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160 Cards in this Set
- Front
- Back
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thought abnormality a/w:
unnecessary details but eventually arrives to conclusion |
circumstantiality
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thought abnormality a/w:
illogically jumps from one subject to another |
loose association
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thought abnormality a/w:
individual words without logical meaning |
word salad
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thought abnormality a/w:
made up words |
neologism
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thought abnormality a/w:
repetition of words or ideas during converstaion |
perservation
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what must be ruled out in a px suspected to have learning disorder
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auditory
visual |
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childhood developmental disorder a/w:
stacking behavior, injurous behavior |
autism
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childhood developmental disorder a/w:
normal development until 2 yo |
childhood disintegrative disorder
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childhood developmental disorder a/w:
no creativity, but very good with puzzles |
aspergers
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childhood developmental disorder a/w:
preoccupied with rules |
aspergers
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what must be ruled out before childhood disintegrative disorder may be diagnosed
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infection
autoimmune |
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what must be ruled out before autism is diagnosed
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hearing impairment
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what comorbid conditions are present with ADHD
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oppositional defiant
conduct disorder generalized anxiety disorder learning disability |
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how long and by when do symptoms for ADHD need to be present
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more than 6 months
before the age of 7 |
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first line Rx for ADHD
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methylphenidate
dextroamphetamine |
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second line treatment for ADHD
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atomoxetine
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SE of ADHD Rx
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insomnia
decreased appetite head ache prolonged use may cause growth retardation |
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Dx
px who is easily annoyed by other and blames others for their mistakes |
oppositional defiant disorder
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Dx
px with bullying and creulty to animals, vandalism and steals |
conduct disorder
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what px have increased frequency of conduct disorder
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px with parents with antisocial disorder or alcohol dependence
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how long and by when do symptoms for tourettes need to be present
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more than a year before 18 yo
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comorbid conditions with tourettes
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ADHD
OCD |
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what must be done with any px with suicidal thoughts
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hospitalization
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Rx for tourettes
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DA- (risperidone)
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how long must symptoms be present for major depression
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2 weeks
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what must be ruled out for major depression
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hypothyroidism
parkinsons dementia |
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Dx
px wakes up early in the morning and cant go back to sleep, depressive mood is worse at this time as well |
melancholic depression
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how is major depression managed
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SSRI
if no response, increase dose may also give psychotherapy |
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Rx
px with depression and neuropathic pain |
desvenlafaxine
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Rx px with depression who is fearful of weight gain or sexual SE
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bupropion
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how many cycles do bipolar px experience
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about 4 every 10 years
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Rx for px with rapid cycling bipolar disorder
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carbamazepine
valproate |
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if parents have bipolar, what are the chances of their child having it
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60%
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if fist degree relative has bipolar what is the chances of px having it
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5-10%
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if monozygotic twin has bipolar what are the chnaces of px having it
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70%
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how long do manic symptoms need to be present
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more than a week
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what could happen if px with bipolar is given antidepressants
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induces manic episode
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Rx in acute mania
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lithium
if ineffective, switch to valproate |
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what must be done before increasing lithium dosage
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obtainlithium levels
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when can a px be taken off lithium
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Rx for one year without relapse
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what can abrupt cessation of lithium cause
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suicidee
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when must a px be on lithium for life
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3 or more relapses
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how does lithium work
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- insitol 1 phosphatase
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Dx
px has depressed mood for more than 2 years |
dysthymia
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Dx
px has hypomanic episodes with mild depression for 2 years |
cyclothymia
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Rx for atypical depression
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SSRI
MAOIs |
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Rx for seasonal affective disorder
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phototherapy
bupropion |
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postpartum mother who:
sadness, tearfulness |
blues
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postpartum mother who:
negative feelings toward baby but is aware that these feelings are incorrect |
depression
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postpartum mother who:
thoughts of harming baby because she thinks its the son of satan |
psychosis
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Dx
px with depressed mood after death of loved one |
bereavement
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Rx for bereavement
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psychotherapy
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Dx
stressor caused psychotic symptoms that impairs functions |
adjustment disorder
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Rx for adjustment disorder
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psychotherapy
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Dx
px with multiple personalities |
dissociative identity disorder
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Dx
traumatic even causes px to forget personal information |
dissociative amnesia
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Dx
px feeling as if their are obseving their own body |
depersonalization disorder
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Dx
px looks at familiar people or surroundings as if strange or unreal |
derealization disorder
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Rx for serotonin syndrome
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stop SSRI
Rx symptoms give cyproheptidine |
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time period for:
schizoaffective disorder |
more than 2 weeks
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time period for:
brief psychotic disorder |
less than one month
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time period for:
schizophreniform |
1-6 months
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time period for:
schizophrenia |
more than 6 months
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how can you differentiate serotonin syndrome from NMS
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serotonin syndrome has flushing and myoclonus
NMS has muscle rigidity |
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what will be seen on CT of schizo px
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enlarge ventricles
prominent sulci decreased cerebral mass |
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type of schizophrenia a/w:
delusions or hallucinations |
paranoid
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type of schizophrenia a/w:
wont stop talking |
paranoid
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type of schizophrenia a/w:
psychomotor disturbance |
catatonic
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type of schizophrenia a/w:
cant get them to talke |
catatonic
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type of schizophrenia a/w:
usually wear something on their head |
disorganized
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type of schizophrenia a/w:
appear disheveled and have bizzare emotional responses |
disorganized
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what is important to rule out with schizophrenia
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urine drug test for
-cocaine -amphetamine |
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inc DA intuboinfundibular
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dec prolactin
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inc DA in nigrostriatal
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movement problem (chorea)
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inc DA in mesolimbic
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euphoria/hallucinations
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dec DA in tuboinfundibular
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inc prolactin
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dec DA in nigrostriatal
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parkinsons
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dec DA in mesolimbic
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therapeutic effects of antipsychotics
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Rx for schizophrenia that do not respond to otehr Rx
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clozapine
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Rx for noncompliant schizophrenic px
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risperidone
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Rx in emergency situation for schizophrenic px
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olanzapine or ziprazidone
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what antidepressant is a/w hypothermia
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fluphenazine
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antipsychotic avoided in obese or diabetic px
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olanzapine
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antipsychotic used first line
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risperidone
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antipsychotic with greatest incidence of movement disorder
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risperidone
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antipsychotic with leats movement disorder
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quetiapine
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antipsychotic prolongs QT
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ziprasidone
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antipsychotic must obtain EKG before use
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ziprasidone
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antipsychotic that lowers seizure threshold
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clozapine
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antipsychotic least likely to cause weight gain and diabetes
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aripripazole
ziprasidone |
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Rx for acute dystonia
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benztropine
diphenhydramine |
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Rx for akathisia
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beta blocker
switch drug |
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Rx for tardive dyskenesia
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switch drug
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antipsychotic with lowest risk fro tardive diskinesia
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clozapine
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adverse effect of antipsychotic:
muscle spasm |
acute dystonia
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adverse effect of antipsychotic:
inability to relax |
akathisia
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adverse effect of antipsychotic:
perioral movements |
tardive dyskinesia
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panic disorder is a/w
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depression
agoraphobia generalized anxiety substance abuse |
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what must be ruled out in panic disorder
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thyroid disease
hypoglycemia cardiac disease drugs |
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Rx for panic disorder
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SSRI
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what breaks a panic attack
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benzo
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comorbidity with social phobia
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selective mutism
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Rx for performance anxiety
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B-
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Rx for phobias
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systemic desensitization
relaxation techniques |
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what levels are altered in OCD
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serotonin
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Rx for OCD
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SSRI
TCA (clomipramine) behavioral therapy of exposure and response prevention |
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difference between post traumatic stress disorder and acute stress disorder
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PTSD = more than 1 month
acute stress = < 1 month |
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Rx for PTSD and acute stress disorder
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paroxetine and sertraline
relaxation techniques psychotherapy |
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how long must generalized anxiety disorder be present
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6 months
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Rx for generalized anxiety disorder
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SSRI
venlafaxine buspirone |
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antianxiety used in emergencies
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lorazepam
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antianxiety used in alcohol withdraw
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chlordiazepoxide and oxazepam
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antianxiety for panic disorder
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clonazepam
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difference between alcohol hallucinations and DTs
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alcohol hallucinations
-12-24 hours -stable vitals DT ->48 hours -unstable vitals |
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what is somatoform disorder
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px doesnt know what they are doing or why they are doing it
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Rx for somatoform disorders
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psychotherapy
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different types of somatoform disorders
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somatization
hypochondriac conversion body dysmorphic pain disorder |
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Dx
px believes they have disease despite proving otherwise |
hypochondriac
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Dx
px with series of symptoms |
somatization
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what is fictitious disorder
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px know what they are doing but they dont know why
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what is malingering
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px know what they are doing and why they are doing it
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Rx for adjustment disorder
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psychotherapy
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personality disorder that displays charm to allow manipulation of individuals
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antisocial
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Rx for personality disorder
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psychotherapy
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what personality disorders may have short lived psychotic episodes
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borderline and schizotypal
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what may happen to pregnancy in those with previous anorexia
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premature
growth and intellectual impairment |
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MCC of death in anorexic px
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arrhythmia
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why do anorexic px have EKG changes
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potassium deficiency
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Dx criteria for anorexia
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below normal body weight
distorted body image fear of gaining weight 3 months of amenorrhea |
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what can cause weight gain in anorexic px
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SSRI
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Rx for anorexic px
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hospitalization
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Dx criteria for bulimia
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episodes of uncontrolled easting followed by compensatory behavior at least 2 times a week for 3 months
normal or increased body weight dissatisfaction with body |
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Rx for bulimia
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SSRI
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what sleep stage is the longest
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2
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how do benzos affect sleep
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increase 2
decrease 3 |
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when do night terrors occur
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3
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when does enuresis occur
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3
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Rx fro narcolepsy
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modafinil
methylphenidate pemoline |
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when does night terror occur
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nonREM
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when do night mares occur
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REM
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when does somnambulism occur
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nonREM
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difference between night mare and terror
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mare = awake and recall
terror = cant wake up and cant recall |
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Rx for insomnia
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zolpidem
eszopiclone zaleplon |
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Dx
Px has difficulty sleeping because he is constantly traveling to difference parts of the world |
circadian rhythm sleep disorder
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Dx
px never feels like having sex |
hypoactive sexual desire
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what is hypoactive sexual desire a/w
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sexual arousal disorder
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Dx
px has difficulty attaining or maintaining lubrication |
female sexual arousal disorder
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what is female sexual arousal disorder a/w
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hypoactive sexual desire
female orgasmic problem |
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Dx
px with delayed, absent or less than expected orgasm |
female orgasmic disorder
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Dx
px because extremely anxious during sexual encounter and eventually tries to avoid it |
sexual aversion disorder
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type of paraphilia:
humiliation |
mosachism
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type of paraphilia:
suffering of victim |
sadism
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type of paraphilia:
rubbing against nonconsenting persons |
frotteurism
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Dx
px feels as if they are trapped in the wrong body |
gender identity disorder
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Dx
rape victim establishes a rape crisis center |
altruism
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Dx
px blames the acquiring of a disease to the bad health system |
distortion
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Dx
px realizes the truth but refuses to assemble the evidence |
resistance
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Dx
px believes that everyday things have a special message |
ideas of reference
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Dx
px interprets a dream in a way that implies a cure or positive result |
fantasy
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Dx
px begins to believe the hurtful things someone else tells them |
introjection
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