Behavioral Med Exam 2

Front 1

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

Back 1

Adaptive functioning

Front 2

1. During development period

2. Includes intellectual deficits - thinking

3. And adaptive functioning deficits - social

Back 2

intellectual disability

(aka intellectual development d/o)

Front 3

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

Back 3

Conduct DO

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

Front 4

Inattention + hyperactivity and impulsivity (4)

Back 4

ADHD

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

- sx before 12 years old

- sx in 2 settings

Front 5

Highest mortality rate of any mental illness

Back 5

eating disorders

Front 6

Two core features across all eating disorders

Back 6

1. Bad eating habits

2. Bad body shape/weight image

Front 7

Anorexia nervosa DMS- 5 (3)

Back 7

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

Front 8

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

Back 8

SCOFF questionnaire

Front 9

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

Back 9

Restricting type

Front 10

Anorexia nervosa - wt loss by purging in last 3 months

Back 10

Binge - eating/ purging type

Front 11

Anorexia nervosa DSM-5 severity levels BMI's

Back 11

Mild > 17

Mod 16-17

Severe 15 - 16

Extreme < 15

kg/m2

Front 12

Clear of all sx of anorexia / bulimia

Back 12

Full remission

- keep on Medical record 5 years

Front 13

Difference bt binge eating do and bulimia

Back 13

No compensation method in binge eating do

Front 14

Eating of substance has potential medical risk

Back 14

PICA

Front 15

Neurotransmitter that regulates arousal, wakefulness and appetite

Back 15

hypocretin

Front 16

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

- tx?

Back 16

Narcolepsy - biology

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

- stimulants

Front 17

Conscious Muscle weakness w/ narcolepsy triggered by strong emotion

- tx?

Back 17

cataplexy

- sodium oxybate

Front 18

MC breathing related sleep DO

Back 18

Obstructive sleep apnea

Front 19

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

-tx?

Back 19

Circadian rhythm sleep-wake DOs

- Provigil/nuvigil (modafinil/armodafinil)

Front 20

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

Back 20

Delayed sleep phase type

Front 21

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

Back 21

Advanced sleep phase type

Front 22

Affects ppl w/ unconventional work hours

Back 22

Shift work type

Front 23

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

Back 23

parasomnia

Front 24

Uncomfortable sensation causing desire to move legs that disrupts sleep

- tx?

Back 24

Restless legs syndrome

- dopamine agonist ( mirapex/ requip)

Front 25

Increase confusion, irritability that increases towards the night

- affects?

Back 25

sundowning

- Alzheimer's w/ underlying dementia

Front 26

benign senescent forgetfulness

Back 26

normal aging

Front 27

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

(cat died 10 months ago example)

Back 27

pseudo-dementia

Front 28

Dementia affects most (2)

Back 28

1. Alzheimer's

2. vascular - stroke

Front 29

Alzheimer: probable vs possible?

Back 29

probable - genetic evidence + memory loss w/1 sx

Front 30

Definite dx of alzheimer's

Back 30

autopsy

Front 31

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

Back 31

Pseudobulbar affect (PBA)

-

Front 32

Progressive degenerative brain disease in athletes

Back 32

Chronic traumatic encephalopathy (CTE)

- concussion - with or without sx

Front 33

Loss of touch with reality

Back 33

psychosis

Front 34

Mental disorder with high risk for suicide

Back 34

Schizophrenia

Front 35

1. hallucinations

2. delusions

3 disorganized speech

4. crazy movement

5. neg. sx (A)

Back 35

schizophrenia

>6 months w/ 1 sx

Front 36

false beliefs that cannot be explained by patients culture or education

cannot persuade patient the belief is false even with evidence

Back 36

delusions

Front 37

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

Back 37

brief psychotic do

Front 38

sx like schizophrenia: 1 month to 6 months

Back 38

schizophreniform do

- full recovery

Front 39

Caution with 1st line tx of schizophrenia?

Back 39

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

- may cause AGRANULOCYTOSIS ( low WBC granuoles)

Front 40

Life threatening emergency caused by antipsychotic drugs

- sx?

- blood work w/ high CK? tx?

Back 40

Neuroleptic malignant syndrome (NMS)

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

- muscle damage (rhabdomyolosis)

- dantrolene (relax muscles)

Front 41

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

Back 41

ECT

Front 42

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

Back 42

psychological school

Front 43

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

- ECT?

Back 43

Biological school

- Success of ECT supports this theory