Step 3 Ch 19 Psychiatry 2-1

Front 1

221. Features of borderline personality disorder?

Back 1

a. Unstable affect, mood swings, marked impulsivity, unstable relationships. Recurrent suicidal behaviors, chronic feelings of emptiness, identity disturbance and inappropriate anger

Front 2

222. main defense mechanism of borderline?

Back 2

a. Splitting.

Front 3

223. The 30-year-old woman presents to the clinic. She reports that she has been too many doctors, she said they were all wonderful. It's a they started ignoring her cutting her visit short, and she realized the terrible doctors they were. She starts the visit by saying that assistant at the front desk was the worst she has ever seen because she didn't smile at her. The other assistant was just wonderful to her. What is this?

Back 3

a. Borderline personality disorder-splitting.

Front 4

224. Features of antisocial personality disorder?

Back 4

a. Continuous antisocial criminal acts
b. inability to conform to social rules
c. impulsivity
d. disregard for the rights of others
e. aggressiveness
f. lack of remorse
g. deceitfulness.

Front 5

225. A 26 romance caught lighting forest fires during a recent spate. He has a history of legal problems since childhood. He reports that his mother is to blame. He denies feeling regret. He has no friends and is found to be hostile to everyone at the police station. What is this?

Back 5

a. Antisocial personality disorder

Front 6

226. features of narcissistic personality disorder?

Back 6

a. Sense of self-importance
b. grandiosity
c. preoccupation with fantasies of success.
d. This person believes he is special, requires excessive admiration, reacts with rage when criticized, lacks empathy, is envious of others, and is interpersonally exploitative

Front 7

227. the patient is hospitalized for chest pain and becomes very agitated because he feels he is not getting enough attention. He reports that he is an important CEO and demands a special VIP room and more consideration and a dedicated nurse to attend his needs. What is this?

Back 7

a. Narcissistic personality disorder.

Front 8

228. What are the three cluster C personality disorders?

Back 8

1. Avoidant
2. dependent
3. obsessive-compulsive PD

Front 9

229. what are the three cluster C personality disorders characterized by?

Back 9

a. Anxiety
b. preoccupation with criticism or rigidity.

Front 10

230. Features of Avoidant personality disorder?

Back 10

a. Individuals have social inhibition, feelings of inadequacy and hypersensitivity to criticism.
b. They shy away from starting anything new or attending social gatherings for fear of failure or rejection.
c. They desire, affection and acceptance and are open about their isolation and inability to interact with others.

Front 11

231. Dependent personality disorder?

Back 11

a. Submissive and clinging behavior related to a need to be taken care of.
b. They are clingy and worry about abandonment.
c. They feel inadequate and helpless and avoid disagreements with others.
d. They usually focus dependency on a family member or spouse.

Front 12

232. Features of obsessive-compulsive personality disorder?

Back 12

a. Preoccupied with orderliness, perfectionism, and control.
b. They are often consumed by the details of everything and lose their sense of overall goals.
c. They are strict and perfectionistic, over conscientious, and flexible.
d. Associated with difficult interpersonal relationships

Front 13

233. a 45-year-old single man fears and upcoming social party being hosted by his parents. He dreads having to meet people and doesn't feel comfortable speaking for others. He is planning on staying at home to avoid speaking to others. What is this?

Back 13

a. Avoidant personality disorder.

Front 14

234. They were dating for six months. She continues to call her ex 15-20 times a day, even though he does not pick up. She says she can't understand why they broke up because you never disagree with him. She never left the house without him, and she always asked his opinion, even for little decisions. She cannot imagine life without him. What is this?

Back 14

a. Dependent personality disorder.

Front 15

235. A 38-year-old man presents with his wife for marital counseling. The Rife reports that he's inflexible and has unrealistic demands of orderliness and inflexible schedule. Both partners agree that his demands are causing marital problems. What is this?

Back 15

a. Obsessive-compulsive personality disorder.

Front 16

236. Note: step three will test your ability to recognize substance abuse and know the best management for acute substance use in acute withdrawal.

Back 16

236. Note: step three will test your ability to recognize substance abuse and know the best management for acute substance use in acute withdrawal.

Front 17

237. Alcohol dependence (alcoholism)?

Back 17

a. The frequent use of alcohol resulting intolerance and physical and psychological dependence.

Front 18

238. Alcohol abuse?

Back 18

a. When when episodes of alcohol use, result in failure to fulfill obligations, legal troubles, or exposure to physically dangerous situations.
b. Tolerance is not included in the diagnosis of alcohol abuse.

Front 19

239. How is the most accurate diagnosis of alcohol dependence made?

Back 19

a. CAGE questionnaire.
b. Lab tests are never included in the diagnosis of alcohol abuse.

Front 20

240. When the question describes a patient with alcohol abuse, what should you do?

Back 20

a. Or toxicology to look for use of other drugs: breath, blood and urine.
b. Drug screenslook for secondary effects of alcohol use (but not for diagnosis): elevated GGT, AST, ALT, and LDH.
c. If there's a suggestion of IV drug use (e.g. track marks), order hepatitis B and C, HIV, and PPD (for tuberculosis).