Term
| tx of tourettes, side effect |
|
Definition
clonidine (a2 alpha agonist), sedation
alternative if severe: typical antipsychotics (ex: pimozide - QT prolongation!!!) |
|
|
Term
|
Definition
| lead poisoning, tx w/ CaEDTA |
|
|
Term
|
Definition
hypokalemic alkalosis w/ arrhythmia +
decreased Mg, P, Ca, Zn, Cu, gonadotropins, sex hormones, thyroid, glucose
increased BUN, cholesterol, carotene, GH, cortisol |
|
|
Term
| treatment of ADHD if tics in the family |
|
Definition
|
|
Term
| infection leading to OCD and Tourette |
|
Definition
|
|
Term
|
Definition
50% chance fail dex suppression test
30% blunted TSH response to TRH |
|
|
Term
| most common cause of postpartem psychosis, treatment |
|
Definition
| bipolar disorder, admission to hospital |
|
|
Term
| cyclothymia vs bipolar II |
|
Definition
BP2: >= 1 MDE + >= 1 hypomanic episode
Cyclothymic: no hx of MDE (num periods w/ hypomanic sx and depressive sx for > 2 yrs |
|
|
Term
| abdominal pain in psychotic patient |
|
Definition
| might be porphyria - investigate urinary porphobilinogen |
|
|
Term
| lab (liver enzymes) findings of alcoholism |
|
Definition
| GGT ekevated and AST/ALT >2/1 |
|
|
Term
| ECT sessions needed for MDD, Catatonia, Mania, Psychosis |
|
Definition
MDD: 6-12
Catatonia: 2-4
Psychosis/Mania: >20 |
|
|
Term
| antidepressents: placebo vs drug |
|
Definition
|
|
Term
| positive prognostic factors for psychosis |
|
Definition
| late & acute onset, obvious stressors, good premorbid function, marriage, family history of mood symptoms, positive symptoms |
|
|
Term
| Suicide risk (completed) for SCZ and MDD |
|
Definition
|
|
Term
|
Definition
Lateral: cognitive behavior
Medial: emotional behavior |
|
|
Term
|
Definition
| hypoaactive mPFC (which usually dampens response to emotional conflict) |
|
|
Term
| infarct locations for depression vs mania vs OCD |
|
Definition
depression (left frontal)
mania (right frontal)
OCD (bilateral frontal)
*OCD related to increased activity in caudate nucleus, cingulum, and frontal lobes |
|
|
Term
| Multiple sclerosis vs Alz Dementia MRI |
|
Definition
MS: multiple plaques of frontal white matter
Alz: ventricular enlargement and cerebral atrophy |
|
|
Term
|
Definition
| 12% children or dizygotic twin, 50% monozygotic twins |
|
|
Term
| increased risk for suicide (completed) |
|
Definition
depressed, white, old, male, single, non-Catholic, alcoholic, rage/violence, prior suicidal behavior.
*Age >45 is most predictive factor |
|
|
Term
|
Definition
| decreased size of hippocampus, parahippocampal gyrus, and amygdala |
|
|
Term
| Opiate vs Benzo withdrawal |
|
Definition
Opiates not life threatening
Benzo very life threatening |
|
|
Term
|
Definition
| From Wernicke's Encephalopathy, See Anterograde Amnesia & Confabulation |
|
|
Term
| flight of ideas vs loose associations |
|
Definition
FOI: sentences associated but all over place
LA: no associations between sentences |
|
|
Term
|
Definition
| haldol, IM, unless from alcohol withdrawal then benzos |
|
|
Term
| SE of long term thioridazine |
|
Definition
|
|
Term
|
Definition
| Aspirin and sulindac (all others increase Lithium levels) |
|
|
Term
|
Definition
antipsychotics + SSRIs
(think they are depressed psychos) |
|
|
Term
| rationalization vs distortion |
|
Definition
| rationalization denies that something is wrong - person uses false reasoning to make feel like everything is ok. in distortion person recognizes that something is wrong but you make an excuse by reshaping natural surroundings |
|
|
Term
| altruism vs sublimation vs (good) reaction formation |
|
Definition
| submlimation transforms instincts/impulses to good. reaction formation the good is opposite of the bad impulse. altruism if good to others is not sub or reaction formation. |
|
|
Term
|
Definition
| anticonvulsant for bipolar w/ neuropathic pain |
|
|
Term
| SSRI w/ VERY short half and very long 1/2 life |
|
Definition
short: paroxitine
long: fluoxetine |
|
|
Term
|
Definition
| anticholinergic (can use to treat sialorrhea) |
|
|
Term
| dystonic reactions induced by neuroleptics: opisthotonos, torticollis, pleurothotonos, oculogyric crisis, laryngospasm |
|
Definition
opisthotonos - spasm of neck/back => arch forward
torticollis - spasm of neck that brings to side usually
Pleurothotonos - torso muscles => leaning forward |
|
|
Term
| Antidepressants that do not cause sexual disfunction |
|
Definition
| buproprion (*reverses it*), mirtazepine, nefazodone |
|
|
Term
|
Definition
abuse - use inspite of consequences
dependance - physical or psychological needs to continue using a drug |
|
|
Term
| Alcohol Withdrawal Timeline |
|
Definition
12-24 hrs alcoholic hallucinosis
12-48 hrs seizures
48-96 hrs DTs |
|
|
Term
|
Definition
| one response to some situation stimulus is substituted for another response AKA reciprocal inhibition. ex: anxiety replaced by relaxation |
|
|
Term
|
Definition
| hyperthyroidism, hyperparathyroidism, pheochromocytoma, cardiac arrythmias, and substance abuse |
|
|
Term
| tx of acute & severe mania |
|
Definition
| mood stab + benzo until mood stab kicks in |
|
|
Term
| Tx of adjustment disorder |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
| psych + neurologic abnormalities (sensory ataxia, wide-based gait, roberg +, loss of vib/prop in lower extremities, etc. |
|
|
Term
|
Definition
| forgetful, upset, agitate + asterixis, tremors, palmar erythema, right sided ecchymoses |
|
|
Term
|
Definition
| proximal myopathy/muscle wasting, hot flashes, cognitive deficits in calculation and recent memory + anything |
|
|
Term
|
Definition
| delerium w/ tachycardia, tremor, HT, seizure |
|
|
Term
| projection vs displacement |
|
Definition
projection: project inner impulses/thoughts on false external source
displacement: pick a fight w/ someone/something less threatening |
|
|
Term
|
Definition
| long face, large ears, large hands, large jaw, large testicles, flexible fingers |
|
|
Term
|
Definition
| Presenelin 1: 14, Presenelin 2:1, APP: 21, APOE: 19 |
|
|
Term
|
Definition
|
|
Term
| Substance P and Neuropeptide Y |
|
Definition
|
|
Term
APHASIAS
Speech Fluency, Comprehension, Reptition, Naming (S,C,R,N)... |
|
Definition
BROCA - N, Y, N, N
WERNICKE - Y, N, N, N,
GLOBAL - N, N, N, N,
ANOMIC - Y, Y, Y, N
CONDUCTION - Y, Y, N, N, |
|
|
Term
| NAT: Lesion to Right Prefontal Area |
|
Definition
| laughter, euphoria, jokes, puns |
|
|
Term
| NAT: Leasion in dorsolateral frontal lobe |
|
Definition
| inattentive, unmotivated, cannot plan, tendency to linger on trivial thoughts (repeating words) |
|
|
Term
| NAT: lesion to left prefrontal area |
|
Definition
| depression and uncrontrollable crying |
|
|
Term
| NAT: lesion to orbitofrontal area |
|
Definition
| disinhibition, lability, euphoria, lacking remorse |
|
|
Term
| reactive attachment disorder |
|
Definition
| often confused w/ ODD: defiant destructive kid severely neglected by parent |
|
|
Term
|
Definition
| classic conditioning w/ bell and a pad |
|
|
Term
|
Definition
| palepbral fissues, thin upper lip, long smooth philtrum and MR |
|
|
Term
| only SSRI indication that need a higher dose than for MDD |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
| prazosin (anti a1 adrenergic) |
|
|
Term
| tertiary amines vs secondary amines |
|
Definition
| both TCAs. secondary increase NE. Tertiary increase 5HT |
|
|
Term
| reboxetine and atomoxetine |
|
Definition
| NRIs. R only in UK, A indicated for adult adhd |
|
|
Term
| treatment of depression in very medically ill |
|
Definition
|
|
Term
| depressed patient on warfarin |
|
Definition
| venlafaxine (lowest protein binding of all antidepressants) |
|
|
Term
|
Definition
| SSRI removal => arthralgia/myalgia + flu like symptoms |
|
|
Term
| meperidine contraindication |
|
Definition
| MAOI, also only opiod that NOT constrict pupils |
|
|
Term
|
Definition
|
|
Term
|
Definition
decreased prefrontal activity
and post LEFT sided stroke |
|
|
Term
|
Definition
| decreased sleep latency, increased sleep fragmentation, decreased REM sleep |
|
|
Term
| reversible rapid onset dementia + headaches following head trauma |
|
Definition
|
|
Term
| 1 minute long impaired awareness and responsiveness w/ smelling changes and motor movements |
|
Definition
| partial complex seizure (bilat hemi involvement) |
|
|
Term
| most common cause of noncompliance in the hospital |
|
Definition
|
|
Term
| tonic clonic seizure vs pseudoseizure (or nonepileptic seizure) |
|
Definition
| prolactin levels elevated post TC |
|
|
Term
| most common causes of delerium across ages |
|
Definition
old - multiple drugs
adults - drug abuse/wdwl
children - poisoning or hypoxia |
|
|
Term
|
Definition
|
|
Term
| VMA (urine vanillymandelic acid) |
|
Definition
|
|
Term
| cotard vs capgras vs fregoli |
|
Definition
cotard: im dead
capgras: you an imposter
fregoli: everyone is 1 person |
|
|
Term
| Alcoholic Labaratory findings |
|
Definition
| Elevated Liver enzymes (initially), hypOmagnesemia, increased PTT, thrombocytopenia |
|
|
Term
|
Definition
| anti-seizure, gingival hyperplasia |
|
|
Term
| attention vs concentration tests |
|
Definition
attention = digit recall
concentration = world bacwkards, serial 7s |
|
|
Term
|
Definition
| patient responding to questions w/ ridiculous or approximate answers |
|
|
Term
| Tx of choice is benzotropine causes anti-cholinergic side effects |
|
Definition
| Amantadine (antiviral!), which is not anti-cholinergic but alleviates extrapyrimidal side effects |
|
|
Term
| adjustment disorder timeline |
|
Definition
| w/in 3 months of stressor but does not last more than 6 months from end of stressor |
|
|
Term
|
Definition
| altruism, humor, sublimation, suppression |
|
|
Term
|
Definition
acting out, denial, regression, projection, fantasy
DARP-F |
|
|
Term
| psychogenic unresponsiveness (vs coma) |
|
Definition
| PU: EEG normal, supressed DTRs, cold water nystagmus normal, saccades rapid and smooth |
|
|
Term
| MDD w/ atypical features & tx |
|
Definition
mood reactivity + 2/4 (appetite or weight gain, hypersomnia, leaden paralysis, and rejection sensitivity)
tx MAOIs (most effective) but SSRI's still typically used |
|
|
Term
| diphenhydramine in elderly |
|
Definition
| avoid this bc of anti-cholinergic effects |
|
|
Term
| test that can identify substance dependance, not abuse |
|
Definition
|
|
Term
| young healthy person, test before lithium tx |
|
Definition
| TSH (creatine clearance, 24 urine volume, etc. in older pts) |
|
|
Term
| mortality rate anorexia nervosa |
|
Definition
|
|
Term
| Antichonlinergic toxicity symptoms causes and tx |
|
Definition
decreased secretions (all), flushing of skin, tachy, dilated pupuls
AP + anticholinergic
tx w/ anti-cholinesterases (physostigmine) |
|
|
Term
| anticholinesterase toxicity sx and tx |
|
Definition
sx: nausea, vomiting, bradycardia and seizures
tx: atropine (antimuscarinic) |
|
|
Term
| tx of agitation in alcohol withdrawal |
|
Definition
BENZO.
not anti-psychotic bc may reduce seizure threshold |
|
|
Term
|
Definition
|
|
Term
| tx for labor induced psychosis |
|
Definition
|
|
Term
| IQ test for children, adults, preschoolers |
|
Definition
|
|
Term
|
Definition
|
|
Term
| abdominal cramps, confustion, palpitations, and muscle twitching |
|
Definition
|
|
Term
| parental consent not needed for adolescent on issues of... |
|
Definition
| contreception, prenatal care, STDS, or substance abuse |
|
|
Term
| before giving long acting injection haloperidol |
|
Definition
| give short acting oral to assess tolerability |
|
|
Term
| flu like illness/rash + difficulty concentrating, irratibility, depression... & TX |
|
Definition
|
|
Term
| sleep patterns in depression |
|
Definition
| increased REM and increased core body temperature |
|
|
Term
| Lithium minor severity side effects |
|
Definition
| thirsty, pimples, taste changes |
|
|
Term
| Cushings Syndrome + Mood Disorder DDX |
|
Definition
| Think did they get steroids => Substance induced mood disorder |
|
|
Term
| % of new mothers of Post Partum Depression |
|
Definition
|
|
Term
| How long after stroke patient at higher risk for depressive disorder? |
|
Definition
|
|
Term
| BAD patient w/ onset of manic episode due to decreased sleep, tx |
|
Definition
treat w/ long acting benzo to get sleep
(sleep deprivation has anti-depressant effect may switch to mania) |
|
|
Term
| postpartum blues vs postpartum depression |
|
Definition
|
|
Term
| when can u give an antidepressant to a bipolar patient |
|
Definition
| if develop Depressive episode during maintenance w/ mood stabilizer. BUT STILL WORRY ABOUT MANIC SWITCH |
|
|
Term
| Premenstrual dysphoric disorder |
|
Definition
| headaches, anxiety, depression, irritability, and emotional liability 1 week before period |
|
|
Term
| contraindicated foods for MAOI |
|
Definition
| aged cheese, red wine, cured meats |
|
|
Term
|
Definition
| creatinine, TSH, lithium level, urinanalysis |
|
|
Term
| juvenile depression sx and treatment |
|
Definition
| if preschooler (irratable, aggressive, withdrawn or clingly), if school age anhedonia re: friends or school. use SSRIs |
|
|
Term
| relative contraindications for ECT |
|
Definition
| increased ICP, space occupying lesion in the brain, recent history of MI, and large aneurysms |
|
|
Term
| multiinfarct dementia CT results |
|
Definition
|
|
Term
| most accurate indicator for long term suicide risk |
|
Definition
|
|
Term
| pain disorder vs hypochondriasis |
|
Definition
| pain disoder usually has some precipitating event and pain symptoms out of proportion to event/findings |
|
|
Term
| medical conditions that can cause anxiety related symptoms |
|
Definition
endocrine: pheochromocytoma, hyperthyroidism/cortisolemic state/parathyroid
metabolic:hypoxemia/glycemia, hypercalcemia
neurologic: vascular, trauma, degen
other: mitral valve prolapse related (but dont know if causatory) |
|
|
Term
| adjustment disorder (w/ anxiety features) prevalence after HIV dx |
|
Definition
|
|
Term
| treatment of PTSD trigger induced hyperventilation/autonomic symptoms |
|
Definition
|
|
Term
|
Definition
|
|
Term
| fluoxetine sexual side effects |
|
Definition
| lower sex drive, anorgasma but OK ERECTIONS!!! |
|
|
Term
| sexual side effect of perphenazine |
|
Definition
|
|
Term
| obesity increases risk for what cancers in women |
|
Definition
| lady cancers (breast, cervix, endometrium) + gallbladder |
|
|
Term
|
Definition
| Psychodynamic Psychotherapy |
|
|
Term
| periodic limb vs restless leg |
|
Definition
PL - kick partner in bed
RL - gotta move around |
|
|
Term
| peak withdrawal symptoms after opiate use. time |
|
Definition
|
|
Term
| hallucinogen intoxication timeline |
|
Definition
| usually over w/in 8-12 hrs, but week long psychosis may occur (PCP) |
|
|
Term
| alcohol intox conversion x mg/DL |
|
Definition
x/1000
ex: 20 mg/DL = 0.02 |
|
|
Term
blood urine tox good for how long
(PCP, Benzo, MJ) |
|
Definition
PCP - 8 days
BZD - 3 days
MJ - 3d - 4weeks |
|
|
Term
|
Definition
|
|
Term
| Axiety 2/2 drug. what drug? |
|
Definition
|
|
Term
|
Definition
|
|
Term
| carbamezepine test every 3 months in second year |
|
Definition
|
|
Term
|
Definition
| carbemezepam. pallor, bleeding gums |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
| lithium duration to steady state |
|
Definition
|
|
Term
|
Definition
| antidepressants (bc decrease REM) |
|
|
Term
| immipramine additional indications |
|
Definition
|
|
Term
| surrogate decision maker duty |
|
Definition
|
|
Term
|
Definition
| hallucination occurring in a patient who is completely alert and oriented (alcohol use) |
|
|
Term
| deja entendu vs deja vu vs jamais vu |
|
Definition
DE - hearing what has heard before
DV - seeing what seen before
JV - something that have seen before but dont think you have |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
| euthanasia vs physician assisted suicide |
|
Definition
| euthanasia is more than facilitation but actual administration of agent |
|
|
Term
| sleeping aid for alcoholics |
|
Definition
|
|
Term
| ECT highest rate of response & Other indications |
|
Definition
Bipolar Manics (best)
Bipolar
Depression MDD
Schizophrenia
Catatonia
Parkonsonianism
NMS |
|
|
Term
| type of abuse in BPD and Anti-Social PD |
|
Definition
BPD - sexual/phsyical
AS - alcoholic parents |
|
|
Term
| anticholinergic side effects in elderly |
|
Definition
| confusion and memory impairment! |
|
|
Term
| complex partial epilepsy and psychosis prevalence |
|
Definition
| 20% psychosis, think emotional pornstar nun who signs a lot of autographs |
|
|
Term
|
Definition
| dysarthria, ataxia, coarse tremor, abdominal pain |
|
|
Term
| butyrophenone vs phenothiazine antipsychotics |
|
Definition
B = haldol
P = other typicals? |
|
|
Term
|
Definition
| fatigue, weight gain, cold intolerance, constipation, decreased concentration |
|
|
Term
|
Definition
| immature defense mechanism substituting less disturbed view of world in place of reality as means of resolving conflict. |
|
|
Term
| what to do before giving long-acting injection formulation of haldol |
|
Definition
| trial of oral haloperidol to assess tolerability |
|
|
Term
| when can a patient sign informed consent |
|
Definition
| if decision making ability in tact (can understand procedure and risks assoc). if not competent in this regard, surrogate decision maker does it. |
|
|
Term
| pregnancy complications for current or corrected eating disorder patients |
|
Definition
| premature and or small for gestational age babies. post pregnancy poor growth and intellectual impairment |
|
|
Term
| duration of bipolar maintenance after acute manic episode |
|
Definition
| at least 1 year. taper down |
|
|
Term
|
Definition
modafinil or ritalin vs daytime somnelence
antidepressants (+ psychostimulants) vs cataplexy |
|
|
Term
|
Definition
| dantrolene (muscle relaxant), amantadine, and or bromocrptine |
|
|
Term
| tx of enuresis in a child |
|
Definition
| first alarms (behav mod), then try desmopressin (antidiuretic hormone), then 2nd line imimpramine |
|
|
Term
| panic disorder comorbidities |
|
Definition
#1 depression (60%)
#2 - agoraphobia (40%)
#3 and #4 - GAD and substance abuse |
|
|
Term
| seizure + hx of panic disorder, likely med |
|
Definition
|
|
Term
| imediate management of anorexia if eveidence of phsyical abnormalities |
|
Definition
|
|
Term
| reversible acetycholinesterace inhibitors to know |
|
Definition
DR. GT
donepezil
rivastigmine
galantamine
tacrine |
|
|
Term
| structured milieu for SCZ |
|
Definition
| reduced family stress/conflict first, then participation in social skills training program |
|
|
Term
| most effective therapy for panic disorder |
|
Definition
|
|
Term
| suppression vs. repression |
|
Definition
| suppression is mature. intentionally avoid thinking of distressing thoughts, feelings ideas. |
|
|
Term
| strengthening of current defense mechanisms |
|
Definition
|
|
Term
| personality change therapy |
|
Definition
| psychodynamic psychotherapy |
|
|
Term
| correcting faulty ideas through therapy |
|
Definition
|
|
Term
| ecploring feeling of meaninglessness in life and investigating freedom of individuals |
|
Definition
|
|
Term
| processs by which repressed material, painful experinces of conflict usually, is brought back into consciousness |
|
Definition
|
|
Term
| personality disorder best treated with combined individual and group psychotherapy b/c of intense transferences/countertransferences |
|
Definition
|
|
Term
| PD best tx w/ combined group and indiv psychotherapy to examine group wounds to self-image in indiv therapy |
|
Definition
|
|
Term
| 2 PD's best treated w/ combined individual and group psychotherapy |
|
Definition
|
|
Term
| cognitive triad of depression |
|
Definition
| oneself is ineffective, the world is a hostile place, nothing one can do will ever change anything |
|
|
Term
| thoughts at the edge of conscious awareness that regularly precede unpleasant feelings |
|
Definition
|
|
Term
|
Definition
behaviors, not underlying factors. Here-and-now approach to maladaptive behaviors.
enhance adaptive, unlearn maladaptive. short-term therapy |
|
|
Term
| thearpy that clarifies communication patterns |
|
Definition
| interpersonal psychotherapy |
|
|
Term
| therapy that changes maladaptive thoughts and behaviors and "solves" interpersonal problems |
|
Definition
|
|
Term
| major tool of psychoanalysis |
|
Definition
| careful interpretations of the transference neurosis |
|
|
Term
| most important factor in hypnosis |
|
Definition
| pt highly responsive to suggestion |
|
|
Term
| relative contraindication to hypnosis |
|
Definition
|
|
Term
| greatest risk factor for depression for women w/ chronic depression |
|
Definition
| marital status and satisfaction |
|
|
Term
| thing that most distinguishes brief psychodynamic therapy |
|
Definition
| identification of a focal conflict |
|
|
Term
| therapy not indicated in pts w/ psychosis/difficulty with reality testing |
|
Definition
|
|
Term
| projective identification |
|
Definition
| pt projects unacceptable feelings he has on others around him. recognizes unacceptable feelings himself |
|
|
Term
|
Definition
systematic desensitization
replace one response to a situation stimulus with another response (relaxation for anxiety) |
|
|
Term
| give pt physiologic variables |
|
Definition
|
|
Term
|
Definition
| physician may ethically break confidentiality in cases involving imminent harm to others |
|
|
Term
| "not criminally responsible if unlawful act was product of mental dz or mental defect |
|
Definition
|
|
Term
| 4 D's of establishing medical malpractice case |
|
Definition
dereliction of duty directly causes damage
plaintiff must establish presence of a fiduciary relationship (duty), negligence (dereliction), damages directly caused by negligence
proof: preponderance of the evidence |
|
|
Term
| can expert witnesses provide opinion testimony |
|
Definition
| yes. expert medical witness - civil, criminal trails. exceed laypersons, fee, defense or plaintiff |
|
|
Term
|
Definition
level of competence required to make a legally valid will
1. comprehension writing/signing will
2. knowledge of potential heirs
3. understand extent of one's assets
4. lack of undue influence
5. absence of delusions compromising rational thought |
|
|
Term
|
Definition
|
|
Term
| modern standard for the insanity defense |
|
Definition
American Law Institute test
person w/ mental dz or defect should not be held criminally responsible for an act if person
1. could not appreciate wrongfulness of conduct
2. could not conform the conduct to requirements of law |
|
|
Term
| criminal responsibility consists of |
|
Definition
1. act (actus reus)
2. mens rea (intent) |
|
|
Term
| informed consent requirements |
|
Definition
comprehend issues or choices furnished by physician
appreciate consequences of making certain decision
arrive at a voluntary decision after weight facts |
|
|
Term
| competency to stand trial |
|
Definition
1. ability to rationally consult with one's attorney
2. understand proceedings in factual and rational terms |
|
|
Term
| criteria for involuntary admission into hospital |
|
Definition
1. danger to self or others
2. gravely disabled
police power (state as protector o public safety) and parens patriae (state as parent for those unable to care for selves) |
|
|
Term
| insanity defense leads to ___ # years of incarceration |
|
Definition
greater. usually unsuccessful.
no limit to # times can assert insanity |
|
|
Term
| sexual or physical abuse may predispose an individual to the development of other psych disorders such as |
|
Definition
| depression, PTSD, borderline personality disorder |
|
|
Term
| confidentiality should be maintained btwn physician-patient except |
|
Definition
duty to protect others, mandatory reporting, emergencies
maintain EVEN IN CASES OF COURT MANDATED tx |
|
|
Term
| treatment decisions of children/neonates |
|
Definition
must be made in best interest of child regardless of the desires of the parents
tx withhend or withdrawn only if risks >>> benefits, low success |
|
|
Term
| ethics of offering psych dx for individuals you have not personally examined |
|
Definition
unethical; dont say on TV
commenting on individual that you have evaluated would be a breach of confidentiality |
|
|
Term
| next step if pts prior wishes unclear or family members are unable to agree on tx options or power of attorney's decision unreasonable/contrary to pts prior wishes |
|
Definition
| consultation with ethics committee |
|
|
Term
| category of mental disorders most likely assoc w/ suicide |
|
Definition
affective (MDD, BAD) - 40-70%
alcohol: 20-30% |
|
|
Term
| sexual/romantic relationship w/ patient |
|
Definition
previous psych patinet: unethical
former pts: OK as long as dont exploit power derived from professional relationshp |
|
|
Term
| rate antisocial personlity disorder in male prison population |
|
Definition
|
|
Term
| when physician served subpoena to release medical info |
|
Definition
| appropriate first step is to contact the patient to find out if he or she consents to the release. clarify implications lawsuit, see if pt has proper legal counsel |
|
|
Term
| cases in which disclosing pt's medical records without consent is ethically permissable |
|
Definition
| certain criminal proceedings, malpractice cases initiated by pt, contestation of a will |
|
|
Term
| an individual who commits a crime while voluntarily intoxicated can/not assert an insanity defense |
|
Definition
| cannot. rational decision to drink. |
|
|
Term
| the state shall not 'deprive any person of life, liberty or property without due process of law" |
|
Definition
| habeas corpus. right to petition the court when detained. |
|
|
Term
|
Definition
| competency to make a decision, voluntary choice, adequate explanation of rationale risks, benefits, alternative tx options |
|
|
Term
| personality disorder that raises suspicion for malingering |
|
Definition
|
|
Term
| when discharging pt from care |
|
Definition
| advance notice of pending d/c must be given with sufficient time to obtain another physician |
|
|
Term
| reporting of impaired colleages |
|
Definition
| initial reporting to hospital's inhouse impaired physician program. |
|
|
Term
| test to follow the severity of previously diagnosed depression |
|
Definition
| BDI (beck depression inventory) |
|
|
Term
| test to evaluate short-term memory, a capacity that can be affected during ECT |
|
Definition
|
|
Term
| test used to screen for demensio w/ 30 point scale |
|
Definition
|
|
Term
| rating scale for nonprofessional staff to evaluate pts abilities to perform ADL and interact |
|
Definition
|
|
Term
| tool that asks pt friends/relatives to assess ability of pt to function in his/her current environment |
|
Definition
|
|
Term
| test for executive functioning with cards and various criteria |
|
Definition
| Wisconsin Card SOrting Test (WCST) (switch, abstract reasoning, problem solve) - frontal lobes |
|
|
Term
| ppl with schizophrenia perform poorly on the ___ |
|
Definition
| WCST, dorsolateral prefrontal cortex abnl |
|
|
Term
| draw a person test used for |
|
Definition
| intelligence in children, possible TBI |
|
|
Term
| test for neuropsychological tests to assess specific cortical areas and aids in assessment of hemispheric dominance |
|
Definition
| Luria-Nebraska Neuropshyc Battery |
|
|
Term
| test involving copying of figures to see if ther eis organic brain dz |
|
Definition
|
|
Term
| internal reliability of test |
|
Definition
| evaluates whether questions within test are measuring same thing |
|
|
Term
| 20 cards with ambiguous situations , subjt must develop narrative |
|
Definition
|
|
Term
| rorschach, tat, sentence compresion, draw-a-person are all ____ tests |
|
Definition
|
|
Term
| true/false questions designed to assess personality characteristics; most widely used and high standardized test of personlity strx |
|
Definition
|
|
Term
| projective test classifications |
|
Definition
associations (rorshach)
Completion (sentense completion)
Construction (TAT)
Self-Expression (Draw a Person) |
|
|
Term
| test that asks patient to identify appropriate, day, mo, day of week, current time (orientation) |
|
Definition
Temportal Orientation Test
pt w/ or w/out brain damage. |
|
|
Term
| Spatial Orientation Memory Test evaluates orientation of figures to evaluate ___ |
|
Definition
|
|
Term
| Stroop Test tests ability to ____ |
|
Definition
word of color in wrong color>color > read words
concentrate |
|
|
Term
| Fargo Map test assesses ___ and ___ memory |
|
Definition
| recent and remote spatial memory and visuospatial orientation |
|
|
Term
| MMPI and MMPI 2 are ____ tests in assessment of ___ |
|
Definition
objective, personlity structure.
500 statements, attitudes
interpretation requires experinced eval |
|
|
Term
|
Definition
| 6 verbal, 5 performance - full scale IQ, performance IQ, verbal IQ |
|
|
Term
|
Definition
| mental age / chronological age x 100 |
|
|
Term
|
Definition
complex figure, pt asked to copy while looking at figure. draw from immediate memory
visual nonverbal memory |
|
|
Term
| people with parietal lesions usually show abnormalities in ____ test |
|
Definition
| rey osterrieth. neglect items in left visual field. |
|
|
Term
| evaluation aphasic disorder |
|
Definition
| Boston Diagnostic Aphasia Examination |
|
|
Term
| behavior most difficult to extinguish when reinforced on a ___ schedule |
|
Definition
| partial. gambling has a variable-ratio schedule |
|
|
Term
| ___ is the feeling that one is hearing something one has heard before |
|
Definition
deja entendu
associated w/ anxiety states/fear |
|
|
Term
|
Definition
| reexperiencing something you have SEEN |
|
|
Term
|
Definition
| something that sould be familiar seems unfamiliar |
|
|
Term
| ppl with conversion disorder often show indifference or __ |
|
Definition
|
|
Term
|
Definition
| deefense mechanism. moves blame from one person to another. |
|
|
Term
| ___ return of symptoms that are brief/transiet, assoc w/ abrupt dc of benzos |
|
Definition
|
|
Term
| data based system used to score/interpret Rorschach test |
|
Definition
| Exner Comprehensive System |
|
|
Term
|
Definition
raise finger when hear letter
tests concentration, cooperation, ability to hear (no education level) |
|
|
Term
|
Definition
hemispheric language dominance prior to surgical amelioration of seizure focus
sodium amytal into carotid artery -- effect on speech |
|
|
