CAGE correct answer: items responses are scored either 1 or 0. A score 2 or higher is considered clinically significant
OCD correct answer: obsessive
... [Show More] thoughts interfere with your daily life
-are you concern about things being contaminated, keeping things in perfect order
-do you feel driven to perform certain acts over and over again?
-have unwanted images or thought that you cant seem to get out of your head
layman's explanation of mental illness correct answer: Abnormal functioning of neurotransmitters. Neuroanatomical differences have been found in some cases.
-can arise from multiple sources, not a single or consistent cause has been established
biomedical psychiatry correct answer: mental illness is conceptualized as a disorder of the brain circuit caused by a complex interplay of genetic and environmental factor
state-dependent learning correct answer: when a memory is formed a new neural pathway is created. If the memory was formed under specific chemical conditions (on a drug, manic), then the pathway will be primed to work most effectively under these circumstances.
-state-dependent learning in bipolar. Bipolar individuals in a depressed episode may not be able to recall details of manic episodes. Corroboration is needed.
Assessment tools to screen for cognitive impairment correct answer: -folstein mini-mental: perfect score is 30. <24 impairment. If only 9th grade education <17
Abnormal sodium levels correct answer: -increased: dehydration, methyldopa,
-decreased: SIADH, heart failure, nephrotic syndrome, hepatic disease.
Abnormal Potassium levels correct answer: Increased: amiloride, spirolactone, lithium, propranolol.
Decreased
alpha 1 antagonists correct answer: -vasodilator and used for hypertension
-raynauds
-PTSD and GAD
-benign prostatic hyperplasia (tamsulosin)
-agonism: vasoconstrictor
-trazadone and many antipsychotics
ESR-erythrocyte sedimentation rate correct answer: high values indicate autoimmune, malignancies, infections
absolute neurophil count calculations correct answer: total WBC x percentage of neurophil in differential=ANC
Calcium correct answer: -increased: >10.8 caused by hyperparathyroidism from tumor of renal disease, lithium
PET vs. fMRI correct answer: measures brain activity by associated changes in blood flow. Relies on fact that cerebral blood flow and neuronal activity are coupled.
-In addition, PET has the advantage of being able to identify specific receptors associated with neurotransmitter through its ability to image radioactive ligands
ELISA testing correct answer: -first screen with ELISA. ELISA tests for HIV antibodies. Vast majority of HIV positive people have detectable antibodies by 3 months after exposure.
Splitting correct answer: the individual segregates experiences in to all-good or all-bad, with no room for ambiguity or ambivalence.
displacement correct answer: separation of emotion from it object of discontent and redirected to a less threatening and intimidating
--example: displaced aggression- If expressing or dismay to the source of the anger could lead to negative consequences, we may rather than express our angry to a person or object that pose no threat.
introjecion correct answer: a process whereby an individual unconsciously incorporates the qualities of another person into his or her ego structure
Gestalt Therapy correct answer: emphasizes personal responsibility. Cultivate a greater self-awareness and mindfulness.
-greater self-awareness of mind and body
-chair technique: a role-playing exercise. The client is asked to adopt one role in one chair, and another in the other chair (e.g. plays parent and then plays child)
Hyperprolactinemia and Risperidone correct answer: -prolactin levels peak the first 6 to 8 weeks
-returns to normal range in 3 t0 5 months
-hyperprolactinemia is dose-dependent
-osteopenia, amenorrhea, galactorrhea, gynecomastia
-get baseline, repeat in two months. ask about nipple discharge, menstruation, sexual dysfunction. If the patient has elevated prolactin after 2 months but no symptoms, repeat test in two months.
Antipsychotics that cause the most hypotension correct answer: olanzapine, risperidone, quetiapine
Rett Syndrome correct answer: -more common in females--the mutation arises from the X chromosome.
-onset before first birthday [Show Less]