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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
What is atypical depression?
Mood reactivity ( felling better whit positive situations) ,paralysis, more sleep, more appetite .
25
When use IMAO?
Depression resistant to drugs and atypical depression
26
Which antidepressants cause sexual side-effects?
Bupropion and mirtazapine
27
Treatment for resistant schizophrenia?
Clozapine ( agranulocytosis)
28
Who can go to Medicare?
>65 years who paid taxes U.S. Citizens,disability people, end stage renal disease, ELA.
29
Who can go to Medicaid?
Homeless, undocumented migrants, pregnant woman , low income people,
30
Treatment for bulimia nervosa?
Fluoxetine
31
Treatment for anorexia nervosa?
Olanzapine
32
Treatment for bipolar maintenance
Lito, valproate, quetiapine.
33
What substances are NMDA receptor agonists?
Glutamate, aspartate, D-cycloserine.
34
What is schizoafective disorder?
1. Major depressive or maniac episode concurrent with schizophrenia 2. At least 2 weeks of delusions or hallucinations with out depression or maniac
35
What are the most common adverse effects of psychostimulants (methylphenidate and amphetamines) for the tto of attention deficit hyperactivity disorder?
Decrease appetite Weigh loss Insomnia
36
What is the side effects of second generation antipsychotics?
Increase appetite | Weigh gain
37
When use trained language interpreters?
In NON-EMERGING SETTINGS to deaf patients using American Sign Language OR NO ENGLISH SPEAKER!!!!!!
38
What are the stages of change model?
``` Preconception Contemplation Preparation Action Maintenance ```
39
What are bulimic signs?
``` Calluses on the forum of theirs hands Increase salivary amilase Electrolyte abnormalities Parotid gland enlargement Erosion of dental enamel ```
40
What are the findings in narcolepsy?
Recurrent sleep or naps (3x week x month) Cataplexy ⬇️hypocretin-1 in cerebrospinal fluid Shorten REM latency
41
What is obsessive- compulsive personality?
Lifelong pattern of insistence of control,orderliness and perfection whit out compulsions
42
Say what is altered in each one pathology : ``` Narcolepsy Creutzfeldt-Jacob disease Parkinson Alzheimer Destructive behavior ```
``` ⬇️Hypocretyne 1 ⬆️14,3,3 proteín ⬇️ Homovanillic acid ⬇️Melatonin ⬇️5-hydroxindol acetic ```
43
What are characteristic in paranoid patient?
Distrust in of the others
44
What are the warn signs to differentiate normal adolescent behavior from psychiatric disorders?
Impulsivity Sleep or appetite disturbance Declining academic performance Social isolation from peers
45
What are the mature 2 forms of defense mechanisms?
Sublimation | Suppression
46
What is the management for post-traumatic stress disorder?
SSRIs-SNRIs | Therapy
47
What is the characteristics in borderline behavior?
Depression Suicidal ideas Selfmuilattion Impulsivity in setting or feeling rejected
48
What's capitation payment method?
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
What's Global payment arrangement?
The insurer pays a provider a single payment to cover all the expenses associated whit an incident of care SOAT
50
What's a valid test ?
Is the ability to measure what is suppose to measure | Very similar whit GOLD STANDARD
51
What is the best for to initiate a medical history-taking?
Open-end phrase
52
What are the principal signs of Rett syndrome?
Loss of motor and language skills Stereotypic hand movements Deceleration of head growth
53
Big diffence between bipolar I and bipolar II
BIPOLAR I MANIAC EPISODE!!! | BIPOLAR II NO MANIAC EPISODE!!!! CAN WORK👔
54
Is normal to a 3-4 years old babies to play games of the other gender?
YESSSS!!!!!!
55
Indication of involuntary psychiatric hospitalization
Risk to himself or others | unable to obtain food, clothing or shelter
56
How is the two principal actions in the management of somatic symptoms disorders?
Schedule regular visits whit same provider Mental health referral only once week physician patient relationship
57
Diagnosis of Generalized anxiety disorder
``` Excess of worry anxiety >6 months Difficult to control Restlessness Fatigue Difficulty to concentrate Irritability ```
58
What's bupropion ?
Norepinephrine dopamine reuptake inhibitor MAJOR DEPRESSIVE DISORDER SMOKING CESSATION
59
Time of survival required for hospice model?
<6 months of survival!!!
60
If some familiar ask for patients information illness what is the best posture ?
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
What is the first and second line therapy for specific phobias?
1st BEHAVIORAL THERAPY | 2nd SHORT ACTING BENZODIAZEPINES
62
What is the objective in the nonadherence to medication situation?
Ask for specific concerns about take drugs daily
63
What's selective mutism?
Failure to speak in social situations (school)
64
How protect the patient confidentiality?
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
Medical circumstances and emancipated situations in which minors do not Require parental consent ?
``` MEDICAL 🔹emergency care 🔹sexually transmitted infections 🔹substance abuse 🔹prenatal care ``` ``` EMANCIPATED 🔹homeless 🔹parent 🔹married 🔹military 🔹financial independent 🔹high school graduate ```
66
What is an important prerequisite to diagnose elder abuse?
INTERVIEW THE PATIENT ALONE!!!!!
67
Questions to the elderly patient at abuse suspect ?(3)
Do you feel safe where you live? Who prepares your meals? Who handles your checkbook?
68
How is the best form to ask about sexual history - orientation?
Have you sexual partners been women,men or both?
69
The doctor NEVER can disclose the patient's informations whit out her/his consentiment !!!! What are the exceptions ? (4)
🔹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
Time to major depressive disorder?
>2 weeks
71
What strategy has sown diminish the risk is suicidal in all ages?
SCREENING FOR MENTAL HEALTH PROBLEMS!!!!!!
72
What activity has shown diminish the risk of criminal behavior and delinquency?
INCREASING AFTER SCHOOL EXTRACURRICULAR ACTIVITIES!!!!
73
What's the principal cause of death in U.S. In the ages | <1yr. 1-14. 15-34. 35-44. 45-64. >65yrs
``` <1yr. Congenital malformations 1-14. Unintentional injury 15-34. Unintentional injury 35-44. Unintentional injury 45-64. Cancer >65yrs Heart Disease ```
74
If a adolescent pregnant patient do not want to tell her parents about the pregnancy , the doctor can ask way of her decision?
YESSSSS!!!!
75
What's extinction behavior?
Stimulus is removed and the behavior stopped
76
What's fading behavior?
The stimulus is gradually reduced but the behavior is maintained
77
What's punishment behavior?
The stimulus is applied and the behavior stopped
78
What's secondary reinforcement behavior?
At not value thing acquires symbolic values Like money
79
What's dissociation mechanism of defense ?
When the patient feels like do not know anything of the past fells like is other person , fugue disorder appears in other city .
80
What's blocking mechanism of defense ?
Cannot recall some essential name or fact
81
What's reaction formation mechanism of defense ?
Acts inversely
82
Which important milestones are archived by the age of 3 and 4 years?
3years. Tricycle | 4 years tells stories , nightmares, BATHING HIMSELF!!!!
83
When the patient ask for explanations what cannot be made?
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
The physician who has a moonlight job (second job) what is the major risk for his patients?
Medical errors for PHYSICIAN FATIGUE
85
How to decrease illegible and transcribing errors?
Educate physicians to avoid use of trailing zeros
86
How test concentration , executive function and comprehension?
Comprehension. Following multi step command Concentration reciting months backwards Executive function drawing a clock oriented to the time requested
87
What intervention lifestyle has shown more risk mortality reduction ?
SMOKING CESSATION!!!

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