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446 Cards in this Set
- Front
- Back
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Psoriasis worsens with
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Lithium
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Antidepressant that may be used for urticaria (blocks H1)
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Doxepin
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Interpersonal Theory
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Sullivan
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Drugs that block REM
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Cocaine, Amphetamine
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Mignon's Syndrome
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The pt is the child of someone important and has been abducted
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Rules and rituals
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School age
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Psychotherapy for mood disorders
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Interpersonal
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Therapy for MR to develop new behaviors
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Social skills training
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Erickson's self-control and freewill, conflict between cooperation and willfulness
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Autonomy vs Shame and doubt
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Factor predictive of methadone efficiency
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Daily dose
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Dissociative drug, produces a sense of fragmentation and detachment
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Ketamine
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Best monitoring of TCA OD
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ECG
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Stage where children learn to manage triangular relationships
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Oedipal
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Personality disorder associated with transient psychotic symptoms
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Borderline
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Culture-bound disorder in industrialized countries
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Bulimia
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Offense where M=F rates
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Domestic Violence ???
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Imaging that sees brain glucose metabolism
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PET
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Imaging that uses ox and carbox Hb
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fMRI
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Chorea and involuntary movements of Huntington's are inhibited by
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Haldol
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Lifetime prevalence of schizophrenia
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1%
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Test used to assess patient's awareness of his symptoms
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AIMS
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A care giver's attempt to underscore a child's feeling state
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Attunement (Stern0
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Child displays familiarity with caretaker, but not with strangers
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Selective attachment
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Social referencing
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Infants stop paying attention only to self and start recognizing the outer world. They begin to appreciate distinctiveness from the mother.
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Differentiation
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Drug that produces a seizure that is not a withdrawal phenomenon
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Meperidine
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Testamentary capacity
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Capacity to make a will
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Check before giving naltrexone
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LFTs
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Theory about the processes that children use to arrive to answers
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Piaget
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“An identical-appearing impostor has replaced my father”
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Capgras's Syndrome
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a person becomes deluded that a certain person of higher social status is in love with them
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De Clerambault's Syndrome
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Easy child, difficult child, slow-to-warm-up child
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Chess and Thomas
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heavy users of cosmetic medical procedures and products in an attempt to preserve their youth
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Dorian Grey Syndrome
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Fregoli phenomenon, the syndrome of subjective doubles, intermetamorphosis, Capgras = all examples of
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Doppelganger Syndrome
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a patient believes he or she is, or has transformed into, an animal and behaves accordingly
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Lycanthropy
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Child psychoanalysis / object relations
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Melanie Klein
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the first psychoanalyst to specialize in women
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Helene Deutsch
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Object-relations / self-psychology
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Donald Winnicott
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Not to give in OCD
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Bupropion
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Opioid that is not detected in standard urine drug screens
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Fentanyl
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Developmental line in 6 areas of adaptive functioning
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Anna Freud
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TCA Antidepressant safe in the elderly (>65yo)
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Desipramine
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Patient who repeatedly redirects the discussion to irrelevant topics
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Resistance
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Pt taking Tacrine, check:
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Transaminases
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“The major mental illnesses have different courses and outcomes”
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Emil Kraepelin
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Caribean and Gulf of Mexico pt, with anxiety, GI complaints weakness, dizziness and fear of being poisoned.
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Amok
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Trance-like ceremony in North Africa
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Zar
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Voodoo, South USA, A person withers and dies
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Rootwork
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The spirit leaves the body
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Susto
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Anxiety, irritability, Latin Americans
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Nervios
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Neurotransmitter associated with reward in Nicotine dependence
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Dopamine
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Emotionally charged verbal expression of suppressed feelings
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Catharsis
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Suspected laxative abuse – check:
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Stool Phenolphthalein
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Contra-indicated in narrow-angle glaucoma
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Amitriptyline
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Test used to identify major areas of psychopathologic functioning
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MMPI-2
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Can develop cataracts
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Quetiapine
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Treatment of choice in epilepsy and depression
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SSRIs
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Female with family history of antisocial personality disorder
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Somatization disorder
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Dietary recommendation for Lithium
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Maintain usual sodium intake
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Pharmacokinetic property most related with potential of abuse of BZDs
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Time to onset of action
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Muscle group atonic during REM sleep (due to active depolarization of spinal neurons)
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All but diaphragm and EOM
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Left hemiparesis and deviation of eyes to the R
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Right putaminal hemorrhage
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Gait disturbance characterized by involuntary acceleration
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Parkinson's disease
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Antidepressant that increases REM
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Bupropion
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Most frequent co-morbid condition with Tourette's
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ADHD
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Pupilary dilation and perspiration
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Cocaine
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Pupilary dilation and dryness
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Anticholinergics
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Enzyme targeted by galathamine and rivastigmine
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Acetyl cholinesterase
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Interferes with the clearance of Lithium
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NSAIDs, Ca channel blockers, ACE inhibitors, thiazide diuretics
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Acute onset is a good prognostic feature of schizophrenia (T/F?)
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TRUE
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Antidepressant B-rated for pregnancy
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Bupropion
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Blackout due to EtOH ingestion
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Anterograde amnesia, remained awake
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BZD with short half-life
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Triazolam, Oxazepam, Midazolam
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Systematic desensitization
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Classical conditioning theory
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Immediate pharmacological intervention for EPS and urinary retention
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Amantadine
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Bender-Gestalt Diagrams
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Neuropsychological impairment
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Buprenorphine
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Mu partial agonist
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TCA to be avoided in patients with Parkinson's
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Amoxapine
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Senseless repetition of the same words and phrases
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Verbigeration
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Rule that finds people not guilty by reason of insanity
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M'Naghten rule
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Hyppocampus and parahyppocampal gyrus
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Declarative memory (facts)
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Pentobarbital test
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Estimate the starting dose for detox
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PCP is detected in the urine up to
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8 days
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Cocaine is detected in the urine up to
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1-3 days
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Expressive psychotherapy uses
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Interpretation
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Most common theme discussed in psychotherapy with the elderly
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Loss
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NMDA antagonist and subtype glutamate antagonist (for Alzeheimer's)
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Memantine
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Tx for serotonin syndrome
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Dantrolene, fluids
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Differentiate serotonin syndrome from NMS by
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Hyperreflexia (SS)
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ECT
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Improves Depression, Parkinson's, seizures and NMS
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Al-anon
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Help relatives cope with the alcoholic's drinking
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Antidepressant whose levels correlate with efficacy of therapy
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Imipramine
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Same pharmachokinectics in both asians and white americans
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Lithium
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Benign intracranian HTN
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Hypervitaminosis A
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Sleep disturbance most likely to occur after starting an SSRI
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Bruxism
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Broad base gait
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NPH
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Important in trying to differentiate Autism and Asperger's
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Language
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Severe spasms and rigidity of the limbs, initially intermittent and later more persistent. What immune disorder?
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Anti-glutamic acid decarboxylase (Anit GAD) antibodies
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Prader-Willi
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Temper tantrums, hypotonic, foraging for food
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Interpersonal psychotherapy – middle phase focuses on
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Current relationships
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Interpersonal psychotherapy – initial phase focuses on
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Role transition
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Tourette
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OCD
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Tx for Multiple miscarriages, anticardiolipin Ab, stroke
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Anticoagulagtion with warfarin
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No-harm contracts are
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Unhelpful in making treatment decisions
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Drug for epilepsy, associated with hyponatremia
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Carbamazepine
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Pharchological tx for Panic do – how long?
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8-12 months
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Depression according to Beck's model
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Distorted negative thoughts
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Rene Descartes
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Different natures of soul and body
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Disorder that increases the risk of panic do later in life
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Separation anxiety do
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Drug to treat premature ejaculation
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Fluoxetine
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Choreiform movements and OCD
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PANDAS
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Postpartum psychosis is often associated with
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Bipolar disorder
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Test that most strongly correlates with pre-morbid functioning in dementia
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WAIS III Vocabulary
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Abnormal lab finding correlated with increased risk of stroke in pts over 50
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Serum Iron
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Burst suppression
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OCD – genetic association with
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Tic disorders
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Loss of up and down gaze
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Progressive supranuclear palsy
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Inability to adduct one eye on the lateral gaze with nystagmus of the other eye
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Internuclear ophthalmoplegia
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Left frontal lobe stroke predisposes to
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Major depressive disorder
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Winsconsin Card Sorting test
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Abstract reasoning and flexibility in problem solving
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Mahler's (child concerned about mother's actual location; wants to stay close to the mother, but also wants to explore)
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Rapprochement
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Consolidation of an acceptable sexual identity
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Adolescence
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Dopamine receptor agonist to treat pts with erectile dysfuntion
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Apomorphine
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Hottest risk factor for TD
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Age
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SSRIs with long half-life
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Fluoxetine, Citalopram
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Inability to describe or recognize own's emotions or mood
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Alexithymia
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Lack of emotional involvement
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Acathexis
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Investment of libido on a person or object
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Cathexis
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Complication of anorexia least likely to resolve after restoration of weight
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Osteoporosis
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A diagnosis of anorexia nervosa requires the patient has maintained a weight below what percentage a minimally normal weight for age and height
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85%
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Neurotransmitters associated with the ability to have orgasm
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Serotonin and Dopamine
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Predictor of poor response to Lithium
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Rapid cycling
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Limb and axial rigidity, tremor, fluctuations in cognitive function, confusion, hallucinosis, other sx of psychosis
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Lewy body dementia
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Antidepressant that causes HTN
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Venlafaxine
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Weight-neutral antipsychotics
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Aripirazole, Ziprasidone, Molindone
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A complication of a hemorrhagic cerebellar stroke
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Acute Hydrocephalus
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Disorders associated with Hippocampal atrophy
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MDD, PTSD, Alzeheimer's
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Neurotransmitter associated with anxiety
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Norepinephrine
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A characteristic of hallucinogens
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Craving is minimal
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Factor that promotes healing in a group setting
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Cohesion
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Leading cause of death among gun buyers in the first year
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Suicide
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CSF 14-3-3 protein
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CJD
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Periodic discharges on EEG
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CJD
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DNA analysis showing Apo E4 alleles
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AD
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CAG repeats
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Huntington's disease
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CSF with oligoclonal bands
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MS
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Somatoform disorder with the best prognosis
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Conversion disorder
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Male with MDD and prostatic hypertrophy – Which TCA to use?
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Desipramine
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The emergence of Child Psych is linked to...
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The growth of child guidance clinics in the USA in the early 20th century
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L hemiparesis and hemisensory loss + deviation of eyes to R
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Ischemic stroke of R MCA
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Motivational Enhancement Therapy for Addiction
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Emphasizes the role of ambivalence in the process of change
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Most prominent support organization for family members of the mentally ill
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National Alliance for the Mentally Ill
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Treatment for patients with exhibitionism
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Medroxyprogesterone acetate
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Legalizing gambling has what effect on pathological gambling?
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Increases the prevalence
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Locus caeruleus synthesizes:
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Norepinephrine
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Most common comorbid condition with Body Dysmorphic Disorder
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Mood Disorder
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Mirtazapine causes sedation and weight gain because
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It antagonizes H1 receptors
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Technique used in supportive psychotherapy to alleviate anxiety and strengthen a patient's defenses
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Interpreting upward
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Anna Freud
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Defense mechanisms
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Suicide in schizophrenia vs. general population
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Equal likelihood
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The accuracy of a therapist's interpretation is demonstrated if the pt
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Shows deepened insight
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Instrument used to assess children suspected of having ADHD
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Conners Teacher Rating Scale
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Drug that can be used in the withdrawal from BZDs
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Phenobarbital
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Antipsychotic that inhibits NE reuptake
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Ziprasidone
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Pseudocyesis is in which DSMIV category
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It's a somatoform disorder
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Synesthesia
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Seeing sounds
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Oneiric State
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A dream-like state
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Bouffee Delirante
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acute, floridly psychotic symptoms with complete remission = Brief psychotic episode
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Isakower phenomenon
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A psychological phenomenon of face-breast imagery, where the nipples form the eyes
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Lilliputian hallucination
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Everything looks small
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A consequence of taking an OD of benztropine
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Memory impairment
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Most common method of completed suicide in child and adolescent fem.
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Firearms
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Part of the brain where SSRIs act
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Raphe nuclei
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Most frequently reported child abuse in the USA
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Neglect
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Pseudologia fantastica – commonly associated with
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Factitious disorder
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Lab finding common in patients with Bulimia Nervosa
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Elevated Amylase
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Indication for ECT in a pt with acute schizophrenic episode
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NMS with no response to Dantrolene
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Antipsychotic that shows improvement in glucose tolerance, cholesterol, and triglyceride levels
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Ziprasidone
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Drawing general conclusions about one's value as a person from 1 circumstance
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Overgeneralizing
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Always drawing the worst conclusion from a situation
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Arbitrary inference
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Always expecting the worst outcome possible
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Catastrophizing
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It has been true in the past, so it's allways going to be true
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Assuming temporal causality
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Focusing on the worst aspects of a situation
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Selective abstraction
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Things are either all bad or all good
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Dichotomous thinking
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I am responsible for all my failures and all bad things that happen
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Excessive responsibility
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Personal performance is underestimated while errors are overestimated
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Minimization and Magnification
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Axilary freckles
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Neurofibromatosis type I
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Drug used for visual hallucinations and psychosis in Parkinson's disease
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Quetiapine
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Most common side effect of Olanzapine
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Somnolence
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Most common comorbid disorder in children with dysthymia
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MDD
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Characteristic of a woman that strongly increases the risk of battering by her spouse
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Pregnancy
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Parent is not there, but the child is reassured of his existence
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Object Constancy
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Child knows the object exists, even though he doesn't see it
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Object Permanence
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A person has sexual pleasure with only one part of the body
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Partialism
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Long-term sleep meds for the elderly
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Drugs that decrease REM sleep
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After a strep infection a child becomes OCD
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PANDAS
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Surgical procedure to treat OCD
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Cingulotomy
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Should not be given with IM BZD or in acute EtOH intoxication
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IM Olanzapine
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A person believes he is dead.
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Cotard's Syndrome
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Person taking opioids – what changes in the neuro exam?
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Diffuse hyperreflexia (check Mandibule for snout reflex) – due to inhibition of UMNs
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NPH
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Wet, Wobbly, Wacky
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Camptocormia
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Lesion associated with Gelastic seizures
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Hypothalamic Hamartoma
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Function impaired in all APHASIAS
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Naming
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Dysgraphia/agraphia, Dyscalculia/acalculia, Finger agnosia, Left-right disorientation. This disorder is often associated with brain lesions in the dominant (usually left) side of the angular and supramarginal gyri near the temporal and parietal lobe junction .
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Gerstmann's Syndrome.
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The smoking rate in schizophrenics
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70 – 88%
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Types of Folie a Deux:
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Folie Imposee, Folie Simultanee, Folie Communique, Folie Indiute.
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Defense mechanism found in depression
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Projection
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Defense mechanism found in anxiety
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Somatization
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Defense mechanism found in panic disorder
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Sublimation
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Defense mechanism found in OCD
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Acting-out / Undoing
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a form of psychotherapy built on the experiential ideal of "here and now" and relationships with others and the world
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Gestalt therapy
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What drug decreases zyprexa dose by 50%?
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Carbamazepine
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The psychiatric disorder with the highest prevalence in childhood is
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ADHD
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What has been shown to occur sometimes with long-term stimulant use (more than 5 years) in children
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Growth retardation
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Proportion of schizophrenics that die from CV disease
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3-Feb
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Atypical antipsychotic that is associated with the least risk of weight gain
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Ziprazidone
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Aldehyde oxidase is an enzyme significantly involved in the metabolism of
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Ziprasidone (The primary method of ziprasidone clearance involves reduction by aldehyde oxidase. Less than one third of the clearance of ziprasidone is mediated by the cytochrome P450 system. Aldehyde oxidase is not involved in the metabolism of any of the other atypical antipsychotics. There are no known clinically relevant inhibitors or inducers of aldehyde oxidase. )
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The most common eating disorder
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Binge-eating disorder
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Polymorphisms of the serotonin transporter gene increase one’s risk for
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MDD
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Cigarette smoking in adolescents is associated with impairment of
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working memory
|
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Treatment of stuttering
|
Zyprexa - 2.5 to 5 mg
|
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Factors responsible for the reduced ability of the body to metabolize and excrete drugs in the elderly
|
reduction in plasma protein-binding capacity and reduced renal clearance
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neurophysiologic changes in newborns of mothers with prepartum or postpartum depression
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elevated cortisol, elevated norepinephrine, lower dopamine, and right frontal electroencephalogram changes
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Sleep medicines that should not be used in the elderly
|
Anticholinergics (Dyphenhydramine, Vistaril)
|
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Bowlby and Mahler / attachment
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Infancy – 0-2yo
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Egocentricity, magical thinking and body image anxiety
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Preschool years
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Peer groups, acquiring skills, logical thinking
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School age (latency)
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Sexuality, Attractiveness, abstraction, identity
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Adolescence
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Attachment as a reciprocal process of bonding, infant feels protected by the caregiver, smiles at caregiver at age 6-8m
|
Bowlby
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Created a model to determine the quality and strength of attachment, secure attachment
|
Mary Ainsworth
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The majority of infants have secure attachments by the age of
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24 months
|
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Separation-individuation process (occurs from 5m - 3yo) hatching, practicing, rapprochment
|
Margaret Mahler
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Differentiation, practicing, rapprochement, consultation and object constancy
|
Margaret Mahler
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Theory of temperament (easy, difficult and slow to warm-up)
|
Chess and Thomas
|
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Model of Moral Development (Pre-Morality, Morality of conventional role-conformity, Morality of self-accepted principles)
|
Kohlberg
|
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Percentage of children having problems in the first year after parents' divorce
|
50%
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Risk factors for childhood abuse and neglect
|
Low birth weight, handicapped (mental retardation, etc), behaviorably-disordered children
|
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Stranger anxiety
|
8 months
|
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The most common psychiatric disorder in children
|
ADHD
|
|
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Prevalence of ADHD among school age children
|
3 – 5%
|
|
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Percentage of cases of ADHD that persists into adolescence and adulthood
|
50%
|
|
|
Male to female ratio in ADHD
|
4 – 9:1
|
|
|
First-line treatment of major depressive disorder in children
|
SSRIs (sertraline)
|
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|
Siegmund Freud's psychological theory of development was based on
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Drive theory
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|
The NIMH epidemiologic catchment area program study found the highest prevalence was for
|
Anxiety disorders
|
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Auditory deficit, tinnitus, vertigo
|
Ménière's disease
|
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Patients with what condition have the greatest risk of mortality following ECT
|
Recent MI
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The patient with pathological gambling is most likely to have which comorbid condition
|
MDD
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An inability to initiate and persist in goal-directed activities. When severe enough to be considered pathological, it is pervasive and prevents the person from completing many different types of activities (e.g., work, intellectual pursuits, self-care).
|
Avolition
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Waxy flexibility¾rigid maintenance of a body position over an extended period of time.
|
Catalepsy
|
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Episodes of sudden bilateral loss of muscle tone resulting in the individual collapsing, often in association with intense emotions such as laughter, anger, fear, or surprise.
|
Cataplexy
|
|
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Marked motor abnormalities including motoric immobility (i.e., catalepsy or stupor), certain types of excessive motor activity (apparently purposeless agitation not influenced by external stimuli), extreme negativism (apparent motiveless resistance to instructions or attempts to be moved) or mutism, posturing or stereotyped movements, and echolalia or echopraxia.
|
Catatonic behavior
|
|
|
The basic concept of community psychiatry
|
Continuity of care
|
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|
Psychological function of the medication prescribed by a psychiatrist when the medication serves as a transitional object for the patient is
|
Allows a sense of connectedness to the psychiatry even when visits are infrequent
|
|
|
Social skills training is a component of
|
Psychiatric rehabilitation
|
|
|
Program designed for patients with schizophrenia to regain old skills are developed new ones
|
Vocational therapy
|
|
|
Program for schizophrenia with a high staff to patient ratio that decreases the risk of rehospitalization
|
Assertive community treatment ACT
|
|
|
According to Beck the primary defect in depression involves
|
Cognitive distortion
|
|
|
Antidepressant that causes Parkinsonian symptoms
|
Amoxapine (blocks dopamine) = Tetracyclic
|
|
|
inter-nuclear ophthalmoplegia is present in and involves what?
|
Multiple sclerosis. It is a disorder of conjugate lateral gaze in which the affected eye shows impairment of adduction.
|
|
|
Benzodiazepine without active metabolites
|
Lorazepam
|
|
|
Treatment of catatonia
|
Benzodiazepines + ECT
|
|
|
Disorders characterized primarily by the perceptual preoccupation
|
Somatoform disorder, somatization disorder, conversion disorder, pain disorder
|
|
|
Disorder characterized primarily by a cognitive preoccupation
|
Hypochondriasis
|
|
|
Alexia, aphagia, agraphia, dysarthria are primarilyassociated with a
|
Neurologic disorder
|
|
|
Mutism is associated with
|
Both neurologic and psychiatric disorders
|
|
|
The strongest indication that alcoholism may be hereditary is based on studies of
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Adopted siblings
|
|
|
One of the main indications of ECT to treat a patient during a manic episode
|
Dangerous level of exhaustion
|
|
|
Best type of study for determining the relationship between a certain risk factor and development of a disease
|
Cohort study
|
|
|
Obsessions are a disorder of
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Thought content
|
|
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Difficulty in the vertical movement of the eyes often with downward and sometimes with upward gaze and involving voluntary saccades
|
Progressive supranuclear palsy
|
|
|
The amyloid precursor protein linked to locus on chromosome 21 is associated with
|
Alzheimer's disease
|
|
|
Anger turned inward against the self
|
Siegmund Freud in “mourning and melancholia”
|
|
|
The anger is turned inward due to
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An identification with the lost object
|
|
|
A test that provides consistent results when used at different times
|
Reliability
|
|
|
A test that measures what it intends to measure
|
Validity
|
|
|
Subtype of schizophrenia characterized by older age of onset and less regression of mental faculties, emotional responses and behavior
|
Paranoid schizophrenia
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|
|
1990 Global burden of disease study – the leading cause of neuropsychiatric disability is
|
Unipolar major depression
|
|
|
Poverty of speech and poverty of content
|
Alogia
|
|
|
50-year-old patient with progressive dementia with ataxia and dysarthria. Both MRI and CSF are normal. EEG shows slow disorganized background with high-voltage sharp waves periodically
|
Subacute spongiform encephalopathy
|
|
|
Rapid onset of right facial weakness, left limb weakness, diplopia
|
Brain stem infarction
|
|
|
Antidepressant effective in the treatment of ADHD
|
Bupropion
|
|
|
Treatment of choice for spasmodic torticollis
|
Botox
|
|
|
The term standard of care refers to the use of treatments that are
|
Used by average reasonable practitioners
|
|
|
Psychosocial therapies for treating schizophrenia that have found to significantly reduce relapse
|
Family therapy
|
|
|
Borderline Personality therapy (not dialectical)
|
Behavioral skills therapy
|
|
|
The most common method for completed suicide among adolescents
|
Shooting
|
|
|
What determines if the patient possesses the ego strength needed for successful psychodynamic psychotherapy
|
Assessments of the quality of relationships
|
|
|
Substance that is most likely to cause the patient to develop persistent dementia with long-term use
|
Inhalants
|
|
|
Treatment of patients with juvenile myoclonic epilepsy
|
Valproic acid
|
|
|
During a 3-year follow-up study of children with behavior inhibition which disorder was most frequently diagnosed
|
Social phobia
|
|
|
The duty most clearly established by the law of Tarasoff involves the duty to take what act
|
Protect the potential victim of a dangerous patient
|
|
|
In psychoanalytic theory the topographic perspective refers to the idea that
|
Mental phenomena reveal themselves at 3 different levels: unconscious, preconscious and conscious
|
|
|
In the DSM-IV trichotillomania is
|
An impulse control disorder
|
|
|
Parallel play
|
Two years
|
|
|
Pergolide
|
Treatment for restless leg syndrome
|
|
|
The major shift in the clinical approach to the psychiatric diagnoses occurred between
|
DSM-II and DSM-III
|
|
|
Structures affective in Korsakoff psychosis
|
Medial dorsal nucleus of the thalamus and hippocampal formations
|
|
|
Hypokalemic alkalosis, enlargement of the parotid gland, hypotension, Russell's sign
|
Bulimia nervosa
|
|
|
Worst Side effects of carbamazepine
|
Agranulocytosis, hyponatremia
|
|
|
What symptom is the hallmark of Amphetamine-induced psychotic disorder
|
Paranoia
|
|
|
Benzodiazepines that are safe to use for detoxification on the patient with liver function impairment
|
Lorazepam
|
|
|
|
oxazepam
|
|
|
Laboratory evaluation for patient with anorexia nervosa
|
EKG, CBC, electrolytes, thyroid function tests, amylase
|
|
|
CBC findings in anorexia nervosa
|
Leukopenia with a relative lymphocytosis in emaciated pts
|
|
|
Electrolyte disturbances if binge eating and purging are present
|
Hypokalemic alkalosis, high amylase, low serum glucose (during the emaciated phase)
|
|
|
EKG changes in anorexia
|
ST and T-wave changes
|
|
|
Emaciated patients may show these changes in their vital signs
|
Hypotension and bradycardia
|
|
|
Possible lipid changes in young girls with anorexia
|
High serum cholesterol
|
|
|
Corticotrophin releasing hormone changes in anorexia
|
Hypersecretion
|
|
|
Hyperacusis and rotatory nystagmus
|
PCP intoxication
|
|
|
Substance that produces a relative hypo-dopaminergic state in the CNS often resulting in a depressive syndrome
|
Cocaine
|
|
|
Somatoform disorder that has an equal female to male ratio
|
Hypochondriasis
|
|
|
What is the average lowest lethal dose of methadone in non-tolerant persons
|
40 to 60 mg
|
|
|
The combination of MAOIs with other antidepressants is safe in treating patients with refractory depression as long as
|
The tricyclic antidepressant and the MAOI are initiated concurrently
|
|
|
Organized, established cognitive structures based on the abstraction of relevant prior experience, in cognitive therapy, are called
|
Schemata
|
|
|
Freud's principles as states the therapist should not reveal too much about his own feelings
|
Anonymity
|
|
|
In what phase at child experiences is significantly less preoccupation with the parental roles
|
Latency phase
|
|
|
Benzodiazepines that don't have active metabolites
|
Lorazepam, temazepam, oxazepam
|
|
|
Effective in the treatment of impulsivity and aggression in MR
|
Lithium
|
|
|
Uncommon in normal bereavement
|
Severe anxiety
|
|
|
In the course of Tourette's syndrome the symptoms usually
|
Improve during adulthood
|
|
|
The majority of patients with schizophrenia have what ophthalmologic finding
|
Abnormal smooth pursuit saccades
|
|
|
In the emergency use of seclusion and restraint, physician evaluation of the patient is required within
|
One hour of seclusion and restraint
|
|
|
The increased risk of suicide in gay, lesbian, and by sexual use is most likely associated with
|
an interaction of sexual identity related factors and stressors unique to this group
|
|
|
The psychiatric diagnosis most commonly associated with violent acts
|
Substance use
|
|
|
An important countertransference issue in an interethnic psychotherapeutic relationship
|
Denial of differences
|
|
|
The reliability of the particular diagnoses would be considered excellent if
|
The diagnosis is agreed upon by clinicians and different centers
|
|
|
According to Kohut, parental mirroring of a child's behavior functions as
|
Empathic responsiveness to the child
|
|
|
Stroke with left hemisensory loss and deviation of the eyes to the right with full horizontal excursion of the eyes obtained with ocular cephalic maneuvers
|
Ischemic stroke in the right middle cerebral artery distribution
|
|
|
Mental health education programs would be an example of what kind of prevention
|
Primary prevention
|
|
|
Durable power of attorney is an example of an advanced directive for patient who is dying
|
|
|
|
After a stroke involving the left prefrontal area, which psychiatric condition is likely to occur
|
Depression
|
|
|
According to the object relations theory, conflict within the marriage generally can be traced to
|
Projective identification and splitting between the spouses
|
|
|
Pseudocyesis
|
Somatoform disorder NOS
|
|
|
What is considered the standard of proof legally required by the Supreme Court for long-term civil commitment?
|
Clear and convincing evidence
|
|
|
Positive Dix Hallpike maneuver
|
Benign positional vertigo
|
|
|
What differentiates schizoaffective disorder from bipolar disorder?
|
Presence of psychotic symptoms for at least two weeks in the absence of mood symptoms
|
|
|
A characteristic of normal bereavement in prepubertal children
|
A wish to unite with the dead loved one
|
|
|
When switching the patient phenelzine to tranylcypromine a two week a waiting period is recommended because
|
Tranylcypromine is an amphetamine derivative
|
|
|
A substance that likely causes a long-term inhibition a new serotonin synthesis and a decrease in serotonin terminal density
|
Methylenedioxymethamphetamine (MDMA)
|
|
|
The most common symptom in patients with narcolepsy
|
Sleep attacks
|
|
|
The cardiac effects of lithium most closely resemble what phenomenon on an EKG
|
Hypokalemia
|
|
|
In order for a diagnosis of polysubstance dependence to be made, the patient must meet dependency criteria for
|
Substances as a group, but not for any particular substance
|
|
|
CSF of patients with acute inflammatory polyneuropathy typically shows
|
High-protein, normal cell count.
|
|
|
Retinal pigmentation is caused by long-term treatment with
|
Thioridazine
|
|
|
Pt taking Lithium, ST elevation and sudden death
|
Brugada's Syndrome
|
|
|
The most common side effect of MAOIs
|
Hypotension
|
|
|
The principle of psychic determinism asserts that
|
Behaviors result from an unconscious mixture of drives, defenses, object relationships, and self disturbances.
|
|
|
The use of levomethadyl acetate hydrochloride (laam) for the management of opioid dependence allows for
|
The elimination of the need to take home doses
|
|
|
MRI finding in Bell's palsy
|
Gadolinium enhancement of left facial nerve
|
|
|
Examples of temperamental variables
|
Activity level, regularity, approach – withdrawal to new situations, adaptability, persistence
|
|
|
Severe headaches that awakened patient, unilateral, periorbital, accompanied by lacrimation, rhinorrhea and swelling of the face. During headache patient has asymmetry of the pupils and hyperesthesia of the face on the side of the headache
|
Cluster headaches
|
|
|
According to social biologic theory, what behavior at the level of the individual maximizes fitness at the level of the gene?
|
Altruism
|
|
|
In psychodynamic psychotherapy, the repetitive interpretation of the patient's transference and resistance until the insight has become fully integrated into the patient's conscious awareness is called
|
Working through
|
|
|
Reduction in his speech discrimination score in audiometric tests it is commonly seen as a result of
|
Cochlear lesions and eighth nerve lesions
|
|
|
Motor dysfunction in patients with Parkinson's disease is associated with
|
Increased neuronal activity in the subthalamic nucleus and pars interna of the globus pallidus
|
|
|
Conservation is achieved during which of Piaget's stage?
|
Concrete operations
|
|
|
The tendency for groups to arrive at a more extreme decisions then for individual group members alone
|
Group polarization
|
|
|
Characterizes the family as a complex system comprised of alliances and rivalries among family members
|
The structural model of family therapy
|
|
|
The major issue in maintaining the seriously and persistently mentally ill in the community
|
Resources maybe unavailable or insufficient
|
|
|
One of the risk factors for the development of postpartum psychosis
|
Over 30 years of age
|
|
|
Irregular, unequal, and small pupils that fail to react to light, did not dilated properly in response to mydriatic drugs,but do constrict on accommodation
|
Argyll Robertson pupils (syphilis)
|
|
|
In contrast to strokes caused by arterial thrombosis or embolism, strokes caused by cerebral vein or venous sinus thrombosis are
|
More often associated with seizures at onset
|
|
|
seizures, T2 hyperintensities the left temporal lobe, gadolinium enhancement in that area in T1, periodic discharges on the EEG
|
Herpes simplex encephalitis (CSF shows lymphocytic pleocytosis and red cells
|
|
|
The infant's realization that one's projections may damage an object and that the object is not split but whole
|
Depressive position (Melanie Klein)
|
|
|
What is the utility of no harm contracts between patients and clinicians in making treatment decisions?
|
They are unhelpful in making treatment decisions
|
|
|
SSRI with mild anti-cholinergic activity
|
Paroxetine
|
|
|
Visual disturbance associated with occlusion of the right posterior cerebral artery
|
Left homonymous hemianopsia
|
|
|
The three cardinal findings in brain death are
|
coma or unresponsiveness, absence of brainstem reflexes, and apnea.
|
|
|
The main difference between body dysmorphic disorder and delusional disorder somatic type is
|
Intensity with which the patient insists on the perceived body deficits
|
|
|
Preferred medication for mono therapy of generalized tonic-clonic seizures in adults
|
Depakote
|
|
|
Pyridoxine hypervitaminosis
|
Subacute sensory neuropathy
|
|
|
Treatment of choice for severe lithium intoxication
|
hemodialysis
|
|
|
a stressful live change that is correlated with the greatest increase in death and illness during the subsequent two years
|
Death of a spouse
|
|
|
The design that best addresses the relative influences of heritability and environment
|
The adoption studies
|
|
|
The “deficit model” a psychological illness
|
Weakened or absent psychic structure
|
|
|
SSRI discontinuation syndrome
|
Malaise, nausea, paresthesias, dizziness, mood symptoms, headache
|
|
|
Benzodiazepine metabolized be a glucuronidation
|
Lorazepam
|
|
|
Facial dysmorphism, postnatal growth retardation, intrauterine growth retardation, learning difficulties
|
Fetal alcohol syndrome
|
|
|
Completed suicides in patient's over 60 years old, commonly precipitated by
|
loss
|
|
|
Complication of chronic heavy alcohol consumption that is most likely to persist beyond the first week of abrupt cessation
|
Sleep fragmentation
|
|
|
Psychiatric condition most commonly associated with ADHD
|
Disruptive behavior disorders
|
|
|
In comparison to men, women who abuse alcohol are
|
More likely to attempt suicide, more likely to suffer secondary medical morbidity, more likely to have a partner who abuses alcohol, more likely to have comorbid axis I psychopathology, more likely to have a fast progression of abuse.
|
|
|
This psychiatrist emphasize case histories and life stories.
|
Adolf Meyer
|
|
|
Developed theory of neurosis that included 10 "needs" of neurotic people
|
Karen Horney
|
|
|
Race is
|
A sociopolitical designation assigning individuals and particularly grew that has meaning to ride from prevailing societal attitudes
|
|
|
The person who described the schizoid personality, coined the term schizophrenia and introduced the terms autism and ambivalence
|
Eugene Bleuler
|
|
|
|
Jean Etienne Dominique Esquirrol
|
|
|
|
Benjamin Rush
|
|
|
Co-founder of Alzheimers, 2 categories: manic depression and dementia precox (schizophrenia)
|
Emil Kraepelin
|
|
|
|
Kurt Schneider
|
|
|
Clinical feature that can be used to distinguish panic disorder from pheochromocytoma
|
Anticipatory anxiety
|
|
|
The safest way to manage detoxification of a patient who is pregnant and is addicted to Heroin
|
Methadone maintenance until delivery, then detoxification
|
|
|
Hormone most commonly secreted by a functional pituitary adenoma
|
Prolactin
|
|
|
The notion that our daily lives are highly shaped by unconscious forces
|
Psychic determinism
|
|
|
Medication that is contraindicated in patients taking Clozaril
|
Carbamazepine
|
|
|
Artery supplies the head of the caudate nucleus, the internal capsule and the septal nuclei. It branches off the Anterior Cerebral Artery (ACA) and travels back to these structures. A stroke to the caudate (which may also result from an occlussion of the lenticulostriate arteries) can cause akinesia, abulia and mutism. There may also be contralateral hemiparesis due to involvement of the internal capsule.
|
The Recurrent artery of Huebner
|
|
|
He was best known for his attachment theory based on 3 stages of mother infant separation: Protest, Despair and Detachment. .
|
John Bowlby
|
|
|
Psychosocial development theory describing 8 sequential stages of life.
|
Erik Erikson
|
|
|
Separation-individuation was described by
|
Margaret Mahler.
|
|
|
(Symbiosis, Differentiation, Practicing, Rapprochement, Consolidation and Object Constancy)
|
|
|
|
Cognitive development model describing four stages: Sensorimotor, Prelogical, Concrete operations and Formal operations.
|
Jean Piaget
|
|
|
The Theory of Temperament was described by
|
Stella Chess and Alexander Thomas
|
|
|
'paranoid-schizoid position' in the first year of life
|
Melanie Klein
|
|
|
Seven-step Process, Secure attachment
|
Ainsworth
|
|
|
vivid, complex visual hallucinations (fictive visual percepts) occur in mentally healthy people. One characteristic of these hallucinations is that they usually are "lilliput hallucinations" (hallucinations in which the characters or objects are smaller than in reality). He first documented it in his 87-year-old grandfather, who was nearly blind from cataracts in both eyes but perceived men, women, birds, carriages, buildings, tapestries, and scaffolding patterns.
|
Charles Bonnet syndrome (CBS)
|
|
|
|
|
|
|
Most who are affected by this are people with visual impairments due to old age, damage to the eyes or optic pathways. In particular, central vision loss due to a condition such as macular degeneration combined with peripheral vision loss from glaucoma may predispose to CBS, although most people with such deficits do not develop the syndrome.
|
Charles Binnet Syndrome
|
|
|
In an outpatient setting, the rate adherence to SSRI treatment is about
|
45%
|
|
|
addresses current psychological and interpersonal relationships in the "here and now." Common issues addressed include grief, role transitions, role disputes, and interpersonal deficits
|
Interpersonal therapy (ITP)
|
|
|
|
|
|
|
A child who imitates housework, throws a ball overhand, walks, builds a 4-cube tower and combines two words
|
16m
|
|
|
An infant developing normally would be expected to have a social smile and respond to a bell.
|
At 6 weeks,
|
|
|
one would expect the infant to roll over and coo.
|
At 4 months
|
|
|
Infant drinks from a cup, walks, says mama specifically.
|
At 12 months
|
|
|
one would expect the toddler to play interactive games, ride a tricycle, build an 8-cube tower and have a vocabulary of 50 words.
|
At 24 months,
|
|
|
Copy square
|
5yo
|
|
|
Ride a tricycle
|
3yo
|
|
|
ability to transfer objects from hand to hand, rolling from a prone to supine position, sitting with support, and babbling
|
6m
|
|
|
child who is concerned about acceptance by peers
|
Morality of conventional role conformity - Lawrence Kohlberg's Model of Moral Development
|
|
|
Preconventional Morality is the period during which a child follows the rules set by his/her parents. Morality of conventional role conformity is when the child conforms to norms of the group to gain acceptance. Morality of self-accepted principles is when the child voluntarily follows rules based on ethical principles
|
|
|
|
skips using alternating feet, dresses and undresses herself, and draws a recognizable human with a head, body and limbs
|
5yo
|
|
|
At 2 years a child is expected to be able to kick a large ball and particpate in parallel play. At 3 years she would be expected to be able to ride a tricycle, copy a circle and feed herself. At 4, she should be able to stand on one foot for 5 seconds and brush her own teeth. At six, she should be able to ride a bicycle, copy a triangle, print her name and tie her shoelaces.
|
|
|
|
Implosion is the behavioral psychotherapy technique in which the patient is exposed to the feared stimulus in a dramatic fashion with facilitation utilizing relaxation techniques with the goal of obtaining immediate and rapid symptom relief.
|
|
|
|
There are all potentially therapeutic factors in group therapy. Altruism is the factor which occurs during group in which an individual can enhance self-esteem and gain a sense of self-efficacy through helping others. Acceptance is the notion that feeling respected by others can be therapeutic in itself. That individuals in the group may be instilled with hope by hearing about the experiences of others is inspiration. Patients come to see each other as role models during group. Through sharing powerful thoughts and feelings, shame and guilt can be reduced; this is called ventilation.
|
|
|
|
Object Permanence
|
9m – 1y
|
|
|
There is a decline in "fluid" abilities with age. They include ability to acquire new knowledge and skills, so it is more difficult to solve new tasks with advancing age. However there's no change or increase in "crystallized" cognitive abilities. They include communication skills and ability to comprehend speech. Unless primary perceptual deficits are present, there is no decline in ability to encode sensory and auditory information and briefly hold information in memory.
|
|
|
|
The antipsychotic recently shown to have highest rated of treatment adherence is:
|
Seroquel
|
|
|
Giving 1st and Last names
|
3yo
|
|
|
Using 50 words, playing interactive games, Building an 8 cube tower, Climbing stairs
|
2yo
|
|
|
Person who developed DBT
|
Marsha Linehan
|
|
|
Depressive position
|
Melanie Klein
|
|
|
Postural hypotension in Parkinson's is commonly associated with tx with Levodopa. What is the treatment?
|
Fludrocortisone acetate
|
|
|
Medication used to test if a person is dependent on opioids
|
Buprenorphine
|
|
|
|
|
|
|
|
|
|
|
Study Guide to Clinical Psychopharmachology
|
|
|
|
The majority of 5HT-producing neurons in the brain are located in
|
Dorsal Raphe Nucleus
|
|
|
The Only low-molecular-weight neurotransmitter not derived from an Aa
|
Acetylcholine
|
|
|
Benzodiazepines work by
|
Binding to a potentiator site on the GABAA receptor, increasing the amplitude and duration of inhibitory postsynaptic currents.
|
|
|
Peptides regulated by Lithium
|
Neuromedin N
|
|
|
|
Calcitonin gene-related peptide
|
|
|
Peptide affected by ECT
|
Calcitonin gene-related peptide
|
