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Psych DSM-IV Set I
PA psych rotation
45
Medical
Graduate
12/11/2010

Additional Medical Flashcards

 


 

Cards

Term
4 classifications of delirium
Definition
1. general medical condition
2. substance induced
3. substance withdrawal
4. delirium d/t multiple etiologies
Term
4 cognitive disturbances assoc w dementia
Definition
1. aphasia
2. apraxia
3. agnosia
4. disturbance in executive functioning
Term
how many of the cognitive deficits does alzheimer's need vs vascular dementia to meet criteria.
Definition
vascular dementia = 2 cognitive disturbances, Alzheimer's = 1
Term
main difference in physical exam from vascular and alzheimer's dementia
Definition
vascular dementia has focal neuronlogical findings
Term
how many cognitive distubances to meet criteria for dementia due to general medical conditions
Definition
1/4 cognitive disturbances
Term
general medical conditions that can cause Dementia:
Definition
1. HIV infection
2. trauma
3. parkinsons
4. huntingtons
5. pick's
6. creutzfeld-jakob
7. normal pressure hydrocephalas
8. hypothyroidism
9. tumor
10. B12 def
Term
amnestic disorder
Definition
memory impairment marked by an inability to learn new information or an inability to recall information not from delirium or dementia
Term
transient amnestic disorder is if the memory impairment lasts for less than:
Definition
1mo
Term
substance dependence: _ or more of the following, occuring at any time in the same __ mo period
Definition
3 of the following within a 12mo period
1. Withdrawal sx
2. Important activities impaired
3. Tolerance
4. Harm done but cont'd use
5. Desire to cut back
6. Increased time spent trying to acquire product
7. Time on substance longer than planned
Term
Early full remission
Definition
1mo<12mo of dependence free criteria
Term
Early partial remission:
Definition
1mo<12mo criteria for dependance not met but 1-2 have been noted
Term
Sustained full remission:
Definition
none of the criteria for dependence has been met within a 12mo period
Term
substance abuse: _ or more of the following occuring within a __mo period
Definition
1 or more in a 12mo period
1. failure to fulfill obligations
2. substance use in phys hazardous situations
3. substance related legal problems
4. substance use despite having problems
Term
substance dependence trumps _____
Definition
substance abuse
Term
8sx for EtOH withdrawal
Definition
1. autonomic hyperactivity
2. hand tremor
3. insomnia
4. N/V
5.hallucinations/illusions
6.psychomotor agitation
7. anxiety
8. seizures
Term
how many EtOH withdrawal sx are needed to meet criteria
Definition
2/8
Term
criteria for amphetamine withdrawal:
Definition
dysphoric mood + 2/5 of the following
1. fatigue
2. vivid, unpleasant dreams
3. sleep disturbances
4. increased appetite
5. psychomotor retardation or agitation
Term
criteria for opiod withdrawal:
Definition
3 or more of the following
1. dysphoric mood
2. N/V/D
3. muscle aches
4. lacrimation/rhinorrhea
5. pupil dilation, piloerection, sweatin
6. xs yawning
7. fever
8. insomnia
Term
criteria for sedative, hypnotic or anxiolytic withdrawal
Definition
2 or more of the following
1. autonomic hyper
2. hand tremor
3. N/V
4. hallucinations/illusions
5. psychomotor agitation
6. anxiety
7. seizures
Term
schizophrenia: _ or more of the following present for a significant portion of time during a __mo period
Definition
2 or more each present for a significant amount of time during a 1mo period:
1. delusions
2. hallucinations
3. disorganized speech
4. disorganized behavior
5. negative sx
Term
schizophrenia: only criteria A is req for dx if -
Definition
delusions are dizarre or hallucinations consist of a voice keeping running commentary on the persons behavior or thoughts OR 2 or more voices conversing with each other.
Term
duration criteria for schizophrenia
Definition
signs of the disturbance persist for at least 6mo with 1mo of criteria A sx
Term
5 types of schizophrenia
Definition
1. paranoid
2. disorganized
3. catatonic
4. undifferentiated
5. residual type
Term
duration for schizophreniform
Definition
criteria for schizophrenia met but duration <6mo
Term
schizoaffective vs bipolar or MDD with psychosis
Definition
schizoaffective there have been delusions or hallucinations present for 2 weeks oustide of mood sx.
Term
describe delusional disorder
Definition
non-bizarre delusions for at least a month
Term
7 types of delusional disorder
Definition
1. eromatic
2. grandiose
3. jealous
4. persecutory
5. somatic
6. mixed
7. unspecified
Term
duration of brief psychotic disorder
Definition
>1day<1mo
Term
criteria for manic episode
Definition
elevated or irritable mood x 1wk or any time period where hospitalization is needed. + 3 of the DIGFAST
Term
criteria for mixed episode (bipolar)
Definition
criteria for Mania and MDD present within a 1wk period
Term
criteria for MDD
Definition
depressed mood OR loss of pleasure x 2wks + 4 of the SIGECAPS
Term
criteria for hypomanic
Definition
mania for <4days and no need for hospitalization
Term
dysthymic disorder
Definition
depressed mood for most of the day, more days than not for 2yrs + 2 or more of the SIGECAP
Term
Bipolar I is more ____ and II is More ____
Definition
I=manic
II=depression
Term
cyclothymic disorder
Definition
2years of depression and mania that do not meet full criteria for either. not without sx for more than 2mo
Term
depression with postpartum onset occurs wn ____ of delivery
Definition
4wks
Term
criteria for panic attack
Definition
4 or more of the following sx which peak wn 10min: 1. palpitations 2. sweating 3. tremors 4. SOB 5. feelings of choking 6. CP/discomfort 7. nausea 8. dizzy 9. derealization 10. fear of going crazy/dying 11. paresthesias 12. chills or hot flushes
Term
criteria for panic d/o with or without agoraphobia
Definition
recurrent panic attacks with at least one attck followed by 1mo of one or more of the following:
1. persistent concerns about having attacks
2. worry about the implications of the attack
3. change in behavior related to attacks
Term
duration for social anxiety d/o
Definition
6mo
Term
PTSD: the traumatic event is re-experienced in __ or more of the following ways:
Definition
one or more of the following ways:
1. recurrent and intrusive recollections
2. recurrent distressing dreams
3. flashbacks
4. intense distress from cues that resemble something from the event
5.
Term
PTSD: avoidance of stimuli assoc w the trauma and numbing of general responsiveness as indicated by __ or more of the following
Definition
3 or more of the following
1. efforts to avoid thoughts/feelings
2. efforts to avoid activities/places
3. inability to recall an important aspect of the trauma
4. decreased participation in activities
5. detachment or derangements from others
6. restricted range of affect
7. sense of foreshortened future
Term
PTSD: persistent sx of increased arousal as indicated by __ or more of the following:
Definition
2 or more of the following
1. diff falling or staying asleep
2. irritability
3. 4. hypervigelence
5. xs startle response
Term
PTSD: duration of the disturbance is > ___
Definition
>1mo
Term
duration for acute stress d/o
Definition
PTSD but sx >2d<4wks and sx occur within 4 wks of event
Term
Generalized anxiety d/o:
Definition
uncontrolled worry about a # of dif things for 6mo + 3/6 of the following
Muscle tension
Restlessness
Sleep dist
Irritability
Concentration <
Energy <
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