Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
69 Cards in this Set
- Front
- Back
Classes of psychological tests
|
1. Objective: multiple choice, scored by a computer
2. Subjective: no right answers, scored by the giver |
|
Stanford-Binet test
|
Objective, IQ test for adults
|
|
Wechsler Intelligence Scale for Children test
|
Objective, IQ test for children (4-17)
|
|
Rorschach test
|
Subjective, pts describe what they see in an inkblot
|
|
Thematic Apperception Test
|
Subjective, pts describe what is going on in a cartoon drawing of people
|
|
Beck Depression Inventory
|
Objective, screens for depression
|
|
Minnesota Multiphasic Personality Inventory
|
Objective, measures personality type
|
|
Halstead-Reitan Battery test
|
Used to determine the location and effects of specific brain lesions
|
|
Luria-Nebraska Neuropsychological Battery test
|
Assess a wide range of cognitive functions and tells you the patient's cerebral dominance (left or right)
|
|
Diagnostic criteria for anorexia nervosa
|
1. Body weight is 15% below normal
2. Pt has distorted body image 3. Amenorrhea |
|
Cause of death in anorexia nervosa
|
Electrolyte imbalance, cardiac arrhythmias, infection
|
|
Treatment of anorexia nervosa
|
1. Hospitalization to monitor weight and correct electrolyte imbalance
2. Psychotherapy |
|
Hyperactive with short attention span; figety and cannot pay attention or wait for turn
|
ADHD
|
|
Age at which symptoms of ADHD must be present for diagnosis
|
Before age 7
|
|
Treatment of ADHD
|
Psychostimulants (methylphenidate, dextroamphetamine)
|
|
SE of Rx treatment of ADHD
|
SE of methylphenidate & dextroamphetamine:
*growth suppression* insomnia, abdominal pain, decreased appetite, tics |
|
Three year old child with impaired social interaction and communication, and restricted activities and interest
|
Autism
|
|
Cause of Autism
|
Idiopathic, but potential cause is congenital rubella
|
|
DDx for Autism
|
1. Schizophrenia (look for age and + s/s)
2. Deafness (look for parental love) 3. ADHD (look for language and communication skills) |
|
Female adolescent with binge eating followed by purging; normal body weight
|
Bulimia nervosa
|
|
Physical findings of Bulimia nervosa
|
1. tooth enamel erosion
2. scars on dorsal hand surfaces 3. enlarged parotid glands |
|
Treatment for bulimia nervosa
|
Psychotherapy and SSRI
|
|
17 y.o. boy with hx of aggressiveness, criminal record, and cruelty to animals
|
Conduct d/o
|
|
Conduct d/o vs Antisocial PD
|
Conduct = age < 18
Antisocial = age > 18 Conduct d/o is required for making a dx of antisocial PD in adults. |
|
3 year old child with frequent bed-wetting; no other medical problems.
|
Normal child
Bed-wetting is not a disorder in a child 3 or less. |
|
Encopresis
|
Involuntary passage of feces in a child after age 4
|
|
First line treatment for encopresis/enuresis
|
Behavioral therapy (using bell-and-pad aparatus)
|
|
Second line treatment for encopresis/enuresis
|
Imipramine (TCA)
|
|
Impairement in math, reading, writing, speech, language, or coordination, but everything else is normal and normal IQ
|
Learning d/o
|
|
Diagnostic criteria for mental retardation
|
1. onset < age 18
2. IQ < 70, with defects in functioning |
|
Most common cause of mental retardation
|
Fetal alcohol syndrome = #1 preventable cause
Down syndrome = #1 overall cause (Fragile X is another common cause in males) |
|
Severity of MR and IQ ranges
|
Mild: IQ 55-70 (most cases)
Moderate: IQ 35-55 Severe: IQ 20-34 Profound: IQ <20 |
|
Negative, hostile, and defiant behChild fears that something will happen to them or their parents if they separate.avior toward authority figures, but normal behavior toward peers; no criminal record.
|
Opositional-defiant d/o
|
|
Child fears that something will happen to them or their parents if they separate; exhibits multiple somatic complaints during times of separation.
|
Separation anxiety disorder
|
|
Male with motor tic that are exacerbated by stress and remit during activity or sleep, may have coprolalia.
|
Tourette's d/o
|
|
Percentage of pts with tourette's that have coprolalia
|
10-30%
|
|
Treatment for tourette's d/o
|
Antipsychotics (haloperidol)
|
|
Presentation of depression in children
|
Irritable instead of depressed mood
|
|
Top three causes of adolescent deaths
|
1. accidents
2. homicide 3. suicide Together, they total 75% of teenage detahs |
|
Amphetamine intoxication
|
Psychotic symptoms
Pupillary dilation Paranoia Arrhythmia |
|
Benzodiazepine/barbituate intoxication
|
Sedation and drowsiness
Reduced anxiety and disinhibition Overdose is fatal - respiratory depression |
|
Treatment of acute benzodiazepine intoxication
|
Flumazenil
|
|
Benzodiazepine/barbituate withdrawal
|
Seizure
Cardiovascular collapse (both fatal) |
|
Maintenance thereapy for benzodiazepine withdrawal
|
Long-acting benzodiazepine
|
|
Commonality between benzodiazepeine, barbituate, and alcohol
|
All are CND depressants - caution with interactions
|
|
Cocaine intoxication
|
Sympathetic stimulation
Pulillary dilation Paranoia Arrhythmias Formications ("cocaine bugs" - pts think that bugs are crawling on them) |
|
Cause of death due to cocaine intoxication
|
Arrhythmia, MI, seizure, stroke
|
|
Sleepy, hungry, depression
*Depression can lead to suicide!* |
Cocaine withdrawal
|
|
Teratogenic eEuphoria, dizziness, slurred speech, a feeling of floating, ataxia, and/or sense of heightened sense of power; usually seen in young teenagers (11-15)ffect of cocaine
|
Vascular disruption in fetus
|
|
Euphoria, dizziness, slurred speech, a feeling of floating, ataxia, and/or sense of heightened sense of power; usually seen in young teenagers (11-15)
|
Inhalant intoxication
|
|
Cause of death in inhalant intoxication
|
Respiratory depression, cardiac arrhythmias, asphyxiation
|
|
Hallucinations and flashbacks
pupillary dilation, tachycardia, diaphoresis, perception/mood disturbances |
Lysergic acid diethylamide (LSD) intoxication
|
|
Hallucinations in LSD vs schizophrenia
|
LSD: visual hallucinations
Schizophrenia: auditory hallucinations |
|
Cause of death in LSD intoxication
|
Not from drug itself, but usually from suicide (pts think that they can fly and proceed to jump off of a building).
|
|
"Amotivational syndrome"
injected sclera eating binge |
Marijuana intoxication
|
|
Pupillary constriction ("pinpoint pupils")
constipation, CNS depression |
Opioid (heroin) intoxication
|
|
Cause of death in opioid intoxication
|
Repiratory depression
|
|
Acute treatment of opioid intoxication
|
Naloxone (IV); Naltrexone (oral)
|
|
Comorbidities associated with opioid use
|
Associated with injections as the route of delivery (endocardities, HIV, cellulitis, talc damage)
|
|
Fever, nausea, stomach cramps, diarrhea, gooseflesh
|
Opiod withdrawal
|
|
Violent behavior, aggitation, vertical and/or horizontal nystagmus
|
Phencyclidine (PCP) intoxication
|
|
Cause of death in PCP intoxication
|
Convulsions, coma, respiratory arrest
|
|
Treatment of PCP intoxicaiton
|
Supportive care
Urine acidification to hasten elimination |
|
Headaches, irritability, fatigue
|
Caffeine withdrawal
|
|
Disinhibition, emotional lability, slurred speech, ataxia, hypoglycemia
|
Alcohol intoxication
|
|
Tremor, seizure, delerium tremens
|
Alcohol withdrawal
|
|
Cause of death in alcohol withdrawal
|
Seizures
|
|
Acute and chronic treatment of opioid withdrawal
|
Acute: Clonidine
Chronic: Methadone |
|
Enuresis
|
Bedwetting in a child after age 5
|