Test68: Behavioral science Flashcards
Suspicious, distrustful, hypervigilant
Paranoid
Perfers to be a loner, detached, unemotional
Schizoid
Eccentric; odd thoughts, perceptions and behvior
Shizotypal
Disregard and violation of the rights of other
antisocial
Chaotic relationships, sensitivity to abandonment, labile mood, impulsivity, inner emptiness, self-harm
Borderline
Dramatic, superficial, attention-seeking
Histrionic
Grandiosity, lack of empathy
Narcissistic
Avoidance due to fears of criticism and rejection
Avoidant
Submissive, clingy, needs to be taken care of
Dependent
Rigid, controlling, perfectionistic
Obsessive-compulsive
Patient’s pattern of avoiding social interactions and hypersensitivity to rejection is characteristic of
avoidant personality disorder
The patient’s depression, suicidal ideation, and impulsivity in the setting of feeling rejected is what
Borderline personality disorder
Expressing unacceptable feelings through actions
acting out
Behaving as if an aspect of reality does not exist
Denial
Transferring feelings to a more acceptable object
Displacement
Using intellect to avoid uncomfortable feelings
Intellectualization
Avoiding conflict by expressing hostility covertly
Passive aggression
Attributing one’s own feelings to others
projection
Justifying behavior to avoid difficult truths
Rationalization
Responding in a manner opposite to one’s actual feelings
Reaction formation
Reverting to earlier developmental stage
regression
seeing others as all bad or all good
splitting
Channeling impulses into socially acceptable behaviors
Sublimation
Putting unwanted feelings aside to cope with reality
suppression
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
significant risk for harm
- obtain a court injunction to proceed with life-saving medical treatment of child
All patients with major depression should be screen for what? and why
past history of manic episodes to differentiate major depressive disorder from bipolar disorder
What drug should be avoided in bipolar disorders? why?
antidepressant mono therapy
- risk of precipitating mania
Patient fears embarrassment and scrutiny by others in social situations
Social anxiety disorder
Difference between obsessive compulsive disorder and personality
disorder: behavior is inconsistent with one’s own beliefs and attitudes
personality: Behavior is consistent with one’s own beliefs and attitudes
first-line treatment for obsessive compulsive disorder
Selective serotonin reuptake inhibitor
The patient’s depression, fatigue, hypersomnia, hyperphagia, and vivid dreams are characteristic of what type of withdrawal
cocaine withdrawal
physicians can disclose information to friends and family members when?
- patient gives explicit permission OR
2. patient is incapacitated, basic information can be shared, at physicians best judgement `
The patient’s symptoms of irritable mood, hyperactivity, pressured speech, decreased need for sleep, and grandiose delusions meet criteria for what
manic episode
pneumonic for manic epidsode
manics DIG FAST
- Distractibility
- Irresponsibility
- Grandiosity
- flight of ideas
- Activity/agitation
- Sleep need is decreased
- Talkativeness
Patients with one or more lifetime manic episodes are diagnosed with what
bipolar I disorder
How is diagnosis for major depressive disorder with psychotic features differentiated from psychotic disorders
psychotic symptoms are present only during the episode of major depression
In most states, minors do not need parental consent for what
- prenatal care
- diagnosis and treatment of sexually transmitted disease
- contraception
- drug or alcohol rehabilitation
Acute onset of mental status change is
delirium
define delirium
reversible, acute confusional state involving a reduced or fluctuating level of consciousness
define dementia
- gradual onset
- irreversible
- does not involve fluctuations in consciousness
MOA of Methadone
mu-opioid receptor agonist
Why is methadone used for maintenance treatment of opioid abuse
long half life
depersonalization
outside observer of self
Drealization
sense of detachment or unreality
What are the reality testing results for depersonalization/derealization disorder
reality testing is intact
Which gender usually gets Rett syndrome
girls
What is Rett sydnrome
- normal development until age 5-18 months
- followed by loss of motor and language skills
- develop stereotypic hand movements
What is a classic feature for Rett syndrome
deceleration of heat growth
Retty syndrome is a defect in what gene
MECP2
Define Schizoaffective disorder
delusions or hallucinations for greater than 2 weeks in the absence of major depressive or manic episodes
Transference
Patient projects feelings about formative or other important persons not physician
conversion disorder
loss of sensory or motor function, often following an acute stressor
What is the drug of choice for Bulimia nervosa
selective serotonin reuptake inhibitors: Fluoxetine
Common adverse effects of methylphenidate and amphetamines
- decrease appetite, weight loss, and insomnia
What is the next best step of management for suspicion for abuse in a child?
asking permission to interview the child alone then contact child protective services
Are physicians ethically and legally obligated to report impaired colleagues?
YES
child’s lack of social engagement, speech delay, repetitive play and insistence on sameness
autism spectrum disorder
What is first line treatment for generalized anxiety disorder
- Serotonin reuptake inhibitors
- serotonin-norepinephrine reuptake inhibitors
What are second line agents for generalized anxiety disorder
- Buspirone
- TCA
- benzodiazepines
Citalopram
selective serotonin reuptake inhibitor
Bupropion type of drug
atypical antidepressant
patient has 3 month history of insomnia, nightmares, avoidance, dissociative symptoms, and emotional detachment
post-traumatic detachment
define splitting
all bad or all good
Difference between schizophreniform disorder and schizophrenia
schizophreniform disorder: greater than 1 month - less than 6 months
