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Medical Emergencies II > Behavioral and Psych Emerg. > Flashcards

Behavioral and Psych Emerg. Flashcards

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USMLE® Step 1 flashcards
1
Q

Condition that refers to a patient who presents with one or more of:
-sudden onset of delusions that rapidly change
-hallucinations
-bizarre behavior and posture
-disorganized speech

A

acute psychosis

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2
Q

Outward manifestation of a person’s feelings or emotions

A

Affect

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3
Q

Inability to enjoy what is usually pleasurable

A

anhedonia

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4
Q

Emotional disturbance concerning body image manifested as an eating disorder characterized by a prolonged refusal to eat, resulting in emaciation, amenorrhea, and an abnormal fear of becoming obese,

A

anorexia nervosa

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5
Q

State or feeling of apprehension, uneasiness, agitation, uncertainty, and fear resulting from the anticipation of some threat or danger

A

Anxiety

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6
Q

Range or neurodevelopmental disorders characterized by:
1. Impairment in social interaction
2. communication deficits
3. restrictive, repetitive behaviors, including decreased imaginative play, stereotyped behaviors, and inflexible adherence to routines

A

autism spectrum disorder (ASD)

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7
Q

Change in mood or behavior that cannot be tolerated by the involved person or others and that requires immediate attention

A

behavioral emergency

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8
Q

Disorders that result from a physical rather than a purely psychotic cause

A

biologic disturbances

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9
Q

Disorder marked by alternating periods of mania and depression

A

bipolar disorder

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10
Q

A disorder characterized by an insatiable
craving for food, often resulting in episodes of binge eating followed by purging (through self-induced vomiting or use of laxatives), depression, and self-deprivation.

A

bulmia nervosa

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11
Q

Use of drugs to control behavior

A

chemical restraint

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12
Q

A constellation of neurologic symptoms that are not consciously or deliberately produced and that cannot be explained by a physical examination. These disorders often cause clinically significant disruption in social or occupational functioning. Also referred to as functional neurologic disorder.

A

Conversion disorder

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13
Q

Medical emergency characterized by an abrupt disorientation for time and place, usually with delusions and hallucinations; may be reversible if causative etiology is identified.

A

delirium

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14
Q

Persistent beliefs or perceptions held by a person despite evidence that refutes those beliefs (ie, false beliefs).

A

delusions

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15
Q

Slow progressive and irreversible loss of awareness of time and place. Usually involves an inability to learn new things or recall recent events.

A

Demetia

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16
Q

Mood disturbance characterized by feelings of sadness, despair, and discouragement

A

depression

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17
Q

A group of psychiatric conditions characterized by the inability to control emotions or to resist an impulse or a temptation to perform some act that is unlawful, socially unacceptable, or self-harmful.

A

disruptive, impulse-control, and conduct disorders

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18
Q

Group of psychological illnesses in which a particular mental function is separated from the mind as whole

A

dissociative disorders

19
Q

Movement disorder characterized by involuntary muscle movements; often result of prolonged use of antipsychotics

A

dyskinesia

20
Q

Form of depression that is chronic in nature, lasting as long as two years or more

A

dysthymia

21
Q

Sudden state of delirium, extreme psychomotor agitation, unusual strength, and hyperadrenergic autonomic dysfunction, typically in the setting of acute or chronic drug abuse or serious mental illness

A

excited delirium

22
Q

Group of disorders in which symptoms are deliberately produced, feigned, or exaggerated to mimic true illness.

A

factitious disorders

23
Q

Apparent perception of sights, sounds, and other sensory phenomena that are not actually present

A

hallucinations

24
Q

Disabling condition of depression that adversely affects a person’s family, work, or school life, sleeping and eating habits, and general health.

A

Major depression or clinical depression

25
Q

Mood disorder characterized by extreme excitement, hyperactivity, agitation, and sometimes violent and self-destructive behavior

A

mania

26
Q

Evaluation tool that includes an assessment of appearance and behavior, speech and language, emotional stability, and cognitive abilities

A

Mental status examination (MSE)

27
Q

Conditions in which the emotions that a person normally experiences in life undergo undesirable and possibly distressing changes

A

mood disorders

28
Q

A self-imposed factitious disorder imposed in which the patient makes routine pleas for treatment and hospitalization for a symptomatic, but imaginary, illness to gain sympathy or
attention.

A

Munchausen syndrome

29
Q

Factitious disorder imposed on another in which a person injures or induces illness in others to gain sympathy or attention

A

Munchausen syndrome by proxy

30
Q

Disorder that results in a disturbance or cognitive functioning

A

neurocognitive disorder

31
Q

Psychiatric disorder in which a person feels stress or anxiety about thoughts or rituals over which the person has little control

A

obsessive-compulsive disorder (OCD)

32
Q

Anxiety disorder characterized by unexpected and repeated episodes of intense fear accompanied by physical symptoms that may include chest pain, heart palpitations, shortness of breath, dizziness, or abdominal distress

A

panic disorder

33
Q

Condition characterized by an elaborate, overly suspicious system of thinking

A

paranoia

34
Q

Large group of conditions distinguished by a failure to learn from experience or to adapt appropriately to changes

A

personality disorders

35
Q

Anxiety disorder characterized by an obsessive, irrational fear of a specific object or activity

A

phobia

36
Q

Anxiety disorder that can occur following a series of disturbing events or a single, emotionally traumatic incident

A

posttraumatic stress disorder (PTSD)

37
Q

Maladaptive behavior involving major distortions of reality

A

psychotic behavior

38
Q

Group of disorders characterized by recurrent episodes of psychotic behavior

A

schizophrenia

39
Q

An of a large group of neurotic disorders characterized by symptoms suggesting physical illness or disease, for which there are no organic or physiologic causes; also known as somatoform disorder

A

somatic symptom disorders

40
Q

Act of a human being intentionally causing his or her own death

A

suicide

41
Q

What ratio of adults have a diagnosable mental disorder?

A

1:5

42
Q

Mnemonic for direct components for MSE (mental status evaluation)

A

COASTMAP
Consciousness
Orientation
Activity
Speech
Thought
Memory
Affect and mood
Perception

43
Q

Mnemonic to identify major features of depression

A

IN SAD CAGES
INterest loss
Sleep disturbance
Appetite change
Depressed mood
Concentration difficulty
Activity change
Guilt
Energy loss
Suicidal

44
Q

Medication to treat bipolar disorder

A

Lithium

Medical Emergencies II (4 decks)

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