Test68: Behavioral science

Question 1

Suspicious, distrustful, hypervigilant

Answer 1

Paranoid

Question 2

Perfers to be a loner, detached, unemotional

Answer 2

Schizoid

Question 3

Eccentric; odd thoughts, perceptions and behvior

Answer 3

Shizotypal

Question 4

Disregard and violation of the rights of other

Answer 4

antisocial

Question 5

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

Answer 5

Borderline

Question 6

Dramatic, superficial, attention-seeking

Answer 6

Histrionic

Question 7

Grandiosity, lack of empathy

Answer 7

Narcissistic

Question 8

Avoidance due to fears of criticism and rejection

Answer 8

Avoidant

Question 9

Submissive, clingy, needs to be taken care of

Answer 9

Dependent

Question 10

Rigid, controlling, perfectionistic

Answer 10

Obsessive-compulsive

Question 11

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

Answer 11

avoidant personality disorder

Question 12

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

Answer 12

Borderline personality disorder

Question 13

Expressing unacceptable feelings through actions

Answer 13

acting out

Question 14

Behaving as if an aspect of reality does not exist

Answer 14

Denial

Question 15

Transferring feelings to a more acceptable object

Answer 15

Displacement

Question 16

Using intellect to avoid uncomfortable feelings

Answer 16

Intellectualization

Question 17

Avoiding conflict by expressing hostility covertly

Answer 17

Passive aggression

Question 18

Attributing one’s own feelings to others

Answer 18

projection

Question 19

Justifying behavior to avoid difficult truths

Answer 19

Rationalization

Question 20

Responding in a manner opposite to one’s actual feelings

Answer 20

Reaction formation

Question 21

Reverting to earlier developmental stage

Answer 21

regression

Question 22

seeing others as all bad or all good

Answer 22

splitting

Question 23

Channeling impulses into socially acceptable behaviors

Answer 23

Sublimation

Question 24

Putting unwanted feelings aside to cope with reality

Answer 24

suppression

Question 25

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

Answer 25

significant risk for harm - obtain a court injunction to proceed with life-saving medical treatment of child

Question 26

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

Answer 26

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

Question 27

What drug should be avoided in bipolar disorders? why?

Answer 27

antidepressant mono therapy | - risk of precipitating mania

Question 28

Patient fears embarrassment and scrutiny by others in social situations

Answer 28

Social anxiety disorder

Question 29

Difference between obsessive compulsive disorder and personality

Answer 29

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

Question 30

first-line treatment for obsessive compulsive disorder

Answer 30

Selective serotonin reuptake inhibitor

Question 31

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

Answer 31

cocaine withdrawal

Question 32

physicians can disclose information to friends and family members when?

Answer 32

1. patient gives explicit permission OR | 2. patient is incapacitated, basic information can be shared, at physicians best judgement `

Question 33

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

Answer 33

manic episode

Question 34

pneumonic for manic epidsode

Answer 34

manics DIG FAST - Distractibility - Irresponsibility - Grandiosity - flight of ideas - Activity/agitation - Sleep need is decreased - Talkativeness

Question 35

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

Answer 35

bipolar I disorder

Question 36

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

Answer 36

psychotic symptoms are present only during the episode of major depression

Question 37

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

Answer 37

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

Question 38

Acute onset of mental status change is

Answer 38

delirium

Question 39

define delirium

Answer 39

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

Question 40

define dementia

Answer 40

- gradual onset - irreversible - does not involve fluctuations in consciousness

Question 41

MOA of Methadone

Answer 41

mu-opioid receptor agonist

Question 42

Why is methadone used for maintenance treatment of opioid abuse

Answer 42

long half life

Question 43

depersonalization

Answer 43

outside observer of self

Question 44

Drealization

Answer 44

sense of detachment or unreality

Question 45

What are the reality testing results for depersonalization/derealization disorder

Answer 45

reality testing is intact

Question 46

Which gender usually gets Rett syndrome

Answer 46

girls

Question 47

What is Rett sydnrome

Answer 47

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

Question 48

What is a classic feature for Rett syndrome

Answer 48

deceleration of heat growth

Question 49

Retty syndrome is a defect in what gene

Answer 49

MECP2

Question 50

Define Schizoaffective disorder

Answer 50

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

Question 51

Transference

Answer 51

Patient projects feelings about formative or other important persons not physician

Question 52

conversion disorder

Answer 52

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

Question 53

What is the drug of choice for Bulimia nervosa

Answer 53

selective serotonin reuptake inhibitors: Fluoxetine

Question 54

Common adverse effects of methylphenidate and amphetamines

Answer 54

- decrease appetite, weight loss, and insomnia

Question 55

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

Answer 55

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

Question 56

Are physicians ethically and legally obligated to report impaired colleagues?

Answer 56

YES

Question 57

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

Answer 57

autism spectrum disorder

Question 58

What is first line treatment for generalized anxiety disorder

Answer 58

- Serotonin reuptake inhibitors | - serotonin-norepinephrine reuptake inhibitors

Question 59

What are second line agents for generalized anxiety disorder

Answer 59

- Buspirone - TCA - benzodiazepines

Question 60

Citalopram

Answer 60

selective serotonin reuptake inhibitor

Question 61

Bupropion type of drug

Answer 61

atypical antidepressant

Question 62

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

Answer 62

post-traumatic detachment

Question 63

define splitting

Answer 63

all bad or all good

Question 64

Difference between schizophreniform disorder and schizophrenia

Answer 64

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