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Step Uno > Psych > Flashcards

Psych Flashcards

1
Q

Negative reinforcement

A

desired behavior removes negative stimulus

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2
Q

Transference

A

Patient thinks doctor is important formative person

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3
Q

Coubtertransferrnce

A

Doctor projects feelings of importance onto a patient

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4
Q

Acting out

A

Immature ego defense. Tantrum

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5
Q

Dissociation

A

Immature ego defense. Temporary change in personality to avoid conflict. Split personality.

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6
Q

Denial

A

Immature ego defense. Nothing is wrong!

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7
Q

Displacement

A

Immature ego defense. Avoided feelings are transferred onto neutral object. Yelling at the dog.

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8
Q

Fixation

A

Immature ego defense. Partial reversion childish behavior. Sports.

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9
Q

Identification

A

Immature ego defense. Modeling behavior after superior person in terms of power.

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10
Q

Isolation

A

Immature ego defense. Separation of feelings from ideas or event.

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11
Q

Projection

A

Immature ego defense. Unacceptable internal impulse attributed to another source.

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12
Q

Rationalization

A

Immature ego defense. Claiming logical reason for behavior which is false to avoid conflict.

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13
Q

Reaction formation

A

Immature ego defense. Acting the opposite way to ward off the unwanted feeling.

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14
Q

Repression

A

Immature ego defense. Forcing memory out of brain. forgetting a rape

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15
Q

Regression

A

Immature ego defense. Turn back emotional clock

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16
Q

Splitting

A

Immature ego defense. Intolerance of ambiguity. Morally black and white.

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17
Q

Classic conditioning

A

Natural response elicited by learned stimulus

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18
Q

Altruism

A

Mature ego defense. Do good kid

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19
Q

Humor

A

Mature ego defense. I didn’t want to be a doctor anyway

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20
Q

Sublimation

A

Mature ego defense. Redirect energy in a similar thing but positive. Like workout out

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21
Q

Suppression

A

Mature ego defense. Voluntary ignoring a feeling.

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22
Q

Conduct disorder

A

Basically doesn’t respect other basic rights. Fights and stealing.

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23
Q

Oppositional defiant disorder

A

Defying authority figures just cause

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24
Q

Autism

A

Fixation on objects more than people

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25
Q

Aspergers disorder

A

Mild autism. Basically obsession over things but no language defects.

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26
Q

Retts disorder

A

Girls only. Maturation reverses at age four

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27
Q

NT change: anxiety

A

High norepinephrine

Low GABA serotonin

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28
Q

NT change: depression

A

Low norepinephrine and serotonin and dopamine

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29
Q

NT change: Alzheimer’s

A

Low ACh

30
Q

NT change: Huntingtons

A

Low GABA and ACh

High dopamine

31
Q

NT change: schizophrenia

A

High dopamine

32
Q

NT change: Parkinson’s

A

Low dopamine

High serotonin and ACh

33
Q

Korsakoffs amnesia

A

Anterograde amnesia due to mammillary body destruction secondary to thiamine deficiency.

34
Q

Thiamine other name

A

B1

35
Q

Manic episode requires

A 
Three of : dig fast
Distractability
Irresponsiblity
Grandiosity
Flight of ideas
Activity 
Sleep down
Talkativeness
36
Q

Schizophrenia diagnosis

A 
Two of 
Delusions 
Hallucination
Disorganized speech
Disorganized behavior 
Negative symp
37
Q

Depression diagnosis

A 
At least two weeks of 
Five of 
SIG E CAPS
Sleep disturbance 
Interest lost
Guilt
Concentration loss
Appetite change
Psychomotor 
Suicide
38
Q

Atypical depression

A

Most common depression type. Still feel better with positive stimuli and fixes motor symptoms.

39
Q

Maternal blues

A

Most common. Depressed and sad 2-3 days after birth. Resolved itself in two weeks

40
Q

Postpartum depression

A

Basically maternal blues that last longer two weeks

41
Q

Postpartum psychosis

A

Psychosis two weeks after delivery

42
Q

malingering

A

patient fakes something for personal gain

43
Q

factitious disorder

A

patient fakes something to assume “sick role”

44
Q

somatization disorder

A

patient has physical symptoms which have not attributable cause. not intentional or faked.

45
Q

conversion disorder

A

sudden loss of sensation or motor due to acute stressor

46
Q

hypochondriasis

A

preoccupying fear of medical illness

47
Q

munchausen syndrome

A

chronic fake illnesses

48
Q

Cluster A personality disorders

A

odd/eccentric: Paranoid, Schizoid, Schizotypal

49
Q

Cluster B personality disorders

A

dramatic/emotional: Antisocial(sociopath), Borderline (unstable), Histrionic (emotional/sexual), Narcissitc

50
Q

Cluster C personality disorders

A

Anxious/fearful: Avoidant, Obsessive compulsive, Dependent

51
Q

schizophrenia time course

A

6 month: schizophrenia

52
Q

Alcohol test

A

serum gama-glutamyltransferase (GGT), AST is 2X vs ALT

53
Q

opiod effects

A

euphoria, depressed resp and CNS and gag reflex. pinpoint pupils

54
Q

opiods

A

morphine, heroin, methadone

55
Q

opiod overdose treatment

A

naloxone, naltrexone

56
Q

opiod withdrawl symptoms and treatment

A

sweating, dialted pupils, piloerection (goose bumps), fever, rhinorrhea, nausea.
Rx: methadone, buprenorphine

57
Q

depressant party drugs

A

alcohol, opiods, barbiturates, benzodiazepines. they all cause mood elevation, decreased anxiety, sedation, behavior disinhibition, resp depression

58
Q

Alcohol withdrawl extreme symptom and treatment

A

Delirium tremens treated with benzodiazepines. Life threatening that peaks 2-5 days after withdraw

59
Q

barbiturate withdrawal can cause

A

CV collapse

60
Q

Benzodiazepines can be counter acted with

A

flumazenil

61
Q

Stimulant drugs: names, effects, and withdrawal general

A

amphetamines, cocaine, caffeine, nicotine. mood elevation, aggitation, insomnia, arrhythmias. withdrawal: crash, weight gain

62
Q

Amphetamine use symptoms

A

pupillary dilation, euphoria, hypertension

63
Q

Cocaine use symptoms

A

pupillary dilation, impaired judgment, hallucinations, paranoia

64
Q

cocaine “treatment”

A

benzodiazepines

65
Q

nicotine withdrawal treatment

A

bupropion/varenicline

66
Q

Cannibus treatment form

A

dronabinol

67
Q

PCP “treatment”

A

benzodiazepine

68
Q

Heroin (rather than general opiod) addiction treatment

A

Methadone - long term oral drug for maintenance.

Naloxone + Buprenorphine: partial agonist, bettter than methadone. Naloxone only causes it own withdrawal if injected.

69
Q

Alchoholism drug

A

disulfiram (to condition the patient away from alcohol)

70
Q

wernike-korsakoff syndrome

A

thiamine def from alcohol causing triad: confusion, opthalmoplegia, ataxia (mammillary body atrophy)

71
Q

mallory-weiss syndrome

A

lacerations at gastroesophageal junction due to vomiting from alcohol

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