Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

MS3 - Psychiatry > Miscellaneous > Flashcards

Miscellaneous Flashcards

1
Q

What are some characteristics of the “acting out” defense mechanism?

A
  • Immature defense mechanism

- Giving in to an impulse, even if socially inappropriate, in order to avoid the anxiety of suppressing that impulse

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are some characteristics of the “denial” defense mechanism?

A
  • Immature

- Not accepting a reality

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are some characteristics of the “displacement” defense mechanism?

A
  • Immature/Neurotic

- Transferring feelings from one object/person to another one (usually one that is less threatening)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What are some characteristics of the “intellectualization” defense mechanism?

A
  • Immature/Neurotic

- Avoiding distressing/negative feelings by excessively focusing on intellectual/non-emotional details

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What are some characteristics of the “projection” defense mechanism?

A
  • Immature

- Attributing one own’s feelings to others (e.g. husband attracted to other women believes wife is having an affair)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What are some characteristics of the “rationalization” defense mechanism?

A
  • Immature/Neurotic

- Justifying behavior to avoid difficult truths and make the behavior/outcome more acceptable

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What are some characteristics of the “reaction formation” defense mechanism?

A
  • Immature/Neurotic

- Doing the opposite of an unacceptable impulse

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What are some characteristics of the “regression” defense mechanism?

A
  • Immature
  • Performing behaviors from an earlier developmental stage to avoid tension associated with the current developmental stage
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What are some characteristics of the “splitting” defense mechanism?

A
  • Immature

- Labeling people as all good or all bad (common in borderline personality disorder)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What are some characteristics of the “suppression” defense mechanism?

A
  • Mature
  • Consciously/purposefully ignoring an unacceptable impulse or emotion in order to diminish discomfort and accomplish a task/cope with reality
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What are some characteristics of the “sublimation” defense mechanism?

A
  • Mature

- Channeling unacceptable impulses into socially acceptable behavior

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

A patient presenting with talkativeness, gregariousness and disinhibition is likely intoxicated with what substance?

A

Alcohol

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

A patient presenting with pupillary dilation, chest pain, euphoria, hyper-vigilance, autonomic hyperactivity, and perceptual disturbances is likely intoxicated with what substance?

A

Cocaine/amphetamines

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

A patient presenting with conjunctival injection, impaired motor coordination and slowed movements is likely intoxicated with what substance?

A

Cannabis (including K2 and spice)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

A patient presenting with nystagmus, belligerence, psychomotor agitation, violence, hypertension and seizure is likely intoxicated with what substance?

A

PCP (phencyclidine)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

A patient presenting with irritability, aggression mania and psychosis with a history of weight-lifting/sports is likely intoxicated with what substance?

A

Anabolic steroids (“roid rage”)

17
Q

A patient presenting with tremors, hallucinations, seizures, and fluctuating consciousness/awareness is likely withdrawing from what substance?

A

Alcohol

18
Q

A patient presenting with anxiety, tremulousness, headache and depression is likely withdrawing from what substance?

A

Cocaine

19
Q

A patient presenting with irritability, anger, anxiety, sleep problems, restlessness, and appetite problems is likely withdrawing from what substance?

A

Cannabis

20
Q

A patient presenting with diarrhea, fever, chills, lacrimation, abdominal cramps, and muscle spasms is likely withdrawing from what substance?

A

Opiates (e.g. heroin)

21
Q

What are two pharmacologic agents that can be used to treat Neuroleptic Malignant Syndrome?

A

Dantrolene or Bromocriptine

22
Q

What is one pharmacologic agent that can be used to reverse/treat serotonin syndrome?

A

Cyproheptadine

23
Q

What is one specific indicator of dementia (major neurocognitive disorder) vs. normal aging?

A

Loss of ADLs in dementia (e.g. getting lost in familiar setting, loss of ability to dress self or eat)

24
Q

What is the treatment of choice of adjustment disorder?

A

Psychotherapy

25
Q

What are the DSM-5 criteria for schizophrenia?

A 
Two or more of the following present for at least 1 month:
1. Delusions
2. Hallucinations
3. Disorganized speech
4. Disorganized behavior
5. Negative symptoms
(At least one must be 1, 2, or 3)
- Duration of at least 6 months
26
Q

Which antipsychotic is reserved for treatment-resistant disease and why?

A

Clozapine is reserved for patients who have failed multiple antipsychotic trials due to increased risk of agranulocytosis.

27
Q

Which second generation antipsychotic has the greatest risk of extrapyramidal side effects?

A

Risperidone

28
Q

What is akathisia?

A
  • A known extrapyramidal side effect of anti-psychotics

- Restlessness (e.g. patient can’t sit still, pacing)

29
Q

What are some treatments for akathisia?

A
  • Benztropine

- Beta-blocker

30
Q

What is acute distonia?

A
  • A known extrapyramidal side effect of anti-psychotics

- Sudden, sustained contraction of the neck, mouth, tongue, and eye muscles

31
Q

What are some of the characteristic movements of Parkinsonism?

A
  • Gradual onset tremor, rigidity, bradykinesia
32
Q

What are some treatments for acute dystonia?

A
  • Benztropine

- Diphenhydramine

33
Q

What is tardive dyskinesia?

A

Gradual onset of dyskinesia generally after 6mo of treatment with an antipsychotic
- Abnormal involuntary movements of the face, mouth, trunk and extremities

34
Q

How is tardive dyskinesia treated?

A
  • Discontinue 1st gen antipsychotic and switch to 2nd gen

- Valbenazine

MS3 - Psychiatry (1 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions