NBCE-Part 2-ACS-STD's, psychology

chlamydia

MC STD in US, yellow,odorless discharge, nongonococcal

gonorrhea

gram negative, copious clear discharge

trichomonas

protozoa, green/yellow foul discharge

herpes

painful vesicles, watery discharge

chancroid

hemophiles ducrey - lesion bleeds

soft chancre

AKA for hemophiles ducrey

syphilis

painless hard lesion, condylomatta lata, Tabes Dorsalis

warts

AKA for condylomatta lata

saddle nose, interstitial keratoses, pegteeth

congenital syphilis has hutchinson's triad which is what?

candidiasis

gram positive, white cheese covers vaginal wall

lymphogranuloma venereum

enlarged regional inguinal lymph nodes with chlamydia

granuloma inguinale

bright beefy red lesion

genital warts

HPV virus, condylomata acuminata

molluscum contagiosum

multiple skin tags that exfoliate

pemphigoid

bullous lesion, autoimmune, IgG, MC bulla lesion

dermatitis herpetiformis

bulla lesion, IgA, hereditary

euthymic

good/normal

bipolar disease

AKA potato chip disease because you get fat with HTN, DM, and hyperlipidemia-mood swings of mania and melancholia

cyclothymic

causes hypomanic and mild depressive episodes

unipolar disease

AKA depression, hopelessness, 50% misdiagnosed,

major depression

2 week of at least 4 of the following symptoms: loss of appetite, insomnia, agitation, worthlessness, suicidal, poor concentration

dysthymic

2 years of at least 3 of the following symptoms: loss of appetitie, insomnia, agitation, worthlessness, suicidal, poor concentration

seasonal affect disorder (SAD)

treatment includes light, exercise, and comfort foods

avolition

lack of purposeful action or motivation

alogia

poverty of speech

schizophrenia

epidoses where reality and perception are altered

disorganized

AKA hebephrenic schizophrenia-unpredictable mood shifts

catatonic

riggid posture, masked faced-type of schizophrenia

paranoid

delusions of persecution- type of schizophrenia

schizophreniform

teen onset, family induced, contradictory messages-type of schizophrenia

psychopath

no regard for self or others, lack empathy,

sociopath/antisocial

believes they are superior, lack remorse, need stimulation, violent

dissociative-multiple personalities

due to childhood trauma, can be short term event

somatoform disorder

physical complaint with no organic pathology, unconscious process

dysmorphic disorder

convinced of body flaw and preoccupied by it

food disorder

anorexia nervosa, bulimia, pica

pica

eating things with no nutritional value

conversion disorder

physical symptoms caused by emotional event

somatization

AKA Briquet's syndrome-confusing disorder affecting multiple systems

somatoform pain disorder

AKA psychogenic pain disorder- pain allows patient to escape responsibility

General anxiety disorder (GAD)

constant, excessive fear, hypervigilant

neurosis

in realizty most of the time, low self esteem, work overtime as defense mechanism

masochist

likes sexual abuse

voyeur

loves watching sex

sadist

inflicts abuse

exhibitionist

enjoys showing sex

fetal alcohol syndrome (FAS)

childhood disorder, child is antisocial and develops poorly

autism

childhood disorder, preoccupation with ones own thoughts, slow language development, No smiling at 6 months, no bable at 12 months, repeated phrases at 24 months

ADD

impulsive pattern inattentive often dyslexic, poor focus

reaction formation

transfer one drive to opposite expression

displacement

act out emotion on someone else

denial

no feelings

repression

ignore feelings

regression

act younger

projection

play the blame game

rationalize

excuse for behavior

transference

transfer emotions towards doctor

sublimation

replace socially unacceptable behavior with more acceptable but similar one

narcissism

self love

avoidant

feels inadequate, isolates

paranoid

believes everyone is out to get them

schizotypal

peculiar dress, magical thinking/beliefs

passive-aggressive

forgets on purpose-disguised anger

histrionic

overly dramatic, victim, seductive

borderline

lacks primary thininkng process, manipulates facts

psychotherapy

analyze underlying issues

milieu therapy

life style change, vacation, half-way house

ECT (electroconvulsive therapy)

used to treat severe depression

generalization

many different simuli lead to same response

humanistic

psychotherapy focused on self-actualizing and personal growth

Maslow

treatment with hierarchy of needs

Freud

dream analysis, free association, hypnotherapy,

ID, EGO, Super EGO

three things in Freud analysis

ID

first thing in Freud treatment-kid, unconscious primitive

EGO

in Freud treatment-reality, control

super EGO

in Freud treatment- unconscious conscience, guilt

Jung

student of Freud- developed psychoanalysis treatment

behavioral medicine

desensitization, shaping

aversion

associate behavior with negative consequences

avoidance

avoid person, place, things, associated with behvaior

classical

type of conditioning where stimulus and response are related- AKA Pavlov's dog

modeling

type of conditioning used with environment, influence, video, music

operant

type of conditioning where stimulus and response are unrelated- AKA pay offs

IQ

what type of test are the Standford Binet and WISC

personality

what type of test is the MMPI

projective

what type of test is the Rorschach