Term
| Name the axis and cluster: paranoid, schizoid, schizotypl |
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Definition
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Term
| Name the axis and cluster: antisocial, borderline, histrionic, narcissistic |
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Definition
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Term
| me the axis and cluster: avoidant, dependant, OC |
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Definition
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Term
Name the disorder and axis/cluster:
guarded, hostile, defiant, argumentative, ‘underdog’, moral superiority, hyper vigilant. |
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Definition
| Paranoid Axis II cluster A |
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Term
Name the disorder and axis/cluster:
cold/detached, indifferent, loner, not social, poor eye contact, solitary |
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Definition
| Schizoid Axis II cluster A |
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Term
Name the disorder and axis/cluster:
strikingly odd bx/appearance, magic thinking/illusions, ideas of reference, paranoid, social anxiety, fantasy |
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Definition
| Schizotypal Axis II cluster A |
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Term
Name the disorder and axis/cluster:
self centered, pathological lying, lack of remorse/guilt, poor bx control, ALWAYS right, tantrums. |
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Definition
| Antisocial Axis II cluster B |
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Term
| What is the pharm tx for paranoid PD? |
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Definition
| psychotherapy + pharm for severe agitation (risperidone) or anxiety (lorazepam) |
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Term
| What is the pharm for Antisocial PD? |
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Definition
| depakote or tegritol for impulsive bx |
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Term
Name the disorder and axis/cluster:
“people are great – no they aren’t”, unstable self image, franticly avoid abandonment, psychotic episodes, “boder between neurosis/psychosis”…per Pepe all good or all bad. |
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Definition
| Borderline Axis II cluster B |
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Term
| Name the disorder and axis/cluster:very emotional, attention seeking, seductive/provocative bx, shallow expressions of strong emotion, overly trusting |
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Definition
| Histionic Axis II cluster B |
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Term
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Definition
| help them with black/white thinking, set stong boundaries |
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Term
Name the disorder and axis/cluster:
grandiose, self important, believes they are unique and special, reacts to criticism with rage, fantasies of unlimited power, sense of entitlement |
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Definition
| Narcissistic Axis II cluster B |
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Term
Name the disorder and axis/cluster:
feels inadequate, hypersensitive to negative feedback, avoids interpersonal activities, timid, fears rejection |
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Definition
| Avoidant Axis II cluster C |
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Term
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Definition
| psychotherapy, pharm SSRI, atenolol |
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Term
Name the disorder and axis/cluster:
excessive need to be taken care of, clinging, fear of separation, difficult decision making, difficulty disagreeing, risk of depression. |
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Definition
| Dependant Axis II cluster C |
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Term
Name the disorder and axis/cluster:
perfection, order, inflexible, control, these traits interfere with ability to complete tasks |
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Definition
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Term
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Definition
| psychotherapy and pharm foe SEVERE cases w/ clonazepam, clomipramine and SSRI |
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Term
Name the disorder and axis/cluster:
resistance acted out by: being late, missing appointments, not answering calls, they lack the ability to ask for what they need/want. |
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Definition
| Passive/Aggressive Axis II cluster C |
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Term
magical thinking, ideas of reference, constricted affect, paranoid ideation, metaphorical or circumstantial speech
cx of what disorder? |
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Definition
schiotypal personality disorder
asix II cluster A |
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Term
| which personality disorder is cx by frantic efforts to acoid abandonment, splitting, and short lived psychotic episodes? |
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Definition
boderline personality disorder
axis II cluser B |
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Term
| which personality disorder is more prone to a midlife crisis? |
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Definition
| narcissistic personality disorder |
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Term
| what is the tx for narcissistic personality disoder? |
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Definition
group therapy
pharm: SSRI, lithium for mood swings |
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Term
| What are the ABSOLUTE indications for neuroimaging for a pt w/ sx of delirium or dementia? |
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Definition
- abrupt onset
- Hx suggestive of mass lesion
- focal neurological sx/s
- H/O seizures, CVA, or head trauma
- young age |
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Term
recent memory loss, word finding problems (circumlocutions), visuospatial deficits (geographic disorientation), personality changes (apathy/disinterest, impaired social skills, labile affect, exaggerated premorbid personality), abstract reasoning difficulty, calculations difficulty, impaired judgement....
clinical manifestations of what disease? |
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Definition
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Term
| Demenia, gait ataxia (magnetic gait), and urinary incontinence are the "triad" for what disorder? |
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Definition
| normal pressure hydrocephalus |
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Term
if a pt has a PMH of CVA, SAH, and/or CNS infection and presents with dementia, gait ataxia, and urinary incontinence, what should you consider?
what will you see on CT scan? |
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Definition
normal pressure hydrocephalus
CT scan = incread ventricles due to changes in CSF absorption |
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Term
| nausea, anxiety and depression, tremor, seizures, paranoia, amnestic episodes, delirium tremens, tachycardia, HTN, and diaphoresis are w/d signs from what? |
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Definition
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Term
| hypoglycemia, DKA, subdural hematoma, post-ictal state, hepatic encephalopathy, and encephalitis are part of the diff dx for that? |
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Definition
alcohol intoxication
look for alocohol on breath, nystagmus, ataxia, euphoria, and disinhibition |
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Term
at what % blood alcohol level will a pt be unconscious by able to be aroused?
deep coma?
possible death? |
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Definition
unconscious by able to be aroused = 0.40%
deep coma = 0.50%
possible death = 0.60% |
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Term
| at pt that is withdrawing from alcohol may experience _______ 12-24hrs after last drink and __________ 24-72 hrs after last drink. |
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Definition
| at pt that is withdrawing from alcohol may experience seizures 12-24hrs after last drink and DTs 24-72 hrs after last drink. |
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Term
what is the pharm protocol for EtOH w/d?
(4) |
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Definition
benzo/barb taper if liver function ok (adivan ok w/ bad liver)
thiamine replacement (Wernicke/Karsakoff)
folic acid replacement (macrocytic anemia, neuropathy)
anticonvulsants (carbamazepine) if pt has seizure hx |
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Term
| what is a physical consequence of alcohol abuse that is due to the destruction of mammillary bodies? |
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Definition
Karsakoff's syndrome
chronic, nonreversible, cofabulating dementia and anterograde amnesia
Wernicke's encaphalophathy does not have cofabulation and is not permenant |
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Term
| on labs, what measure on LFTs will be the fist to increase and what will be the last? |
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Definition
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Term
| anxitey, tremor, seizures, delirium, insomnia, tachycardia, and nausea are sign of w/d from what? |
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Definition
| sedatives (barbs and benzos) |
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Term
| pts die from w/d from what substances? |
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Definition
| alcohol, benzos and barbs (i think barbs...not positive) |
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Term
| what is flumazenil (Romazicon) used for |
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Definition
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Term
| vicodin, percocet, oxycontin, demerol, and diluadid are what class of drugs? |
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Definition
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Term
| anziety, diaphoresis, N/V/D, rhinorrhea, piloerection, lacrimation, abdominal cramps, yawning, and mydriasis are s/sx of w/d from what? |
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Definition
opiates
stimulants = pupil dilation (miosis)
opaites = pupil constriction (mydtiasis) |
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Term
clonidine
methadone/buprenorphine taper
tigan for n/v
bentyl for abdominal cramps
NSAIDs
immodium
pharm tx for detox of what? |
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Definition
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Term
| pts who abuse opiods develop tolerance to euphoria, sedation, and analgesia but not to what (2) |
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Definition
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Term
dysphoria, malaise, fatigue, irritability, hypersomnia, vivid dreams, cravings, and increased appetitite
s/sx of w/d from what? |
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Definition
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Term
| buproprion (wellbutrin) and carbamzaepine (tegretol) have been used for tx of what drug dependence? |
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Definition
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Term
| HA, wt gain, lethargy, irritiability, depression, hypersomnia, and fatigue at w/d s/sx for what drug? |
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Definition
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Term
| what do you suspect if a pt is "crazy and naked" |
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Definition
| they got their hand on some PCP |
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Term
| what do you give for an opiate OD? |
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Definition
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Term
| pts who are psychotic, medically unstable, and are on drugs go to what level of care/hospitalization? |
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Definition
| inpatient (dual diagnosis) |
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Term
| for a pt to go into inpatient rehab (betty ford style), they cannot be what? |
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Definition
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Term
| what does the harrison act of 1912 have to do with tx protocols? |
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Definition
if you know a pt is an opiate addict, you cannot prescribe >3 day supply of opiates to them
what is going to put anna nicole's dr in the slammer |
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Term
Stage of AD:
recent memory loss, circumlocutions, geographic disorientation, personality changes (apathetic, labile affect, premorbid personality), abstract reasoning and calculation difficulties, impaired judgement |
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Definition
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Term
Stage of AD:
remote memory loss, confabulation, depression/anxiety, catastrophic reactions, irritable, poor hygeine, loss of orientation (1st time, then place, then person), compromised judgement. |
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Definition
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Term
| hallucinations & delusions (paranoid & Capgras syndrome), & illusions are signs of what stage of AD? |
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Definition
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Term
| aphasia and apraxia are signs of what stage of AD? |
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Definition
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Term
| Rivastigmine and Galantamine are cholinesterase inhibitors used to tx what? |
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Definition
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Term
| with tx of AD, what drugs have a black box warning? what do you need to be aware of w/ Depakote? |
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Definition
tranquilizers and neuroleptics
(Seroquel, Haldol, lorazepam, Xanax)
Depakote = antisuizure, thrombocytopenia and hepatitis s/e |
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Term
what type of demenia has a quicker onset, complex visual hallucinations, paranoid delusions, and fluctuation in alertness and cogntion?
Tx? |
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Definition
Diffuse Lewy Body Disease
Tx: avoid neuroleptics & antipsychotics. can use clozapine and quetiapine. cholinesterase inhibitors. |
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