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Psych
| Question | Answer |
|---|---|
| Effects of Infant Deprivation | Low tone, weight & immune function. Poor language, socialization & trust. Depression |
| Violating social norms +/- criminality | Kids: Conduct disorder Adults: Antisocial Personality Disorder |
| Noncompliant children, but not criminal. | Oppositional defiant disorder |
| Asperger's v. Autism | Asperger's:Social disorder, repetitive behavior. Autism: Social disorder, repetitive behavior, below-normal intelligence (+/- savants) |
| Rett's Disorder | X-linked. Female only. Loss of development + MR @ 4 YO. Sterotyped handwriting |
| Childhood disintegrative disorder | Regression after 2+ years of normal development. Loss of language, social, adaptivity, GI function, play, motor skills. Onset @2-10 yo. |
| Lack of awareness that one is ill | Anosonosia |
| Inability to locate own body parts | Autotopagnosia |
| Dissociation/impersonalization from body | Depersonalization |
| Dissociative Fuge | Abrupt change in location & can't recall past or personal identity. Change of identity. Not associated w/drugs or medical condition. |
| HypnaGOgic/Hypnopompic Hallucination | Hallucinations occur while GOing to sleep/Waking up from sleep |
| Schizophrenia v Schizophreniform v Schizoaffective v Schizotypal v Schizoid | SCHIZOPHRENIA:6 mos+ SCHIZOPHRENIFORM D.: Schizophrenia Sx for 1 to 6mos BRIEF PSYCHOTIC D: Schizophrenia Sx less than 1mo SCHIZOAFFECTIVE: Schizophrenia + Mood Disorder(manic or depressive) SCHIZOTYPAL: Eccentric,awkward. SCHIZOID:social withdrawal |
| Schizophrenia Subtypes | PARANOID: Good prognosis, less severe & less (-) DISORGANIZED: Incoherence, inappropriate affect CATATONIC: Catatonic stupor, unresponsive Residual: Primarily negative sx |
| Mania Characteristics | 3+ of: Distractability, Irresponsibility, Grandiosity, Flight of ideas, Agitation/Activity, Sleeps less, Talkative |
| Depression | 5+ of: Depression+ SIGECAPS- Sleep disturbance, Interest loss, Guilt/worthless, Energy loss, Concentration loss, Anhedonia, Psychomotor retardation, Suicidal |
| Dysthymia v. Cyclothymic Disorder | Dysthymia: mild depression for 2+ years v. Mild bipolar for 2+ yrs |
| Sleep in Depression: | More REM & earlier REM. More nighttime wakenings & early awakening. Less slow-wave sleep. |
| Adjustment Disorder v. Generalized Anxiety Disorder | Adjustment D. has an identifiable stressor, <6 mos duration. GAD has an unidentified stressor & >6 mos duration. |
| Primary gain | Getting attention |
| Secondary gain | Getting financial/other personal benefit |
| False belief of being pregnant associated w/ objective physical signs of pregnancy. Somatoform (unconscious) disorder | Pseudocyesis |
| Paranoid Personality Disorder | Projection is primary defense mech. |
| BMI Diagnoses | Kg/m^2. Underweight: <19, Normal: 19-25, Overweight: 25-30, Obese: 30-40, Morbidly Obese: 40+ |
| Substance DEPENDENCE (3/7) | Tolerance, withdrawal, Large amounts & for more time, Persistent desire to cut down, overwhelms time & energy spent, Occupation/Social life suffers, use despite awareness of it being a problem |
| Substance ABUSE (4) | Failure to fulfil obligations, Physically hazardous circumstances, Legal problems, Continued use despite problems it causes |
| Alcohol Abuse | Gamma-glutamyltransferase: sensitive alcohol consumption marker |
| PCP Abuse | Belligerence, violence. Vertical nystagmus, fever. |
| LSD | Pupillary dilation, anxiety |
| Barbituates v. Benzodiazepines | Barbituates have low safety margin-> respiratory depression. Benzos have higher safety margin. |
| Alcohol Withdrawal Sx | 1. Anxiety, tremor, nystagmus, elevated HR, BP, temp, Gran Mal Seizures. 2. Delirium Tremens @ day 3: CARDIAC ARYTHMIAS, Delirium, hallucinations, autonomic hyperactivity |
| IQ Test | Objective. SD is 15 pts off 100. MR<70, Severe MR <40. Profound MR<20. Stanford-Binet: IQ is mental age/chronological age x 100. Weschler: 11 subsets of verbal & performance categories. |
| Classical conditioning | Learned response to a stimulus. Pavlov. |
| Operant Conditioning | Certain behavior elicited b/c reward given. (+) reinforcement: action -> reward. (-) reinforcement: Action -> avoids aversive stimulus. Punishment: Unwanted behavior extinguised by use of punishment. |
| Transference & Countertransference | Patient equates physician to other important person from patient's past (parent). Countertransference is emotional involvement with patient at detriment of clinical relationship. |
| Id, Ego, Superego | Id: instinctual urges, Superego: values, conscience. Ego: mediator between the 2. |
| Oedipus complex | Sexual feelings toward opposite sex parent, rivalry w/ same-sex parent. |
| Mature Defenses | Sublimation, Altruism, Suppression, Humor |
| Dissociation defense | Temporary & drastic change to personality, consciousness motor behavior to avoid emotional stress. -> -> Multiple personalities |
| Fixation | Partially remaining at a more childish level (ie-sports games). vs regression. |
| Isolation | Separating feelings from events (ie-describing murder w/o emotion) |
| Projection | Internal desire/impulse transferred to another person |
| Reaction formation | A warded-off idea/action is replaced by it's opposite |
| Splitting | People either all good or all bad |
| Anorexia/bulimia tx | SSRIs |
| Alcohol withdrawal tx | Benzodiazepines |
| Anxiety tx | Barbituates/Benzodiazepines, Buspirone, MAO inhibitors |
| ADHD tx | Methyplhenidate, Amphetamines |
| Bipolar tx | Lithium, Valproic acid, carbamazepine |
| Depression w/ insomnia tx | Trazodone, Mirtazapine |
| OCD tx | SSRIs |
| Panic Disorder tx | TCAs, Buspirone |
| Extrapyramidal System Side Effects | Dystonia (spasms) -> Akinesia (parkinsonian)-> Akathisia (restless) -> Tardive dyskinesia. Typical>Atypical Antipsychotics |
| Olanzapine indications | Schizophrenia, OCD, Anxiety, Depression, Mania, tourettes. |
| Clozapine SE | Agranulocytosis |
| Atypical Antipsychotics | Clozapine, Olanzapine, Quietapine, Risiperidone, Ziprasidone, Aripiprazole. |
| Typical Antipsychotics | Haloperidol+ azines. Chlorpromazine & Thioridazine are low-potency D2 antagonists. |
| SSRIs | Fluoxetine, Sertraline, Paroxetine, Citalopram |
| TCAs | Imipramine, Amitriptyline, Desipramine, Nortriptyline, Clomipramine, doxepin, amoxapine |
Created by:
Kyle Tiemeier
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