Exit Exams

Front 1

Psychology

Back 1

the science of mind, emotions and behavior.

the mental, emotional or behavioral characteristics typical of a group or an individual or a particular form of behavior

Front 2

Why is Psychology important for the TCM practitioner?

Back 2

patient interaction or communication is the essence of clinical practice.

TCM recognizes the unity of mind and body, the individuality of each patient, and the fact that emotional roots are very often the cause of disease. So, we need to be able to include psychological factors in our assessment of the patient.

We must know how to listen to the patient, educate the patient and address issues such as noncompliance, stress and substance abuse with the patient.

Front 3

What organ is most affected by stress?

Back 3

Liver

Front 4

Neurosis

Back 4

self defeating behavior

Front 5

Psychosis

Back 5

insanity

Front 6

REBT

Back 6

Rational Emotive Behavior Therapy

Front 7

How many emotional states are there?

Back 7

3
positive
negative
excessive

Front 8

How many types of beliefs are there?

Back 8

2
Rational (reality based)
irrational (non-reality based)

Front 9

What are the cognitive steps to anxiety?

Back 9

1) something bad might happen
2) It must not happen
3) It would be awful if it did happen

Front 10

The most radical differences among people

Back 10

the ones most likely to be traceable to the environment

Front 11

Belief system

Back 11

values, attitudes, beliefs, thoughts and cognitions, conditioning, habits

Front 12

Human behavior

Back 12

a process of adaptation for survival based on external environmentally perceived factors.

Perceptions... processed through one's Belief system>> behavior

Front 13

mood

Back 13

more consistent feeling

Front 14

affect

Back 14

current emotion

Front 15

The 7 Affects

Back 15

joy
thought
anxiety
sorrow
fear
fright
anger

Front 16

Two types of behavior

Back 16

Self-Enhancing
Self -defeating (Freud called Neurosis)

Front 17

ABC's of emotional disturbance

Back 17

Activating event
Irrational Belief about the experience
Upsetting Emotional Consequences

Front 18

Black and White thinking

Back 18

Dichotomous

Front 19

Overgeneralization

Back 19

one event = characteristic of life in general

Front 20

Selective abstraction

Back 20

one event is focus, other ignored

Front 21

Disqualifying the positive

Back 21

doesn't count - only saying that to...

Front 22

Mind reading

Back 22

I know she thinks...

Front 23

fortune telling

Back 23

negative expectations are facts

Front 24

Catasrophizing

Back 24

exaggerates negative events

Front 25

Minimization

Back 25

positive events are real, but insignificant

Front 26

Emotional reasoning

Back 26

if I feel that way it must be true

Front 27

Labeling

Back 27

failure means I AM a failure

Front 28

Personalization

Back 28

assuming I am the cause of something

Front 29

Magical thinking

Back 29

lucky charms

Front 30

How to successfully manage a patient

Back 30

if is important to know the patient's beliefs, what he or she thinks about his/her problem (and TCM) and how the patient hopes you will help him/her.

Front 31

Personality disorder

Back 31

spirit disorder

Front 32

Psychosomatic Illness

Back 32

Hysteria

Front 33

Depression

Back 33

Neurasthenia

Front 34

Dependent personality

Back 34

I am helpless, I need help

Attachment

Front 35

Passive-Aggressive

Back 35

Suspicious - I could be taken advantage of

Resistance

Front 36

Avoider

Back 36

Its dangerous

avoidance

Front 37

Histrionic

Back 37

I need to impress (exalt you then turn on you)

Overly dramatic

Front 38

Narcissistic

Back 38

I am special

uses others

Front 39

Paranoid

Back 39

people are possible enemies

wariness

Front 40

obsessive/compulsive

Back 40

must not make mistakes

perfectionist

Front 41

Anti-social (sociopath)

Back 41

people are to be taken advantage of

manipulates

Front 42

Schizoid

Back 42

I need plenty of space

Isolation

Front 43

Border-line

Back 43

your space is my space ( doesn't respect boundaries)

merges personalities

Front 44

PTSD

Back 44

traumatic event that caused serious pain and suffering or involved actual or threatened death or serious injury

Person's response included intense fear, helplessness or horror

Event is experience w/recollections, dreams, feeling as though is recurring, distress at "triggers", avoidance of connected stimuli, etc

Symptoms of increased arousal - sleep difficulties, outbursts of anger, hypervigilance

Treatment:
Refer to mental health professional - dispute irrational beliefs - teach that worrying is counter-productive.

Front 45

Anger Model

Back 45

1) A should or should not is violated
2) the violation is evaluated in light of Low Frustration Tolerance (I can't stand it)
3) The violation is "awfulized"
4) The person who did or failed to do this thing is judged as "terrible"
5) the person should be punished and I will do the punishing

Front 46

Steps to Neurotic Behavior

Back 46

Irrational response to events, based on our belief >> negative or excessive emotions >> Self-defeating or neurotic behavior

Front 47

Obsessive Compulsive Disorder (OCD)

Back 47

an anxiety disorder w/ recurrent, unwanted, intrusive ideas, images or impulses that seem silly, weird, nasty or horrible and urges to do something that will lessen the discomfort due to those obsessions

Front 48

Attention Deficit Disorder (ADD) and with Hyperactivity (ADHD)

Back 48

Unable to sit still, pay attention - onset before age 7 and causes significant impairment

Front 49

3 cognitive causes of depression

Back 49

self-blame
self-pity
other-pity

Front 50

Schizophrenia

Back 50

severe thought disorder w/ distorted perceptions of reality, impaired reasoning, disorganized speech and behavior. Delusional beliefs, possible auditory and visual hallucinations.

Front 51

Morality

Back 51

refers to the ability or quality or character by the individual to translate moral principals into actions or deeds

Front 52

Morals

Back 52

refers to the individual's ability to make a distinction between right and wrong conduct

Front 53

Ethics

Back 53

refers to the application of moral standards of conduct and judgements of a specific group or profession

Front 54

Codes of Ethics

Back 54

most professions are expected to have an ethical code by which its members are bound. These codes are most frequently articulated by major organizations within the profession. These codes provide a basis for evaluation for professional behavior.

Front 55

Moral Derivatives of the Four Basic Principles

Back 55

veracity
confidentiality
privacy
fidelity
prudence
temperance
fortitude

Front 56

veracity

Back 56

don't lie or be deceptive

Front 57

confidentiality

Back 57

patient information

Front 58

privacy

Back 58

physical body

Front 59

fidelity

Back 59

doing what you say you will do

Front 60

prudence

Back 60

acting w/ deliberation and discretion, performing the correct procedure for the correct reason

Front 61

temperance

Back 61

self-restraint or self-control in professional conduct (not over-charging, treating excessively or responding to sexually aggressive persons)

Front 62

Fortitude

Back 62

attending to the patient even in the face of possible harm or damage to the practitioner

Front 63

Four Models of Physician-Patient Relationship

Back 63

paternalistic
informative
interpretive
deliberative

Front 64

paternalistic

Back 64

physician decides what is best for the patient

Front 65

informative

Back 65

physician provides the available facts about the condition and treatment options. Assumes the patient has clear values and can choose from the options (provider and consumer)

Front 66

Interpretive

Back 66

physician provides information and also helps the patient find his/her values and what treatment option would match them (counselor)

Front 67

Deliberative

Back 67

physician provides information and also dialogues with patient concerning which treatment would be best, discussing options and values (teacher or friend). May recommend

Front 68

Informed Consent

Back 68

1) taking a history
2) doing a proper exam
3) arriving at a reasonable diagnosis
4) formatting a reasonable treatment plan
5) informing the patient above, including risks, cost and expectations (prognosis)

Front 69

Patient has the right to

Back 69

1) receive info form Dr and discuss - copies of medical records - get 2nd opinion
2) make health care decisions - accept or refuse any treatment
3) courtesy, dignity, responsiveness
4) confidentiality
5) continuity of health care
6) adequate health care

Front 70

Patient's Role

Back 70

1) accept and submit to treatment
2) give truthful history
3) follow directions of provider
4) keep appointments
5) pay for appointments

Front 71

Doctor's Role

Back 71

1) provide knowledge and skill
2) be ethical
3) establish and maintain rapport with patient
4) develop risk control strategies for practice
5) comply with legal scope of practice

Front 72

Skin tends to bleed more and there are often sores with red color that do not heal, tend to be slow-growing

Back 72

Refer
could be malignant melanomas -cancerous mole
skin cancer or Aids

Front 73

Irregular, black, changing moles

Back 73

advise patient of unusual moles they many not see on their backs or ears

Front 74

persistent cough with some blood, dyspnea, night sweats

Back 74

could be TB

Front 75

coughing up blood or vomiting bright red blood

Back 75

refer to ER

Front 76

chronic dry cough with wheezing or whistling sound breathing

Back 76

could be asthma

Front 77

Itchy, watery eyes, sneezing, running, stuffy nose, temporary loss of smell, headache, dark circles under the eyes

Back 77

could be allergies

Front 78

Blood pressure of 140/90 on several visits that doesn't respond to the treatments

Back 78

refer out

Front 79

Blood pressure of 160/100 or higher

Back 79

refer immediately for consultation

Front 80

BP 140/90 or higher during pregnancy, even if first visit

Back 80

refer for consultation

Front 81

headache, weakness, numbness, paralysis, esp one side of body

Back 81

could be stroke

Front 82

sweating, SOB, pain radiating to the arm, neck or jaw

Back 82

could be angina

Front 83

Deep chest pain with fatigue, nausea, abdominal diseases

Back 83

could be myocardial infarction

Front 84

unexplained weigh loss

Back 84

could be cancer, diabetes, etc

Front 85

excessive hunger, thirst, urination, with weight loss that persists after one or two treatments

Back 85

could be diabetes

Front 86

suicidal thoughts or wishes with depression

Back 86

refer immediately

Front 87

dark blood in stool not from obvious hemorrhoids, black stool with abdominal pain, diarrhea and weight loss, unresponsive after no more than three treatments

Back 87

could be colon cancer

Front 88

Blood in urine, burning urination, fever, back pain, unexplained edema

Back 88

could be kidney infection

Front 89

Yellow sclera, yellow urination and jaundice

Back 89

could be HAV

Front 90

chronic pelvic pain, vaginal bleeding after menopause established

Back 90

could be uterine cancer

Front 91

Vagina hemorrhage greater than or equal to one pad or tampon every 30 minutes

Back 91

refer to ER

Front 92

large lump on one side of breast with discharge from nipples

Back 92

could be breast cancer

Front 93

Vagina or penile discharge or sore, pain and itchy

Back 93

could be STD

Front 94

frequency, urgency, dysuria or bleeding urination

Back 94

could be prostate cancer

Front 95

Headache, dizziness, visual disturbances

Back 95

possible brain tumor

Front 96

tripping, slowness of movement, tremor

Back 96

possible Parkinson's disease

Front 97

acute back pain, sciatica with sudden weakness of one foot (when patient dorsiflexes big toe against practitioner's finger)

Back 97

could be spinal nerve impingement

Front 98

acute low back pain with loss of bowel or bladder function

Back 98

refer immediately to ER
could be spinal cord tumor or disc herniation

Front 99

Chest Pain/ Angina/ Heart Attack

Back 99

call 911 or other emergency services immediately if chest pain is crushing or squeezing, increases in intensity, or occurs with any of the symptoms of a heart attack:
sweating
SOB
pain radiating to the arm, neck or jaw
nausea and vomiting
dizziness
rapid and/or irregular pulse

Front 100

Normal BP

Back 100

below 130/85

Front 101

High-normal BP

Back 101

130-139/85-89

Front 102

High BP

Back 102

over 140/90

Front 103

Type I Diabetes

Back 103

occurs when the pancreas fails to make insulin. It usually occurs in childhood or adolescence but can develop at any age. People with type I diabetes must inject insulin every day.

Front 104

Type II Diabetes

Back 104

occurs when body cells become resistant to insulin. This reduces the amount of glucose that can be used by the cells at any one time. Type 2 diabetes is more common among adults, especially those who are overweight and over age 40.

Front 105

TCM Diagnosis for Diabetes

Back 105

1) Lung heat and Yin damage
2) Stomach heat
3) Kidney Yin Xu