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Challenge Bowl > Psyche (Pearls of Wisdom) > Flashcards

Psyche (Pearls of Wisdom) Flashcards

1
Q

A 20-yo complains of SOB, tachypnea, tachycardia, tremors, & dizziness w/ sx climbing to maximum severity w/in 10 min. What is the dx?

A

Panic disorder

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2
Q

A 25-yo M presents w/ flashbacks & nightmares of an experience while he was overseas. He has been having a hard time sleeping at night & has been avoiding planning another trip. What would be your leading dx?

A

PTSD

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3
Q

John has just come back from the war in Iraq & has been dx w/ PTSD. What would be the 1st-line tx med for John?

A

SSRIs

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4
Q

An extreme anxiety response in situations in which the affected persons may be observed by others

A

Social phobia

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5
Q

What is the MC nonpharmacologic tx for most phobias?

A

behavioral or cognitive-behavioral psychotherapies

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6
Q

What is the MC emotional, cognitive, & behavioral disorder treated in youth?

A

ADHD

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7
Q

What is the ONLY med that is approved for the tx of bulimia nervosa?

A

Fluoxetine

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8
Q

the development of emotional or behavioral sxs in response to stressors, which occur w/in 3 mths of the onset of stressors

A

Adjustment disorder

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9
Q

What is the behavioral & pharmacologic therapy for a pt w/ an adjustment disorder?

A

Psychodynamic psychotherapy & antidepressants (SSRIs)

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10
Q

What are the 2 req’d sxs for the dx of depression?

A
  1. depressed mood

2. loss of interest or pleasure for at least a 2-wk period of time

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11
Q

What class of drugs is commonly used as a 1st-line tx for depression?

A

SSRIs

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12
Q

A depressed mood for most of the day, for more days than not, as indicated either by subjective account or observation made by others, for at least 2 yrs. The severe sxs of depression, such as delusions & hallucinations are absent.

A

dysthymic disorder

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13
Q

Common class of drugs that are given for dysthymia

A

SSRIs

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14
Q

A 30 yo pt who you are seeing in your clinic expressed that she doesn’t interact in social situations b/c of a fear of not being liked. In add’n, she is obsessed w/ thoughts of wondering if people like her. The pt feels socially inept & inferior. dx?

A

Avoidant personality disorder

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15
Q

What is the MC clinical sx of a pt w/ a boderline personality disorder?

A

commonly, impulsivity, inappropriate or intense anger, & chronic feelings of emptiness or boredom

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16
Q

F pt is a controlling individual, ask friends to do things that she herself think are unpleasant, & tries to draw attention toward herself w/ superficial sexuality-type behaviors. When rejected, she displays disappointment by throwing a tantrum. Dx?

A

Histrionic personality disorder

17
Q

A pattern of behavior that exhibits grandiosity, a feeling of being greater than what is reality, req’s excessive admiration, & is critical of others who challenge them. There is also a lack of empathy toward others.

A

Narcissistic personality disorder

18
Q

A pt who is unable to express his anger, has few close friends, is indifferent to praise from others, is absentminded, & is emotionally cold & aloof probably has which kind of personality disorder?

A

Schizoid personality disorder

19
Q

Tom is a 14-yo adolescent who has been exhibiting behavior that is unusual, along w/ odd beliefs & feels that he possesses magical abilities. What is the most likely dx for Tom?

A

Schizotypal personality disorder

20
Q

Which classes of drugs are used to help control delusions?

A

antipsychotics, particularly atypical antipsychotics

21
Q

What are “hallmark” s/sx of schizophrenia?

A
  • delusions
  • hallucinations
  • disorganized speech & thoughts
  • neg. sx
22
Q

What class of meds is 1st line tx of schizophrenia?

A

antipsychotics

23
Q

A 30 yo F complains of calf pain, HA, shooting pain when flexing her right wrist, random epigastric pain, bloating, & irregular menses, all of which cannot be explained after medical exam. Dx?

A

Somatization disorder

24
Q

What is the most effective long-term tx program for alcoholism?

A

AA

25
Q

What is the MC mental illness in lrg cities?

A

substance abuse

26
Q

A pt presents w/ tearing eyes, a runny nose, tachycardia, muscle aches, abdominal pain, N/V/D, insomnia, pupillary dilation, & leukocytosis. Dx?

A

Opiate &/or opioid withdrawal

27
Q

Children w/ conduct disorders will probably develop what adult disorder?

A

antisocial personality disorder

28
Q

An internal psychological conflict that manifests itself through somatic sx. Voluntary motor or sensory fxns are affected.

A

Conversion disorder

29
Q

What are the 5 Kubler-Ross stages of dying?

A
  1. Denial
  2. Anger
  3. Bargaining
  4. Depression
  5. Acceptance

Challenge Bowl (9 decks)

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