GEORGETTE FINAL EXAM ACTUAL QUESTIONS AND
ANSWERS GRADED A+
✔✔If new onset psychosis age 45 or older - ✔✔think of organic causes.
cardiac
✔✔Who developed DBT? - ✔✔Marsha Linehan
✔✔Treatment of BPD - ✔✔mood instability etc...depakote
✔✔Conversion disorder - ✔✔usually after stressful experience.
sudden onset of neurological sx- blind, mutism, paralysis
✔✔Adjustment disorder - ✔✔occurs w/in 3 mos of stressful event, doesn't last longer
than 6 months
✔✔adjustment disorder specifiers - ✔✔With depressed mood
With anxiety
With mixed anxiety and depressed mood
With disturbance of conduct
With mixed disturbance of emotions and conduct
Unspecified
✔✔mixed disturbance of emotions and conduct - ✔✔a type of adjustment disorder
specifier
child w/ insomnia, peer conflict, crying, verbal altercations, truancy---happens w/in 3
months of stressful event
✔✔factitious disorder imposed on another - ✔✔a condition in which one person induces
illness symptoms in someone else
munchausen by proxy
this is a form of abuse
duty to report findings to CPS
✔✔malingering - ✔✔fake illness for secondary gain.
no longer in DSM-V because their goal is not primary personal gain but secondary gain.
If primary personal gain it is considered factitious disorder
,✔✔reactive attachment disorder - ✔✔withdrawn, no emotion toward caregiver
✔✔ODD - ✔✔blames others
touchy
aruges w/ authority
but NO aggression. if aggression and phsyical harms others- it's progressed to conduct
disorder
✔✔tx of ODD - ✔✔family therapy, emphasis on parenting skills- positive reinforcement
and boundary setting
✔✔conduct disorder - ✔✔inflicting pain w/out remorse
aggression
goal to tx is to target mood and aggression- mood stabilzers, SSRIs, alpha 2 agonists,
antipsychotics
✔✔hallmark PTSD sx - ✔✔intrusive reexperiencing of event
avoidance
hyper/increased arousals
nightmares (prazosin)
✔✔panic disorder - ✔✔impending doom
fear of repeat attack
✔✔GAD - ✔✔timeframe 6 mos of sx more days than not
3sx:
apprehension, worry, anxiety, keyed up, muscle tnsion, on edge, sleep disturbance
✔✔DSM-5 Generalized Anxiety Disorder - ✔✔a. Excessive worrying about activities and
events
b. 6 months or more
c. At least 3: sleeping and eating disturbance; edginess, restlessness, keyed up, muscle
tension
d. Able to continue with daily activities, but may affect their life
e. Spends worrying at least an hour a day and takes a lot of time
✔✔Propranolol (inderal) - ✔✔beta blocker
, can cause bronchospasm
avoid in albuterol asthma/COPD pts..
will cause bronchospasm
instead Vistaril or hydroxyzine instead
performance anxiety propranolol is also great
✔✔tourettes - ✔✔at least 2 motor ticks
or 1 vocal tic
last more than 1 year
can't be caused by stimulants
✔✔tourette syndrome - ✔✔involuntary, spasmodic, twitching movements; uncontrollable
vocal sounds; and inappropriate words
tics can be normal in pediatrics, resolve in adolescents
✔✔Neurotransmitters in tourette's - ✔✔Hyperactive DA
also GABA, SE, and glutamate
Tx: guanfacine, clonidine
abilify, pimozide, haldol
✔✔ADHD - ✔✔deficits in precrontal cortex: inattentive ADHD
dorsolateral prefrontal cortex- executive functioning, cognitive processes, working
memory, problem solving
✔✔OCD - ✔✔1st degree relative w/ OCD increases risk
PANDAS- OCD from strep infection
✔✔What neurotransmitters involved in OCD? - ✔✔Sertonin and NE
children- prozac or other SSRIs
in adults SSRIs or TCAs
ANSWERS GRADED A+
✔✔If new onset psychosis age 45 or older - ✔✔think of organic causes.
cardiac
✔✔Who developed DBT? - ✔✔Marsha Linehan
✔✔Treatment of BPD - ✔✔mood instability etc...depakote
✔✔Conversion disorder - ✔✔usually after stressful experience.
sudden onset of neurological sx- blind, mutism, paralysis
✔✔Adjustment disorder - ✔✔occurs w/in 3 mos of stressful event, doesn't last longer
than 6 months
✔✔adjustment disorder specifiers - ✔✔With depressed mood
With anxiety
With mixed anxiety and depressed mood
With disturbance of conduct
With mixed disturbance of emotions and conduct
Unspecified
✔✔mixed disturbance of emotions and conduct - ✔✔a type of adjustment disorder
specifier
child w/ insomnia, peer conflict, crying, verbal altercations, truancy---happens w/in 3
months of stressful event
✔✔factitious disorder imposed on another - ✔✔a condition in which one person induces
illness symptoms in someone else
munchausen by proxy
this is a form of abuse
duty to report findings to CPS
✔✔malingering - ✔✔fake illness for secondary gain.
no longer in DSM-V because their goal is not primary personal gain but secondary gain.
If primary personal gain it is considered factitious disorder
,✔✔reactive attachment disorder - ✔✔withdrawn, no emotion toward caregiver
✔✔ODD - ✔✔blames others
touchy
aruges w/ authority
but NO aggression. if aggression and phsyical harms others- it's progressed to conduct
disorder
✔✔tx of ODD - ✔✔family therapy, emphasis on parenting skills- positive reinforcement
and boundary setting
✔✔conduct disorder - ✔✔inflicting pain w/out remorse
aggression
goal to tx is to target mood and aggression- mood stabilzers, SSRIs, alpha 2 agonists,
antipsychotics
✔✔hallmark PTSD sx - ✔✔intrusive reexperiencing of event
avoidance
hyper/increased arousals
nightmares (prazosin)
✔✔panic disorder - ✔✔impending doom
fear of repeat attack
✔✔GAD - ✔✔timeframe 6 mos of sx more days than not
3sx:
apprehension, worry, anxiety, keyed up, muscle tnsion, on edge, sleep disturbance
✔✔DSM-5 Generalized Anxiety Disorder - ✔✔a. Excessive worrying about activities and
events
b. 6 months or more
c. At least 3: sleeping and eating disturbance; edginess, restlessness, keyed up, muscle
tension
d. Able to continue with daily activities, but may affect their life
e. Spends worrying at least an hour a day and takes a lot of time
✔✔Propranolol (inderal) - ✔✔beta blocker
, can cause bronchospasm
avoid in albuterol asthma/COPD pts..
will cause bronchospasm
instead Vistaril or hydroxyzine instead
performance anxiety propranolol is also great
✔✔tourettes - ✔✔at least 2 motor ticks
or 1 vocal tic
last more than 1 year
can't be caused by stimulants
✔✔tourette syndrome - ✔✔involuntary, spasmodic, twitching movements; uncontrollable
vocal sounds; and inappropriate words
tics can be normal in pediatrics, resolve in adolescents
✔✔Neurotransmitters in tourette's - ✔✔Hyperactive DA
also GABA, SE, and glutamate
Tx: guanfacine, clonidine
abilify, pimozide, haldol
✔✔ADHD - ✔✔deficits in precrontal cortex: inattentive ADHD
dorsolateral prefrontal cortex- executive functioning, cognitive processes, working
memory, problem solving
✔✔OCD - ✔✔1st degree relative w/ OCD increases risk
PANDAS- OCD from strep infection
✔✔What neurotransmitters involved in OCD? - ✔✔Sertonin and NE
children- prozac or other SSRIs
in adults SSRIs or TCAs
