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Psychiatry
UNECOM
49
Medical
Graduate
10/17/2009

Additional Medical Flashcards

 


 

Cards

Term
personality disorders
Definition
disorders associated with impaired social, interpersonal and occupational adjustment
Term
five main differences of personality in individuals
Definition
1.introversion/extroversion; 2.agreeableness; 3.conscientiousness; 4.neuroticism; 5.openness to experience
Term
DSM criteria for personality disorders
Definition
an enduring pattern of inner experience and behavior that differs markedly from the societal norm; this pattern is manifest in two or more of the following areas: 1. cognition; 2. affectivity; 3. interpersonal functioning; 4. impulse control
Term
cluster A personality disorders
Definition
the "eccentric" disorders; follow pervasive pattern of abnormal cognition, self-expression, or relating to others; include: paranoid, schizoid and schizotypal
Term
cluster B personality disorders
Definition
the "dramatic" disorders; follow pervasive pattern of violating social norms, impulsivity, excessive emotionality, grandiosity, "acting out," and violating the rights of others; include: borderline, antisocial, histrionic and narcissitic
Term
cluster C personality disorders
Definition
the "anxious" disorders; follow pervasive pattern of abnormal fears involving social relationships, separation and need for control; include: avoidant, dependent and obsessive-compulsive
Term
cluster A personality disorder that may develop into paranoid psychosis; men>women; linked to both genetics and early childhood deprivation or abuse; treatment includes supportive psychotherapy and antipsychotic medication
Definition
paranoid personality disorder
Term
cluster A personality disorder in which the patient does not directly experience or acknowledge a wish for closeness; unrelated to development of schizophrenia; treatment includes a variety of psychotherapies
Definition
schizoid personality disorder
Term
cluster A personality disorder defined by restricted interpersonal or social interaction, as well as cognitive distortions and eccentric behavior; treatment includes a variety of therapies and possibly low-dose anti-psychotics
Definition
schizotypal personality disorder
Term
cluster B personality disorder defined by chronic instability in affect; treatment includes dielectic behavioral therapy and pharmaceuticals
Definition
borderline personality disorder
Term
cluster B personality disorder defined by antisocial behavior; higher in lower socioeconomic groups; possibly linked to maternal deprivation in first five years of life; tend to develop hypochondriacal and depressive disorders; treatment includes peer group therapy
Definition
antisocial personality disorder
Term
cluster B personality disorder in which the individual is uncomfortable in situations in which they are not the center of attention, interaction is characterized by sexually seductive behaviour, and interpersonal relations are shallow; treatment includes psychoanalysis
Definition
histrionic personality disorder
Term
cluster B personality disorder defined by a grandiose sense of self-importance, requirement of excessive admiration, and a lacking of empathy; possible cause includes repeated and intense injuries to self-esteem in childhood; treatment includes psychotherapy
Definition
narcissistic personality disorder
Term
cluster C personality disorder defined by social inhibition, feelings of inadequacy, and hypersensitivity to negative evaluation; treatment includes a variety of therapy modalities and antidepressant and antianxiety medication
Definition
avoidant personality disorder
Term
cluster C personality disorder defined by an excessive need to be taken care of, which leads to submissive behavior and fear of seperation; treatment includes both individual, group, couples and family therapy
Definition
dependent personality disorder
Term
cluster C personality disorder defined by a preoccupation with orderliness, perfectionism, and mental and interpersonal control; treatment includes therapy and analysis; differentiate from OCD by lack of intrusive thoughts and compulsive behavior
Definition
obsessive-compulsive personality disorder
Term
affective vs. personality disorders
Definition
the non-cognitive mental life of an individual vs. the cognitive mental life
Term
list of affective disorders
Definition
mood disorders, depressive illness, manic-depressive illness, bipolar illness, unipolar illness
Term
mania vs. hypomania
Definition
no psychotic symptoms or impairment of psychosocial functioning
Term
unipolar vs. bipolar
Definition
depressive illness without incidents of mania
Term
suicide rate in individuals with affective disorders
Definition
15%
Term
mixed state depression
Definition
illness defined by features of both mania/hypomania and depression concurrently
Term
bipolar I vs. bipolar II
Definition
bipolar I: episodes of mania with or without depression; bipolar II: episodes of hypomania with depression
Term
natural history of bipolar illness
Definition
onset at 19; first episode tending toward mania in males, depression in females; without treatment 9-10 episodes in lifetime
Term
kindling
Definition
a model for understanding affective disorders; early episodes provoked by environmental stimuli, eventually episodes occur spontaneously
Term
decreased in age of onset in bipolar illness, with increased severity in subsequent generations
Definition
anticipation
Term
treatment options for major depression
Definition
SSRIs; tricyclics; MAOIs; wellbutrin; trazadone; lithium; psychotherapy
Term
treatment options for bipolar illness
Definition
lithium; valproic acid; carbemazepine; lamotrigine; cautious use of antidepressants for protracted episodes of depression for fear of mania, hypomania, mixed states and rapid cycling; antipsychotics; benzodiazepenes; supportive psychotherapy
Term
passivity delusion
Definition
a delusion that the individual is being acted upon
Term
components of the mental status examination
Definition
general; speech; mood; hallucinations; delusions; obsessions; compulsions; phobias; orientation; attention; recall; fund of knowledge; abstraction; social judgement; insight
Term
behavioral cycle characterized by loss of control, compulsive use, persistent drug-seeking at the expense of normal rewards, and development of a negative affective state
Definition
addiction
Term
________ levels increase in response to an addictive que, and it is the __ receptors that are decreased in withdrawal and play a role in drug-craving
Definition
Dopamine levels increase in response to an addictive que, and it is the D2 receptors that are decreased in withdrawal and play a role in drug-craving
Term
which receptor is implicated in multiple substance addictions, and receives glutamate?
Definition
NMDA receptor
Term
"pleasure center"
Definition
nucleus accumbens
Term
dynorphin
Definition
a protein synthesized in response to increased dopamine release from the VTA, which reduces dopamine release from the VTA; this is the process that causes to drug tolerance
Term
a facilitative style of interviewing designed to promote healthy behaviour change that is humanistic and non-confrontational
Definition
motivational interviewing
Term
stages of change
Definition
precontemplation; contemplation; determination; action; maintenance; extinction; (relapse)
Term
"FRAMES" model of motivational interviewing
Definition
F-feedback; R-responsibility; A-advice; M-menu; E-empathy; S-self-efficacy
Term
proposed theory of chronic hyperventilation resulting in hypocapnia and alkalosis-decreased cerebral blood flow
Definition
panic disorder
Term
biological model of this disorder includes hyperreactivity of the locus coeruleus, dysregulated serotonergic modulation, decreased GABA-BZD receptor complex binding, hypersensitive brain stem CO2 receptors, hypersensitive conditioned-fear network in amygdala, moderate genetic component
Definition
panic disorder
Term
primary physical etiologic possibilities in panic disorder differential
Definition
mitral valve prolapse and pheochromocytoma
Term
an anxiety disorder for which an autoimmune streptococcal-related component is indicated
Definition
OCD
Term
an anxiety disorder in which a proposed biologic model includes limbic hypersensitivity and cortical hyposensitivity to traumatic stimuli
Definition
PTSD
Term
alexathymia
Definition
an inability to identify emotions
Term
only anxiety disorder with alternate neurocircuit route (hyperactive orbito-frontal-limbic-basal ganglia-thalamic circuitry vs. amygdala circuitry)
Definition
OCD
Term
depressive symptoms as "sig e caps"
Definition
insomnia or hypersomnia; interests greatly diminished; guilt or hopelessness; energy markedly decreased; concentration impaired; appetite greatly reduced; psychomotor depression or agitation; suicidal thoughts, attempts, and/or ruminations
Term
disorder diagnosed by the presence of four pain symptoms (two GI symptoms, one sexual, and one pseudoneurological); prevalence 20 times more likely in women; 10% of primary care patients
Definition
somatization disorder
Term
proposed mechanism of delirium
Definition
not fully understood, although one explanation postulates that the BBB is compromised, allowing penetration of cytokines and the induction of the inflammatory response
Term
hallmark of delirium syndrome
Definition
disturbance in attention
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