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Board Certification > Perez final, not the board > Flashcards

Perez final, not the board Flashcards

1
Q

Do we medicate for personality disorders?

A

NO, unless they have other diagnoses. If they are depressed, we treat their depression.

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2
Q

Borderline and paranoid, comes in with somatic complaints. Ethics question. ER Dr. calls you at the office. Wants details on patient. What do you do or say?

A
  • You cannot say ANYTHING.
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3
Q

Borderline comes in every 2 weeks for medication management. Patient gets your cellphone number and won’t stop calling. What do you do?

A

Terminate relationship, give them time and resources to find another NP.

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4
Q

Comes in to emergency room, taking anti-psychotics. Muscle rigidity, fever, severe confusion. What do we see on labs?

A

Elevated serum creatine phosphokinase

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5
Q

Psych NP says to patient, if you don’t stop yelling we will IM and restrain you. What would the lawyer say you did to the patient?

A

Not assault or malpractice. Battery to threaten the patient with words.

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6
Q

How do we determine risk for suicide?

A

ask the patient

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7
Q

Patient acts out in outpatient clinic, threatening staff. What is the most important thing you want to achieve in that situation?

A

Handle situation with least intensity. Don’t traumatize other patients in the clinic.

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8
Q

Paranoid Personality Disorder. How do they present?

A

Distant and guarded. They are not necessarily intense or impulsive.

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9
Q

Older adult, last of kids leaves home. Patient is deteriorating, believes no one loves her, not well-groomed. Patient states they are worthless. How would you respond to her?

A

Spend time together, we can sit quietly. Be present with the patient.

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10
Q

Dementia- What are worried about for an onset of dementia?

A

Difficulty with word finding

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11
Q

75 y.o. comes with Alzheimer’s. Still verbal. What is more dementia and not depression?

A

The patient states “I don’t remember”.

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12
Q

Young person diagnosis with dependent personality disorder. What’s the gender

A

female

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13
Q

Depressed mid-30s. Doesn’t want to talk in front of family members. What do we do?

A

Ask family members to leave

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14
Q

What bloodwork for an AA female, initial psych eval, issues with memory, cognition, mood lability, depression?

A

Thyroid and CMP

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15
Q

Acetylcholine- is it a monoamine neurotransmitter?

A

Yes

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16
Q

Mini mental status exam vs mini cog

A

the mini cog is just the 3 words and the clock.

The mini mental status is all of those questions.

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17
Q

What would worry you about a 17 y.o., extremely thin, female. What would cause her to be admitted?

A

Restrictive eating, binging, vomiting, using laxatives, extreme exercise. Could it screw up their electrolytes

18
Q

Keeping patient against their will in hospital who isn’t voluntary. What can we be arrested for?

A

Imprisonment

19
Q

What is the first thing you do when developing a teaching plan for a patient?

A

Assess knowledge level.

20
Q

What’s the best therapy for adolescents at home with eating disorders?

A

Recommend family therapy.

21
Q

What do you give an older person who wants to sleep?

A

Zaleplon, because it has the shortest half life

22
Q

Why do we meet with entire family when a patient is on an MAOI?

A

Important to know diet restrictions

23
Q

What part of the brain controls emotional regulation?

A

Amygdala

24
Q

Borderline - if they self harm secretly and approach you for help, they are

A

getting better

25
Q

MMSE moderate score range is

A

11 to 20

26
Q

In bulimia and laxative use, how should you approach the patient?

A

Be upfront and direct, make it a teaching moment. Start a dialogue by showing curiosity.

27
Q

Criteria for dx of Anorexia binge and purge type

A

RECENT COMPENSATORY MEASURES TO AVOID WEIGHT GAIN

28
Q

Aphasia

A

loss of words

29
Q

Apraxia

A

loss of meaningful movement

30
Q

Agnosia

A

loss of recognition of objects

31
Q

In an eating disorder, refer them to

A

community resources

32
Q

Insurance fraud

A

Qui Tam whistleblower

33
Q

If an antisocial patient refuses to engage,

A

use reflective thinking to look back what they were responsive to

34
Q

ideal for a little old lady with insomnia

A

Temazepam (restoril)

35
Q

Hippocampus

A

memory

36
Q

Basal ganglia

A

Motor control

37
Q

If another person calls for information on a patient, it cannot be determined over the phone who they are but ASK IF IT IS

A

A LIFE THREATENING EMERGENCY

38
Q

Example of battery-

A

If you don’t stop yelling i am going to give you an IM

39
Q

Thalamus

A

regulate consciousness

40
Q

When do you need a Prolactin level

A

second gen antipsychotic (risperidone, paliperidone)

Board Certification (12 decks)

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