Psychiatry, Geriatrics, Pharmacology, Bariatrics And Nutrition Npte

Front 1

Enumerate the Affective disorders

Back 1

1. Depression

2. Mania

3. Bipolar Disorder

Front 2

Enumerate the Neuroses Disorders

Back 2

1. Obsessive-Compulsive

2. Anxiety

3. Phobia

Front 3

Enumerate the Schizophrenic Disorders

Back 3

1. Catatonic

2. Paranoid

3. Disorganized

Front 4

Enumerate the Dissociative disorders

Back 4

1. Psychogenic Amnesia

2. Multiple Personality

Front 5

Enumerate the Somatoform disorders

Back 5

1. Somatization

2. Conversion disorder

3. Hypochondiasis

Front 6

Enumerate examples of personality disorders

Back 6

1. Psychopathic

2. Anti-social

3. Narcissistic

4. Borderline

Front 7

Disturbances in mood or emotion. States of extreme happiness or sadness occur and mood can alternate without cause. these extreme emotions can become intense and unrealistic

Back 7

Affective Disorders

Front 8

Covering up a weakness by stressing a desirable or strong trait.

Back 8

Compensation

Front 9

refusal to recognize reality

Back 9

Denial

Front 10

Refusal or inability to recall undesirable past thoughts or events

Back 10

Repression

Front 11

the transferring of an emotion to a less dangerous substitute

Back 11

displacement

Front 12

a defensive reaction in which behavior is exactly opposite what is expected

Back 12

reaction formation

Front 13

the attributing of your own undesirable behavior to another

Back 13

projection

Front 14

the justification of behaviors using reasons other than the real reason

Back 14

rationalization

Front 15

resorting to an earlier, more immature pattern of functioning

Back 15

regression

Front 16

conversion disorder is also known as __

Back 16

hysterical paralysis

Front 17

this is a type of schizophrenic disorder characterized by mutism or stupor; unresponsiveness;

Back 17

Catatonia

Front 18

a type of schizophrenic disorder characterized by feelings of extreme suspiciousness, persecution, grandiosity, jealousy

Back 18

Paranoia

Front 19

Enumerate the stages of Grief Process

Back 19

SIMRI

1. Shock and Disbelief

2. Increased awareness and anguish

3. Mourning

4. Resolution of Loss

5. Idealization of lost person or function

Front 20

Enumerate the stages of dying by Kubler and Ross

Back 20

DABDA

1. Denial

2. Anger

3. Bargaining

4. Depression

5. Acceptance

Front 21

What are the side effects of traditional antipsychotic agents

Back 21

Extrapyramidal effects such as:

• Tardive Dyskinesia
• Pseudoparkinsonism
• Akathisia

Front 22

Enumerate the classification of Antidepressant agents

Back 22

1. Tricyclic

- Elavil (amitriptyline)

2. Monoamine Oxidase Inhibitors (MAO-I)

- Nardil (Phenelzine)

3. Selective Serotonin Reuptake Inhibitors (SSRI)

Prozac (Fluoxetine),

Front 23

Enumerate the categories of elderly

Back 23

Young Elderly: 65-74

Old Elderly: 75-84

Old, Old Elderly or Old and Frail Elderly: >85

Front 24

Enumerate the leading causes of death in persons over 65, in order of frequency

Back 24

1. Coronary Heart Disease

2. Cancer

3. Stroke

4. Chronic Pulmonary Disease

5. Accidents

6. Diabetes

Front 25

Enumerate the leading causes of morbidity and risk factors in persons over 65, in order of frequency

Back 25

1. Heart Disease

2. Cancer

3. Hypertension

4. Hyperlipidemia

5. Obesity

6. Cigarette Smoking

7. Inactivity

Front 26

This is known as the progeria of the childhood

Back 26

Hutchinson-Gilford Syndrome

Front 27

This is known as the progeria of the young adults

Back 27

Werner's Syndrome

Front 28

Which type of muscle fiber is more depleted in Elderly persons? Type I or II

Back 28

Type II

Front 29

Enumerate the gait changes in elderly

Back 29

• Stiffer, Fewer automatic movements

• decreased amplitude and speed

• slower cadence

• short steps

• wider stride

• increased double support

• decreased trunk rotation, arm swing

• unsteady gait

Front 30

Peak bone mass is achieved at what age?

Back 30

40 years old

Front 31

Which vision is usually first affected in Senile Macular Degeneration? Central or Peripheral?

Back 31

Central

Front 32

Enumerate the ECG changes in elderly

Back 32

• Longer PR and QT interval
• Wider QRS
• Increased Arrythmias

Front 33

what type of bone is more affected in senile osteoporosis, and what are the common areas affected?

Back 33

Trabecular bone more involved that cortical bone

• Vertebral column
• Femoral Neck
• Distal Radius/Wrist and Humerus

Front 34

Recommended Daily Calcium Intake for individuals age 50 or older

Back 34

1200 mg per day

Front 35

Recommended daily vitamin D intake, individuals age 50 or older

Back 35

800-1000 IU per day

Front 36

common site of vertebral compression fractures

Back 36

T8-L3

Front 37

A multifactorial degenerative illness characterized by extreme weight loss and malnutrition, muscle atrophy and weakness

Loss of body mass that cannot be reversed nutritionally

Associated with severe chronic disease (cancer, HIV, COPD, CHF, kidney failure)

Back 37

Cachexia

Front 38

Fluctuating attention state causing temporary confusion and loss of mental function

An acute disorder, potentially reversible

Back 38

Delirium

Front 39

Delirium is worst at what time of the day

Back 39

Night

Front 40

What is the most common cause of dementia

Back 40

Alzheimer's type dementia

Front 41

What type of dementia is seizure frequent?

Back 41

Multiinfarct dementia

Front 42

what is typically the first sign of Alzheimer's Type Dementia

Back 42

Memory loss

Front 43

What type of dementia is hippocampus spared?

Back 43

Chronic Traumatic Encephalopathy

Front 44

this is a type of dementia wherein it presents with some symptoms of Alzheimer's Dementia along with:

• sleep disturbances
• visual distrubances
• slowness
• and other PD movement features

Back 44

Dementia with Lewy Bodies

Front 45

A rare and rapidly fatal disorder with memory, behavior changes, and incoordination,

results from protein or prion disorder

Back 45

Creutzfeldt-Jakob Disease

Front 46

Results from impaired reabsorption of CSF with build-up of fluid in the brain and increased brain pressures

Back 46

Normal-Pressure Hydrocephalus

Front 47

Chronic alcoholism with prolonged nutritional deficiency (Vitamin B12)

Back 47

Korsakoff's psychosis

Front 48

What score indicates depression in Geriatric Depression Scale?

Back 48

>8

Front 49

Describe the MEDICARE

Back 49

federal government-sponsored insurance for persons over age 65 and PWDs of all ages

D

Front 50

Describe the MEDICARE Part A

Back 50

• Hospital insurance
• covers inpatient hospital care, SNF care, HHA, Hospice care
• No premiums; eligibility under social security
• Must pay deductibles and coinsurance

Front 51

Describe the MEDICARE Part B

Back 51

• Medical insurance
  
• physician services
• eligible home health services
• outpatient services
• durable medical equipment
• Must pay premiums to be eligible
• must pay deductibles and coinsurance

Front 52

Describe the MEDICAID PROGRAM

Back 52

• Federal-state funding

• covers long-term care of frail and aged patients in nursing homes

• impoverished adults and children

• Must spend down or exhaust income to qualify for low-income status

• administered by individual states that set qualification guidelines

Front 53

Copayments that elderly must pay under medicare is termed ___

Back 53

Medigap policies

Front 54

The POC should be certified for how many days after initiation of treatment and how many days it should be certified

Back 54

first 30 days of treatment and recertified every 30 days

Front 55

Levodopa and Monoamine Oxidase Inhibitors concurrent intake may result in what drug interaction?

Back 55

Hypertensive response

Front 56

Describe the drug interaction of Prednisone and Anti-inflammatory agents

Back 56

Benefits arthritic symptoms

Aggravates Diabetic state

Front 57

What are the drugs usually associated with alterations in excretion associated with a decline in hepatic and renal function

Back 57

Digoxin

Lithium

Front 58

What are the drugs usually associated with increased sensitivity to effects of drugs

Back 58

Narcotics

Benzodiazepines

Front 59

What are the drugs usually associated with decreased sensitivity to effects of drugs

Back 59

Beta-adrenergic Blockers

Front 60

What are the drugs that may interfere with brain function, can cause confusion

Back 60

Psychoactive drugs:

Sedatives, Hypnotics, Antidepressants, Anticonvulsants, Antiparkinsonism

Front 61

Enumerate the different schedules of controlled substances

Back 61

Schedule 1- (mescaline, marijuana, heroine)highest potential for abuse•Restricted to approved research•

Schedule 2- (morphine, meperidine, barbiturates)Specific therapeutic purpose•High potential for abuse

Schedule 3 (opioids)Mild to moderate dependence

Schedule 4 (benzodiazepines)Low potential for abuse

Schedule 5 (low doses of opioids)Lowest relative abuse potential

Front 62

Suffix for Benzodiazepines

Back 62

-Olam

-Epam

Front 63

Therapeutic and Toxic Levels of Lithium in the body

Back 63

Therapeutic: 1.0 to 1.4 mEq/L

Toxic: 2.5 mEq/L

Front 64

Peak effect of benzodiazepines and barbiturates?

Back 64

2-4 hrs

Front 65

Enumerate and describe the Adrenergic receptors

Back 65

Alpha-1

• Smooth muscle
  

Alpha-2

• CNS inhibitory synapses
  
• GI tract,
  
• pancreatic islet cells (↓insulin secretion)
  

Beta-1

• Predominate in heart & kidneys (↑ renin)
  

Beta-2

• Bronchiole smooth muscle (relaxation)–Some arterioles (vasodilation)–
  

Front 66

Age-appropriate BMI of children classified as overweight is between what percentiles?

Back 66

85th and 94th percentile

Front 67

Age-appropriate BMI of children classified as obese is in what percentile?

Back 67

greater than or equal to 95th percentile

Front 68

Waist to hip ratio of men and women that suggests central obesity

Back 68

Males: Greater than 1.0

Females: Greater than 0.85

Front 69

most common bariatric procedure

Back 69

Invasive Roux-en-Y gastric bypass

Front 70

most common restrictive bariatric surgery

Back 70

Laparoscopic gastric binding or lap band

Front 71

what are the examples of Fat-soluble vitamins

Back 71

A

D

E

K

Front 72

What are the major minerals needed by the body

Back 72

Calcium

Chloride

Magnesium

Phosphorus

Potassium

Sodium

Sulfur

Front 73

This alternative medication is reported to exacerbate bleeding issues for patients who are taking prescription anticoagulants

Back 73

Garlic

Front 74

Alternative medicine that is reported to increase the risk of hemorrhage in patients using other anticoagulants

Back 74

Ginkgo BIloba

Front 75

Alternative medicine that is reported to reduce the effects of anticoagulants and exaggerate the effects of medications such as insulin and oral antidiabetic medications

Back 75

Ginseng

Front 76

Alternative medicine that is reported to cause liver toxicity

Back 76

Kava

Front 77

Alternative medicine that is reported to accelerate metabolism of some medications such as warfarin and cyclosporine

Back 77

St. John's Wort

Front 78

Enumerate the different vitamin B, their other names and associated conditions if deficient

Back 78

B1 (Thiamine): Beri-Beri

B2 (Riboflavin): Ariboflavinosis

B3 (Niacin): Pellagra

B5 (Pantothenic Acid): Headache, Fatigue and Incoordination

B6 (Pyridoxine): P.Neuropathy, Convulsions and depression

B7 (Biotin): Anemia, Depression, Muscle pain

B9 (Folic Acid): Macrocytic Anemia, Neural Tube Defect

B12 (Cobalamin): Pernicious (Macrocytic) Anemia, Various Psychological Disorders