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23 Cards in this Set
- Front
- Back
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what is dyspareunia?
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pain with intercourse
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Low levels of what two hormones can lead to hypoactive sexual desire?
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testosterone and prolactin
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What is vaginismus?
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recurrent/persistent involuntary spasm of the musculature of the outer third of the vagina.
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To diagnose paraphilia, the paraphilia must be present over a period of at least how many months?
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6
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What is the age range where exhibitionism is usually found?
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onset sometime before 18, incidence may decrease after 40
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What is frotteurism? What age do you typically see it in?
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a paraphilic interest in rubbing, usually one's pelvis or erect penis, against a non-consenting person for sexual gratification
15-25 |
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What criteria is required for a sexual relationship to be considered paraphilia?
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person must be at least 16 and child must be 5 years younger
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What is voyeurism?
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the sexual interest in or practice of spying on people engaged in intimate behaviors, such as undressing, sexual activity, or other activity usually considered to be of a private nature
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What are the 4 A's of cortical dementias?
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amnesia, aphasia, apraxia, agnosia
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What are some infections that can cause dementia?
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HIV, neurosyphilis, progressive multifocal leukoencephalopathy, Creutzfeldt-Jakob disease, TB, sarcoidosis, Whipple's disease.
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What are Lewy bodies?
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clumps of alpha-synuclein and ubiquitin protein in neurons
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Pt comes in because he has begun having memory troubles and has become withdrawn. While you are adminstering the mini mental status exam, he often responds with "I dont know" or "i dont care" whats his diagnosis and how do you treat?
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pseudodementia
treat the depression first |
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pt comes in post craniotomy with increased forgetfulness, impaired gait, and urinary incontinence. whats the diagnosis and what do you do?
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NPH-normal pressure hydrocephalus
high volume lumbar puncture |
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who's more likely to get alzheimers, males or females?
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females
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whats the most common way to die from alzheimers?
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pnemonia
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How do you differentiate Parkinsons from dementia with lewy bodies?
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dementia with lewy bodies the parkinsonism symptoms and dementia occur simultaneously, with parkinsons the dementia comes around a year later
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One of your long time patients who has always been a very upbeat, talkative guy comes in and avoids eye contact, is very grumpy and difficult to talk to. You notice he smells of BO and his clothes look like they havent been washed in days. diagnosis?
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Picks disease, or Frontotemporal dementia
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67 y.o.m. neglects his hygiene, sits on the couch most of the day looking bored, he’s unable to balance his checkbook, refuses to eat anything but cereal 3 times a day, and makes sexually explicit comments to his neighbor. The pt’s most likely diagnosis is:
· Alcohol induced persisting dementia · Dementia of Alzheimer’s type · Dementia with Lewy bodies · Dementia due to Pick’s disease · Vascular Dementia |
Dementia due to Pick’s disease
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80 y.o.f. has fluctuating levels of attention and cognition. All causes of delirium have been assessed excluded. What type of dementia is she most likely to have?
· Dementia of Alzheimer’s type · Dementia with Lewy bodies · Dementia due to HIV · Dementia due to Pick’s Disease · Vascular Dementia |
Dementia with Lewy bodies
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Which of the following does not increase the risk of dementia of Alzheimer’s type?
· Low education · Male gender · Down Syndrome · Head Trauma · ApoE4 allele |
Male gender
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What antidepressant should be avoided in bulemia?
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Bupropion
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The medical complications of anorexia include:
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cardiac arrhythmias
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15yo girl brought in b/c of concerns of her eating. Thinks she's fat. Uses laxatives. Last menstrual period was 6 months ago. Most likely subtype?
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binge-purging subtype.
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