Study your flashcards anywhere!

Download the official Cram app for free >

  • Shuffle
    Toggle On
    Toggle Off
  • Alphabetize
    Toggle On
    Toggle Off
  • Front First
    Toggle On
    Toggle Off
  • Both Sides
    Toggle On
    Toggle Off
  • Read
    Toggle On
    Toggle Off
Reading...
Front

How to study your flashcards.

Right/Left arrow keys: Navigate between flashcards.right arrow keyleft arrow key

Up/Down arrow keys: Flip the card between the front and back.down keyup key

H key: Show hint (3rd side).h key

A key: Read text to speech.a key

image

Play button

image

Play button

image

Progress

1/130

Click to flip

130 Cards in this Set

  • Front
  • Back
ego-dystonic
behavior is disturbing to self
ego-syntonic
behavior is not distrubing to self
ego-syntonic
is one’s set of stable, predictable emotional and behavioral traits.
waxy flexibility
when patients maintain postures into which they are placed seen with catatonic schizophrenia
rett disorder
normal development until 5-30 months and then lose hand skills and develop stereotyped movement, impaired lang developmend and gait, and decellerated head growth
only in girls
IQ calculated
ratio of mental age to chronological age and multiplying by 100
literal mindedness, where seen
inability to form abstract concepts
concrete interpretation of proverbs in concrete thinking seen in patients with schizophrenia and organic brain disorders
hamilton test
rating scale to assess symptoms and target behaviors of depression
counter transferrance
interviewer develops feelings and reaction to patient based on irrational and unconscious factors
halstead-reitan
5 tests that provide sophisticated info about organic impairment of mental functioning takes 4-6hr
frotterism
paraphilic interest in rubbing, usually one's pelvis or erect penis, against a non-consenting person for sexual gratification
Pick's disease
gender more common?
dementia that is clinically indistinguishable from AD that is associated with frontotemporal atrophy and ventricular dilation (5% of dementia) ( more common in women)
partial complex seizures that occur in temporal lobe that are associated with personality change
temporal lobe seizures
prevention of sequelae and reoccurance of an acute illness
tertiary prevention
found in partial complex seizures
smell taste kinesthetic hallucinations
delusion
firmly held belief that is untrue and contrary to persons upbringing
dysomnia
primary sleep disorders from trouble initiating and maintaining sleep
parasomnia
primary sleep disorders where an event disturbs or disrupts sleep
primary gain
"Expression of unacceptable feelings as physical symptoms
in order to avoid facing them"
secondary gain
Use of symptoms to benefit the patient
liliputions, where seen
visual hallucinations of little people
seen in Lewy body dementia
aphasia
trouble with words/grammer
apraxia
trouble with learned tasks
agnosia
trouble with percieving and recognize objects/people
hypertensive crisis- delerium, hyperpexia, convulsions, rhabdomyolysis, renal failure
seretonin syndrome
hyperpyrexia, extrapyramidal rigidity, ANS dysfunction, lead pipe rigidity, death
neuroleptic malignant syndrome
mech of hyperprolactinemia
decreased dopamine in the tubuloinfundibular tract causing decreased libido, galactorrhea, gynecomastia, impotence, amenorrhea, osteoporosis
downward drift hypothesis
which postulates that people suffering from schizophrenia are unable to function well in society and hence enter lower socioeconomic groups
dopaminergic pathway thought to be responsible for neg sx of schizophrenia
prefrontal cortex
dopaminergic pathway thought to be responsible for pos sx of schizophrenia
mesolimbic tract
dopaminergic pathway blocked by neuroleptics and cause EPS
nigrostriatal pathway
Kaufman Assessment Battery for Children
intelligence test for ages 2.5 to 12
Weschler Intelligence Scale for Children–Revised (WISC-R)
determines IQ for ages 6-16
Stanford-Binet intelligence scale
measures intelligence in young children
mild retardation IQ, %MR and goal
55-70, 85% of MR, goal is to function in society
moderate retardation IQ, %MR and goal
35-54, 10%- live in home
severe retardation IQ, %MR and goal
25-35, 3%- hospitalized
coprolalia
repetition of obscene words
what impulse control disorder is commonly seen with bulemia
kleptomania
paranoid delusions, AH, affect not flat
paranoid schizophrenic
excessive purposeless movement or immobility, rigid posture, echolalia
catatonic schizophrenic
psychotic episodes with prominent mood sx, psychosis persists in absence of mood sx, mood sx present for substantial part of illness
schizoaffective
same as schizophrenia, no social withdrawal
schizophreniform
erotomaniac delusional d/o
delusion someone is in love with them
grandiose delusional d/o
delusion of special abilities or is more important
jealous
delusional d/o
delusion that lover is not faithful
persecutory
delusional d/o
delusion that others are out to harm or conspire against them
rx for atypical depression
MAOI and buproprion
hypersomnia, weight gain, irritability, anenergia, leaden paralysis
atypical depression
dysthymia
mild chronic form of major depression, no episodes, no psychosis, no euthymia for more than 2 weeks sx have to last for 2 yr
6 sx in three arenas:problems with social interaction (2), problems with language (1), repeated/stereotyped behaviors (1)
autism
normal development and then loss of skills in Lnguage/social/adaptive behavior/toileting/motor skills WITH impaired social skills/language/repetitive behaviors
childhood disintegrative d/o
impaired social interaction and repeated/restricted/stereotyped behaviors and activities
aspergers
negativistic, hostile and defiant behavior that is annoying, disruptive and difficult
oppositional defiant d/o
multiple motor and verbal tics that occur multiple times in a day and causes imparment
tourette's
rarest developmental d/o
childhood disintegrative
1/3 recover 2/3 schizophrenia or schizoaffective
schizophreniform
bipolar with greater suicide risk
II
assoc with fragile X, MR, tuberous sclerosis and seizures
autism
major cause of MR in girls,MeCP2 mutations on X chromosome, may be fatal in utero for boys
rett's d/o
pathophys of tourettes
impaired dopamine regulation at caudate nucleus
% conduct d/o progressions
25-40% develop ASPD
amnesia of identity and sudden unexplained travel, typically preceded by trauma and can result in est.new identity
dissociative fugue
dissociative d/o with no amnestic component
Depersonalization
common comorbidities with hypochondriasis
80% MDD and anxiety d/o
lying about signs or sx to obtain another gain (not just sick role) : avoiding police, money, room and board
malingering
major side effect of duloxetine
hepatotoxicity
anti depressants metabolized by cyp2d6
fluoxetine, paroxetine, duloxetine
SSRI with least sexual side effects
setraline and escitalopram
psych meds increasing QT
citalopram, TCAs, quetiapine, ziprasadone
side efffects of lithium
GI, tremor, polyuria, nephrogenic DI, hypothyroidism, leukocytosis, psoriasis, preg-epstein's, toxicity\= seizures N/V, arrhythmia
can cause stevens Johnson
lamotrigine
injectable antipsychotics
haloperidol, respiradone
5HT1A agonist D2/alpha adrenergic antagonist
buspirone
antidepressants w/o sexual side effects
mirtazapine, buproprion
good for MDD pts who are not eating
mirtazapine
% commit suicide of schizophrenia
10%
mood stabilizer that prevents suicide in Bipolar
lithium
lithium in pregnancy
ok after 1st trimester 7.7% Epstein anomaly (tricuspid valve misplacement)
more sever subtype of derpession
melancholic
flumazenil use
anti-benzo
fast acting benzo
flurazepam, diazepam, triazolam
potent benzodiazepines
alprazolam, lorazepam (Ativan) or clonazepam (Klonopin)
benzos not metabolized by liver
lorazepam, temazepam and oxazepam
moderate acting benzo
temazepam, lorazepam, clonazepam, chlordiazepoxide, alprazolam
long acting benzo
oxazepam
side effects of buspirone
dizziness, nervousness, nausea typically gone after 1 week of use
more effective for rapid cycling and mixed episodes
depakote and lamictal
medical differential of anxiety d/o
hyperthyroidism
B12 def.
hypoxia
neurologic d/o- temporal lobe epilepsy
anemia
CVD
pheo
hypoglycemia
medical differential of psychosis
Wilsons
epilepsy
stroke
infections
porphyria
cushings
paraneoplastic
calcium/Thyroid/encephalopathy
25% of kids with ADHD also have
learning disorder
childhood d/o more common in girls
retts and mathematical learning d/o
pseudodementia
cognitive issues from severe depression
substances that can cause psychosis
PCP
etoh withdrawal
amphetamines
cocaine
sedative-hypnotic withdrawal
cortisol
anticholinergic agents
dopamine agonists
MAOI withdrawal
digitalis
isoniazid
heavy metals
EEG changes in dementia or delerium?
delerium
agorophobia without panic d/o...better or worse prognosis?
worse
post-partum psychosis is typically due to
bipolar I
MAOI drugs
selegiline
isocarboxazide
phenylzine
tranylcypromine
provides the greatest relief of symptoms in children suffering from Tourette disorder.
antipsycotics (D2 antagonism) but clonidine is 1st line
mech of action of clonidine
alpha2 agonist
SSRI with short 1/2 life
paroxetine
drugs that work with BPD
SSRIs and antipsychotic (fluoxetine and haloperidol)
antidepressants that work for pain
SNRI and TCA
rx for akathesia
propanolol
rx for EPS (dystonia, dyskinesia, TD) from antipsychotics
clozapine, anticholinergics
rx for increased salivation from clozapine
anti-cholinergic
when does dystonia develop
a few days after starting or increasing antipsychotic
antipsychotics least likely to cause EPS
apriprazole and ziprasadone
rx of NMS
remove antipsychotic, start dantrolene and bromocriptine
is TD reversible
sometimes- rx with clozapine!
1st line for mania
lithium, valproic acid (some say carbamazapine) and a antipsychotic
time difference in hypomaia vs mania
4 days to 7 days
how long can manic episode last without rx
up to 3 months
antipsychotic that causes sinus tachycardia and rx
clozapine rx with propanolol
length of time to treat depression
at least 6 months and usually on the scale of 8–12 months
when do night terrors occur
stage 3/4 of sleep (delta waves)- non REM
when do dreams occur
REM sleep, EEG is active here
how do adolescents most commonly commit suicide? How do children?
adolescents- firearms
children- substance injestion
rx for lead toxicity
CaEDTA
tic progression in tourettes
start with blinking and eye rolling then grimacing/ licking movements and vocal tics such as throat clearing or grunting then later: body rocking or pelvic thrusting, and self-abusive tics, such as hitting,
incidence of schizophrenia
1%
Cotard syndrome
delusion that the person is dead, don't exist or that they have lost all blood and intestines
Capgras syndrome
belief people have been replaced by imposters
rx of tylenol overdose
acetylcysteine
cortisol in MDD
increased
cancer that presents with depression
pancreatic (others too)
psychosis+abdominal pain=
porphyria
bilateral sixth nerve palsy and horizontal/vertical nystagmus
wernickes encephalopathy
hypokalemic, hypochloremic
alkalosis; high serum amylase; hypercholesterolemia, hypomagnesemia
abnormalities in bulemia
pupil constriction, drowsiness, impaired attention and memory, slowed respirations and slurred speech
opiate intoxication