U World

Question 1

coping: displacement

Answer 1

transferring feelings to a more acceptable object (get angry at friend instead of boss)

Question 2

isolation of affect

Answer 2

separating a thought from its emotional components. woman describes death of husband w/o emotion

Question 3

reaction formation

Answer 3

responding in a manner opposite to one’s actual feelings. man in love with married coworker insults her

Question 4

repression

Answer 4

blocking upsetting feelings from entering consciousness

Question 5

sublimation

Answer 5

channeling impulses into socially acceptable behaviors

ex: Regina George playing rugby b/c aggression

Question 6

dissociation vs suppression

Answer 6

dissociation: disrupting memory, identity, consciousness to cope with an event (immature) [man “forgets” he was fired and continues to go to work]
suppression: putting unwanted feelings aside to cope with reality (mature)

Question 7

what is dantrolene used for?

Answer 7

muscle relaxant for NMS, not for EPS

Question 8

factitious disorder

Answer 8

intentional falsification or inducement of sx with goal to assume SICK ROLE

Question 9

somatic sx disorder time required for dx

Answer 9

> 6 months

Question 10

illness anxiety disorder

Answer 10

formerly hypochondriasis: minimal or no actual physical sx

Question 11

focusing on kid’s homework instead of thinking about father’s cancer diagnosis. what coping mechanism?

Answer 11

suppression (mature)

Question 12

brief psychotic episode

Answer 12

at least one day but less than 1 month with complete resolution of sx

Question 13

chronic irritability, manifested as temperamental outburts and persistent angry/irritable mood

Answer 13

disruptive mood dysregulation disorder

used to differentiate children with chronic persistent irritability from those presenting with classic episodic BP d/o

Question 14

folie a deux

Answer 14

delusions shared by individuals in a close relationship

Question 15

magical thinking

Answer 15

one’s thoughts can control events, including attributing casual incidents to supernatural forces

Question 16

ideas of reference

Answer 16

everyday occurrences have special implication

often seen in schizophrenia

Question 17

television or radio is speaking to me. article or ad in paper has a special message for me. example of what?

Answer 17

ideas of reference

Question 18

conversion disorder

Answer 18

sudden onset, neuro sx, incompatible with recognized neuro conditions
often precipitated by stress, pts are hysterical or indifferent (la belle indifference) to their sx

Question 19

delusional disorder criteria

Answer 19

1 or more delusions for at least 1 month

Question 20

social anxiety disorder criteria

Answer 20

marked anxiety about 1+ social situation for >6 months

Question 21

physostigmine

Answer 21

reverses toxic CNS effects caused by anticholinergic drugs

Question 22

dantrolene

Answer 22

used for NMS, muscle relaxant

Question 23

IV drug abuse contracts hep C. blames it on inadequate control of hep C in the community. defense mechanism?

Answer 23

distortion. altered perception of disturbing aspects of external reality to make it more acceptable

Question 24

wife angry at husband throws away his baseball card collection. defense mechanism?

Answer 24

displacement

Question 25

introjection

Answer 25

assimilating another person's attitude into one's own perspective battered woman believes her husband is right when he says she is worthless

Question 26

increased total brain volume dx

Answer 26

autism

Question 27

abnormalities in orbitofrontal cortex and striatum. dx

Answer 27

OCD

Question 28

decreased volume of amygdala. dx

Answer 28

pAnic disorder

Question 29

decreased hippocampal volume. dx

Answer 29

PTSD

Question 30

enlargement of cerebral ventricles. dx

Answer 30

schizophrenia

Question 31

length of time you need to have depressed mood for to diagnose MDD

Answer 31

2 weeks. 4 of SIGECAPS plus depressed mood/anhedonia

Question 32

heroin w/d sx?

Answer 32

``` muscle spasms, joint pain, nausea and vomiting, diarrhea, ab cramps, rhinorrhea, lacrimation, sweating. pupils dilated, pt irritable autonomic instability (HTN) ```

Question 33

man who husband who is attracted to other women believes his wife is having an affair. defense mechanism?

Answer 33

projection

Question 34

man who had brief fantasy of killing his wife by sabotaging her car takes the car in for a complete checkup. defense mechanism?

Answer 34

undoing. reverse situation by adopting a new behavior