Psych III

Question 1

social anxiety phobia

Answer 1

fear social situation

tx - CBT, SSRIs

Question 2

agoraphobia

Answer 2

fear of open or closed spaces, public transportation, line in crowd, leaving home alone

tx - CBT, SSRI, MAOI

Question 3

GAD

Answer 3

anxiety longer than 6 months

tx - CBT, SSRI, SNRI

buspirone, TCA, benzo - second line

Question 4

adjustment disorder

Answer 4

emotional sx
impairment following identifiable psychosocial stressor

less than 6 months

Question 5

OCD

Answer 5

obsessions relieve by compulsions

association - tourette

tx - CBT, SSRI, clomipramine - first line

Question 6

body dysmorphic disorder

Answer 6

peroccupation with minor/imagined defect in appearance

Question 7

PTSD

Answer 7

longer than 1 month

impair social occupational function

tx - CBT, SSRI, venlafaxine

Question 8

acute stress disorder

Answer 8

3 days to 1 month

tx - CBT

Question 9

malingering

Answer 9

consciously fake disorder

for secondary gain

Question 10

factitious disorder

Answer 10

consciously fake disorder

for primary internal gain

Question 11

munchausen syndrome

Answer 11

chronic factitious disorder
-predominant physical signs sx

multiple hospitalization and undergo procedures

by proxy - mom who pretends child is sick

Question 12

somatic disorder

Answer 12

physical sx - no identifiable physical cause

unconscious drive

MC in women

Question 13

conversion disorder

Answer 13

loss sensory or motor fxn

following acute stressor

aware but sometime indifferent - la belle

Question 14

hypochondriasis

Answer 14

preoccupation/fear of having illness

Question 15

somatic sx disorder

Answer 15

complaint one or more organ sx months to years

excessive, persistent though, anxiety about disorder

with medical illness

Question 16

personality trait

Answer 16

repetitive pattern of perceive world around you

Question 17

personality disorder

Answer 17

maladaptive pattern behavior
impaired functioning

present early adulthood

Question 18

cluster A PD

Answer 18

weird - odd or eccentric

paranoid
schizoid
schizotypial

Question 19

paranoid

Answer 19

distrust or suspciousnss

major defense mechanism - projection

Question 20

schizoid

Answer 20

social withdrawal

-content with isolation

Question 21

schizotypial

Answer 21

odd and magical thinking

Question 22

cluster B PD

Answer 22

wild

antisocial
borderline
histrionic
narcissistic

Question 23

antisocial PD

Answer 23

disregard rights of others

often with conduct disorder less than 18yo

Question 24

borderline PD

Answer 24

unstable mood and interpersonal relationships

impulsivity
self mutilation
sense of emptiness

defense mechanism - splitting

Question 25

histrionic PD

Answer 25

excessive emotional and excitability

attention
sex provocative
concerned with appearance

Question 26

narcissistic PD

Answer 26

grandiosity
sense of entitlement
empathy
excess admiration
demand best and react to criticism with rage

Question 27

cluster C PD

Answer 27

avoidant
obsessive compulsive
dependent

Question 28

avoidant PD

Answer 28

social inhibited and timid

desired relationship with others

Question 29

obsessive-compulsive PD

Answer 29

preoccupation with perfection and control

egosyntonic

Question 30

dependent PD

Answer 30

submissive and clingy
need to be taken care of

low self confidence

Question 31

anorexia nervosa

Answer 31

diet and purge
fear gaining weight and body image

BMI less than 18.5

decreased bone density
weight loss
amenorrhea

tx - psychotherapy and rehab, refeeding

Question 32

bulimia nervosa

Answer 32

binge eating and compensatory behavior

weekly for at least 3 weeks

dorsal hand callus - russel sign - from inducing vomit

Question 33

transseuxalism

Answer 33

desire to live as opposite sex

Question 34

transvestism

Answer 34

paraphilia

cross dressing

Question 35

sleep terror disorder

Answer 35

during slow wave sleep

during non-REM sleep

nightmares - during REM sleep - memory of scary dream