Term
| How does the criteria for dysthymic disorder differ in adults vs. children? |
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Definition
| Symptoms for 1 year in children, 2 years in adults |
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Term
| What are the differences in criteria between PTSD and acute stress disorder? |
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Definition
- PTSD
- Events occurred at any time in past
- Symptoms last >1 month
- Acute stress disorder
- Event occur <1 month ago
- Symptoms last <1 month
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Term
What are the differences in criteria between PTSD and adjustment disorder?
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Definition
- Adjustment disorder
- Symptoms occur in period 3-6 months after event
- Event is generally not life threatening
- Symptom solved after stressor terminated
- PTSD
- Events occurred at any time in past
- Symptoms last >1 month
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Term
| Which drugs have flu-like symptoms in withdrawal? |
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Definition
| Opioids and SSRI (especially paroxetine and those with long half-lives) |
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Term
| Somatization requires 2 symptoms in which system? |
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Definition
| GI (note: somatization = temporal association with psych stressor) |
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Term
| Sleep terror disorder involves which phase? |
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Definition
| III and IV (no awareness, unlike night terror disorder) |
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Term
| Which 3 benzos bypass liver metabolism? |
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Definition
| Oxazepam, lorazepam, something that begins with a "T" |
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Term
| Which symptoms improve most quickly with an antidepressant? |
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Definition
| Neurovegetative (eg sleep, appetite) |
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Term
| Most useful therapy in borderlines? |
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Definition
| DBT (involves 1-2 years of group and individual therapy) |
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Term
| Symptoms of atypical depression? |
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Definition
| Leaden paralysis, hypersomnia, mood reactivity, hyperphagia |
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Term
| How to treat atypical depression? |
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Definition
|
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Term
| Best prognosis schiz subtype? |
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Definition
| Paranoid (minimal negative features, minimal disorganization) |
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Term
| Capgras vs. Fregoli's syndromes? Cotards? |
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Definition
- Capgras
- Delusion that familiar people are imposters
- Associated with TBI to amygdala
- Fregoli's = delusion that strange people are familiar
- Cotards = nihilistic delusions
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Term
| Relative contraindications for ECT? |
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Definition
| Recent MI (within 6 months), brain mass/increased ICP |
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Term
|
Definition
| Main distinction is delirium has waxing and waning consciousness caused by underlying medical condition |
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Term
| Avoid uising this med class in delirium (may exacerbate) |
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Definition
| Anti-cholinergic (eg Benedryl), Benzos |
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Term
| Absence seizure EEG pattern? |
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Definition
|
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Term
| Psychotropics which may increase seizure risk? |
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Definition
| Welbutrin, clozapine (divide doses into BID as precautionary measure) |
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Term
| Which antidepressants have minimal sexual side effects? |
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Definition
| Mirtazapine, buproprion, trazodone (50-100mg for sedation) |
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Term
| Avoid this common OTC with Li |
|
Definition
| NSAIDs (specifically, ibuprofen) |
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Term
Tx for Li-induced tremors?
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|
Definition
|
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Term
| Li fetal cardiac abnormality |
|
Definition
| Epstein (atrialization of tricuspid valve) |
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|
Term
|
Definition
|
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Term
|
Definition
- High dose SSRI, clomipramine
- Cingulotomy
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Term
| Intoxication with this can lead to rotary nystagmus |
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Definition
|
|
Term
| Biggest worry with using flumazenil |
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Definition
|
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Term
| NT most implicated in cognition/delirium? |
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Definition
|
|
Term
| NT that inhibits prolactin secretion |
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Definition
|
|
Term
| Atypical with highest risk of hyperprolactinemia |
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Definition
|
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Term
| Side effects of TCAs? Main cause of death in OD? |
|
Definition
| Coma, cardio, cholinergic; arrhythmia |
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Term
|
Definition
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|
Term
| Gender differences in schizophrenia |
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Definition
|
|
Term
| Highest EPS among atypicals |
|
Definition
| Risperidal (note: Abilify = akithisia) |
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|
Term
|
Definition
| Aripiprazole (and Geodone?) |
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|
Term
| Antidepressants associated with possible weight loss |
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Definition
|
|
Term
| Childhood development disorder only in females |
|
Definition
|
|
Term
| Auicide risk factors by age/ethnicity |
|
Definition
| White, male, elderly/young |
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|
Term
| Most common form of inherited MR |
|
Definition
|
|
Term
| Leading nongenetic cause of MR in US |
|
Definition
|
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Term
| SSRI that self-tapers when discontinued |
|
Definition
|
|
Term
| SSRI with highest likelihood of withdrawal |
|
Definition
| Paroxetine (sedate, weight gain) |
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Term
| Bilateral papilledema, daily headaches, small ventricles in obese woman |
|
Definition
- Pseudotumor cerebri
- Treatment =
- LP drain
- Uncal herniation is not an issue
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|
Term
|
Definition
| Alpha; the chance that your result is a false positive |
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Term
|
Definition
| ß; the chance your result is a false negative |
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|
Term
|
Definition
| 1-ß; the chance a study will reject a false null hypothesis |
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Term
|
Definition
| Dereliction in duty that causes damage to the patient |
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Term
|
Definition
| Chance of finding illness is ill population |
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|
Term
|
Definition
| Chance of NOT finding illness in well population |
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|
Term
| Relative risk of schizophrenics committing homicide compared with general population |
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Definition
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|
Term
| Eye track movement abnormality in schizophrenia |
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Definition
|
|
Term
| EtOH causes what sleep changes |
|
Definition
| Decreased sleep latency, fragmented III and IV |
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|
Term
|
Definition
- Hallucinosis = sensorium disturbance
- DT = autonomic instability
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|
|
Term
| Bitemporal hemianopsia (or hemianopia) |
|
Definition
|
|
Term
|
Definition
| Deficiency in understanding, describing or processing emotion |
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|
Term
| Tx for anticholinergic toxicity |
|
Definition
|
|
Term
| Factitious disorder vs. Malingering |
|
Definition
- Factitious = Primary gain
- Malingering = Secondary gain
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Term
Washout period MAOI --> SSRI?
Prozac --> MAOI? |
|
Definition
|
|
Term
| Meperidine contraindicated with this Rx class |
|
Definition
|
|
Term
| Tx of hypertensive crisis associated with MAO |
|
Definition
|
|
Term
|
Definition
| Elderly, females, mood disorder |
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Term
| Birth control metabolism classicaly increased with this agent |
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Definition
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|
Term
| Most frequently reported type of child abuse |
|
Definition
|
|
Term
| Childhood separation anxiety increases risk in adulthood for: |
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Definition
|
|
Term
| Anorexia weight threshold for diagnosis |
|
Definition
| Less than 85% of normal weight |
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Term
|
Definition
- REM latency decreased (shifted to earlier in night) and stages III and IV decreased
- Initial and terminal insomnia (late to fall asleep, early to wake)
- Hypersomnia
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Term
| Psychotherapy which incorporates ambivalence for change? |
|
Definition
| Motivational interview; useful for substance abuse |
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|
Term
|
Definition
|
|
Term
| Hep C tx associated with depression |
|
Definition
|
|
Term
|
Definition
| Normal pressure hydrocephaly |
|
|
Term
| Greatest risk factor for violence |
|
Definition
|
|
Term
| Antidepressant-induced mania --> Dx? |
|
Definition
| Substance induced mood disorder |
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