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13 Cards in this Set

  • Front
  • Back
A Woman with anxiety about a gynecological exam is told to relax and to imagine going through the steps of the exam. What process does this exemplify?
Systematic desensitization
A 65 year old man is diagnosed with incurable metastatic pancreatic adenocarcinoma. His family asks you (the doctor) not to tell the patient. What do you do?
Assess whether telling the patient will negatively affect his health. If not, tell him.
A man admitted for chest pain is medicated for ventricular tachycardia. The next day he jumps out of bed and does 50 pushups to show the nurses he has not had a heart attack. What defense mechanism is he using?
Denial
You find yourself attracted to your 26 year old patient. What do you say?
Nothing! the tone of interview must be very professional; it is not acceptable to have any sort of romantic relationship with patients. If you feel your actions may be misinterpreted, invite a chaperone into the room.
Large group of people is followed over ten years. Every 2 years, it is determined who develops heart disease and who does not. What type of study is this?
Cohort
Girl can groom herself, can hop on one foot, and has an imaginary friend. how old is she?
4 years old
Man has flashbacks about his girlfriends death 2 months ago from a hit and run accident. He often cries and wishes for the death of the culprit. What is the diagnosis?
Normal bereavement
36 year old woman with a strong family history of breast cancer refuses a mammogram because she heard it hurts. What do you do?
Discuss the risks and benefits of not having a mammogram. Each patient must give her own informed consent to each procedure. If the patient refuses you must respect her wishes.
4 year old girl complains of burning feeling in her genitalia; otherwise she behaves normally. A smear of discharge reveals N. gonorrhoeae. How was she infected?
Sexual abuse
72 year old man insists on stopping treatment for his heart condition because it makes him "feel funny." What do you do?
Although you want to encourage the patient to take his medication, the patient has the final say in his own treatment regimen. You should investigate the "funny" feeling and determine if there is a drug available that doesn't elicit this particular side effect.
During a particular stage of sleep, man has variable blood pressure and EEG together with penile tumescence. What stage of sleep is he in?
REM sleep
A certain screening test has a 2% false-negative rate. What is the sensitivity of the test?
Sensitivity is 98%
The prevalence of influenza in population A is 2 times the prevalence in population B. The incidence is the same in population A and B. What can be assumed about the disease course in population A versus population B?
The disease duration is 2 times longer in population A