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EOR Psych > Psych rotation 4 > Flashcards

Psych rotation 4 Flashcards

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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
Q

histrionic disorder

A

characterized by being overly emotional, dramatic, seductive, and attention-seeking

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26
Q

how many sx to be diagnosed w histrionic disorder

A

at least 5

27
Q

narcissistic personality disorder

A

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
Q

what process may be highly difficult for someone with narcissistic personality disorder

A

the aging process

29
Q

how many sx to be diagnosed w narcissistic personality disorder

A

at least 5

30
Q

what personality disorders are in cluster C

A

avoidant personality disorder
dependent personality disorder
obsessive compulsive personality disorder
(possibly grief reaction too)

31
Q

avoidant personality disorder

A

pervasive pattern of social inhibition due to an intense fear of rejection, with a longing to relate to others, affecting their daily lives

32
Q

how does avoidant personality disorder differ from schizoid personality disorder

A

patients with avoidant personality disorder desire relationships but fear rejection bc they are timid, shy, and lack confidence

33
Q

dependent personality disorder

A

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
Q

obsessive compulsive personality disorder

A

characterized by pervasive pattern of perfectionism, inflexibility, and orderliness with preoccupation with order and details without obsessions or compulsions

35
Q

are people with obsessive compulsive personality disorder ego-dystonic or ego-syntonic

A

ego syntonic

36
Q

are people with obsessive compulsive disorder ego-dystonic or ego-syntonic

A

ego-dystonic

37
Q

obsessive compulsive disorder

A

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
Q

body dysmorphic disorder

A

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
Q

somatic symptom disorder

A

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
Q

in what sex is somatic sx disorder most common

A

young females

41
Q

how long must you have “symptoms” to be diagnosed with somatic sx disorder

A

at least 6 months

42
Q

illness anxiety disorder was formerly called

A

hypochondriasis

43
Q

illness anxiety disorder

A

excessive concern or preoccupation about having or developing a serious, undiagnosed general medical disease

44
Q

common comorbid disorders with illness anxiety disorder

A

generalized anxiety disorder (71%) and depressive disorders

45
Q

do patients with illness anxiety disorder have actual sx

A

no usually - but if they do they are very mild

46
Q

how long do you have to have sx to be diagnosed with illness anxiety disorder

A

at least 6 months

47
Q

factitious disorder

A

intentional falsification or exaggeration of signs and symptoms of medical or psychiatric illness for “primary gain” but NOT for external rewards

48
Q

BMI requirements for anorexia nervosa

A

BMI 17.5 or body weight < 85% ideal weight

49
Q

are people with anorexia ego-syntonic or ego-dystonic

A

ego-syntonic

50
Q

what psych condition has the highest mortality rate

A

anorexia nervosa

51
Q

common sx of anorexia

A

amenorrhea
cold intolerance
constipation
extremity edema
fatigue
irritability

52
Q

what sign might you see in someone with anorexia

A

Russel’s sign - calluses on hand from induced vomiting

53
Q

what electrolyte abnormalities might someone with anorexia have

A

hypokalemia

54
Q

BUN and creatinine in someone with anorexia

A

elevations in BUN and creatinine (from dehydration)

55
Q

bulimia nervosa

A

frequent and recurrent binge eating combined with inappropriate compensatory behaviors to counteract weight gain

56
Q

are people with bulimia ego-syntonic or ego-dystonic

A

ego-dystonic

57
Q

difference between anorexia and bulimia

A

anorexia: underweight; ego-syntonic
bulimia: normal or overweight; ego-dystonic

58
Q

what enzyme may be elevated in patients with bulimia

A

elevated amylase due to salivary gland swelling

59
Q

how long do behaviors have to last to be diagnosed with bulimia

A

at least once a week for 3 months

60
Q

what is the only FDA approved med for bulimia

A

fluoxetine

61
Q

binge-eating disorder

A

frequent and recurrent binge eating episodes associated with negative psychological and social problems without compensatory behaviors of bulimia nervosa

62
Q

are people with binge-eating ego-dystonic or ego-syntonic

A

ego-dystonic

63
Q

how often do episodes occur on average for people with binge eating

A

once a week for 3 months

EOR Psych (8 decks)

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