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Uworld > Test68: Behavioral science > Flashcards

Test68: Behavioral science Flashcards

1
Q

Suspicious, distrustful, hypervigilant

A

Paranoid

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2
Q

Perfers to be a loner, detached, unemotional

A

Schizoid

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3
Q

Eccentric; odd thoughts, perceptions and behvior

A

Shizotypal

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4
Q

Disregard and violation of the rights of other

A

antisocial

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5
Q

Chaotic relationships, sensitivity to abandonment, labile mood, impulsivity, inner emptiness, self-harm

A

Borderline

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6
Q

Dramatic, superficial, attention-seeking

A

Histrionic

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7
Q

Grandiosity, lack of empathy

A

Narcissistic

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8
Q

Avoidance due to fears of criticism and rejection

A

Avoidant

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9
Q

Submissive, clingy, needs to be taken care of

A

Dependent

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10
Q

Rigid, controlling, perfectionistic

A

Obsessive-compulsive

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11
Q

Patient’s pattern of avoiding social interactions and hypersensitivity to rejection is characteristic of

A

avoidant personality disorder

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12
Q

The patient’s depression, suicidal ideation, and impulsivity in the setting of feeling rejected is what

A

Borderline personality disorder

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13
Q

Expressing unacceptable feelings through actions

A

acting out

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14
Q

Behaving as if an aspect of reality does not exist

A

Denial

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15
Q

Transferring feelings to a more acceptable object

A

Displacement

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16
Q

Using intellect to avoid uncomfortable feelings

A

Intellectualization

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17
Q

Avoiding conflict by expressing hostility covertly

A

Passive aggression

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18
Q

Attributing one’s own feelings to others

A

projection

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19
Q

Justifying behavior to avoid difficult truths

A

Rationalization

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20
Q

Responding in a manner opposite to one’s actual feelings

A

Reaction formation

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21
Q

Reverting to earlier developmental stage

A

regression

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22
Q

seeing others as all bad or all good

A

splitting

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23
Q

Channeling impulses into socially acceptable behaviors

A

Sublimation

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24
Q

Putting unwanted feelings aside to cope with reality

A

suppression

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25
Q

Parent’s authority to make medical decisions for their children can be challenged in cases in which a child is at ?

What can the physical do

A

significant risk for harm

  • obtain a court injunction to proceed with life-saving medical treatment of child
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26
Q

All patients with major depression should be screen for what? and why

A

past history of manic episodes to differentiate major depressive disorder from bipolar disorder

27
Q

What drug should be avoided in bipolar disorders? why?

A

antidepressant mono therapy

- risk of precipitating mania

28
Q

Patient fears embarrassment and scrutiny by others in social situations

A

Social anxiety disorder

29
Q

Difference between obsessive compulsive disorder and personality

A

disorder: behavior is inconsistent with one’s own beliefs and attitudes
personality: Behavior is consistent with one’s own beliefs and attitudes

30
Q

first-line treatment for obsessive compulsive disorder

A

Selective serotonin reuptake inhibitor

31
Q

The patient’s depression, fatigue, hypersomnia, hyperphagia, and vivid dreams are characteristic of what type of withdrawal

A

cocaine withdrawal

32
Q

physicians can disclose information to friends and family members when?

A
  1. patient gives explicit permission OR

2. patient is incapacitated, basic information can be shared, at physicians best judgement `

33
Q

The patient’s symptoms of irritable mood, hyperactivity, pressured speech, decreased need for sleep, and grandiose delusions meet criteria for what

A

manic episode

34
Q

pneumonic for manic epidsode

A

manics DIG FAST

  • Distractibility
  • Irresponsibility
  • Grandiosity
  • flight of ideas
  • Activity/agitation
  • Sleep need is decreased
  • Talkativeness
35
Q

Patients with one or more lifetime manic episodes are diagnosed with what

A

bipolar I disorder

36
Q

How is diagnosis for major depressive disorder with psychotic features differentiated from psychotic disorders

A

psychotic symptoms are present only during the episode of major depression

37
Q

In most states, minors do not need parental consent for what

A
  1. prenatal care
  2. diagnosis and treatment of sexually transmitted disease
  3. contraception
  4. drug or alcohol rehabilitation
38
Q

Acute onset of mental status change is

A

delirium

39
Q

define delirium

A

reversible, acute confusional state involving a reduced or fluctuating level of consciousness

40
Q

define dementia

A
  • gradual onset
  • irreversible
  • does not involve fluctuations in consciousness
41
Q

MOA of Methadone

A

mu-opioid receptor agonist

42
Q

Why is methadone used for maintenance treatment of opioid abuse

A

long half life

43
Q

depersonalization

A

outside observer of self

44
Q

Drealization

A

sense of detachment or unreality

45
Q

What are the reality testing results for depersonalization/derealization disorder

A

reality testing is intact

46
Q

Which gender usually gets Rett syndrome

A

girls

47
Q

What is Rett sydnrome

A
  • normal development until age 5-18 months
  • followed by loss of motor and language skills
  • develop stereotypic hand movements
48
Q

What is a classic feature for Rett syndrome

A

deceleration of heat growth

49
Q

Retty syndrome is a defect in what gene

A

MECP2

50
Q

Define Schizoaffective disorder

A

delusions or hallucinations for greater than 2 weeks in the absence of major depressive or manic episodes

51
Q

Transference

A

Patient projects feelings about formative or other important persons not physician

52
Q

conversion disorder

A

loss of sensory or motor function, often following an acute stressor

53
Q

What is the drug of choice for Bulimia nervosa

A

selective serotonin reuptake inhibitors: Fluoxetine

54
Q

Common adverse effects of methylphenidate and amphetamines

A
  • decrease appetite, weight loss, and insomnia
55
Q

What is the next best step of management for suspicion for abuse in a child?

A

asking permission to interview the child alone then contact child protective services

56
Q

Are physicians ethically and legally obligated to report impaired colleagues?

A

YES

57
Q

child’s lack of social engagement, speech delay, repetitive play and insistence on sameness

A

autism spectrum disorder

58
Q

What is first line treatment for generalized anxiety disorder

A
  • Serotonin reuptake inhibitors

- serotonin-norepinephrine reuptake inhibitors

59
Q

What are second line agents for generalized anxiety disorder

A
  • Buspirone
  • TCA
  • benzodiazepines
60
Q

Citalopram

A

selective serotonin reuptake inhibitor

61
Q

Bupropion type of drug

A

atypical antidepressant

62
Q

patient has 3 month history of insomnia, nightmares, avoidance, dissociative symptoms, and emotional detachment

A

post-traumatic detachment

63
Q

define splitting

A

all bad or all good

64
Q

Difference between schizophreniform disorder and schizophrenia

A

schizophreniform disorder: greater than 1 month - less than 6 months

Uworld (63 decks)

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