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20 Cards in this Set
- Front
- Back
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What is tourettes?
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Sudden, rapid, notrhythmic stereotyped motor movements or vocalizations that persist for > 1 year; onset < 18.
Treatment- Haloperidol or other anti-DA (fluphenazine, pimozide, tetrabenazine) |
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What is childhood disintegrative disorder?
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Regression in multiple areas of functioning after at least 2 years of apparently normal development. Loss of receptive language, social skills, bowel/bladder control, play/motor skills. Onset 3-4; boys
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What disorders are characterized by decreased GABA?
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Anxiety, Huntington's
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What disorders involve ACh?
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Huntingtons, Alzheimer's- decreased
Parkinson's- increased |
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What is the difference between delirium and dementia?
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Delirium is acute onset, waxing and waning level of consciousness, and hallucinations, abnormal EEG.
Dementia is gradual decreased level of cognition with no change in consciousness or psychotic syndromes, normal EEG. |
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What disorder is characterized by olfactory hallucinations?
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Seizures, brain tumors- smell burning rubber!
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What is MDD?
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Recurrent- requires 2 or more major depressive episodes (2 or more weeks) with a symptom free interval of 2 months.
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What is postpartum blues?
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Characterized by depressed affect, tearfullness, and fatigue. lasts 10-15 days. Supportive care.
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What is postpartum depression?
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Characterized by depressed affect, anxiety, and poor concentration. Lasts 2 weeks to 2 months. Treat with antidepressants, psychotherapy.
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What is panic disorder?
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Strong genetic component; Presence of recurrent periods of intense fear and discomfort peaking in 10 minutes: Palpitations, Paresthesias, Abdominal distress, lIghtheadneadness, Chest pain, Chills, Choking, disConnectedness, Sweating, Shaking, SOB. (PANICS).Associated with persistent fear of another attack.
Treat- SSRIs, TCAs, benzos, Cognitive behavioral therapy |
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How do you treat specific phobias?
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Systemic desensitization
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How do you treat social phobia (fear of embarrassment in social situations)?
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SSRIs
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How do you treat OCD?
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SSRIs, clomipramine
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How do you treat generalized anxiety disorder?
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Lasts at least 6 months; Treat with buspirone, SSRIs
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How do you treat cocaine intoxication?
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-Imaired judgement, pupillary dilation, hallucinations (tactile), angina, SCD.
-Benzodiazepines |
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What toxicities cause miosis?
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Opioids (morphine, heroin, methadone), Cholinergic agonists (organophosphates)
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What toxicities cause mydriasis?
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Cocaine, atropine, amphetamines, LSD
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What occurs in PCP intoxication?
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Belligerence, psychomotor agitation, vertical and horizontal nystagmus, homicidality, delirum, psychosis, tachycardia, fever
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What is methadone?
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A long acting ORAL opioid used for heroin detox or long-term maintenance (decreases needle use)
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What is suboxone?
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Naloxone + buprenorphine (partial agonist); Long acting with fewer withdrawal symptoms than methadone (naloxone only active if injected). Lower abuse potential.
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