1001-1200 Flashcards
What court case upheld the parents’ decision to forgo potentially lifesaving surgery for their infant with Down syndrome and tracheoesophageal fistula (known as the “letting nature take its course” case)?
The Infant Doe case
What are the three surrogate criteria?
- What did the patient want, 2. What would the patient say, 3. What is in the patient’s best interests
What are the four most common defense mechanisms used by obsessive-compulsive persons?
Isolation of affect, Undoing, Reaction formation, Intellectualization
What defense mechanism shifts an emotion or drive from one idea or object to another?
Displacement
What defense mechanism involves the separation of oneself from one’s experiences?
Dissociation
What mature defense mechanism substitutes socially acceptable intentions for those that are unacceptable, allowing instincts to be refocused rather than blocked?
Sublimation
The indirect expression of hostility is known as what?
Passive-aggressive behavior
What defense mechanism consists of an emotional or behavioral outburst to cover up an underlying feeling or idea?
Acting out
What is the defense methanism in which the person uses a self-serving explanation for a belief or behavior in order to avoid the stress of admitting his or her true motivation?
Rationalization
What defense mechanism involves the separation of ideas from the feelings origiinally associated with them?
Isolation
What type of smile appears at 8 weeks of age in reaction to faces?
Exogenous smile
What defense mechanism involves excessive thinking to avoid affective expression?
Intellectualization
In what stages of sleep, known as “deep sleep,” are delta waves seen on EEG?
Stages 3 and 4
In what stage of sleep, comprising 25% of total sleep time, are saw-tooth waves seen on EEG?
REM stage
What type of smile occurs when a 14-month-old baby smiles at her mother?
Preferential smile
What are the three characteristics of attention deficit hyperactive disorder (ADHD)?
- Short attention span 2. Impulsivity 3. Hyperactivity
What is the drug of choice for treating ADHD?
Methylphenidate (Ritalin)
Describe the normal bereavement period?
The person identifies with the deceased. The person has low suicidal tendencies. The period lasts for less than 6 months.
What percentage of stage 4, REM, and total sleep time is “made up” after sleep deprivation?
Stage 4-80% REM-50% Total sleep-33%
Name the reaction that appears in babies when they are temporarily deprived of their usual caretaker. (This reaction usually begins around 6 months of age, peaks around 8 months, and decreases at 12 months.)?
Separation anxiety
What are the characteristics of pathologic grief (depression)?
Greater than I year in duration, Abnormal identification with the deceased, Suicidal tendencies
What is the term used to describe ejaculation before or just after beginning a sexual encounter?
Premature ejaculation
Name the disorder: occurs during stages 3 and 4 of sleep; can’t be diagnosed until 5 years of age; occurs more often in boys; occurs at least 2x a week for at least 3 consecutive months; and causes distress or impairment in social functioning?
Enuresis (bedwetting)
In what lobe of the cerebral cortex is the visual center located?
Occipital lobe
What disorder seen in late adolescence is characterized by normal weight, cavities, calluses on the back of hands, enlarged parotid glands, esophageal scars, and electrolyte imbalances?
Bulimia
Name the level of retardation in which the person has an IQ of 35 to 49 and is considered “trainable”?
Moderate
What is the level of retardation of a person with an IQ of less than 20 who requires total care?
Profound
What are the pharmacologic effects seen sexually with: alpha-Blockers?
Impaired ejaculation
What are the pharmacologic effects seen sexually with: Serotonin?
Inhibited orgasm
What are the pharmacologic effects seen sexually with: beta-Blockers?
Impotence
What are the pharmacologic effects seen sexually with: Trazodone?
Priapism
What are the pharmacologic effects seen sexually with: Dopamine agonists?
Increased erection and libido
What are the pharmacologic effects seen sexually with: Neuroleptics?
Erectile dysfunction
What is the level of retardation of a person with an IQ of 50 to 70 who is self-supportive with help (This category includes approximately 85% of all mentally retarded persons.)?
Mild
What is the diagnosis of a child who is oblivious to the external world; has delayed language development and pronoun reversal; participates in head-banging; inflicts self-injury; and has no separation anxiety?
Autism
What is the probable diagnosis of a person who has a depressed mood and hypomania for more than 2 years (not caused by substance abuse)?
Cyclothymic (non-psychotic bipolar) disorder
What four factors are indicators of a good prognosis for a person with schizophrenia?
- Late onset 2. Acute onset 3. Presence of positive symptoms 4. Paranoid type
What form of schizophrenia has no prominent psychotic symptoms at evaluation?
Residual or treated
What disorder that carries a high mortality rate is most often associated with girls in their mid-teens who weigh less than 85% of ideal body weight, have primary or secondary amenorrhea and presence of lanugo?
Anorexia nervosa
What is the disorder associated with an abnormally and persistently elevated, expansive, or irritable mood (manic episode) that alternates with depression?
Bipolar disorder
What lobe of the cerebral cortex is responsible for emotion, memory, and language?
Temporal lobe
What neurotransmitter plays a significant role in Alzheimer’s disease and memory function, and is also responsible for erections in men?
Acetylcholine (ACh)
What lobe of the cerebral cortex is responsible for speech, personality, memory, abstract thoughts, and high-order functions?
Frontal lobe
What is the term for bilateral occlusion of the posterior cerebral arteries resulting in cortical blindness, where the patient denies he or she is blind?
Anton’s syndrome (Visual hallucinations are common in relation to occipital epileptic foci.)
What lobe of the cerebral cortex is associated with motivation, memory, emotion, violent behaviors, and social-sexual behaviors?
Limbic lobe
What hemisphere is used for language and (for most people) is the dominant hemisphere?
Left hemisphere (Left
What lobe is responsible for intellectual processing of sensory information for visual-spatial tasks?
The nondominant parietal lobe (usually the right)
What is the name of a report made from the outcome of a single clinical subject?
Case report
What is the main inhibitory neurotransmitter of the brain that is associated with anxiety?
Gamma-aminobutyric acid (GABA)
Movement disorders are associated with what dopamine pathway (what part of the brain)?
Nigrostriatal pathways (basal ganglia)
What neurotransmitter is low in depression and high in mania, is found in the locus ceruleus, and is the neurotransmitter of the sympathetic nervous system?
Norepinephrine (NE)
In which syndrome does a person present with intentionally produced physical ailments with the intent to assume the “sick role”?
Munchausen’s syndrome (factitious disorder)
What dopamine pathway is associated with the “positive” symptoms of psychosis?
Mesolimbic-cortical pathway
The tuberoinfundibular system is associated with what two hormones?
- Dopamine (prolactin inhibitory protein [PIP])-inhibits release of prolactin 2. Prolactin
In medical screening, what is the term for the proportion of truly disease-free individuals who are correctly identified as not having the disease?
Specificity
Of the number of people who are tested as being negative, the percentage that is truly negative is known as what?
Negative predictive value
What type of study looks forward in time (the subjects are followed into the future) and takes a long time to complete?
Prospective study
What type of study examines the relationship between diseases and other variables at one particular time, but not causality?
Cross-sectional study
What study reports on the outcome of a group of clinical subjects?
Case series reports
What type of study looks back in time to provide some indication of past circumstances?
Retrospective study
Of the people who tested positive, what is the term for the percentage that is actually positive for the disease?
Positive predictive value
What test is used when you have one interval data, one set of nominal data, and only two groups?
T-test
In a classic gaussian curve, what percentage of the curve is between: ± 3 standard deviations (SDs)?
99.70%
In a classic gaussian curve, what percentage of the curve is between: The mean and ± 1 SD?
34%
In a classic gaussian curve, what percentage of the curve is between: ± 1 SD and ± 2 SDs?
13.50%
In a classic gaussian curve, what percentage of the curve is between: ± 2 SDs and ± 3 SDs?
2.40%
In a classic gaussian curve, what percentage of the curve is between: ± 3 SDs?
0.15%
What is the range for a high-average IQ?
110 to 119
What test is used when you have one set of interval data and one set of nominal data with more than two groups?
One-way analysis of variance (ANOVA)
What test measures spatial construction and drawing tasks?
Benton visual retention test
What type of personality is impatient, competitive, preoccupied with deadlines, highly involved with work, and has a high prevalence and incidence of coronary attacks?
Type A personality
What test uses nominal data only and has more than 25 subjects associated with the study?
Chi square
What test uses nominal data only, uses a 2 X 2 table, and has fewer than 25 subjects?
Fischer exact test
In what two areas of learning do boys often excel?
Mathematics and visual-spatial tasks
What is the range of superior IQ?
120 to 129
What form of test shows one or more persons in ambiguous situations and then requires the patient to tell a story about what is going on in the picture?
Thematic apperception test (TAT)
Name the disorder described by the following symptoms: delusions, hallucinations, disorganized speech, disorganized or catatonic behavior, affective flattening, social dysfunction; persistence for at least 6 months?
Schizophrenia
Name the type of schizophrenia in which the person is preoccupied with delusions of persecution, frequently has auditory hallucinations, and shows little or no impairment in cognitive testing?
Paranoid schizophrenia
In what form of schizophrenia is the person child-like, primitively active but aimless, and most regressed?
Disorganized schizophrenia
Name the form of schizophrenia in which the person presents in complete stupor, has a rigid posture with violent/destructive outbursts, is mute, and has psychomotor disturbances?
Catatonic schizophrenia