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Psych rotation 4 Flashcards

1
Q

what personality disorders are in cluster A

A

paranoid personality disorder
schotypal personality disorder
schizoid personality disorder

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2
Q

cluster A personality disorders are characterized by

A

appearing odd or eccentric

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3
Q

paranoid personality disorder

A

pervasive pattern of excessive distrust and suspiciousness of others, and often interpret their motives as malevolent

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4
Q

higher incidence of paranoid personality disorder is associated with

A

if family member to someone with schizophrenia

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5
Q

hallmark of paranoid personality disorder

A

general distrust or suspiciousness

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6
Q

what type of treatment should be avoided for someone with paranoid personality disorder

A

group therapy (they are suspicious or paranoid)

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7
Q

how many sx to be diagnosed with paranoid personality disorder

A

at least 4

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8
Q

schizotypal personality disorder

A

characterized by odd, eccentric, bizarre behavior and peculiar thoughts patterns suggestive of schizophrenia without psychosis (no hallucinations or delusions)

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9
Q

do patients with schizotypal personality disorder have hallucinations or delusions (psychosis)

A

no

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10
Q

schizotypal pesonality disorder is linked to what other psych disorder

A

schizophrenia

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11
Q

in which personality disorder do patients tend to have odd beliefs/magical thinking

A

schizotypal personality disorder

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12
Q

how many sx to be diagnosed with schizotypal personality disorder

A

at least 5

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13
Q

schizoid personality disorder

A

lifelong pattern or voluntary social withdrawal and anhedonic introversion

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14
Q

link between schizoid personality disorder and schizophrenia

A

there is no strong genetic relationship

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15
Q

what personality disorders are in cluster B

A

Antisocial personality disorder
borderline personality disorder
histrionic personality disorder
narcissistic personality disorder

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16
Q

antisocial personality disorder

A

pervasive socially irresponsible, exploitative, and guiltless behaviors that deviate sharply from the norms, values, and laws of society, often violating the rights of others

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17
Q

how old do you have to be to be diagnosed with antisocial personality disorder

A

at least 18

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18
Q

how many sx to be diagnosed with antisocial personality disorder

A

at least 3

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19
Q

when must sx first occur to be diagnosed with antisocial personality disorder

A

before age 15

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20
Q

what other disorder is required to be diagnosed with antisocial personality disorder

A

conduct disorder

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21
Q

borderline personality disorder

A

characterized by instability of interpersonal relationships, self-image, and emotions, hypersensitivity to rejection, as well as by impulsivity, causing significant impairment or subjective distress

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22
Q

hallmark features of borderline personality disorder

A

instability of interpersonal relationships, self-image, moods, and behavior as well as marked impulsivity

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23
Q

what type of thinking do people with borderline personality disorder often have

A

“black or white thinking” - they tend to see things as either good or bad

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24
Q

how many sx to be diagnosed with borderline personality disorder

A

at least 5

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25
histrionic disorder
characterized by being overly emotional, dramatic, seductive, and attention-seeking
26
how many sx to be diagnosed w histrionic disorder
at least 5
27
narcissistic personality disorder
grandiose often excessive sense of self-importance, superiority, need for attention and admiration, and lack of empathy (may fluctuate between grandiose and vulnerable states)
28
what process may be highly difficult for someone with narcissistic personality disorder
the aging process
29
how many sx to be diagnosed w narcissistic personality disorder
at least 5
30
what personality disorders are in cluster C
avoidant personality disorder dependent personality disorder obsessive compulsive personality disorder (possibly grief reaction too)
31
avoidant personality disorder
pervasive pattern of social inhibition due to an intense fear of rejection, with a longing to relate to others, affecting their daily lives
32
how does avoidant personality disorder differ from schizoid personality disorder
patients with avoidant personality disorder desire relationships but fear rejection bc they are timid, shy, and lack confidence
33
dependent personality disorder
characterized by the inability to assume responsibility, dependent or submissive, needy, and clinging behavior, fear of being alone and abandonment, and difficulty making day to day decisions
34
obsessive compulsive personality disorder
characterized by pervasive pattern of perfectionism, inflexibility, and orderliness with preoccupation with order and details without obsessions or compulsions
35
are people with obsessive compulsive personality disorder ego-dystonic or ego-syntonic
ego syntonic
36
are people with obsessive compulsive disorder ego-dystonic or ego-syntonic
ego-dystonic
37
obsessive compulsive disorder
obsessions (bothersome intrusive thoughts that elicit a feeling of discomfort) and/or compulsions (rituals or actions to relieve the discomfort of the obsessions) that are time consuming, distressing, and impairing
38
body dysmorphic disorder
excessive preoccupation with at least 1 perceived flaw or slight defect in physical appearance in which the individual believes they look abnormal, ugly, unattractive, or deformed that is not observable by others or appears slight to others in comparison
39
somatic symptom disorder
chronic condition in which the patient has prominent physical sx involving at least 1 body system but no physical cause found on workup and is associated with significant distress or functional impairment
40
in what sex is somatic sx disorder most common
young females
41
how long must you have "symptoms" to be diagnosed with somatic sx disorder
at least 6 months
42
illness anxiety disorder was formerly called
hypochondriasis
43
illness anxiety disorder
excessive concern or preoccupation about having or developing a serious, undiagnosed general medical disease
44
common comorbid disorders with illness anxiety disorder
generalized anxiety disorder (71%) and depressive disorders
45
do patients with illness anxiety disorder have actual sx
no usually - but if they do they are very mild
46
how long do you have to have sx to be diagnosed with illness anxiety disorder
at least 6 months
47
factitious disorder
intentional falsification or exaggeration of signs and symptoms of medical or psychiatric illness for "primary gain" but NOT for external rewards
48
BMI requirements for anorexia nervosa
BMI 17.5 or body weight < 85% ideal weight
49
are people with anorexia ego-syntonic or ego-dystonic
ego-syntonic
50
what psych condition has the highest mortality rate
anorexia nervosa
51
common sx of anorexia
amenorrhea cold intolerance constipation extremity edema fatigue irritability
52
what sign might you see in someone with anorexia
Russel's sign - calluses on hand from induced vomiting
53
what electrolyte abnormalities might someone with anorexia have
hypokalemia
54
BUN and creatinine in someone with anorexia
elevations in BUN and creatinine (from dehydration)
55
bulimia nervosa
frequent and recurrent binge eating combined with inappropriate compensatory behaviors to counteract weight gain
56
are people with bulimia ego-syntonic or ego-dystonic
ego-dystonic
57
difference between anorexia and bulimia
anorexia: underweight; ego-syntonic bulimia: normal or overweight; ego-dystonic
58
what enzyme may be elevated in patients with bulimia
elevated amylase due to salivary gland swelling
59
how long do behaviors have to last to be diagnosed with bulimia
at least once a week for 3 months
60
what is the only FDA approved med for bulimia
fluoxetine
61
binge-eating disorder
frequent and recurrent binge eating episodes associated with negative psychological and social problems without compensatory behaviors of bulimia nervosa
62
are people with binge-eating ego-dystonic or ego-syntonic
ego-dystonic
63
how often do episodes occur on average for people with binge eating
once a week for 3 months

EOR Psych (8 decks)

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