Day 2 - Psych2 Personality, Substance, Eating, Somatiform

Question 1

Personality disorder: (1) excessive need to be taken care of, submissive, clinging, & fear of losing support (2) grandiosity, feels entitled, lack of empathy, narcissistic (3) suicide attempts, unstable mood and behavior, impulsivity, sense of loneliness (4) distrustful, suspicious, litigious (5) lifelong voluntary social withdrawal, psychosis, emotional expression limited with small range of affect (6) feelings of inadequacy, suicidal attempts, hypersensitivity to rejection or criticism, socially inhibited or shy (7) constant mood of unhappiness and pessimism (8) Odd appearance, thoughts, and behavior; No psychosis; Social awkwardness (9) Controlling, perfectionist, indecisive (10) Criminality, unable to conform to social norms (11) Excessively dramatic, social extrovert, sexually provocative, unable to maintain relationships

Answer 1

(1) Dependent (2) Narcissistic (3) Borderline (4) Paranoid (5) Schizoid (6) Avoidance (7) Depressive (8) Schizotypal (9) Obsessive compulsive (10) Antisocial (11) Histrionic

Question 2

Tx personality disorder

Answer 2

Psychotherapy; Cluster A - low dose antipsychotic

Question 3

Defense mechanisms commonly used by following personality disorders: (1) Paranoid (2) Borderline (3) Histrionic (4) Obsessive compulsive

Answer 3

(1) Projection (2) Splitting (3) Repression (4) Isolation

Question 4

OCPD vs. OCD

Answer 4

OCPD - do not recognize their behavior as problematic; OCD - do recognize their behavior as problematic

Question 5

Antisocial v. Conduct disorder

Answer 5

Same - disregard rights, break law, harm animals; Conduct

Question 6

Alcohol abuse v. dependence

Answer 6

Alcohol abuse - recurrent use despite recurrent adverse consequences; Dependence - 3 of following: (1) tolerance (2) withdrawal (3) antabuse (4) inability to quit or cut back (5) significant amount of time spent recovering

Question 7

Prevent relapse of recovering alcoholics

Answer 7

(1) alcholics anonymous (2) disulfiram (Antabuse) (3) topiramate (4) naltrexone (5) acamprosate; all monotherapy

Question 8

Sx of overdose or withdrawal - Post op constipation & respiratory depression

Answer 8

Opiod overdose

Question 9

Sx of overdose or withdrawal - severe depression, headache, fatigue, insomnia/hypersomnia, or hunger

Answer 9

Cocaine/Amphetamine withdrawal

Question 10

Sx of overdose or withdrawal - pinpoint pupils (miosis), n/v, seizures

Answer 10

Opioid overdose

Question 11

Sx of overdose or withdrawal - belligerence, impulsiveness, nystagmus, homicidal ideation, psychosis

Answer 11

PCP overdose

Question 12

Sx of overdose or withdrawal - HA, anxiety, depression, weight gain

Answer 12

Nicotine/Caffeine withdrawal

Question 13

Sx of overdose or withdrawal - anxiety, depression, delusion, hallucinations, flashbacks

Answer 13

LSD intoxication

Question 14

Sx of overdose or withdrawal - Euphoria, social withdrawal, impaired judgements, hallucinations

Answer 14

Marijuana intoxication

Question 15

Sx of overdose or withdrawal - rebound anxiety, seizure, tremors (life-threatening)

Answer 15

Alcohol/Benzo/Barbs withdrawal

Question 16

Sx of overdose or withdrawal anxiety, piloerection, yawning, fever, rhinnorrhea, n/v

Answer 16

Opioid withdrawal