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Psychiatry
PASS program drill notes
| Question | Answer |
|---|---|
| How is major depression diagnosed? | Need 5 "SIGE CAPS" > 2 weeks Sleep disturbances -> Wake up early Interest/Libido loss Guilt Energy loss Concentration loss Appetite loss Psychomotor agitation Suicide; hopelessness |
| What is Autism? | Repetitive movements, lack of verbal skills and bonding, sx since birth |
| What is Asperger's? | Good communication, impaired relationships, no mental retardation |
| What is Rett's? | Only in girls, ↓head growth, lose motor skills, handwringing, normal until 5 years |
| What is Childhood Disintegrative Disorder? | Develop normally for first 2 years, then behave autistic |
| What is Selective Mutism? | Kid talks sometimes |
| What is Separation Anxiety disorder? | Kid screams when Mom leaves |
| What is Conduct disorder? | Aggressive, disregard for rules, no sense of guilt, harm animals, illegal activity "bite" |
| What is Oppositional Defiant disorder? | Defiant, noncompliant, directed at authority "bark" |
| What is attention deficit hyperactivity disorder? | Overactivity, difficulty in school |
| What is Dysthymia? | Low level sadness > 2 years |
| What is Cyclothymia? | Dysthymia with hypomania |
| What is Double Depression? | Depression followed by dysthymia |
| What is Bipolar I? | Depression and Mania (psychosis) |
| What is Bipolar II? | Depression and Hypomania (no psychosis) |
| What are Loose associations? | Ideas switch subjects, incoherent |
| What is Tangentiality? | Wanders off the point |
| What is Circumstanciality? | Digresses, but finally gets back to the point |
| What is Clanging? | Words that sound alike |
| What is Word Salad? | Unrelated combinations of words |
| What is Perseveration? | Keeps repeating the same words |
| What is Neologisms? | New words |
| What is Delusion? | False belief |
| What is Illusion? | Misinterprests stimulus |
| What is Hallicination? | False sensory perception, EtOH withdrawal /Cocaine intoxication ==> formication |
| What is Formication? | Feeling ants (insects) crawling inside the skin |
| What is Nihilism? | Thinks the world has stopped |
| What is Loss of ego boundaries? | Not knowing where I end and you begin |
| What are Ideas of reference? | Believes the media is monitoring you |
| What is Thought blocking? | Stops mid-sentence |
| What is Thought broadcasting? | Believes everyone can read his thoughts |
| What is Thought insertion? | Believes others are putting thoughts out of his head |
| What is Thought withdrawal? | Believes other are taking thoughts out of his head |
| What is Concrete thinking? | Can't interpret abstract proverbs, just sees the facts |
| What is Synesthesia? | Smell colors |
| What is Cataplexy? | Loss of mm. tone due to strong emotions |
| What is a Paranoid personality disorder? | Suspicious about everything, use projection |
| What is Schizotypal personality disorder? | "Magical thinking", bizarre behavior |
| What is Schizoid personality disorder? | "Recluse", don't want to fit in |
| What is Antisocial personality? | Lie, steal, cheat, destroy property, impulsive w/o remorse, illegal activity |
| What is Conduct Disorder personality disorder? | <15 y/o antisocial disorder |
| What is Histrionic personality disorder? | Theatrical, sexually provocative, use repression |
| What is borderline personality disorder? | "Perpetual teenager". splitting (love/hate), projection, acting out, self-mutilation |
| What is narcissistic personality disorder? | Pompous, no empathy |
| What is Dependent personality disorder? | Clingy, submissive, low self-confidence, regression |
| What is Obsessive-Compulsive personality disorder? | Perfectionist, doesn't show feelings, detail-oriented, uses isolation |
| What is Avoidant personality disorder? | Socially withdrawn, afraid of rejection but wants to fit in |
| What is Kleptomania? | Steals for the fun of it |
| What is Pyromania? | Starts fires |
| What is Intermittent Explosive disorder? | Loses self-control without adequate reason |
| Wha is Pathological Gambling? | Can't stop gambling, affects others |
| What is Trichotillomania? | Pull out their hair |
| What is Lewy body dementia? | Still, visual hallucinations |
| What is Normal Pressure Hydrocephalus? | Tr/AD = Incontinence, Ataxia "magnetic gait", Dementia |
| What is Korsakoff psychosis? | Alcoholic thiamine deficiency |
| What is Vascular "multi-infarct" dementia? | Sudden onset, uneven progression of deficits, "stair-step" decline |
| What is Huntington's? | In caudate/putamen, triplet repeat disorder, choreiform movements |
| What is Creutzfeldt-Jacob? | Prion induced, die within 1-year, post-cornea transplant |
| Wha is Pick's disease? | Frontal lobe atrophy, disinhibition |
| What is Alzheimer's? | ↓ ACh in nucleus basalis of Meynert, bad ApoE, amyloid plaques, tangles of tau |
| Which neurotransmitter is decreased in Alzheimer's principally? | ACh |
| What is Parkinson's? | In substantia nigra, bradykinesia, pill-rolling tremor, shuffling gait, Lewy bodies |
| What is Somatization? | Think they have a different illness all the time (at least 4 organ systems) |
| What is Hypochondriasis? | Think they have the same illness all the time |
| What is Body Dysmorphic Disorder? | Imagined physical defect |
| What is Pain disorder? | Prolonged pain not explained by physical causes |
| What is Conversion? | Neurological manifestation of internal conflict, indifferent to disability |
| What is Malingering? | Fake illness for monetary gain, avoids medical treatment |
| What is Factitious? | Fake illness to get attention, seeks medical treatment |
| What is Munchausen? | Need to be the caregiver, Mom fakes child's illness to get attention |
| What is Munchausen by proxy? | Mom makes child ill for gain, move a lot |
| What is Amnesia? | Can't recall important facts |
| What is Dissociative Fugue? | No past, travel to new place, usually due to trauma |
| What is Multiple Personality Disorder? | Have 5-10 alters, usually associated with incest |
| What is Depersonalization disorder? | "Out of body" experiences, Deja vu |
| What is Sublimation? | Substitute acceptable for unacceptable (boxer vs fighting) |
| What is imitation? | Dress like someone else |
| What is identification? | Act like someone else |
| What is Displacement? | Take anger out on someone else |
| What is Idealization? | Wait for "ideal spouse" while they are beating you up |
| What is Transference? | Patient views doctor as parent |
| What is Countertransference? | Doctor views patient as child |
| What is Acting out? | Expression of impulse, "tantrums" |
| What is Regression? | Immature behavior |
| What is Rationalization? | Make excuses for all situations |
| What is Intellectualization? | Act like a "know-it-all" to avoid feeling emotions |
| What is Isolation of Affect? | Isolate feelings to keep on functioning |
| What is Suppression? | Consciously block memory |
| What is Repression? | Subconsciously block memory |
| What is Reaction Formation? | Unconsciously act opposite to how you feel (tears of clown) |
| What is Undoing? | Doing exact opposite of what you used to do to fix a wrong |
| What is Compensation? | Doing something different of what you used to do |
| What is Sadism? | Gives pain |
| What is Masochism? | Receives pain |
| What is Exhibitionism? | Exposure to others |
| What is Voyeurism? | Watching other people without their permission |
| What is Telephone Scatalogia? | Phone sex |
| What is Frotteurism? | Rub penis against fully clothed women |
| What is Transvestite? | Dress up as opposite sex, no identity crisis |
| What is a Transsexual? | Gender identity crisis "man trapped in a woman's body" |
| What is a Fetish? | Objects (vibrators, dildos, shoes) |
| What is a Pedophile? | Children (watching child pornography) |
| What is Necrophile? | Having sex with a corpse |
| What is a Beastophile? | Having sex with animals |
| Can you die during EtOH withdrawal? | Yes |
| Can you die during opioid withdrawal? | No, just very painful |
Created by:
rakomi
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