Psych Addtl

Question 1

Unreasonable displacement of feelings, esp from __, on to new person/object

pt listens attentively to therapist, bc reminds of mother is ___ type

husband angry bc wife uses phrase from mother is __ type

Answer 1

childhood, transference

positive

negative

Question 2

Physician displaces feelings , esp from childhood, onto new peron or object

ex physician gets in arguement w teenage daughter, later lectures __

Answer 2

countertransference

teenage pt

Question 3

polarizatin of beliefs into good/bad based on perceived value

ie pt arrives at office, not contacted by receptionist, immediately seen by nurse

will be __ at receptionist
will be __ at nurse

Answer 3

splitting

mad
nice

Question 4

converting own unwanted thoughts into opposite emotion

ex mother w unplanned pregnancy will __ to kid

Answer 4

reaction formation

give everything

Question 5

unconcious identification w thoughts/feelings another has about them

ie husband accuses wife of affair, she begins to dress ___

Answer 5

projective identification

seductively

Question 6

attributing own unwanted feelings about someone to that or another person

ie husband very attracted to woman, thinks of having affair

when sees wife, will __

Answer 6

projection

accuse her of affair

Question 7

pt begs husband to stay because she is afraid to be alone exhibits what defense mechanism

Answer 7

regression

Question 8

how to respond to angry pt

Answer 8

empathy

Question 9

no history of substance use disorder, limited use of alcohol

counsel pt on substance abuse

Answer 9

she is at low risk with normal use

Question 10

Cocaine

sympathomimetic sx
H/T/H/A/H

CNS effects: E/w

Answer 10

hyperTn, tachycardia, hyperthermia, agitation, hyperactivity

euphoria, wellbeing

Question 11

Amphetamine

sympathomimetic effects

Answer 11

hyperTN, tachy, hyperthermia, agitation, hyperactivity

Question 12

Methamphetamine

sympatho sx

CNS stimulation P/C

Answer 12

hyperTN/tachy/hyperthermia/agitation/hyperactive

psychosis, choreiform movements

Question 13

MDMA

__ sx

Serotonic sx E/E/H/E

Answer 13

sympathomimetic sx

euphoria, enhanced mental powers, hallucinations, emotional liability

Question 14

Synthetic cathinone

__ sx

extreme __ and __
P/C/H/M

Answer 14

sympathomimetic

agitation/delirium
psychosis, combative, hallucinations, myoclonus

Question 15

THC sx
T
C
V
A
S
S
E

Answer 15

tachycardia
conjunctival injection
vomiting
ataxia
sedation
slurred speech 
euphoria

Question 16

Synthetic cannabinoid

cannabinoid sx T/C/V/A/S/S/E
\
A/P/D/C/S/H

NMDA sx

Answer 16

tachy, conjunctival injection, vomiting, ataxia, sedation, slurred speech, euphoria

agitation/pyschosis/delirium/coma/seizure/hallucination

Question 17

Hallucinogens like LSD/PSP

vitals will __ from __ to ___

NMDA sx A/P/D/C/S/H

Answer 17

range, normal to inc

agitation, psychosis, delirium, coma, seizure, hallucinations

Question 18

drug to wean off narcotics

Answer 18

buprenorphine

Question 19

drug induced parkinsonism is ___

can produce __ SE

Answer 19

phenothiazine

extra pyramidal

Question 20

elevated bp, RR, HR
ab pain, N/V/D and anxiet, rhinorrhea, piloerection

pt is experiencing __ withdrawal

Answer 20

oxycodone

Question 21

occasionally sad, normal appearance, no substance use, no exam findings

pt is

Answer 21

normal

Question 22

Crying pt, drinking heavily is experiencing ____

Answer 22

adjustment disorder w depressed mood

Question 23

Pt w decreased appetite w HA, often tired

HA is located in back of head, radiates to shoulders

Pt has ___

Answer 23

generalized anxiety disorder

Question 24

homeless man, psychiatric PMI, dirty/malodourous

disorganized speech

hears voices in his head

pt has ___

Answer 24

schizophrenia

Question 25

Pt with behavior problems, fideting, talking constantly, difficulty remembering questions

most appropriate pharmacotherapy

Answer 25

methylphenidate