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18 Cards in this Set
- Front
- Back
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A pregnant teenager wants to keep her baby. The parents wnats for the girl to give it up for adoption. The doctor wants the same. The doctor should:
a) convince the girl to give baby up for adoption b) give her information about responsibility of being a parent c) facilitate discussion between teenager and parents d) b and c |
D) both b and c
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When should a doctor give a referral of patients?
a)when patient presents with medical or psychiatric problems outside range of expertise of treating physician b) when patients are annoying c) when patients are seductive d) when patient is angry with doctor e) when patient wants a procedure the doctor cannot perform for personal reasons |
A and E: when doctor has personal reasons for not wanting to perform a procedure and/or when problem is outside expertise
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Personality disorders are
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Chronic and Life long
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Which does not belong?
A. Paranoid B. Avoidant C. Schizoid D. Schizotypal |
Avoidant
avoidant belongs with ocd and dependent |
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Which of the following does not belong?
A. Narcissistic B. Histrionic C. Borderline D. Antisocial E. Avoidant |
E. Avoidant
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Which of the following does not belong to the cluster of PD's?
A) avoidant B) obsessive-compulsive C) paranonid D) dependent |
c) paranoid
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Antisocial disorder cannot be diagnosed until what age?
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18
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T/F OCD is more common than borderline
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FALSE:
histrionic, bordeline, dependent, antisocial, schizotypal more common than OCD, narcissistic, avoidant, and schizoid |
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T/F schizotypal is more common than schizoid
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TRUE:
histrionic, bordeline, dependent, antisocial, schizotypal more common than OCD, narcissistic, avoidant, and schizoid |
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What treatment have proven usefulness in PD's?
A) pharmacalogic B) psychotherapy, group C) self-help group D) psychotherapy, self |
B and C
self-help and psychotherapy in group |
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What cluster of patients are likely to respond by becoming more withdrawn or suspicious?
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Cluster A:
schizotypal, schizoid, paranoid |
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What cluster of patients require time for the physician to establish relationship?
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Cluster A
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In what type of patients should the doctor not take the manifestations of controlling and dependency seriously but rather consider underlying health concerns.
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Obsessive compulsive, Dependent personality
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Which of the following best relates to patient compliance factor:
a. intelligence b. race c. sex d. religion e. patient's like for doctor f. economic status g. marital status |
e. how much patient likes doctor
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Which of the following is not a factor that increase compliance?
feeling ill limitation of usual activities verbal instructions for taking meds recommend one behavioral change acute illness peer support |
verbal instructions not enough- written gives better compliance
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What is the personality disorder NOS? (not otherwise specified)
manifested by: procrastionation inefficiency sullen-ness outwardly compliant, but inwardly defiant |
Passive-Aggressive
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What is the following PD?
refuses to conform to social norms dishonest psycho/sociopath connduct disorder in childhood |
Anti-Social
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What is the difference between schizoid and schizotypal PD?
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Both without psychosis, schizotypal has magical thinkning, behaves strangely with strange thoughts and behavioral patterns;
schizoid shows detached, restricted motion, more socially withdrawn |
