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psychiatry
| 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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afsplace
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