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43 Cards in this Set

  • Front
  • Back

Most definitive way to determine the level of intellectual disability in child

Adaptive functioning

1. During development period

2. Includes intellectual deficits - thinking

3. And adaptive functioning deficits - social

intellectual disability

(aka intellectual development d/o)

Persistent pattern behavior in which basic rights of other or age appropriate societal norms are violated

Conduct DO

- 3/15: past year w/1: past 6 months

Inattention + hyperactivity and impulsivity (4)


- 6 sx of BOTH for at least 6 months ( 17 and older: 5 sx)

- sx before 12 years old

- sx in 2 settings

Highest mortality rate of any mental illness

eating disorders

Two core features across all eating disorders

1. Bad eating habits

2. Bad body shape/weight image

Anorexia nervosa DMS- 5 (3)

1. Restrict energy intake resulting in significant low body weight

2. Intense fear of gaining weight or persistent behavior that interferes w/ weight gain

3. Poor body image

Questionnaire: if pt answers 2 or more with yes - they definitely had eating disorder (AN or bulemia)

SCOFF questionnaire

Anorexia nervosa - wt loss thru excessive dieting/ exercise for past 3 months

Restricting type

Anorexia nervosa - wt loss by purging in last 3 months

Binge - eating/ purging type

Anorexia nervosa DSM-5 severity levels BMI's

Mild > 17

Mod 16-17

Severe 15 - 16

Extreme < 15


Clear of all sx of anorexia / bulimia

Full remission

- keep on Medical record 5 years

Difference bt binge eating do and bulimia

No compensation method in binge eating do

Eating of substance has potential medical risk


Neurotransmitter that regulates arousal, wakefulness and appetite


Loss of hypothalamic hypocretin- producing cells that causes CSF hypocretin 1 deficiency

- tx?

Narcolepsy - biology

[ loss H-H cells - CSF -1 deficiency]

- stimulants

Conscious Muscle weakness w/ narcolepsy triggered by strong emotion

- tx?


- sodium oxybate

MC breathing related sleep DO

Obstructive sleep apnea

Sleep disruption by non- synchronized sleep-wake cycle w/patients daily schedule


Circadian rhythm sleep-wake DOs

- Provigil/nuvigil (modafinil/armodafinil)

"night owls" - more alert at night, tired in AM

Delayed sleep phase type

"early birds" - tired in PM. alert in AM

Advanced sleep phase type

Affects ppl w/ unconventional work hours

Shift work type

DO of abnormal behavioral, experiential or physiological events occurring w/ sleep, sleep stages or sleep-wake transitions


Uncomfortable sensation causing desire to move legs that disrupts sleep

- tx?

Restless legs syndrome

- dopamine agonist ( mirapex/ requip)

Increase confusion, irritability that increases towards the night

- affects?


- Alzheimer's w/ underlying dementia

benign senescent forgetfulness

normal aging

depressed patient that seems to have dementia (forgetfulness, difficulty sleeping)

(cat died 10 months ago example)


Dementia affects most (2)

1. Alzheimer's

2. vascular - stroke

Alzheimer: probable vs possible?

probable - genetic evidence + memory loss w/1 sx

Definite dx of alzheimer's


Ass w/ neurological DO - inappropriate, uncontrollable laughter/ crying

Pseudobulbar affect (PBA)


Progressive degenerative brain disease in athletes

Chronic traumatic encephalopathy (CTE)

- concussion - with or without sx

Loss of touch with reality


Mental disorder with high risk for suicide


1. hallucinations

2. delusions

3 disorganized speech

4. crazy movement

5. neg. sx (A)


>6 months w/ 1 sx

false beliefs that cannot be explained by patients culture or education

cannot persuade patient the belief is false even with evidence


sudden loss of touch with reality for 1 day to 1 month

brief psychotic do

sx like schizophrenia: 1 month to 6 months

schizophreniform do

- full recovery

Caution with 1st line tx of schizophrenia?

- clonzapine (2nd gen. antipsychotic dopamine receptor blocker)

- may cause AGRANULOCYTOSIS ( low WBC granuoles)

Life threatening emergency caused by antipsychotic drugs

- sx?

- blood work w/ high CK? tx?

Neuroleptic malignant syndrome (NMS)

- delirium, rigid, fever. dysautonomia (sweating, tremor, tachy, labile BP

- muscle damage (rhabdomyolosis)

- dantrolene (relax muscles)

Procedure w/electric current is passed thru the scalp and specific brain parts to induce mal seizure


Theory: Mental disease caused by deviation in personality, youth problems, uncontrolled internal drives caused by external factors

psychological school

Theory: mental DO caused by pathological changes in brain (chemical or structural)

- ECT?

Biological school

- Success of ECT supports this theory