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Step 1 (1) > BEHAVIORAL > Flashcards

BEHAVIORAL Flashcards

0
Q

What is the characteristics of projection defense mechanism?

A

Attributing owns feelings on the others

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1
Q

In the opiced treatment what’s the first thing you have to evaluate in the opiced abuse situation?

A

Misusing drugs, take drugs from diferent doctors , explore reasons for escaling.

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2
Q

What is the first-line therapy for generalized anxiety disorder?

A

SNRIs

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3
Q

What are the long acting benzodiazepines?

A

Diazepam, clorodiaxipoxide,flurozepam.

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4
Q

What are the short and intermediate acting benzodiazepines and good for hepatic disfunction?

A

Lorazepam,tenazepam, oxazepam .

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5
Q

What are the Benzodiazepines contraindicated in hepatic disfunction?

A

(Intermediate acting) lorazepam,clonazepam. (Short acting) triazolam

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6
Q

Drug of election in neuroleptic malignant syndrome and malign hypertemia ?

A

Dantrolen

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7
Q

What is neuroleptic malignant syndrome?

A

Diffuse muscle rigidity, high fever,automatic inestabylity (hypertension, tachycardia) altered sensorium.

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8
Q

What is paranoid personality disorder?

A

Suspiciousness or alistrust with not specific dellutions

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9
Q

What is delusional disorder?

A

Specific delutions are present

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10
Q

What is the Protocol for delivering bad news?

A

SPIKES. Set the stage, Perception, Invitation,Knowledge,Empathy,Sumary strategy.

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11
Q

How much time takes SSRIs and NE to work ?

A

4 to 8 weeks

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12
Q

If you are not agree with your professor about a patient treatment, what can you do?

A

Respectfully bring the issue up to your professor and discuss it?

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13
Q

What is the first-line therapy for depression?

A

Sertaline

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14
Q

What are the side effects of antidepressants?

A

Diminished need for sleep, restlessness,grandiosity

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15
Q

Side effect of lamotrigene

A

Rash , Steven Johnson

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16
Q

How to prevent clinical errors In the medical staff?

A

Use standardized patient hand-offs

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17
Q

What is the first-line to panic disorder?

A

SSRIs (1). IMAO (2)

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18
Q

Buspirone farmacodinamic

A

Slow onset of action

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19
Q

What is the treatment of generalized anxiety disorder?

A

Buspirine

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20
Q

What is the drug adherence problem In adolescent?

A

Not prefrontal cortex development, need to fit in a peer group

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21
Q

What are psychotic disorders?

A

Delusions, hallucinations,disorganized speech,negative symptoms

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22
Q

What are the psychotic disorders diferentials?

A

Brief psychotic disorder, schizophreniform, schizophrenic, schizoafective,

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23
Q

How is the Assessment of decision making capacity ?

A

Comunnicates a choice, understands information, appreciate concern , rationale give decision.

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24
Q

What is atypical depression?

A

Mood reactivity ( felling better whit positive situations) ,paralysis, more sleep, more appetite .

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25
Q

When use IMAO?

A

Depression resistant to drugs and atypical depression

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26
Q

Which antidepressants cause sexual side-effects?

A

Bupropion and mirtazapine

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27
Q

Treatment for resistant schizophrenia?

A

Clozapine ( agranulocytosis)

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28
Q

Who can go to Medicare?

A

> 65 years who paid taxes U.S. Citizens,disability people, end stage renal disease, ELA.

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29
Q

Who can go to Medicaid?

A

Homeless, undocumented migrants, pregnant woman , low income people,

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30
Q

Treatment for bulimia nervosa?

A

Fluoxetine

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31
Q

Treatment for anorexia nervosa?

A

Olanzapine

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32
Q

Treatment for bipolar maintenance

A

Lito, valproate, quetiapine.

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33
Q

What substances are NMDA receptor agonists?

A

Glutamate, aspartate, D-cycloserine.

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34
Q

What is schizoafective disorder?

A
  1. Major depressive or maniac episode concurrent with schizophrenia
  2. At least 2 weeks of delusions or hallucinations with out depression or maniac
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35
Q

What are the most common adverse effects of psychostimulants (methylphenidate and amphetamines) for the tto of attention deficit hyperactivity disorder?

A

Decrease appetite
Weigh loss
Insomnia

36
Q

What is the side effects of second generation antipsychotics?

A

Increase appetite

Weigh gain

37
Q

When use trained language interpreters?

A

In NON-EMERGING SETTINGS to deaf patients using American Sign Language OR NO ENGLISH SPEAKER!!!!!!

38
Q

What are the stages of change model?

A 
Preconception
Contemplation 
Preparation 
Action 
Maintenance
39
Q

What are bulimic signs?

A 
Calluses on the forum of theirs hands 
Increase salivary amilase
Electrolyte abnormalities 
Parotid gland enlargement 
Erosion of dental enamel
40
Q

What are the findings in narcolepsy?

A

Recurrent sleep or naps (3x week x month)
Cataplexy
⬇️hypocretin-1 in cerebrospinal fluid
Shorten REM latency

41
Q

What is obsessive- compulsive personality?

A

Lifelong pattern of insistence of control,orderliness and perfection whit out compulsions

42
Q

Say what is altered in each one pathology :

Narcolepsy 
Creutzfeldt-Jacob disease
Parkinson 
Alzheimer 
Destructive behavior
A 
⬇️Hypocretyne 1
⬆️14,3,3 proteín
⬇️ Homovanillic acid 
⬇️Melatonin 
⬇️5-hydroxindol acetic
43
Q

What are characteristic in paranoid patient?

A

Distrust in of the others

44
Q

What are the warn signs to differentiate normal adolescent behavior from psychiatric disorders?

A

Impulsivity
Sleep or appetite disturbance
Declining academic performance
Social isolation from peers

45
Q

What are the mature 2 forms of defense mechanisms?

A

Sublimation

Suppression

46
Q

What is the management for post-traumatic stress disorder?

A

SSRIs-SNRIs

Therapy

47
Q

What is the characteristics in borderline behavior?

A

Depression
Suicidal ideas
Selfmuilattion
Impulsivity in setting or feeling rejected

48
Q

What’s capitation payment method?

A

A fixed and predetermined free is arranged to cover ALL the medical services required by a group of patients

Under HEALTH MAINTENANCE ORGANIZATION !!!! HMO

49
Q

What’s Global payment arrangement?

A

The insurer pays a provider a single payment to cover all the expenses associated whit an incident of care

SOAT

50
Q

What’s a valid test ?

A

Is the ability to measure what is suppose to measure

Very similar whit GOLD STANDARD

51
Q

What is the best for to initiate a medical history-taking?

A

Open-end phrase

52
Q

What are the principal signs of Rett syndrome?

A

Loss of motor and language skills
Stereotypic hand movements
Deceleration of head growth

53
Q

Big diffence between bipolar I and bipolar II

A

BIPOLAR I MANIAC EPISODE!!!

BIPOLAR II NO MANIAC EPISODE!!!! CAN WORK👔

54
Q

Is normal to a 3-4 years old babies to play games of the other gender?

A

YESSSS!!!!!!

55
Q

Indication of involuntary psychiatric hospitalization

A

Risk to himself or others

unable to obtain food, clothing or shelter

56
Q

How is the two principal actions in the management of somatic symptoms disorders?

A

Schedule regular visits whit same provider

Mental health referral only once week physician patient relationship

57
Q

Diagnosis of Generalized anxiety disorder

A 
Excess of worry anxiety >6 months 
Difficult to control 
Restlessness 
Fatigue
Difficulty to concentrate 
Irritability
58
Q

What’s bupropion ?

A

Norepinephrine dopamine reuptake inhibitor

MAJOR DEPRESSIVE DISORDER
SMOKING CESSATION

59
Q

Time of survival required for hospice model?

A

<6 months of survival!!!

60
Q

If some familiar ask for patients information illness what is the best posture ?

A

Say basic thinks “she/he is stable” and ask the patient if his /her information can be shared .
And what information have to be omitted .

61
Q

What is the first and second line therapy for specific phobias?

A

1st BEHAVIORAL THERAPY

2nd SHORT ACTING BENZODIAZEPINES

62
Q

What is the objective in the nonadherence to medication situation?

A

Ask for specific concerns about take drugs daily

63
Q

What’s selective mutism?

A

Failure to speak in social situations (school)

64
Q

How protect the patient confidentiality?

A

Never talk whit others even medical staff outside the case
Never say if was or not a exam
Do not talk whit family members without permition

65
Q

Medical circumstances and emancipated situations in which minors do not Require parental consent ?

A 
MEDICAL
🔹emergency care
🔹sexually transmitted infections 
🔹substance abuse 
🔹prenatal care
EMANCIPATED
🔹homeless 
🔹parent
🔹married
🔹military
🔹financial independent 
🔹high school graduate
66
Q

What is an important prerequisite to diagnose elder abuse?

A

INTERVIEW THE PATIENT ALONE!!!!!

67
Q

Questions to the elderly patient at abuse suspect ?(3)

A

Do you feel safe where you live?
Who prepares your meals?
Who handles your checkbook?

68
Q

How is the best form to ask about sexual history - orientation?

A

Have you sexual partners been women,men or both?

69
Q

The doctor NEVER can disclose the patient’s informations whit out her/his consentiment !!!! What are the exceptions ? (4)

A

🔹suspected child or elder abuse
🔹Knife or gunshot wounds
🔹Diagnosing a reportable communicable disease (HIV- TB)
🔹threats to harm self or others and reasonable ability to carry out the threat in the future

70
Q

Time to major depressive disorder?

71
Q

What strategy has sown diminish the risk is suicidal in all ages?

A

SCREENING FOR MENTAL HEALTH PROBLEMS!!!!!!

72
Q

What activity has shown diminish the risk of criminal behavior and delinquency?

A

INCREASING AFTER SCHOOL EXTRACURRICULAR ACTIVITIES!!!!

73
Q

What’s the principal cause of death in U.S. In the ages

<1yr. 1-14. 15-34. 35-44. 45-64. >65yrs

A 
<1yr.   Congenital malformations
1-14.  Unintentional injury 
15-34.  Unintentional injury 
35-44.   Unintentional injury 
45-64.   Cancer
>65yrs    Heart Disease
74
Q

If a adolescent pregnant patient do not want to tell her parents about the pregnancy , the doctor can ask way of her decision?

A

YESSSSS!!!!

75
Q

What’s extinction behavior?

A

Stimulus is removed and the behavior stopped

76
Q

What’s fading behavior?

A

The stimulus is gradually reduced but the behavior is maintained

77
Q

What’s punishment behavior?

A

The stimulus is applied and the behavior stopped

78
Q

What’s secondary reinforcement behavior?

A

At not value thing acquires symbolic values

Like money

79
Q

What’s dissociation mechanism of defense ?

A

When the patient feels like do not know anything of the past fells like is other person , fugue disorder appears in other city .

80
Q

What’s blocking mechanism of defense ?

A

Cannot recall some essential name or fact

81
Q

What’s reaction formation mechanism of defense ?

A

Acts inversely

82
Q

Which important milestones are archived by the age of 3 and 4 years?

A

3years. Tricycle

4 years tells stories , nightmares, BATHING HIMSELF!!!!

83
Q

When the patient ask for explanations what cannot be made?

A

Pass off the patient for some one else
Give a pamphlet
Say “look for information on Internet “

YOU HAVE TO TALK FACE TO FACE!!!!

84
Q

The physician who has a moonlight job (second job) what is the major risk for his patients?

A

Medical errors for PHYSICIAN FATIGUE

85
Q

How to decrease illegible and transcribing errors?

A

Educate physicians to avoid use of trailing zeros

86
Q

How test concentration , executive function and comprehension?

A

Comprehension. Following multi step command

Concentration reciting months backwards

Executive function drawing a clock oriented to the time requested

87
Q

What intervention lifestyle has shown more risk mortality reduction ?

A

SMOKING CESSATION!!!

Step 1 (1) (16 decks)

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