Psychology PANCE Flashcards
A patient exhibits all of the characteristics of antisocial personality disorder her, but he is only 14 years old. What is the most likely diagnosis?
Conduct disorder
A patient exhibits splitting, seeing others as all good or all bad. What is the most likely diagnosis?
Borderline personality disorder
What type of behavioral therapy works best for borderline patients?
Dialectical behavior therapy
The patient is arrogant with an inflated self image. He feels he is special and should be treated that way. What is his most likely diagnosis?
Narcissistic personality disorder
Is obsessive-compulsive disorder egosyntonic or ego-dystonic? What about obsessive compulsive personality disorder?
OCD is ego-dystonic. OCPD is egosyntonic
What two things are needed to make a diagnosis of bipolar 2?
One major depressive episode and one hypomanic episode
What medication is a good place to start treating bipolar one or two?
Lithium
How is acute stress disorder different then post-trumatic stress disorder?
Acute stress disorder occurs within one month of event and resolves within about one month. PTSD begins at about one month after event and can last indefinitely.
A spiral fracture should make you think of what issue?
Abuse, either child or older
During an interview a patient states “I have been anxious for as long as I can remember.” This statement to make you think of what diagnosis?
Generalized anxiety disorder
Are hallucinations normal during a normal grieving period?
Yes, as long as they are not persistent or intrusive
List the two cluster C personality disorders.
“Sad” avoid it and obsessive-compulsive
What medication is clearly contraindicated in anorexia and bulimia
Bupropion (Wellbutrin) because it can increase risk of seizures.
What 2 psychiatric issues are more common in males than females?
Autism and ADD, The rest are all either equal or more common in females
A patient’s mother has recommended that he see you. He lives on his own and is a computer programmer. He works from home. He has no friends and seldom leaves the house. She is concerned that he expresses no interest in meeting people and seems perfectly happy to be home alone all the time. What is the most likely diagnosis?
Schizoid personality disorder
Name three SSRI’s
Fluoxetine, paroxetine, sertraline, citalopram, escitalopram, dapoxetine, zimelidine, mesembrine, seproxetine
A patient expresses concern that he can’t trust anyone. That everyone is out to get him, and his problems are all the faults of others. He has held very long grudges due to perceived past wrongs. What is his most likely diagnosis?
Paranoid personality disorder
A patient is very charming during his interview. You note during your interview that he has no concern for hurting or using other people. He seems to show no remorse for any of his actions. What is his most likely diagnosis?
Antisocial personality disorder
Antisocial personality disorder or may not be diagnosed until what age?
18 years old
A patient of yours always craves attention, often using sex as a tool to gain it. She often acts like a child when she does not get her way. What is the most likely diagnosis?
Histrionic personality disorder
To be diagnosed with ADD patients must exhibit symptoms before what age?
7 years old
What is Russell’s sign?
Abraded knuckles from forcing one self to vomit
How long must symptoms occur before diagnosing schizophrenia?
At least six months
Posturing should make you think of what diagnosis?
Catatonic depression
A patient complains of acute paralysis in his left arm, this does not seem to bother him, but his wife made him come in. There was no Trumatic event. A complete neurological work up is negative. What is the most likely diagnosis?
Conversion disorder
