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fear of heights
(acro- : height, think acrobat) |
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-fear of open places
-(marked fear in or avoidance of crowds, public places, traveling alone, traveling away from home) |
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fear of cancer
(carcino- : cancer) |
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fear of death, dead things
(necro- : dead) |
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| fear of injections/needles |
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fear of fire
(think pyro- = fever, fire) |
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fear of strangers
(xeno- : alien, strange) |
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| Examples of Natural environment type fear/phobia |
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| Example of blood-injection-injury type fear/phobia |
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sight of blood
(note: has a high familial tendency) |
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| Examples of Situational type fear/phobia |
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Definition
| airplanes, elevators, enclosed places |
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Term
| a diffuse unpleasant, vague sense of apprehension, accompanied by autonomic symptoms |
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| fear of being focus of attention or performing in a situation in which embarrassment may occur |
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| Which is more common, specific phobias or social phobia? |
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| What is the M/C mental disorder among women and the second M/C among men (second only to substance related d/o)? |
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| acrophobia, zoophobia, cynophobia, hydrophobia, etc are all examples of what? |
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Definition
Specific (Isolated) Phobias
-marked fear or avoidance of a specific object or situation NOT included in agoraphobia or social phobia |
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| DOC for Generalized Anxiety d/o |
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Definition
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| Generalized Anxiety D/O is excessive anxiety and worry about ____________ for most days during at least a #____(week/month/yr) period |
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| several events or activities; 6 month period |
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| What is "Free-Floating Anxiety"? |
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Definition
worry about possible things that are not probable (ex. going outside and getting struck by lightning)
-Generalized anxiety |
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| what is the criteria for frequency of panic attacks in moderate panic d/o? severe panic d/o? |
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Definition
Moderate-at least 4 attacks in a 4 week period
(in 4 weeks= 4 attacks)
Severe- at least 4 attacks/week over a 4 week period
(in 4 weeks= 16 attacks) |
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Term
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Definition
Obsession-THOUGHT
>persistant thoughts, images, ideas, impulses that seem to invade persons consciousness
Compulsion-ACTION
>repetitive and rigid behaviors or mental acts that a person feel compelled to perform in order to prevent or reduce anxiety
ex. Obsessed with being clean, having "no" germs; Compulsion is repetitively washing hands |
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| When does sx's occur in post-traumatic stress d/o? What is the 1st line tx? |
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Definition
| after >28 days (4weeks) of stressful event; SSRI's |
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| Tammy witnessed a kid on his bike get hit and killed by a car on her way to work. She reacted with intense horror and now presents to office with a sense of numbing, detachment, and flashbacks accompanied by stomach discomfort and headache that has continued for about a week. What is a likely diagnosis? |
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Definition
Acute Stress Disorder
-Her response to incidint
-Her presentation (which includes sx's of anxiety - stomach discomfort & HA)
-Duration: minimum of 2 days & max of 4 weeks
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Term
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Definition
I-Clinical Disorders
II-Personality Disorders/Mental Retardation
III-General Medical Conditions
IV-Psychosocial/Environmental Problems
V-Global Assessment of Functioning |
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A pt presented to you with weight loss but feeling fat & these are your notes
A. Highest level of functioning
B. Dx: Anorexia
C. 2 failed attempts to join gymnastics team; friends don't support her efforts to keep trying
D.PMH: Anemia
Complete Axis I-V using info |
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Definition
I-Anorexia
II-none
III-Anemia
IV-Rejection and lack of peer support
V-100 |
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| A patient that you suspect has Anorexia nervosa eats 3 full plates at a buffet then goes home and induces vomiting or uses multiple laxatives. Which type of Anorexia does she most likely have? |
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| Binge-eating/purging type |
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| A patient that you suspect has Anorexia nervosa eats only a salad during the day and if any other meal is presented to her she only eats a very small portion. She does not engage in self induced vomiting. Which type of Anorexia does she most likely have? |
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| Name 2 biological and 2 social effects of anorexia |
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Definition
Biological factors: endogenous opiods (=denial of hunger), thyroid function suppression, amenorrhea,enlarged CSP spaces on CT
Social factors: close but troubled relationships w/ fam, hostility, chaos, isolation, strained marital relationships, do not eat w/ fam or in public |
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| How does a pt with Bulimia Nervosa feel after binging? Does their weight increase, decrease, or stay the same? |
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Definition
| guilt, depression, self disgust; maintains normal weight (unlike in Anorexia) |
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Term
| First line treatment for Bulimia |
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Definition
| Cognitive-Behavioral psychotherapy |
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Term
| What BMI range is assoc with healthy weight? elevated risk? |
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Definition
healthy: BMI 20-25
risk: 25-27
(>27 obese, >30 morbidly obese) |
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Term
| Epidemiology of Pica (M/C) |
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Definition
| childre (12-24months) and mentally retarded |
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| T or F: enuresis is not due to direct physiological effect of substance (diuretic) or medical condition (spina bifida, seizure, etc) |
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| Pattern of passing feces into inappropriate places whether involuntary or intentional |
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Definition
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| Hallmarks of Rett's disorder |
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Definition
| autistic behavior, microcephaly, and peculiar wringing motion of hands |
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Term
| ADHD characterized by ... (3 characteristic sx's)and must be present in how many settings? |
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Definition
| inattentiveness, impulsiveness, hyperactivity; at least 2 |
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| A 10 year old from a low economic class and low parent involvement in their life bullies his classmates, steals, and stays out all night. Possible dx? |
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Definition
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| The leading cause of mortality in pt w/ schizophrenia |
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Definition
suicide
(10-15% die, 50% attempt) |
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| what type of hallucinations are M/C in schizophrenia? |
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| Common substance use/abuse in schizophrenia pts |
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Definition
more than 3/4 smoke cigarettes
(also 30-50% of pt meet criteria for alcohol abuse/dependence) |
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Which population has the highest prevalence of schizophrenia
-Child of two parents w/ schizophrenia
-monozygotic twin of a schizophrenia pt |
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Definition
*-monozygotic twin of a schizophrenia pt (47%)
-Child of two parents w/ schizophrenia (40%) |
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(-) OR (+) Symptoms of schizophrenia?
Hallucinations, delusions, bizarre behavior, positive formal thought
disorder |
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Definition
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(-) OR (+) Symptoms of schizophrenia?
Affective flattening, alogia, avolition, anhedonia, blocking |
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Definition
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| Residual Phase of schizophrenia |
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Definition
| marked by return to prodromal phase, emotional blunting, eccentric(unusual) behavior, illogical thinking |
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| Type of delusion m/c in paranoid schizophrenia |
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Definition
| Delusion of persecution: m/c in schizophrenia, they believe they are being victimized, spied on, threatened (someone after them) |
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Term
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Definition
| when manic or depressive d/o develops concurrently w/ major sx's of schizophrenia |
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| Name the 8 components of the MSE |
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Definition
Appearance, Speech, Mood/Affect, Thought, Perception, Sensorium, Insight, Judgement
("apples sometimes make the people sick in Japan/jail") |
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Term
Formal Thought Disorders:
Circumstantiality |
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Definition
Loss of capacity for goal-oriented thinking; Pt brings in irrelevant details but gets back to the point
(EX. Q: "What is your name?" A: "Well,some people think it's an odd name even though I don't really because my mom gave it to me and I think my dad helped but it's a good name, I think it's a little weird to have the same name as two of my friends... but yeah, it's Tom." |
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Definition
| official psychiatric coding system used in US |
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| Lab test m/c used in psych |
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Definition
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| Which psychotherapy professional attended medical school and had a 3-yr residency in psychiatry and can prescribe medications |
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Definition
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| Hallucinations are under what part of the MSE |
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| Delusions, paranoia, obsessions, and compulsions are under what part of the MSE |
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