Psych Flashcards
(51 cards)
Which complication can be found in anorexia nervosa and not bulimia?
a. salivary gland hypertrophy
b. psychopathology
c. petechial hemorrhages
d. hypokalemia
e. osteoporosis
e. Osteoporosis is found in anorexia nervosa due to lack of calcium intake, deceased estrogen and increase in cortisol. Bulimia nervosa has multiple med complications in the cardio, dental, derm, endo, GI and neruo systems
What is another name for multiple personalities?
a. dissociative amnesia
b. dissociative fugue
c. depersonalization
d. dissociative disorder not otherwise specified
e. dissociative identity disorder
e. Dissociative identity disorder is also called multiple personality disorder. Usually at least 2 personalities both distinct in their own rights.
Which of the following are predictive or diagnostic of anorexia nervosa?
a. less than 85% of normal weight expected
b. homosexual orientation in females
c. promiscuity
d. menorrhagia
a. Diagnostic criteria for anorexia nervosa include a weight loss to 85% of the required body weight. Homosexuality in MEN, not women, is a predisposing factor. Anorexia is associated with AMENORRHEA and DECREASED interest in sex.
Which medication when co-administrated with lithium may cause a potential fatal neurotoxicity?
a. CCB
b. K+ sparing diuretics
c. loop diuretics
d. ACE-I
a. The combo of taking a CCB w/ lithium can potentially cause a fatal neurotoxicity.
What is the most common personality disorder in prison populations?
a. paranoid
b. antisocial
c. borderline
d. avoidant
b. 3/4 of the prison population has antisocial personality disorder.
What diagnosis should be given to a patient who has non- bizarre delusions for at least a month and no other sx?
a. schizoaffective disorder
b. delusional disorder
c. brief psychotis disorder
d. schizophrenifrom disorder
b. Delusional disorder presents with non-bizarre delusions for at least a month. The disorder does not present with any other sx.
A colleague is frustrated with one of his patients. he describes her as being extremely dramatic and overly provocative in her dress and behavior. She uses rapidly shifting emotions to maintain her position as the center of attention. He is concerned that she believes that their provider-patient relationship is much more than it actually is. Which of the following is the most likely diagnosis you might suggest to him?
a. narcissistic PD
b. dependent PD
c. histrionic PD
d. schizotypal PD
c. Commonly seen as emotionally shallow and obsessed with their physical appearance. They believe relationships to be much deeper and more solid than they actually even are.
A person with an exaggerated sense of entitlement and uniqueness and who believes they can only be understood by people of significance is described to you by a colleague. They go on to state the person is arrogant, is lacking in empathy and can be manipulative with relationships. What PD best fits this scenario?
a. histrionic
b. narcissistic
c. antisocial
d. borderline
b. This person usually has fantasies of unlimited success and have a strong need for admiration form others. Treatment is made difficult as they do not accept criticism or any attack on their “narcissistic supply”.
A 9-year-old male is reported by his mother to be excessively and deliberately annoying to her and others at home and school, most always to those he knows well. She states that over the last year he frequently loses his temper, argues with adults, is easily annoyed by others and consistently blames others for his mistakes. She admits that he is not violent and really does not do anything out of the social norm. There have been no changes in his surroundings, exposures or life events. Which of the following is the most likely diagnosis?
a. tourette disorder
b. adjustment disorder
c. disruptive behavior disorder
d. oppositional defiant disorder
d. The diagnosis is indicated in this case due to the age of the patient, age of onset and the deliberate and frequent attempts to counter well-known adult authority. Adjustment disorder is the same EXCEPT there has to be a change in surroundings or life circumstances.
Hypochondriacal patients can mimic which disorder?
a. bipolar disorder
b. acute stress disorder
c. OCD
d. dissociative disorder
c. Hypochondriacs feels there is something wrong with their body. Patients seek reassurance and make frequent visits for medical care. Hypochondriacs can mimic OCD obsessions.
Mr. Smith leaves home and does not return nor does he go to work. A friend of Mr. Smith sees him in another state while on vacation. When he approaches Mr. Smith, he does not recognize him and has a total different demeanor. What type of disorder does he have?
a. amnesia
b. dissociative disorder
c. schizophrenia
d. dissociative identity disorder
e. depersonalization
b. Dissociative or psychogenic fugue is caused by a stressful even that causes amnesia and people to assume another identity.
What type of disorder develops within 3 months of an identified stressor such as finances, going to school, divorce, or an illness in their life. The stressor causes impairment in their job and relationships, but the sx resolve within 6 months. Most likely diagnosis?
a. depression
b. bereavement
c. PTSD
d. personality disorder
e. adjustment disorder
e. A response to a stressor that disturbs the mood of the patient causes impairment in function. Anxiety and depression are associated with adjustment disorders.
DSM 4 classifies disorders into five axes. What type of info should be provided on Axis 4?
a. global assessment
b. clinical disorders
c. medical conditions
d. psychosocial stressors
e. personality disorders
d. That is it…
Generally patients who are malingering…
a. use illness to attain a goal
b. have avoidant personalities
c. follow prescribe tx regimens
d. have a hx that agrees with their physical sx
a. Patients that are malingerers do not want to improve until the goal is met.
What is the main communication deviance associated with autistic children?
a. use of stereotyped phrases
b. increased receptive language skills
c. use of clanging speech patterns
d. increased meaningful expressive language
a. Echolalia and stereotyped words and phrases are commonly used by autistic children with little understanding of what is being vocalized.
Which process is NOT assessed during the mental status exam?
a. judgment
b. affect
c. intelligence quotient
d. cognition
e. insight
c. Intelligence quotient is measured through IQ tests.
A patient presents to your office claiming that the FBI is trying to poison him. What are these types of beliefs called?
a. somatic delusion
b. delusion of persecution
c. illusion
d. delusion of grandeur
e. hallucination
b. Patients who have delusions of persecutions often feel that people are taking pictures and tape recording them.
What question does the “C” represent in the ETOH abuse screening tool CAGE?
a. Have you ever felt the need to cut down?
b. Has anyone ever cautioned you not to drink?
c. Have you been caught having an “eye opener” in the morning?
d. Has anyone ever criticized you about drinking?
e. Do you care that you are feeling guilty about drinking?
a. There are four questions and if a patient responds yes to two of the questions, it is considered to be positive for abuse.
A phobia is an excessive fear of an object or place that leads to or can be preceded by…
a. panic attack
b. depression
c. hallucinations
d. delusions
e. confabulations
a. In attempts to avoid the “problem” patients can develop anxiety or panic attacks.
A 33 yo woman presents with a 3 year hx of a persistent, unfluctuating depressed mood. She also notes persistent insomnia, poor concentration and very little appetite. She denies previous similar sx, substance abuse, current prescriptive drug use and has had no change in her overall life circumstances. She remains functional at work and in most relationships. On the basis of the info presented, what is the most likely diagnosis?
a. dysthymic disorder
b. premenstrual dysphoric disorder
c. MDD
d. cyclothymic disorder
a. The main historical component that points to this diagnosis is the the long term (equal to or greater that 2 years), unfluctuating sx, w/o mention of manic or hypomanic sx (which are typical of cyclothymic disorders).
Of the following, which is the criterion that differentiates a manic versus a hypomanic episode?
a. duration of sx
b. presence of pressured speech
c. involvement in high risk activities
d. exhibiting decreased need for sleep
a. Mania: at least a week or longer
Hypomania: at least 4 days
What is the hallmark of a manic episode?
a. hypersomnolence
b. psychosis
c. depression
d. anxiety
e. irritability
e. At times, the patient can have a euphoric mood, which can result in denial of their illness.
Ms. Smith is diagnosed with a panic disorder. Based on her hx, you decide to treat her with an MAOI. Which SE is the most common for this med?
a. orthostatic hypotension
b. paresthesias
c. muscle plain
d. myoclonus
e. inducing maina in bipolar patient
a. Weight gain, edema, insomnia, and sexual dysfunction may also occur.
What type of pharm agent would be used as 1st line med to treat OCD?
a. risperidone
b. lonazepam
c. fluoxetine
d. trazadone
e. venlafaxine
c. Use of an SSRI in combo with behavioral therapy is recommended.
