USMLE Psych Flashcards
Discontinue reinforcement leading to behaviour elimination
Extinction
Do something to stop unpleasant stimulus
Negative reinforcement
Transferring avoided ideas and feelings to a neutral person
Displacement
Temporary, drastic change in personality, memory, consciousness, motor behaviour to avoid emotional stress
Dissociation
Modeling behaviour after another person who is more powerful
Identification
Separating feelings from ideas and events
Isolation of affect
Attributing an unacceptable internal impulse to an external source
Projection
Replacing a warded-off idea or feeling by an unconscious emphasis on the opposite
Reaction formation
Believing that people are either all good or all bad at different times due to intolerance of ambiguity.
Splitting
Order of loss of orientation?
Time, place, person
Hallucinations upon falling asleep
Hypnagogic
Hallucinations upon waking up
Hypnapompic
Tactile hallucinations are seen in what condition?
Alcohol withdrawal (sensation of bugs crawling under the skin)
What is dysthymia?
Mild depression lasting more than two years
What is cyclothymic disorder?
Mild depression with hypomania for at least two years
How long does a delusion have to last for it to be a delusional disorder?
1 month
How long before you can dx schizophrenia?
6 months
How long before you can diagnose mania?
1 week
How long before you can dx MDD?
2 weeks
What are the features of pathologic grief?
> 6 months, fulfills MDD criteria, +/- psychosis
When is ECT used?
Refractory depression, depression with psychosis, acutely suicidal patients
Generalized anxiety disorder vs adjustment disorder?
Adjustment disorder 6 months, no ID’ed stressor
How long before you can dx PTSD?
1 month
What is schizoaffective disorder and how long til you can dx?
Two weeks, psychosis with superimposed depression or mania.
Euphoria, grandiosity, pupillary dilation, prolonged wakefulness and attention. Intoxication with?
Amphetamines
Belligerence, impulsivity, tachycardia, homicidality, psychosis, delirium, seizures. Intoxication with?
PCP
Perceptual distortions, depersonalization, anxiety, paranoia, psychosis. Intoxication with?
LSD
How long to dx PTSD?
> 1 month
How long to dx generalized anxiety disorder?
6 months
