Associated Clinical Sciences 2 Flashcards

1
Q

basal cell carcinoma

A

most common skin cancer; waxy and indurated

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2
Q

squamous cell carcinoma

A

malignant tumor of epithelial cells

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3
Q

melanoma

A

most invasive; multicolored, moles, most deadly

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4
Q

actinic keratosis

A

premalignant condition of the skin caused by exposure to the sun

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5
Q

antisocial

A

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

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6
Q

compulsive

A

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.

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7
Q

hysterical

A

AKA histrionic

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

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8
Q

narcissim

A

attention seeking

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

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9
Q

paranoid

A

preoccupations with delusion

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

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10
Q

passive aggresive

A

taking aggressive actions in an indirect manner, argumentative

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11
Q

schizoid

A

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introverted and withdrawn, emotionally cold an ddistant, avoids social interaction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

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12
Q

defense mechanism

A

unconscious strategies utilized to cope with reality

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13
Q

denial

A

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

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14
Q

projection

A

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

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15
Q

rationalization

A

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

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16
Q

reaction formation

A

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

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17
Q

regression

A

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

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18
Q

repression

A

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

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19
Q

transfrence

A

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

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20
Q

sublumination

A

channeling unacceptable impulses or energy into socially acceptable activity

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21
Q

anxiety disorders

A

usually present with physical symptoms to physicians

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

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22
Q

anxiety

A

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

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23
Q

panic disorder

A

repeated attacks of severe anxiety

attacks last from 5-30 minutes

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24
Q

obsessive compulsion

A

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

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25
Q

describe people who might be obsessive compulsive

A

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

26
Q

phobic

A

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

27
Q

agophobia

A

public spaces

28
Q

acrophobia

A

heights

29
Q

astrophobia

A

stars or celestial space

30
Q

astraphobia

A

thunder and lightning

31
Q

somatoform disorders

A

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

32
Q

somatiziation

A

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

33
Q

hypochondriasis

A

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

34
Q

conversion hysteria

A

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

35
Q

most common conversion reactions

A
paralysis
blindness
mutism
deafness
seizures
36
Q

body dysmorphic disorder

A

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

37
Q

affective disorder

A

severe fluctuation of mood or personality

38
Q

alcoholism

A

associated with delirium tremens and folate deficiency

39
Q

anorexia nervosa

A

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

40
Q

bipolar affective disorder

A

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

41
Q

bullimia nervosa

A

preoccupation with food
binge eating with subsequent purging
body image distortion

42
Q

catatonia

A

associated with muscle inhibition

43
Q

dysthymic disorder

A

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

44
Q

hallucinations

A

perception problem

45
Q

involutional melancholia

A

a period of depression associated with menopause

46
Q

schizophrenia

A
delusions
hallucinations
social withdrawl
daily function impairment
bizarre behavior
47
Q

transvestits

A

person who adopts the dress of the opposite sex

48
Q

providing care for ingested poisons

A

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

49
Q

providing care for inhaled poison

A

all patients need emergency oxygen as soon as possible

50
Q

providing care for abdorbed poison

A

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

51
Q

cardiogenic shock

A

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

52
Q

hypovolemic shock

A

caused by an abnormal decrease in blood volume

53
Q

neurogenic/vasogenic shock

A

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

54
Q

obstructive shock

A

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

55
Q

respiratory shock

A

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

56
Q

septic shock

A

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

57
Q

lightening strike

A

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

58
Q

foreign bodies in eye

A

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

59
Q

chemical eye injury

A

irrigate eye with clean water for at least 20 minutes

60
Q

impaled objects into eye

A

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)