Behavioral science

Question 1

What characterizes a learning disorder

Answer 1

Difficulty learning a key academic skull
Math writing or reading

When expected to preform children show add symptoms

Question 2

What characterizes attention deficit disorder

Answer 2

The pattern is occuring in at least two settings

Question 3

This is an intrusive reexperiencing, hyperarosal, and avoidance ascociated with a trauma. Lasts days to 1 month

Answer 3

Acute stress disorder

Question 4

How long will stress persist in order to classify something as generalized anxiety disorder

Answer 4

Symptoms over six months

Treat with antidepressents and cognitive behavior therapy

Question 5

This lasts between 3-6 months. Does not fit another diagnosis. Symptoms are anxiety after a stressor

Answer 5

Adjustment disorder

Question 6

Define nonmalficence

Answer 6

Do no harm

Ex: a prescription that is likely to do more harm than good should not be prescribed, even if the patient requests it

Question 7

Describe the onset of postpartum blues, depressions, and mania

Answer 7

Blues: onset 2-3 days, resolves in 10

Depression: onset within 4 weeks

Psychosis: variable

Question 8

What is a child expected to accomplish at three years of age

Answer 8

Imaginitive play in parelel, speak simple sentances, copy a circle, use utensils, and ride a tricycle

Question 9

Sudden onset. Lasts days to a month. Psychotic, alert, orientated. Symptoms not explained by a medical condition

Answer 9

Brief psychotic disorder

Question 10

Can a doctor ever have a relationship with a patient

Answer 10

No. It is always always always unethical despite what school taught you

Question 11

What are the first line treatments for bi polar

Answer 11

Lithium

Valproate- anticonvulsant

Second generation antipsychotic

Question 12

This is a lifelong pattern of seeking perfection, orderliness, and having control. Does not involve compulsions

Answer 12

Obsessive compulsive personality disorder

Does not have intrusive obsession like OCD

Question 13

You have a patient who binges and vomits regularly. She has languo, enlarged parotid, small heart, and a bmi below 18

Answer 13

She is anorexic!!

Apparently To be bullemic you need to be closer to an almost normal weight

Question 14

What if you refuse to eat but are just dandy with how you look

Answer 14

Avoidant/ restrictive food intake disorder. In this, you don’t eat cause you don’t like food, but you don’t have body dysmorphia

Question 15

Bullemics do not show signs of

Answer 15

Starvation!

No little heart, fractures (osteoporosis) etc

Question 16

If pt is compantant, what is the best way to improve adherence at discharge

Answer 16

Giving a discharge checklist

Question 17

What benzos are used with liver disease

Answer 17

Lorazepam

Oxazepam

Temazepam

“Out the liver” which is a weird way of remembering considering these ARNT out the liver.

Question 18

If you want to figure out how to prevent future adverse outcomes

Answer 18

Do a root cause analysis

You must figure out why an adverse event is occuring before you can make suggestions

Question 19

This is a medical error in which the problem is identified before any harm is done

Answer 19

Near miss

Question 20

What is a sentinel event

Answer 20

Unexpected occurance involving death or serious injury to the patient that requires an investigation

Ex: inpatient si, retained object after surgery

Question 21

What is a preventable adverse event

Answer 21

Injury to a patient due to failure to follow evidence based best practice guid lines

Question 22

What is the order of directives you follow when making life saving choices for patients

Answer 22

Patient
Directive
Family member
“Someone who cares and knows wishes”

In emergencies you do not need consent

Question 23

When is a father legally allowed to find out the status of a child (paternity)

Answer 23

Only when child support is requested

Question 24

Define conversion disorder

Answer 24

Neurological symptoms do not line up with a neurological disease

Question 25

Define factious disorder

Answer 25

Patients fake symptoms because they like being sick (attention)

Question 26

Define malingering

Answer 26

Faking symptoms for an obvious benefit (like getting disability)

Question 27

Define somatic symptom disorder

Answer 27

Health anxiety with multiple somatic symptoms

Distress but no loss of function (like conversion)

Question 28

Duty to act in patients best interest

Answer 28

Beneficence

Question 29

Duty to treat people fairly and equitably

Answer 29

Justice

Question 30

Can a drunk Alzheimer’s patient revock medical poa

Answer 30

Apartently medical poa can be revoked at anytime regardless of compatance

Question 31

What wins, beneficence or autonomy

Answer 31

Autonomy prevails

Question 32

Describe an HMO

Answer 32

Must have pcp

Needs referals

Low costs to patients

Question 33

Tachypnea will lead to blowing off co2. What change does this have in the brain

Answer 33

Cerebral vasoconstriction.

Co2 is a cerebral vasodilator. Without it, constriction

Question 34

What is a cross over study

Answer 34

It is like an RTC, except that the placebos and cases “switch” after a wash out period