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31 Cards in this Set
- Front
- Back
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Chapter 2
q4: Summarize the major components of the mental status exam |
appearance and attitude
motor activity thought and speach perception orientation memory gen info calculation read and write visuospatial ability attention abstraction judgement and insight |
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Chapter 2
q5: five positive symptoms of psychosis |
delusions
hallucinations disordered behavior disordered speech inappropriate affect |
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Chapter 2
q6: five negative symptoms of psychosis |
catatonic motor behavior
poverty of speech flattened affect alogia (decreased thinking) apathy/ inattention |
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Chapter 2
q7: symptoms of depression |
*insomnia
*weight change psychomotor agitation / retardation *loss of interest thoughts of death/ suicide *diurnal variation |
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Chapter 2
q8: symptoms of mania |
euphoria
flight of ideas inflated self-esteem decreased need to sleep |
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Chapter 2
q9: symptoms of anxiety disorders |
panic attacks
agoraphobia social phobia obsessions compulsions (repetitive) |
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Ch 11
q1; three major types of sexual disorders |
1) sexual disfunction
2) paraphilias 3) gender identity disorders |
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ch 11
q2: stages of the sexual response (4) |
1) appetitive (minutes to hours)
2) excitement stage 3) orgasmic stage 4) resolution stage |
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ch 11
q3: what are the disorders of the appetitive stage of sexual response? |
hypoactive sexual desire disorder (fantasy)
sexual aversion disorder (avoidant to physical contact) |
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ch 11
q4: what causes erectile dysfunction? |
medical illness
psychiatric illness :anxiety, dementia, depression, schizophrenia drugs (anti-depressants) |
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ch 11
q5: what medications are used to treat impotence? |
sildenafil
vardenafil tadalafil |
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ch 11
q6: how common are paraphilias? |
relatively uncommon
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ch 11
q7: how do learned experiences lead to paraphilias? |
suppress urges
later pair desire with masturbation pair masturbation with object of desire |
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ch11
q8: how are paraphilias treated? therapy/ drugs |
medroxyprgesterone or leuprolide to lower testosterone.
ssri's |
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ch11
q10: what are the treatments for gender identity disorder? |
hormonal therapy (estradiol, progesterone; testosterone)
sexual reassignment surgery |
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ch 11
q10B: what factors predict good outcome to gender reassignment surgery? |
lifelong cross gender identificaation
good support system "pass" as opposite sex college education steady job |
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ch17 q 1: what are the major categories of sleep disorders?
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dyssomnia: prob. initiating and maintaing sleep
parasomnia: abnormal event during sleep sleep disorders due to another mental disorder |
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ch 4 q1: what are difference of delirium and dementia?
how are they alike |
onset: rapid/insidious
see both in hospital patients sometimes same patient |
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ch4 q 3: describe alzheimers
what histopathological findings ? |
insidious progressive illness of 50yo+ patiens with hallucination,illusions, delusions, babinski, frontal lobe release signs. hyperactive dt reflexes
senile plaques, nf tangles, hirano bodies. ach deficits |
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ch4 q 4: two clinical syndromes in frontotemporal dementia/
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huntingtons
creutzfeldt-jakob disease |
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ch4 q 5: symptom triad of non-pressure hydrocephalus?
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dementia , gait disturbance, urinary incontinence
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ch4 q 6: five treatable causes of dementia
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vascular disorders, normal-pressure hydrocephalus, infection, metabolic disorders, nutrition
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ch 4 q7: what is pseudodementia
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dementia symptoms brought on bby depression
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ch4 q8:how to treat dementia
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donepezil
galantamine memantine rivastigmine tacrine none will reverse decline but may slow it down |
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ch4 q9: what is wernicke's encephalopathy
what's it's relation to wernicke-karsakoff syndrome? |
severe alcohol abuse leads to thiamine deficiency causes amnesia, ataxia, nystagmus, opthalmoplegia
w-k syndrome is above plus persistent memory impairment.(mammary bodies) |
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ch7 q2: what's the rel. between panic disorders and agoraphobia?
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panic attack is unexpected anxiety w/ 1 month of persistent fear of happening again, agoraphobics have this and alter their behavior to avoid public scrutiny often becoming homebound.
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ch 7 q 4 are panic disorders genetic
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yes, partly
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ch4 q 5: what's the diff. diagnosis of panic disorder?
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schizophrenic
OCD avoidant per.dis. schizoid panic attack gen. anx. disorder |
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ch 4 q6: Rx for :
panic disorder, GAD, social phobia |
panic disorder: SSRI
GAD: pyschotherapy, relaxation tech. social phobia: fluoxetine,sertraline |
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ch 4 q7: what are social and specific phobias?
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social: fear of acting in an inappropriate way
specific: fear of a specific object, location, height, blood etc... |
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distinguish obsessions from delusions
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obsession reoccurring thoughts, ideas, impulses causing anxiety.
delusion: fixed false belief |
