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Behavioral Science
UWORLD Round 1 2021: Psych, Drug intox, Patient safety
| Question | Answer |
|---|---|
| What is the most common and earliest symptom of alcohol withdrawal? | Tremulousness |
| Tremulousness is: | One of the earliest symptoms of alcohol withdrawal |
| What is Delirium tremens? | Most severe manifestation of alcohol withdrawal and typically begins 48-96 hours after last drink |
| What alcohol withdrawal symptoms or condition is usually seen after 48-96 hours from last drink? | Delirium tremens |
| How is a Schizotypal personality disorder characterized? | Long-standing pattern of Eccentric behavior, odd beliefs, perceptual distortions, and social anxiety despite familiarity |
| What personality disorder is often seen with "magical thinking"? | Schizotypal personality disorder |
| To which personality cluster does Schizotypal personality belongs to? | Cluster A |
| What are the personality types or disorders of Cluster A? | Paranoid, Schizoid, and Schizotypal |
| Individual that prefers to be alone, detached and unemotional. Often described as "cold" and distant. | Schizoid personality disorder |
| Which type of "loner" does not want or crave a human interaction, and prefer to be alone, Schizoid or Avoidant? | Schizoid personality disorder |
| What class of drug is PCP? | Hallucinogen |
| What are the clinical features associated with PCP intoxication? | Violent behavior, dissociation, hallucination, amnesia, ataxia, and nystagmus (horizontal or vertical) |
| What type of drug is to be suspected if the patient presents with nystagmus? | PCP intoxication |
| What is the key feature of PCP intoxication? | Nystagmus |
| What is the key clinical symptom of LSD intoxication? | Visual hallucinations |
| What class of drug is Cocaine? | Stimulant |
| What are the main or key features of cocaine intoxication? | Chest pain, seizures, and mydriasis |
| What is seen with cocaine intoxication, miosis, mydriases, or none? | Mydriasis |
| 22 year old patient, is carried by friends into ER at 3 am. Patient complains of ches paint, and pupils are much larger than normal. After a few minutes patient has a seizure. Dx? | Cocaine intoxication |
| What are the main signs of Heroin intoxication? | Depressed mental status, miosis, and respiratory depression |
| Is Heroin intoxication seen with miosis or mydriasis? | Miosis |
| A quick mental clinical test that requires reciting or counting something in backwards pattern, most likely is testing what congintic feature? | Concentration and Attention |
| What is a good quick test to assess attention and concentration of a patit in a mini mental exam? | Count down from a 100 in interval of 3 or 7 |
| Reciting the months of the reya backwards, very likely is used to test: | Concentration and Attention |
| What are they constant symptoms of Schizophrenia? | Psychotic symptoms such as delusions, hallucinations, and disorganization |
| What are added symptoms sometimes seen in Schizophrenia other than psychotic symptoms? | Negative symptoms |
| What is a common Negative symptoms? | Lack of facial expression |
| What is a common feature of Negative symptoms? | Theses typically present in Schizophrenia between acure psychotic episodes and are more resistant to treatment |
| What is the initial step in dealing with patients that are refusing a significant medical attention or service? | Physician initial step is to counsel patient, and allow patient or surrogate decision-maker to explain reasoning of refusal |
| Shall a physician intend to persuade any belief or action a patient has to do according to reproductive health? | No, physician should support patients autonomy in making reproductive health decisions |
| What is the proper action of a physician when a patient decided to undergo a reproductive health procedure? | Only counsel patient regarding the risks, benefits, and alternatives to any procedure. |
| What is an Preventable adverse event? | Injury to a patient due to failure to follow evidence-based best practice guidelines |
| What is malpractice? | To provide below standard treatment to a patient that result in injury or death to the patient |
| What is an Sentinel event? | Unexpected occurrence involving death or serious physical or psychological injury that requires immediate investigation |
| What are common examples of Sentinel events? | Inpatient suicide, death of a full-term infant, or retained object after surgery |
Created by:
rakomi
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