memory loss of prior events is what type of amnesia?
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What is anterograde amnesia?
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Inability to form new memories is what type of amnesia?
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What effect does amnesia have on short term memory?
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What type of memory stays intact during amnesia?
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What effect does amnesia have on procedural memory?
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What other type of memory stays intact during amnesia?
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Anterograde amnesia can be caused by damege to what 3 biological areas?
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Hippocampus
Basal Forebrain Diencephalon Damage to these areas can cause what type of amnesia? |
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What area is affected by Korsakoff? What type of amnesia do these patients have?
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Anterograde amnesia is caused by damage to the diencephalon in what condition?
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What causes Korsakoff?
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Alcohol abuse can cause what amnestic disorder?
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What does fugue mean in "dissociative fugue"?
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What is another word for flight?
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What two areas have been shown to decrease in size with Dissociative Identity Disorder?
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The hippocampus and amygdala have been shown to decrease in size in what disorder?
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Diagnostic Criteria for Depersonalization Disorder?
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Persistent/recurrent experience of detachment from body/mental process
Reality testing remains intact Impairment present Which disorder is this? |
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Diagnostic Criteria for Dissociative Identity Disorder?
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2+ distinct identities
Identities recurrently take control of pt's behavior Inability to recall personal info of #1 when #2 is dominant. Which disorder is this? |
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Diagnostic Criteria for Dissociative Amnesia?
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1+ episode of inability to remember personal info
Usually involves traumatic event Not explained by other dz/forgetfulness Must cause distress/impairment Which disorder is this? |
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What is the most common dissociative disorder?
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Dissociative Amnesia is the most common what?
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