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61 Cards in this Set
- Front
- Back
Which ds most common with ADHD?
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LD
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Brain pruning occurs when?
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teens
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Most predictive sx of emergent suicidality?
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persvasive insomnia
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Vascular Dementia has neuropathologic changes where?
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basal ganglia
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Which agent reduce suicide risk in patients with bipolar ds?
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Lithium
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Dementia + vis hallucinations ... which type + socially inappropriate ... worse with risperidone?
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Lewy body disease
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Episodic OCD associated with what disorder?
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Bipolar
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Type of study:
Patient with ds vs matched pt without disease and compare exposure to X |
Case Control Study
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Which Rx associated with new onset gambling, hypersexuality in Parksinon's?
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Pramipexole
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Lab findings in pt with BN?
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hyokalemia
hypochloremic alkalosis QT and T wave changes |
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Person who first used term schizophrenia?
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bleuler
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pt on 20mg citalopram. after 3 weeks, improvement in veg sx but remains dysphoric. next step?
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continue dose with no changes, pt will continue to respond
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Vocab growth, pre-literacy language most associated with?
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talk directed to child
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It is white, very white. I know, Things are that way. They are, I am. ... this is example of ?
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alogia
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anxiety, change in personality, unsteady gait, falls, dysphagia = what dx?
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Progressive supranuclear palsy
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Visual hallucinations with hx of blindness, pt has insight into knowing they are not real
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Charles Bonnet syndrome
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Charcoal helps with what? doesn't help with what?
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helps with: fluoxetine, valproic acid, haloperidol, lorazapem but not
Lithium |
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Childish, Fantastic quality of hallucinations fit with what disorder?
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conversion disorder
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give e.g. of double bind
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go to college but costs will be $$
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si on admission, 2 days later ... dysphoric, tired, hypersomniac, vivid dreams, very hungry = what on drug screen?
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cocaine
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B12 toxicity sx?
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burning sensation or parathesia
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Who introduced concept of introversion and extrovesion?
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Jung
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Screening test to evaluate 8 year old academic performance?
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WRAT
wide range achievement test |
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Li toxicity might permanently damage what?
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cerebellum
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Faintness, postural drop, vocal cord does not move, miosis, bladder distension, dry skin
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anticholinergic syndrome
i.e., atropine toxicity |
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What drug can cause seizure while using?
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meperidine
Convulsive seizures sometimes observed in patients receiving parenteral pethidine on a chronic basis have been attributed to accumumulation in plasma of the metabolite norpethidine (normeperidine) |
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What drug increases muscle mass by increasing growth hormone episodic secretion?
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GHB
Gamma hydroxybutyrate |
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bereavement for how long = think about depression?
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2months
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low energy, drowsy, increased sleep duration = 18 hours a day or more, pt dull confused, socially withdrawn. EEG generally normal =?
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Kleine-Levin Syndrome
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child knows how to run, jump, and do day and year = what age?
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6
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high temp, tachycardia, dilated and poorly reactive pupils, vis halluc, agitation, constipation, dry skin = ?
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anticholinergic delirium
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bad tremor, target for deep brain stimulation = ?
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ventral intermediate thalamus
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Most important thing to reduce teen suicide?
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remove weapons
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post death pt blames self, no weight change, fxning
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normal grieving
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amphetamines cause euphoria how?
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DA release in nucleus accumbens
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consensual validation=
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group dynamic
confirmation of reality by comparing to group members and then correcting interpersonal distortions |
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fluoxetine + what Rx = N/V/Diarrhea, high temp, hyperreflexic, distracted?
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tramadol
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chronic peripheral polyneuropathy, insidiuos onset,symettric, worse distally in limbs and in legs more than arms, variable loss of deep tendon reflexes ... why type of polyneuropathy is this ?
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alcohol
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Natalizumab =?
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MS drug that blocks lymphocyte/monocyte adhesion to endothelial cells
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at what age should children be able to make themselves understood?
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age 3 for sure
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what test includes measures of attention, concentration, freedom from distractability
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WAIS
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Dx: 10% below normal weight, lytes: low K, low Cl, elevated bicarb, elevated amylase, normal lipase?
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BN, purging type
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Main rationale for ACHI in alz?
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reduce neuropsych symptoms
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What drug increase Lamotrigine concentration significantly?
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Valproate
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condensation definition=
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combination of several unconscious impulses, wishes, feelings attached to a single dream image
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Pt: can't use left body but denies anything wrong and when see's arms says it is yours? Lesion is where?
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parietal lobe
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LP = high wbc, lymphoctyes and elevated protein level, gamma globulin also elevated .. sx of forgetfulness, intellectual deterioation, gait impaired, speech fast and slurred =
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neurosyphilis
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which drugs partially blocks NMDA receptors?
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Memantine
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impaired eye movements, with vertigo and double vision ... consider dx?
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MS
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drug with most powerful reinforcing effect?
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cocaine
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What drug might be connected to brain infarct in 36 year old women with hx of migraines?
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oral contraceptives
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Crossover design study is a variation of ?
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double blind study
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What psychiatric ds do people with MR have compared to normal iq population?
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same
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type of headache: unilateral lacrimation, rhinorrhea, ptosis, waking from sleep?
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cluster headache
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patient with late life dep vs early onset more likely to report?
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psychotic sx
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female pt able to masturbate but when male iniates, she avoids intimate contact, ds?
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sexual aversion disorder
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childhood onset schizophrenia course pattern?
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chronic and unremitting
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involuntary gait acceleration seen in?
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parkinsons
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underlying dynamic of paranoid personality ds?
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failure to achieve object constancy
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aversive stimulus given with particular response =
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punishment
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safest rx for manic pregant women?
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antipsychotics, ie haldol
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