Associated Clinical Sciences 2

Question 1

basal cell carcinoma

Answer 1

most common skin cancer; waxy and indurated

Question 2

squamous cell carcinoma

Answer 2

malignant tumor of epithelial cells

Question 3

melanoma

Answer 3

most invasive; multicolored, moles, most deadly

Question 4

actinic keratosis

Answer 4

premalignant condition of the skin caused by exposure to the sun

Question 5

antisocial

Answer 5

psycho-sociopath that acts out conflict without remorse or guilt and has difficulty following rules

Question 6

compulsive

Answer 6

descriptive of thoughts or behavior that are automatic responses to anxiety or stress.
Ex: compulsive hand washing caused by an obsession with cleanliness or a phobia of being unclean.

Question 7

hysterical

Answer 7

AKA histrionic

attention seeking, aggressive, seductive person who is unable to be deeply involved emotionally

Question 8

narcissim

Answer 8

attention seeking

regards no one else as important, strong admiration for self/exhibitionist

Question 9

paranoid

Answer 9

preoccupations with delusion

sensitive, defensive, suspicion leading to aggression, unfounded beliefs that other want to harm

Question 10

passive aggresive

Answer 10

taking aggressive actions in an indirect manner, argumentative

Question 11

schizoid

Answer 11

ungluing of “reason” and emotion
introverted and withdrawn, emotionally cold an ddistant, avoids social interaction
delusions and hallucinations

Question 12

defense mechanism

Answer 12

unconscious strategies utilized to cope with reality

Question 13

denial

Answer 13

refusal to perceive unpleant realities
painful subject stems from external sources such as impulses or fantasies
most commonly seen in alcoholics

Question 14

projection

Answer 14

act of assigning a feeling or belief to antoehr person, group or to the outside world

Question 15

rationalization

Answer 15

attibuting one’s own unaceptable desires and impulses to someone else

Question 16

reaction formation

Answer 16

depressed, unacceptable behavior expressed in an exaggerated form of an opposite behavior

Question 17

regression

Answer 17

response to stress in which an individual reverts to a less developmentally mature stage

Question 18

repression

Answer 18

unconsious exclusion of painful impulses, desires, or fears from the conscious mind

Question 19

transfrence

Answer 19

redirecting one’s feelings (aggression or affection) from one person to another

Question 20

sublumination

Answer 20

channeling unacceptable impulses or energy into socially acceptable activity

Question 21

anxiety disorders

Answer 21

usually present with physical symptoms to physicians

physical symptoms: heart palpitations, increased heart rate, shortness of breath, sweating, tingling, dizziness

Question 22

anxiety

Answer 22

state of intense apprehension or worry often accompanied by physical symptoms such as shaking, intense feelings in the gut, etc
common in mental illness or after a very distressing experience

Question 23

panic disorder

Answer 23

repeated attacks of severe anxiety

attacks last from 5-30 minutes

Question 24

obsessive compulsion

Answer 24

obsession: reoccuring, intrusive thought or image that seems senseless or unpleasant
compulsion: activity designs to reduce anxiety that a person feels compelled to repeat with no conscious desire to do so

Question 25

describe people who might be obsessive compulsive

Answer 25

perfectionist, inflexible, uncontrollably entangled with details and highly repetitive activities persistent thoughts are obsessive while persistent actions are compulsive most foten begins in early adolescene but can begin in childhood

Question 26

phobic

Answer 26

irrational or unrealistic fear of a situation, animal, person or activity

Question 27

agophobia

Answer 27

public spaces

Question 28

acrophobia

Answer 28

heights

Question 29

astrophobia

Answer 29

stars or celestial space

Question 30

astraphobia

Answer 30

thunder and lightning

Question 31

somatoform disorders

Answer 31

psychological conflicts take on a physical form and not organic evidence exists to explain symptom

Question 32

somatiziation

Answer 32

chronic, cyclic multiple somatic complaints not due to a physical illness symptoms cannot be explained by physical syndrome patients seeks treatment and changes life as a result of the symptoms patient presents with symptoms in a vague and exaggerated way more concerned with discomfort than disease

Question 33

hypochondriasis

Answer 33

exaggerated pre-occupation with bodily functions and fear that one is suffering from serious disease

Question 34

conversion hysteria

Answer 34

AKA conversion reaction loss or change of physical function caused by psychological conflict conversion symptoms are supported by medical evidence but not faked often appear rapidly after trauma involuntary response

Question 35

most common conversion reactions

Answer 35

``` paralysis blindness mutism deafness seizures ```

Question 36

body dysmorphic disorder

Answer 36

pervasive belief that a body part is a misshapen or malformed patient able to admit that he/she is exaggerating may avoid mirrors or social contact

Question 37

affective disorder

Answer 37

severe fluctuation of mood or personality

Question 38

alcoholism

Answer 38

associated with delirium tremens and folate deficiency

Question 39

anorexia nervosa

Answer 39

severe restriction of calories fear of fat and body image disortion, amenorrhea, excessive exercise unreasonable fear of gaining weight

Question 40

bipolar affective disorder

Answer 40

AKA manic depression behavior alternates between mania and melancholia first occurs between childhood and 50 yo average manic episode lasts 3 months, depressive phase 6-9 months

Question 41

bullimia nervosa

Answer 41

preoccupation with food binge eating with subsequent purging body image distortion

Question 42

catatonia

Answer 42

associated with muscle inhibition

Question 43

dysthymic disorder

Answer 43

mild chronic depression symptoms need to occur most of the time for 2 years begins in adolescence or early adulthood same symptoms as depression but not as severe

Question 44

hallucinations

Answer 44

perception problem

Question 45

involutional melancholia

Answer 45

a period of depression associated with menopause

Question 46

schizophrenia

Answer 46

``` delusions hallucinations social withdrawl daily function impairment bizarre behavior ```

Question 47

transvestits

Answer 47

person who adopts the dress of the opposite sex

Question 48

providing care for ingested poisons

Answer 48

emetic may be advised to prevent poison from going to small intestine when emetic should not be used: unconscious, having a seizure, pregnant (last trimester), ingested corrosive substance or petroleum

Question 49

providing care for inhaled poison

Answer 49

all patients need emergency oxygen as soon as possible

Question 50

providing care for abdorbed poison

Answer 50

poisonous plant- rinse with water for at least 20 minutes dry chemicals- brush off chemicals using gloved hand before flushing with tap awater poison in patient's eye, irrigate from nose side out

Question 51

cardiogenic shock

Answer 51

result of heart being unable to supply adequate blood circulation to the vital organs caused by trauma or disease patient supine with feet higher than head

Question 52

hypovolemic shock

Answer 52

caused by an abnormal decrease in blood volume

Question 53

neurogenic/vasogenic shock

Answer 53

caused by trauma to the spinal cord or brain, where the blood vessel walls abnormally constrict and dilate, preventing relay messages and causing blood to ppol at the lowerst point of the body

Question 54

obstructive shock

Answer 54

caused by obstruction fo blood flow, usually within the blood vessels, such as a pulmonary embolism

Question 55

respiratory shock

Answer 55

caused by failure of lungs to transfer sufficient oxygen into the bloodstream; occurs with respiratory distress

Question 56

septic shock

Answer 56

occurs when an infection has spread to the point that bacteria are releaasing toins into the bloodstream

Question 57

lightening strike

Answer 57

lay victim down with head slightly lower than the trunk and legs elevated and supported

Question 58

foreign bodies in eye

Answer 58

never touch eye if object is visible, pull eyelid down and try to remove the object with a sterile gauze pad flush eye with irrigation

Question 59

chemical eye injury

Answer 59

irrigate eye with clean water for at least 20 minutes

Question 60

impaled objects into eye

Answer 60

do not attempt to remove the object stabilize object by encircling eye with gauze dressing or sterile cloth don't apply pressure position bulky dressings around the impaled object and then cover it up with a shield (paper cut)