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26 Cards in this Set

  • Front
  • Back
  • 3rd side (hint)
An acute confusional state characterized by a disturbance of consciousness (awareness) and a change in cognitive abilities is the hallmark of this disorder.
Delirium
For a dx of Delirium, what must the onset and course be?
Rapid onset
Fluctuating course (ok one minute, confused the next)
Delirium is most common in what populations?
Children and elderly
The DSM specifies categories of Delirium due to:
- Gen. Medical Condition
- Substance Intox.
- Substance Withdrawal
- Multiple Etiologies
What are the general criteria for Dementia?
- Impairment in ST/LT memory + 1/4:
- Aphasia (language disturb.)
- Agnosia (obj. rec. disturb.)
- Apraxia (motor disturb.)
- Dist. in exec. fxng
For a dx of Dementia, what must the onset and course be?
Insidious (slow) onset
Progressive, deteriorating course
Identify the subtypes and age specifiers for Dementia of the Alzheimer's Type.
Early Onset (before 65 y.o.)
Late Onset (after 65 y.o.)
Dementia of the Alzheimer's Type is considered a dx of ____.
Exclusion

Meaning?
That the dx can only be made after all other types of Dementia are excluded.
Dementia of the Alzheimer's Type is dx'd through:
- Neuropsych testing
- Neuro'l exam
- Brain scans (CT/MRI)
- Brain biopsy or autopsy
A stepwise pattern of deterioration and a patchy distribution of deficits characterize this disorder.
Vascular Dementia
Vascular Dementia is also known as
Multi-Infarct Dementia
Vascular Dementia is caused by:
A series of small strokes
Impairments in ST/LT memory that significantly interfere with work and/or social fxng characterize:
Amnestic D/Os
Korsakoff's Syndrome is dx'd as:
Substance-Induced Persisting Amnestic D/O
The most significant memory deficit in Substance-Induced Persisting Amnestic D/O is
Anterograde amnesia
Cognitive deficits that are believed to be caused by a general medical condition, but do not meet the criteria for delirium, dementia, or amnestic disorders are dx's as:
Cognitive D/O NOS
A cluster of cognitive, behavioral, and physiological sxs that indicate impaired control and continued substance use despite adverse consequences characterizes this disorder:
Substance Dependence
The general criteria for Substance Dependence are:
- Maladaptive pattern of substance use that leads to impairment/distress + 3/7 criteria

See next slide for criteria
- Tolerance
- Withdrawal
- Consuming more for longer (than was intended)
- Failing at attempts to cut down
- Excessive time drug seeking/recovering from use
- Sacrificing other activities
- Continued use despite psych/phys problems
Substance Dependence dxs should specify them as:
With or Without Physiological Dependence
The theory that people drink to reduce or avoid unpleasant stress is called (this) and was proposed by ___.
Tension Reduction Hypothesis
Conger
A dx of Polysubstance Dependence is given when (criteria/time specifier):
≥ 3 substances have been used (without any predominating) for ≥ 12 mos.
A maladaptive pattern of substance use resulting in recurrent and significant problems directly related to the repeated substance use is the essential feature of:
Substance Abuse
The general criteria, sx and time specifiers for Substance Abuse are:
- Maladaptive pattern of use --> impairment/distress + 1/4 sxs for 12 mos
There is no DSM dx for dependence or abuse of:
Caffeine
There is no DSM dx for abuse of:
Nicotine
These pairs of substances are identical in terms of intoxication, withdrawal, etc.
- Alcohol:Sedatives/Hypnotics/Anxiolytics/Barbituates
- Amphetamines:Cocaine