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22 Cards in this Set
- Front
- Back
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What is transference? counter?
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trans - pt falls in love with dr
counter - dr falls in love with pt |
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What happens during REM?
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rapid eye movements
paralysis of skeletal muscles (except eyes, finger, toes) increased BP and resp erection dreams, nightmares |
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who is most likely to attempt suicide?
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elderly, single, divorced
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what are the neurotransmitter levels involved with schizo? depression? Alzheimers? anxiety?
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schizo - increased dopamine
depression - decreased NE, serotonin, and dopamine Alz - decreased ACh anxiety - decreased GABA |
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What is the difference in delirium and dementia?
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delirium - impaired consciousness, develops quickly and fluctuates, reversible
dementia - unimpaired consciouness, slow, progressive, irreversible |
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What is the difference between schizoid and schizotypal?
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oid - anxious, withdrawn - doesn't want close relationships
typal - odd ideas, paranoia, magical thinking |
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What is agoraphobia?
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NOT a phobia
history of panic attacks patient avoids places where panic attacks might occur |
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What is somatization?
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sickly for most of life
involves many organ systems - GI, cardiopulmonary, repro, pain at least 12 symptoms for several years |
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What is the difference in bipolar 1 and 2
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1 - at least 1 manic episode
2 - at least one major depressive episode AND at least one hypomanic or manic episode |
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What is the difference in grand mal and petit mal?
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grand - tonic then clonic - loss of consciousness, incontinence. EEG shows high voltage spikes
petit absence seizure (blank spell), no loss of muscle tone. EEG shows 3/se spike and domes |
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what are the symptoms of benzodiazepine intox? withdrawal?
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intox - antianxiety, sedation
wd - anxiety, irritable, insomnia |
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What are the signs of accidental and intentional abuse?
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acc - splash marks, injuries to front, foot soles spared
int - clearly demarcated areas, no splash, injuries to back, foot soles involved, history of multiple injuries, retinal hemorrhage |
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What is the formula for relative risk? Attributable risk?
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RR - (incidence w risk)/(incidence w/o risk)
AR - (incidence w risk) - (incidence w/o risk) |
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What is sensitivity?
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probability that a sick patient (A+C) will have a positive test
A/(A+C) |
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What is specificity?
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probability that a healthy patient (B+D) will have a negative test result (D)
D/(B+D) |
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What is positive predictive value?
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probability that a patient with a positive test (A+B) is indeed sick (A)
A/(A+B) |
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What is negative predictive value?
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probability that a patient with a negative test result (C+D) is indeed healthy (D)
D/(C+D) |
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What is the cancer with highest incidence in males and females?
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male - prostate, lung colorectal
female - breast, lung, colorectal lung is most deadly |
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What is the study group in randomized control?
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patients are selected and randomly assigned to intervention or control group
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what is the study group in observational cohort?
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2 pt groups defined by presence/absence of risk factors
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What type of study is a case control study?
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retrospective
researcher determines presence of risk factors retrospectively |
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describe medicare and medicaid
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care - care for elderly (>65)
caid - aid for the poor |
