pharmacotherapy psychiatry

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Anonymous
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50086
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pharmacotherapy psychiatry
Updated:
2010-11-16 22:26:13
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psychiatry
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pharmacotherapy exam three psych module neuroanatomy, depression penis guy, anxiety disorders
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  1. what are the four lobes of the brain
    frontal parietal occiptal temporal
  2. what does the cerebellum do
    control integrate motor activity--ongoing movements
  3. what does the frontal lobes do
    motivation inhibition foresight and planning, judegment
  4. what does the dominant parietal lobes do
    usually left speech laguage aphasia calclulations association cortex
  5. what do the non dominate pareital lobes do
    visual spatial and geographic functions body image
  6. what do the temporal lobes do
    language, memory
  7. wht does the hippocampus do
    memoryattention and alertness, behavior endocrine, visceral functions, temporal lobe epilsepy
  8. what does the hypothalamus do
    regllatory functions, feeding sleep circadian rhythym tehmpeartuer, post and ant pitutuary diabetes insipidus
  9. what does the limbic system do
    • emotion memory, amygdala=fear, sensory and response
    • hippocampus=new memory
  10. describe the VTA area
    • mesolimbic pathway connects VTA to nucleus accumbens
    • mesocortical pathway connects the VTA to cortical ares in frontal lobs
  11. what are properties of a drug to cross blood csf barrier
    unbound, low mw, lipophilic, active transport
  12. what makes depression important
    serious * common
  13. how do you diagnos depression
    • LOW MOOD OR ANUDONEA--no pleasure, AND
    • change sleep, change appetite, decreased interest, decreased energy, feelign helpless/hopeless, increase guilt, decreased concentration, inability to thik, recurrent thoughts of death or suicide
  14. whats pathophys of dpresseion
    • elevated cortisol--stress hormone, insulin resistance, cuts down immune system
    • ACTH--too mich
    • POMC--anterior pit, hypothalamus--releasing homron
    • mesobasal--gonadotropin releasing
  15. describe how psychiatric diagnoses are made
    • DSM IV --diagnositc and statistical manual of mental disorders
    • lists criteria necessary to meet diagnosis useful for standardizing diagnose
    • tomeetmost diagnosis generally must intervere with social or occupational function
    • must be interpretted in context of culture
  16. review scales commony used in psychiatry
    • PSYCH EVAL--history of present illness, review of psych symptoms, past med history, fam history, preveious episodes, social history, medication history
    • MENTAL STATUS EXAM-- counter part to phsyical exam in medicine, sumes total of observatiosn
  17. DEFINE delusions
    fixed false believe--tv reading my thoughts
  18. define hallucinations
    sensory perception there most auditory hearing things
  19. define obsessions
    things.... idk
  20. define thought blocking
    start talking then stop
  21. define sicrumstantial speach
    take awhile to get ehre
  22. define tangential speech
    not really answer
  23. define loose associations
    jump from place to place
  24. what are three components of anxiety
    • physical symptoms
    • cognitive component
    • behavioral component
  25. whats physiology of anxiety--physical system
    • perceived danger
    • brain sends message to autonomic nervous system
    • sympatheitc nervous system is activated--all or none phenomena
    • sympathetic nervous system is the fight/flight
    • sympathetic nervous system releases adrenaline and noradrenalin from adrenal glans on the kidnesy
    • these chemicasl are messengers to cintoniue actiivty
  26. what are cardiovascular effects of anxiety
    • increase in heart rate and strenght of heartbeat to speed up bloodflow
    • blood is redirected fro places it is not neede--skin fingers and toes to places where it is more needed--large muscle groups like thighs and biceps
    • respiratory effects--increase in speed and dep of breathing
    • sweat gland effects--increased sweating
  27. what are clinical features of obsessive compulsive disorder
    • obsessions--recurring distressing ideas or images
    • fear of contamination, pathological doubt, somatic obsessions, need for symmetry
    • compulsions-- recurring behaviors designed to decrease anxiety caused by obessions
    • checking washing, counting, need to ask or confess
  28. treatment for obsessive compulsions
    • clomipramine
    • ssris
    • cognitive behavioral therapy

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