Behavioral science Flashcards
What characterizes a learning disorder
Difficulty learning a key academic skull
Math writing or reading
When expected to preform children show add symptoms
What characterizes attention deficit disorder
The pattern is occuring in at least two settings
This is an intrusive reexperiencing, hyperarosal, and avoidance ascociated with a trauma. Lasts days to 1 month
Acute stress disorder
How long will stress persist in order to classify something as generalized anxiety disorder
Symptoms over six months
Treat with antidepressents and cognitive behavior therapy
This lasts between 3-6 months. Does not fit another diagnosis. Symptoms are anxiety after a stressor
Adjustment disorder
Define nonmalficence
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
Describe the onset of postpartum blues, depressions, and mania
Blues: onset 2-3 days, resolves in 10
Depression: onset within 4 weeks
Psychosis: variable
What is a child expected to accomplish at three years of age
Imaginitive play in parelel, speak simple sentances, copy a circle, use utensils, and ride a tricycle
Sudden onset. Lasts days to a month. Psychotic, alert, orientated. Symptoms not explained by a medical condition
Brief psychotic disorder
Can a doctor ever have a relationship with a patient
No. It is always always always unethical despite what school taught you
What are the first line treatments for bi polar
Lithium
Valproate- anticonvulsant
Second generation antipsychotic
This is a lifelong pattern of seeking perfection, orderliness, and having control. Does not involve compulsions
Obsessive compulsive personality disorder
Does not have intrusive obsession like OCD
You have a patient who binges and vomits regularly. She has languo, enlarged parotid, small heart, and a bmi below 18
She is anorexic!!
Apparently To be bullemic you need to be closer to an almost normal weight
What if you refuse to eat but are just dandy with how you look
Avoidant/ restrictive food intake disorder. In this, you don’t eat cause you don’t like food, but you don’t have body dysmorphia
Bullemics do not show signs of
Starvation!
No little heart, fractures (osteoporosis) etc
If pt is compantant, what is the best way to improve adherence at discharge
Giving a discharge checklist
What benzos are used with liver disease
Lorazepam
Oxazepam
Temazepam
“Out the liver” which is a weird way of remembering considering these ARNT out the liver.
If you want to figure out how to prevent future adverse outcomes
Do a root cause analysis
You must figure out why an adverse event is occuring before you can make suggestions
This is a medical error in which the problem is identified before any harm is done
Near miss
What is a sentinel event
Unexpected occurance involving death or serious injury to the patient that requires an investigation
Ex: inpatient si, retained object after surgery
What is a preventable adverse event
Injury to a patient due to failure to follow evidence based best practice guid lines
What is the order of directives you follow when making life saving choices for patients
Patient
Directive
Family member
“Someone who cares and knows wishes”
In emergencies you do not need consent
When is a father legally allowed to find out the status of a child (paternity)
Only when child support is requested
Define conversion disorder
Neurological symptoms do not line up with a neurological disease
Define factious disorder
Patients fake symptoms because they like being sick (attention)
Define malingering
Faking symptoms for an obvious benefit (like getting disability)
Define somatic symptom disorder
Health anxiety with multiple somatic symptoms
Distress but no loss of function (like conversion)
Duty to act in patients best interest
Beneficence
Duty to treat people fairly and equitably
Justice
Can a drunk Alzheimer’s patient revock medical poa
Apartently medical poa can be revoked at anytime regardless of compatance
What wins, beneficence or autonomy
Autonomy prevails
Describe an HMO
Must have pcp
Needs referals
Low costs to patients
Tachypnea will lead to blowing off co2. What change does this have in the brain
Cerebral vasoconstriction.
Co2 is a cerebral vasodilator. Without it, constriction
What is a cross over study
It is like an RTC, except that the placebos and cases “switch” after a wash out period
