More Practice Q's Flashcards
(38 cards)
What are the Piaget’s Stages of cognitive development (in order)?
S - sensorimotor
P - preoperational
C - concrete operations
F - formal operations
Differentiate between Persistent Depressive Disorder, Mania, Hypomania, and Cyclothymia
- Persistent Depressive Disorder (low grade depression- depressed for most of the day, more days than not for at least 2 years)
- Manic (abnormal and persistent elevated, irritable mood lasting at least a week or less if hospitalization is required)
- Hypomania (abnormal and persistent elevated, irritable mood lasting 1-6 days)
- Cyclothymia (persistent depressive disorder and hypomania)
Is this schzoid or schizotypal personalirt disorder?
don’t lose contact with reality, difficult to maintain a job, good at reading other people
Answer: Schizotypal
Schizoid Personality Disorder
a. ‘oid = like – so like schizophrenia, but not. These people don’t lose contact with reality – they know real from fantasy
b. Cold & Aloof: don’t need the social aspect that the rest of us need; they can be alone all the time, whereas after a while we feel the need to be with friends they are not anti-social, but asocial (they don’t go out to hurt others, they just enjoy their own company)
c. Reserved & Uninvolved: hermits go out and live in a cave somewhere and do not have any kind of relationship w/ other people; they are never lonely
d. Self-Absorbed: want to maintain professional façade, otherwise they will back off or will fear you they are their own best friend, their own companion
Schizotypal Personality Disorder
a. Odd Thinking; Odd Behavior; Odd Communication; Magical Thinking; Superstitious
b. They’re odd; they are in touch with reality (not in a fantasy world, not delusional), but they just act really strange; think they have magic powers, can read each other’s minds, and can read fortunes about past and future
c. They are very good at reading other people’s body language, but their intrapersonal skills/understanding what their own feelings are is very, very poor.
d. It is difficult for them to maintain a job and relationships; they keep people at arm’s length
What is the mechanism of Disulfiram? Who is it given to?
Disulfiram/Antabuse is a drug designed to provide motivation for the alcoholic not to drink. It inhibits aldehyde dehydrogenase and if people drink, they get very sick that it makes them not want to drink anymore.
What is the difference between punishment and negative reinforcement?
- punishment is to extinguish a behavior
- Negative reinforcement is the reward of not being punished (reward is removal of the punishment)
What is vaginusmus and how is it treated?
Vaginismus: automatic autonomic reaction to something trying to penetrate the vagina - clamping down of muscles in vaginal wall, so that few things can penetrate through it – it’s an involuntary clamping.
i. Tx = relaxation exercise, followed by insertion of dilator (1/8” across) & systemic desensitization until you use bigger & bigger dilator/probe, then she can have sex again
What is the timeline for schizophreniform?
symptom duration must be more than one month, but less than six months
What is the prevalence for M vs F for OCD? what about M vs F in adolescence?
- equal for M and F
- more so in boys in adolescence
What is this?
- condition resolves in
transient global amnesia
What is this called?
Preoccupation with death and the deceased occurring in Native American tribes. Symptoms include bad dreams, fainting, hallucinations, fear, poor diet, and feelings of suffocation
ghost sickness
What is the Intelligence test used in children?
WISC: Wechsler Intelligence Scale for Children
WAIS: Wechsler Adult Intelligence Scale
WPPSI: Weschsler Preschool ad Primary Scale of Intelligence
What technique is this:
- used near end of interview/segment
- go over up what you think is important, but gives the patient chance to add more or emphasize/prioritize something that was important to them, or say that you forgot something
Summation
What Axis would a medical condition go under?
Axis III
What is the lack of over-confidence bias in anorexia-nervosa?
Anorexics Lack the ‘overconfidence bias’. For example, 94% of Americans believe they are better than average drivers – an overconfidence bias is normal, and anorexics don’t have this
What is the main thing we see in the sensorimotor stage?
Object Permanence
Where is blocking as a defense mechanism seen? What is blocking?
Under “Immature”
- where you have a train of thought that is going along and all of a sudden you forget what you were going to say
Sleep apnea interferes with what stages of sleep?
3 and 4, so you are stuck in 1 and 2
The defense mechanism ‘splitting’ is used in what personality disorder?
Borderline PD
What defines the ability of abstract thinking? What stage do we attain this?
ability to recognize proverbs
-Formal Operations Stage
What would a person be like in narscisstic PD?
they feel entitled and that rules don’t apply to them
There is a girl with a mole on her nose (which no one else notices) and she can’t stop obsessing about it. What does she have?
Body Dysmorphic Disorder
When a girl is in love with her father, what stage is she in ?
Phallic Stage
What is Tangentiality?
- Replying to a question in an oblique or irrelevant way
- a medical symptom is a physical symptom observed in speech that tends to occur in situations where a person is experiencing high anxiety, as a manifestation of the psychosis known as schizophrenia, in dementia or in states of delirium
neologism
In psychiatry, a new word or condensed combination of several words coined by a person to express a highly complex idea not readily understood by others; seen in schizophrenia and organic mental disorders.
