Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
32 Cards in this Set
- Front
- Back
|
What is the first line of somatic treatment for Tourette disorder?
|
D2-antagonists
-Haloperidol -Pimozide |
|
|
What is an effective alternative treatment for Tourette disorder if the side effects of Haloperidol/Pimozide inhibit you from being able to use them?
|
Clonidine - alpha-2 agonists
|
|
|
What are the diagnostic criteria of Tourette syndrome?
|
-BOTH motor and vocal tics but don't have to occur at the same time
-At least 1 tic present daily for ONE YEAR, no 3-mo period of no tic -Onset before 18, signific distress |
|
|
What is the inheritence pattern of Tourette disorder when it appears to be genetic?
|
Autosomal DOMINANT
|
|
|
What 2 mental disorders are often comorbidly present with Tourette syndrome?
|
-OCD
-ADHD |
|
|
What should be ruled out in the workup for Tourette syndrome?
|
Allergies
|
|
|
What are Slow, irregular writhing movements called?
|
Athetoid
|
|
|
What are Dancing, random, irregular, nonrepetitive movements?
|
Choreiform
|
|
|
What are Twisting motions interspersed with prolonged states of muscle tension and slower than choreiform movements called?
|
Dystonic movements
|
|
|
What are Intermittent, Coarse, Large-Amplitude, Unilateral limb movements called?
|
Hemiballistic movements
|
|
|
What are Brief, Shocklike muscle contractions called?
|
Myotonic movements
|
|
|
What are Sudden, rapid, recurrent, nonrhythmic, stereotyped MOTOR movements or vocalizations called?
|
Tics!
|
|
|
What is the lifetime prevalence of Tourette syndrome in the general population?
|
4-5/10000
|
|
|
What sex is Tourettes higher in?
|
Males
|
|
|
At what age do the motor vs vocal tics tend to appear?
|
Motor - 7
Vocal - 11 |
|
|
What NT system is involved in tic disorders?
|
DOPAMINERGIC
|
|
|
What are 4 medical conditions in which involuntary movements can be seen?
|
-Sydenham chorea
-Huntington chorea -Wilson disease -Stroke |
|
|
What drug can cause tardive dyskinesia after long-term use?
|
Antipsychotics like Haloperidol
|
|
|
What is the time duration for diagnosis of a TRANSIENT tic disorder?
|
>4 weeks but not 1 year
|
|
|
What is it called if a patient has tics for >1 yr, but not both motor and vocal?
|
Chronic motor or vocal tic disorder
|
|
|
What is often a trigger to tics in children?
|
Anxiety-producing events
|
|
|
What does the treatment of Tourette disorder involve?
|
BOTH somatic drug therapy and psychotherapy
|
|
|
What type of psychotherapies can help in Tourette disorder?
|
Relaxation techniques
|
|
|
What are the 2 first line drugs currently for treating the tics in Tourettes?
|
-Clonidine
-Guanfacine |
|
|
Why aren't Haloperidol and Pimozide first line?
|
Bc of side effects and risk of tardive dyskinesia with long term use
|
|
|
With what other medications are the development of Tics a common side effect?
|
Stimulants for ADHD
|
|
|
What should be done if a patient with ADHD is on a stimulant like methylphenidate and develops motor and/or vocal tics?
|
Reduce the dose of methylphenidate
|
|
|
What is Amenorrhea defined as?
|
Absence of menstrual cycles for at least 3 consecutive months
|
|
|
What is Anorectic body weight considered to be?
|
Body weight <85% normal for the patient's age, produced by conscious efforts to lose weight
|
|
|
What is the fine body hair present on prepubertal children and often seen in anorexic patients called?
|
Lanugo
|
|
|
What are the 4 diagnostic criteria for Anorexia nervosa?
|
-Refusal to maintain normal bodyweight
-Intense fear of gaining weight -Distorted body image -Amenorrhea |
|
|
What are common lab abnormalities in patients with Anorexia nervosa?
|
-Hypokalemia
-Hypochloremic metabolic acidosis -Hypoalbuminemia -Elevated liver enzymes -Neutropenia w/ rel lymphocytosis |
