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9 Cards in this Set
- Front
- Back
- 3rd side (hint)
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What is Munchausen's Syndrome
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A severe form of a Factitious Disorder
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Factitious Disorder: physical and/or psychological sxs are intentionally produced in order to assume the sick role
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What is the gender distribution,
course, and history associated with Factitious Disorder |
-More common in women except for most severe type, Munchausen's, that is more common in men.
- hx of childhood medical issues, childhood emotional/physical abuse, grudge against the medical profession, and/or severe personality disorder (often Borderline PD) is common. - Course is intermittent episodes. |
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How is Fictitious Disorder different from malingering and somatoform disorder?
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Like Malingering, it is intentional, but with no secondary gain
Unlike Somatoform, it is volitional and symptoms are intentionally produced. |
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What is the criteria for Somatization Disorder?
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A. physical complaints before age 30
B. 4 pain sxs, 2 gastrointestinal sxs, 1 sexual sxs, 1 pseudoneurological sxs * not intentionally produced |
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What brain regions are involved in OCD?
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-Orbital Frontal
- Anterior Cingulate Gyrus - Basal Ganglia |
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OCD on Neuropsych?
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- Easily distracted, checking/monitoring, difficult to re-orient after making errors
- NP tests sensitive to OCD: **Fluency tasks, **TMT A/B, **ROCF, **WCST TE |
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Schizophrenia:
pathophysiology (6 items) |
- limbic system
- basal ganglia - frontal lobes (smaller) - temporal lobes (smaller amygdala, hippocampus, and parahipocampal gyrus) - ventricles (enlarged, associated with negative sxs) - cortical gray matter (reduced volume) |
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Schizophrenia: functional imaging?
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Reduced activity in the dorsolateral pre-frontal cortex
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Schizophrenia on NP testing Most severely impacted (4)
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1. Memory/ learning (but recognition well preserved)
2. Processing Speed 3. Working Memory 4. Executive Functions |
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