Psychotic Disorders — Flashcards

Flashcard 131: Anti-NMDA Receptor Encephalitis is a paraneoplastic syndrome that presents with psychiatric disturbance, memory deficits, seizures, dyskinesias, autonomic instability, and language dysfunction. Commonly associated with _____

Answer: ovarian teratomas

Flashcard 132: _____ is a condition in which the intentional production of symptoms is motivated by secondary gain, such as avoiding work, receiving financial compensation, evading arrest, or obtaining drugs.

Answer: Malingering

Extra: Malingering is not considered a mental illness/disorder; it is a condition (V-code) where symptoms are intentionally produced for external incentives (secondary gain). This distinguishes it from Factitious Disorder, where the motivation is to assume the "sick role" (primary gain).

Flashcard 133: According to Freud, the _____ is the aspect of one's psyche that represents "morality, society, and parental teaching"

Answer: superego

Extra:  https://onlinemeded.org?ref=anki 

Flashcard 134: Delirium is associated with a(n) _____ pattern on EEG

Answer: diffuse, slowing

Extra:  https://onlinemeded.org?ref=anki 

Flashcard 135: Which type of psychotherapy seeks to correct faulty assumptions and negative feelings that exacerbate psychiatric symptoms? _____

Answer: Cognitive therapy

Extra:  https://onlinemeded.org?ref=anki 

Flashcard 136: What do you suspect if an elderly patient has psychosis/AMS **at night** postoperatively?\n_____

Answer: sundowning

Extra: Sundowning is a pattern of worsening confusion and agitation in the late afternoon and evening, common in elderly patients with underlying dementia or those experiencing hospital-induced delirium.

Flashcard 137: First line treatment of Tourette's syndrome is _____

Answer: VMAT2 inhibitors > atypical antipsychotics

Extra:  https://onlinemeded.org/spa/psychiatry/peds-neurodevelopmental/acquire?ref=anki 

Flashcard 138: _____ is characterized by recurrent behavioral outbursts that are unplanned and out of proportion to the provocation.

Answer: Intermittent explosive disorder

Extra:  https://onlinemeded.org/spa/psychiatry/impulse-control/acquire?ref=anki 

Flashcard 139: Alzheimer disease = ↓ _____ in basal nucleus of meynert

Answer: ACh

Extra:  https://onlinemeded.org?ref=anki 

Flashcard 140: What MMSE score is widely used as the cutoff for diagnosis of delirium or dementia? _____

Answer: ≤23

Extra:  https://onlinemeded.org/spa/neurology/dementia/acquire?ref=anki