Mehl. bullet: personality disorders Flashcards
M. USMLE might give a female who is highly flirtatious and sexually provocative with her physician. Dx?
Histrionic personality disorder (B type)
M. USMLE can give a male who wears bright colors (i.e., a 44-year-old man presents to emergency high-energy and dressed all in yellow). Dx?
Histrionic personality disorder (B type)
M. USMLE can give vignette of a patient who castigates medical staff for a doctor not starting an appointment at the scheduled time. Dx
Narcissistic personality disorder (B type)
M. USMLE can make the vignette a little more tricky, e.g., by saying a guy cheated on his bar exam to become a lawyer (which is a crime). The crime need not be something like murder. Dx?
Antisocial personality disorder (B type)
M. The USMLE will say a guy works at a plastics factor or is computer programmer (i.e., some random boring job without social interaction) and just stays alone. Dx?
Schizoid personality disorder (A type)
M. 26M + works at plastics factory + quiet/loner; Dx?
schizoid personality disorder (ego-syntonic).
M. 47F + highly sensitive to rejection + poor self-esteem; Dx?
avoidant personality disorder (ego-
dystonic).
M. 26M + “wild thinking” + no auditory hallucinations; Dx?
schizotypal personality disorder.
M. 16F + slice marks on wrists and thighs + Hx of two prior broken engagements; Dx + Tx?
borderline personality disorder; parasuicidal behavior common (suicidal gestures, but not true attempts at suicide); Tx = dialectal behavioral therapy (DBT).
M. Defense mechanism in borderline personality disorder?
Splitting: “all doctors are bad; all nurses are good.”
16M + disruptive in class + numerous suspensions from school + caught stealing at the mall; Dx?
conduct disorder. pattern of law-breaking + must be under age 18
in contrast, a patient with oppositional defiant disorder does not break the law.
19M + disruptive in university + Hx numerous suspensions from school + caught stealing at the mall; Dx?
Cia pati perdariau, bet answer = antisocial
> 18 yo + Hx of bad behaviour
27M + cheated on the Bar Exam + fired from job at 23 for stealing + arrested for drunk driving in high
school; Dx?
antisocial personality disorder;
key detail is: must break the law; must be older than age 18 and must have had conduct disorder prior to age 15 -> in other words, just because an adult breaks the law does not mean he or she has ASPD. Another important point is that “anti-social” means “law-breaking,” not “not social.” Students tend to erroneously define anti-social as avoidant.
M. 44M + comes in dressed all in yellow + high energy; Dx?
histrionic personality disorder.
44F + sexual toward doctor + high energy; Dx?
histrionic personality disorder
