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Psych
Gen Med
104
Medical
Graduate
05/15/2011

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Cards

Term
Axis II
Definition
Personality Disoder & Mental Retardation
Term
Axis III
Definition
General Medical Conditions
Term
Axis I
Definition
Clinical Disoders
Ex. MDD, Schiphrenia, Bipolar Disorder 2
Term
Axis IV
Definition
Psychosocial and Environmental problems
Term
Axis V
Definition
Global Assessment of Functioning
Term
Persistant danger of severely hurting self or others on the GAF. What numbers?
Definition
1-10
Term
Superior functioning on the GAF. What numbers?
Definition
90-100
Term
Personality disorders. Egosyntonic or egodystonic?
Definition
egosyntonic
Term
Behavior that deviates markedly from the expectations of a person's culture.
Definition
Personality disorders
Term
People that are pervasive and inflexible but stable over time have what?
Definition
Personality disorders
Term
What four areas is behavior manifested by?
Definition
1. cognition
2. affectivity
3. interpersonal functioning
4. impulse control
Term
Cluster A disorders.
Definition
Paranoid
Schizoid
Schizotypal
Term
Cluster B disorders.
Definition
Borderline
Histrionic
Narcissistic
Antisocial
Term
Cluster C disorders
Definition
OCPD
Avoidant
Dependant
Term
Which cluster can be associated with being "sad"?
Definition
Cluster C
Term
Which cluster of PDs can be associated with being "Mad"?
Definition
Cluster A
Term
Which cluster is associated with being "Bad"?
Definition
Cluster B
Term
Which cluster consists of mood disorders?
Definition
Cluster B
Term
Which cluster consists of anxiety disorders?
Definition
Cluster C
Term
Which cluster is associated with psychotic disorders?
Definition
Cluster A
Term
This PD has distrust and suspiciousness. They feel exploited, harmed and decieved by others without justification.
Definition
Paranoid PD
Term
I won't tell anyone my secrets because I think they will use them against me to harm me.
Definition
Paranoid PD
Term
I think my wife is cheating on me for no reason.
Definition
Paranoid PD
Term
This PD does not want social relationships or friends. They will chose solitary activities.
Definition
Schizoid PD
Term
This PD has lack of emotions. They are unpleasant and appear indifferent when recieving praise or criticism.
Definition
Schizoid PD
Term
This PD resembles autism. They have detached social relationships and restricted range of emotions.
Definition
Schizoid PD
Term
This PD has social anxiety that does not lessen with familiarity that tends to be due to paranoid thinking.
Definition
Schizotypal PD
Term
This PD has no close friends other than relatives. They have odd beleifs or magical thinking.
Definition
Schizotypal PD
Term
Eccentric behavior is common in this PD. They dress in a way that seems peculiar.
Definition
Schizotypal PD
Term
This PD has instability in interpersonal relationships or self-image. They have fear of abandonment and make efforts to avoid it.
Definition
Borderline PD
Term
This PD has an unstable self-image or sense of self worth, unstable and intense relationships.
Definition
Borderline PD
Term
This PD has love-hate relationships and a fear of abandoment. Often have recurrent suicidal or self-mutilating behaviors.
Definition
Borderline PD
Term
THis PD is the drama-queen. They have excessive emotions and attention seeking behavior.
Definition
Histrionic PD
Term
THis PD is uncomfortable when not the center of attention. They use their physical appearance to draw attention to themselves.
Definition
Histrionic PD
Term
This PD has feelings of self-importance without any real achievements.
Definition
Narcissistic PD
Term
This PD beleives he should only associate with high status ppl. He has a need for admiration and a lack of empathy.
Definition
Narcissistic PD
Term
This PD can only be diagnosed if the pt is 18 and has been diagnosed with conduct disorder at age 15.
Definition
Antisocial PD
Term
This PD has a disregard for safety, irresponsibility for work and finances, lack of remorse, impulsivity and deceitfulness.
Definition
Antisocial PD
Term
Which PD has such a fear of criticism, disapproval or rejection that they avoid activities.
Definition
Avoidant PD
Term
This PD wants social relationships but they are so weird that nobody really likes them.
Definition
Avoidant PD
Term
This PD has an excessive need to be taken care of that leads to submissive and clingy behavior.
Definition
Dependent PD
Term
This PD has a fear of separation and has difficulty making decisions without reassurance of others.
Definition
Dependent PD
Term
This PD has a preoccupation with orderliness and perfectionism. They lack flexibility, opennes, and efficacy.
Definition
OCPD
Term
This PD focuses on perfection so much that they never complete the task. THey are all work and no play and are extremely stubborn.
Definition
OCPD
Term
How many classes of substances are there?
Definition
11
Term
How many substances must be used to be considered poly-substance abuse?
Definition
3
Term
Cognitive, behavioral and physiologic Sx indicating the person to continue to use the substance despite related problems.
Definition
Substance Dependence
Term
Pattern of substance use that results in recurrent and significant adverse consequences associated with frequent use.
Definition
Substance Abuse
Term
Reversible substance-specific syndrome d/t the recent ingestion or exposure of a substance.
Definition
Substance Intoxication
Term
Substance-specific maladaptive behavior change with physicological and cognitive components that are d/t cessation of prolonged use of a substance.
Definition
Substance W/drawl
Term
This type of w/drawl has autonomic hyperactivity, tachycardia, hand tremor, insomnia, hallucinations, and possibly seizures.
Definition
Alcohol W/drawl
Term
What type of tx should be done for alcohol w/drawl?
Definition
Admitted and monitored. Banana bag and benzos.
Term
This type of episode has inflated self-esteem, decreased need for sleep, super talkative with flight of ideas.
Definition
Manic episodes
Term
Do manic episodes require hospitalization?
Definition
Yes - to protect from self and others
Term
How long must a manic episode go on for to be considered mania?
Definition
At least 1 week
Term
Does manic episodes cause impaired social or occupational funcitoning?
Definition
Yes
Term
Are psychotic features present in manic episodes?
Definition
Yes
Term
Difference btwn mania and hypomania?
Definition
Mania - at least 1 week
Hypomania - at least 4 days
Same Symptoms
Term
Does hypomania need hospitalization?
Definition
No
Term
Does hypomania cause impaired social or occupational functioning?
Definition
No
Term
Are there psychotic features present in hypomania?
Definition
No
Term
How long must a depressive episode be?
Definition
at least 2 weeks
Term
This type of episode has both depression and mania for at least 1 week?
Definition
Mixed Episode
Term
This disorder has one or more depressive episodes without history of hypomanic, manic or mixed episodes.
Definition
MDD
Term
One or more manic or mixed episodes along with depressive lows.
Definition
Bipolar 1 Disorder
Term
Main difference between Bipolar 1 and 2.
Definition
1 will impair social and occupational funcitoning, 2 will not.
Term
Do bipolar disorders need hospitalization?
Definition
Yes
Term
One or more depressive episodes with at least 1 hypomanic episode.
Definition
Bipolar Disorder 2
Term
Does Bipolar 2 need hospitalization?
Definition
No
Term
Intentional production/feining of physical or psychological signs and symptoms. They assume the sick role with no external incentives.
Definition
Factitious Disorder
Term
Feining symptoms where the motivation is in the form of incentives.
Definition
Malingering
Term
Recurrent, multiple, somatic complaints that cause significant impairment in functioning or results in medical attention.
Definition
Somatization Disorder
Term
This disorder has complaints before age 30 lasting for several years and cannot be explained by a general medical condition.
Definition
Somatization D/O
Term
What sx have to be present for somatization D/O?
Definition
4 pain sx
2 GI sx
1 sexual sx
1 pseudoneurological sx
Term
The fear of having a serious disease based on misinterpreted bodily signs and symptoms. These fears continue even after medical evaluation and reassurance.
Definition
Hypochondriasis
Term
How long must the sx last to be considered hypochondriasis?
Definition
at least 6 mos
Term
Symptoms of voluntary motor or sensory funciton suggesting a neurological condition that worsen with certain conflicts or stressors. (ex. blindness, deafness, stocking anesthesias)
Definition
Conversion D/O
Term
What D/O has excessive anxiety and worry that occurs more days than not for at least 6 mos?
Definition
Generalized anxiety D/O
Term
THis D/O has recurrent, unexpected attacks that include palpitations, sweating, SOB, feelings of choking, dizziness, chills or fear of dying.
Definition
Panic D/O
Term
Treatment for Panic D/O?
Definition
TCA's (ex. amytryptiline)
Term
This D/O has recurring obsessions or compulsions that are severely time consuming and cause significant stress or impairment.
Definition
OCD
Term
How long must a person have obsessions and compulsions per day do be considered OCD?
Definition
At least 1 hr per day
Term
Involves exposure to a traumatic event that caused actual or threatened death, injury or threat to physica integrity to self or others.
Definition
PTSD
Term
What type of psychotic symptoms are delusions, hallucinations, disorganized speech and catatonic behavior?
Definition
positive sx
Term
What type of psyhosis sx consist of restriced range of emotional expression, diminished production of thought and speech and decline of goal-directed behavior?
Definition
Negative Sx
Term
What disorder has a sudden onset of positive sx such as hallucinations, delusions, disorganized speech and behavior that lasts for 1 day to 1 month but the pt has a full recovery?
Definition
Brief Psychotic D/O
Term
What D/O is characterized by 2 or more of the following sx for at least 1 month: delusions, hallucinations, disorganized speech or negative sx. With some of the sx lasting for more than 6 mos?
Definition
Schizophrenia
Term
Does schizophrenia have impairment in functioning?
Definition
Yes
Term
What type of schizophrenia has peculiar involuntary movements or echolalia?
Definition
Catatonic Type
Term
which type of schizophrenia has more negative symptoms?
Definition
Residual type
Term
Which D/O has the same positive and negative sx of schizophrenia, but duration is more than 1 mos and less than 6 mos?
Definition
Schizophreniform D/O
Term
Does Schizophreniform D/O cause social or occupational impairment?
Definition
No
Term
This D/O has an uninterrupted period of illness where there was at some point a major depressive episode, manic episode or mixed episode along with sx of schizophrenia?
Definition
Schizoaffective D/O
Term
This D/O has nonbizarre delusions for at least 1 month but has never met criteria for schizophrenia?
Definition
Delusional D/O
Term
What type of D/O has impaired social functioning and communication, restricted, repetative behavior and delay in language or social interaciton?
Definition
Autism
Term
THis type of D/O is considered a "high functioning autism".
Definition
Asperberger's Syndrom
Term
Refusing to maintain a minimally normal body weight, a fear of gaining weight and binging and purging or restricting episodes?
Definition
Anorexia Nervosa
Term
Recurrent binging and purging episodes that occur at least 2x/week for 3 months.
Definition
Bulimia Nervosa
Term
What type of bulimia has fasting and excessive exercise?
Definition
Non-purging type
Term
What D/O has inattention and/or hyperactivity or impulsivity that occurss either at home, work, or school?
Definition
ADHD
Term
What is a rare, but life-threatening idiosyncratic reaction to a neuroleptic medication?
Definition
Neuroleptic Malignant Syndrome
Term
What is the first thing to do for Neuroleptic Malignant Syndrome?
Definition
Stop the Drug
Term
What is it when there is involuntary movements of the tongue, lips, face, trunk and extremities that occurs in patients with long-term dopaminergic antagonist medictions.
Definition
Tardive Dyskinesias
Term
What D/Os are most common with Tardive Dyskinesias?
Definition
schizophrenia, schizoaffective, and bipolar
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