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32 Cards in this Set
- Front
- Back
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What are the categories of mood disorder?
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Depressive, Bipolar, Adjustment w/depressed mood, due to medical condition, substance induced
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Difference btwn Bipolar I and II
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Bipolar II is MDD + hypomania
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How long does a manic episode need to last?
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at least 1 wk
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How long do chronic depressive sxs last to define dysthymic d/o?
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2yrs
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How is hypomania different from mania?
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no fxnl impairment, only needs to last for 4 days
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Minimum time for a mixed episode (mania/depression)?
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7 days
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Which mood disorder has the greatest degree of genetic predisposition?
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Bipolar
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What sleep changes are noted in Major depressive d/o?
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decreased REM latency, decreased total sleep, decreased stage III and IV sleep
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How long do you put someone on antidepressants if they have had 2 episodes?
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5 yrs
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How long do you put someone on antidepressants if they have had 3 episodes?
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indefinite
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Brain regions ass w/ positive sx of schizo?
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temporolimbic (too much DA)
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Brain regions ass w/ negative sx of schizo?
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frontal (too little DA)
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What is schizophreniform disorder?
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schizophrenic sxs for less than 6 months
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What is schizoaffective d/o?
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schizo + affective d/o (psychosis alone sometimes)
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What does ADHD predispose you to?
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adult inattention, substance abuse
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What are the features of ADHD?
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academic and social difficulties w/ symptoms in 2 settings
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What are the pathologic findings in ADHD?
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decreased brain volume, decreased caudate size, decreased activation of pre-frontal cortex (abnormal DA and NE pathways), decreased EEG activity
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Comorbidities in kids w/ADHD?
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opposition defiant disorder, BP, conduct d/o, tic d/o (stimulants may worsen) MDD, anxiety
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Atomoxetine
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stiumlant, NE reuptake inhibitor
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What drugs are useful for hyperactivity?
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alpha agonists (clonidine, guanfacine)
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Which drugs are used for attentional sxs?
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stimulant (amph and non), and antidepressants
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What are necessary features of anorexia?
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body dysmorphic, afraid of wt gain, loss of at least 3 menstrual cycles, refuses to maintain nrm wt
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How is bulimia different from binge/purge anorexia/
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lack of control in bulimia, need restrictive behavior for anorexia, need wt loss for anorexia
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Time frame for bulimia dx?
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at leas twice/wk for 3 months
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What is the female athlete triad?
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eating d/o, osteopenia, amenorrhea
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What is anorexia tardive?
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onset >25 years old, particularly malignant
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Primary cause of death in anorexia?
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arrhythmia and suicide
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Pharma tx for bulimia?
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fluoxetine (really all SSRIs)
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Why is Li especially dangerous for use in eating d/o?
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fluctuating body wt puts you at risk b/c Li has narrow tx index
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When do bulimics need to be hospitalized?
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hemodynamically unstable, vomiting blood, high dose laxatives, other psych conditions
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What brain structure mediates panic?
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locus ceruleus (NE and serotonin)
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What brain structure mediates anxiety?
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Limbic system (GABA and serotonin)
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