Question | Answer |
what is the no methylphenidate tx for adhd | atomoxetine (SNRI) amphetamines ( dexedrine ) |
what is conduct disorder | antisocial behavior in children less than 18 |
oppositional defiant disorder | anti authority children but not anti social |
tourette syndrome diagnosis criteria is ? | sudden motor or verbal tics > 1 yr < 18 yrs old |
tourette treatment is what ??? | haloperidol |
Separation anxiety disorder common at what age ? | 7-9 |
hallmark of autism is what ? | poor language social |
is intelligence normal ??? | often below normal |
treatment of autisms | social and language |
a child with normal intelligence and language but poor social relations is what ? | aspergers |
after 4 yrs old girls with poor language aggresion ataxia mental retardation and stero typed hand writing | this is an x linked disease affecting girls as boys mostly die , Called Rett's dis |
loss of language motor bowel bladder social adaptive Skills 2 yrs of normal devel is what | childhood disintegrative disorder |
stanford binet is ??? | mental age / chrono age |
an intelligence test is used to quantify intelligence decline in adults , what is this ? | WAIS Wechsler Adult intelligence scales 3 , 14 subsets 7 verbal and 7 performance |
what intelligence is scale is used for children between ages of 6-16 ? | WISC |
Operant conditioning is about what ? | encouraging a behaviour , reducing a behavior or eliminating, + and - re inforcement, punishment and extinction |
what is the main premise of freudian psychi analyisis ? | make him her aware of sub concious |
shaping is a of social learning but what does this mean | ??? |
how many stages and names of development ? | oral sensory stages and adolescence are examples , 8 erikson |
some one is having a tantrum, what is defense ? | acting out, where they are acting out unacceptable thought and feeling's |
A man's memory has dramatically been lost he also has change in conciousness and motor functions temporarily , what is this | defense mechanism is dissociation |
blaming a child when angry at husband | displacement |
a man who wants another woman thinks his wife is cheating on him | projection |
patient with libidinous thoughts enters a monastery | this is reaction formation |
involuntary holding of idea or feeling from consciousness | repression |
all nurses are cold and docs are great | splitting |
concious with holding of thoughts | suppression |
if you are unable to recall stuff post stress this is ??? | dissociative amnesia |
Alcoholic is ataxic and has ophthalmoplegia and confused , this is? | wernicke' |
an alcoholic is unable to recall recent or past memories has personality changes | korsakoff |
adhd commences before what age ? | 7 |
is intelligence normal in adhd ? | yes |
what % into adulthood for adhd | 50 % |
lifetime prevalence of tourettes is | 0.1 to 1 % |
what other disease is touretted associated with | ocd |
what are the neuro transmitter changes in huntingto's | low ach low gaba |
what are the neuro transmitter changes in alzheimer's | low ach |
what are the neuro transmitter changes in depression | low serotonin low ne low DOPAMINE |
what are the neuro transmitter changes in schizo phrenia | raised DOPAMINE |
what are the neuro transmitter changes in parkinson | low dopamine and raised ach |
what are the neuro transmitter changes in anxiety | raised ne low gaba low serotonin |
define delirium | waxing waning consciousness acute onset |
what drug commonly causes | anti chonergics |
delirium can involve what features clinically | psychosis disorganized thought and decline cognition |
is eeg normal in delirium ??? | no it is abnormal |
dementia definition is ??? | gradual deterioration of cognition memory loss of abstract thougt , personality judgement aphasia apraxia |
is eeg normal in dementias | yes |
loss of associations refer to what ? | the way ideas are connected together |
hypnogogc is ??? | when go to sleep hallucinations |
hypnapompic is when | hallucinating coming out of sleep |
Schizophrenia is ?
what are the types ? | 2 or more of delusions psychosis disoredered thought disordered behavior of neg sxs ,
types are CURD P paranpid catatonic , undifferentiated , residual , disoredered , |
negativ sxs are | socially withdran , low affect and speech and behavior |
psychosis less than a 1 / 12 | brief psychotic disorder |
psychosis 1 six month is | schizophreniform |
at leas 2 weeks of normal affect and the psychosis and major depression or mania is | schizo affective |
a fixed and false belief > a month is | fixed delusional disorder |
fixed delusional diorder if another person bleieves then does not once sep is | foli a deux |
prescence of one or more personalities is associated with what , occurs in waht sex ? is called ??? | sexual abuse . women . dissociative identity disorder |
a patient feels detached or depersonalised from oneself ??? | depersonalization disorder |
man turns up in a mall confused no memory of self assumes identity | this is dissociative fuge |
what causes dissociative fugeue | trauma and stress often like major disasterss |
how long should a manic episode be | a week at least |
what is mania | irritable elevated expansive mood at least a wk |
what does the diagnostic criteria require at least | 3 or more of DIG FAST distractibility , Irresponsibility , Grandiosity
flight of idea
active psycho motor agitation
sleep need
talkativeness |
hypo mania is | no psychosis or social dysfunctional |
bipolar is | at leas on either mania type 1 or hypo mania type 2 and depressive sxs |
a bipolar disorder that lasts for at least 2 years is | cyclothymic |
tx bipolar with | lithium , sodium valprioate , carbamazepine and atypical anti psychotics |
dysthymia is | mild depressiv sxs for at least 2 yrs |
depressed people sleep patterns | rem reduced interval . rem increase duration .
less slow wave sleep |
over eating , over sleeping is associated with what tyoe of depression | atypical |
in atypical depression what is the mood like | reactive as in if circumstances improve this improves also weight gain and rejection sensitivity is another |
major se of ect | amnesia |
what are the risk factors for suicide completion | SAD PERSONS
sex male
age young or old
depression
previous attempt
ethanol or Drug
rational thinking loss
sickness medical 3 or more px meds
organised plans
no spouse
social supports lacks |
panic disorder is | > 4 of PANICS and recurrent intense fear peaks in 10 mins up |
ocd is | recurrent THOUGHT SENSATION FEELING and relieved via behavior |
ocd tx | ssri and clomipramins |
ptsd | recurrent sxs experienced > 1/12 duration and onset > 1 / 12 after onset of event |
GAD | anxiety ? six months , |
tx GAD | buspirone benzos ssri |
adjustment disorder | specific sit causing anxiety normally <6 months or if chronic > six months |
malingering is | secondary gain like money consious |
factitious | primary gain psychological |
somatoform disorders are concious or unconcious ? | unconcious |
somatisation is what ??? | multiple sxs over years |
conversion is ??? | acute sxs like blinded but indifferent |
hypo chondriasis | fear of disease in absence |
painn disorder | pain in absence |
body dysmorphic | specific physical |
inflexible maladaptive personality unaware of this causing dysfunctionality is | personality disorder |
personality disorder cluster a is associated with what geneticaly | is associated with Schizophrenia |
describe personality disorder A | Weird odd |
type of personality A | since ass with schizo
1. paranoid
2. schizoiD Distant
3. Schitotypal odd belief magical Thinking |
Cluster B disorder is | Wild or dramatic and emotional |
tyoes of cluster b | genetically linked to mood and substance ab
1. anti social Socio paths
2. borederline slef mutilation unstable moods
3. histrionic , attention seeking sexually provocative overly concerned with appearance
4. Narcissistic |
describe feature of narcissistic | grandiose lacks empathy sense of entitlement lacks empathy requires excessive admiration demands best andreacts to criticism badly |
describe featuures of histrionic PD | attention seeking emotional sexually provocative overly concerned with appearance |
features of borderline | unstabl mood self mutilation |
major defense mechanism of borderline is | Splitting |
major def mech of paranoid is | Projection |
what are personality type C disorders associated with genetics | anxiety |
type c personality are | 1. avoidant
2. OCD
3. Dependant |
describe dependant personality disorder | clingy and low self esteem |
describe avoidant personality disorder | avoids socially over sensitive to rejection although wants relations |
describe the ocd personality | perfectionist behaviors consistent with beliefs vs OCD , control freaks and ego syntonic |
a persona who is distant | schizoiD |
a person who is schizoid and is also odd thinking is | schizo typal |
a person who is schophrenic is | more add thinkin and behavior than schizotypal |
a person who is schizoaffectiv is | schizophrenia and bipolar or mood disorders |
ptient diets execrcise and purg to weight below 85 % ideal weights this ??? | anorexia nervosa |
what clinical probs | amenorrhoea anamia and of course osteo porrhosis |
patients with calluses on back hands normal weight abnormal UE major enamel and binging and purging takes laxatives and diuretics | Bulimia nervosa this also has alkalosis and parotitis |
persistent discomfort with ones sex ` | Gender id disorder |
dx for substance dep | 3 or more of 1-7 for a year |
what are the 1-7 criteria of dx for subs abuse | tolerance, withdrawal , larger amounts over longer times , unable to cut down may try , resource in getting , reduced social occupational or recreational time
continuing use despite the knowledge |
dx of subs abuse | NEVER met criteria for dep
recurrent failur of fulfillmet of work social ans home pbligations
recurrent use in hazardous situ
recurrent legal probs
continued use |
does bp go up or down in alcohol withdrawal ? | up |
Intoxication tx of alcohol | disulfuram nis antabuse altrexone is anti opiod receptor accomprosate reduces relaps |
intoxication tx of opiods | naloxon naltrexone |
rhinorrhoea diarrhoea yawning dialted pupils and sewating are signs of withdrawal from ... | opiods |
what is the tx choice for OD alcohol withdrawals | benzo |
what is the tx for opiods withdrawal | naloxone + buorenorphine ( Suboxone ) or methadone |
od of barbiturates | low threshold safety resp cvs dep |
tx of barbs od | supportive |
withdrawal from barbs risks | cardio collaps |
benzo od tx | flumazenil GABA antagonists |
impaired judgement agitation halluciantes pupil dilated prololnged wakefulness euphoria | amphetamines |
amphetamines withdrawal | crash depress |
impaired judg pupils dilated euphoria agitated tachy angin sudden cardia death | cocain |
cocain withdrawal | crash depress SUICIDAL hyper somnolence |
what drug causes restlessness insomnia muscle twitching and cardic arrythmias ans diuresis | caffein |
restless insomnia headaches arrythmias form what drug | nicotin |
nicotine withdrawal | weight gain irritable restlessness |
Beligerenc and nystagmus vertically and horizontally hallucinates homicidal psychosis | PCP |
flash backs pupillary dialtion visual hallucinations | lsd |
what are the eyes doing in pcp od | nystaAGMUS VERTICAL HOR |
WHAT ARE THE EYES DOING IN LSD OD | Dilated |
hallucinations dry mouth social withdrwal euphoria and anxiety | maijuana |
se of marijuana withdrawal | irritable depressed insomia symtoms peak in 248 hrs |
how long can marijuana be detected in urine for up to | 1 / 12 |
how long can withdrawal sxs last | 5-7 days |
heroin addiction tx | methadon and Sub oxone |
at what stage get DT's | after 2-5 Days |
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