Whoops
An 87 year old man who has been maintained on a TCA antidepressant successfully for several decades has an unwitnessed GLF and breaks his hip. After extensive discussion of risks and benefits with his psychiatrist, he opts for a different medication in the same class. This TCA is the least likely to cause excessive sedation and increase his fall risk.
What is nortriptyline?
Introversion and extraversion were concepts initially introduced by this Swiss analyst.
Who is Carl Jung?
A three year old child comes for her well child visit but her parents are concerned. She does not talk much to other children and appears to have difficulty empathizing with them. The pediatrician should assess this first.
What is the child's hearing?
This commonly used test of lexical retrieval, named after the city where it was developed, involves a series of line drawings that the participant is asked to name one at a time.
What is the Boston Naming Test?
A child is shown a ball and does not react to it. The child is then shown a ball while, at the same time, a frightening noise is made. After a few pairings of the ball with the noise, the child exhibits signs of being fearful when the ball alone is presented. In classical learning theory, showing fear in response to the ball is what kind of response?
What is a conditioned response?
A 75 y/o woman is started on fluoxetine for depression by her PCP. Two weeks later she is brought to the emergency department, acutely confused. NIHSS is 1. These two labs should be checked to determine whether this presentation was caused by fluoxetine.
What are urea and electrolytes?
According to Kohut, this principle holds that a critical task of the therapist in treating narcissistic clients is to provide tolerable disappointments to support the client in developing their own self-soothing abilities.
What is optimal frustration?
These symptoms are more typical of depression in elementary school-age children than in adolescents.
What are somatic sx?
This battery of tests is used to assess learning disabilities in normal IQ children and measures mathematical and verbal ability.
What is the Woodcock-Johnson?
This type of reinforcement schedule is maximally effective at causing a behavior to persist.
What is intermittent/variable ratio reinforcement?
This is the most common side effect of monoamine oxidase inhibitors.
What is hypotension?
This psychodynamic psychotherapy for borderline personality disorder was developed by Otto Kernberg and proved equally effective as DBT in head-to-head clinical trials.
What is transference-focused psychotherapy?
An 8 yo girl who is doing well in school and has many friends comes to see you because she is "always worried" and is afraid of being kidnapped. She frequently complains of a HA to the school nurse which leads to her parents coming to school and insists on sleeping in their room. You think this is the most likely diagnosis.
What is separation anxiety d/o?
This test uses a sudden shift in task instructions to evaluate executive ability and set-shifting capabilities and is notoriously difficult for patients with Parkinson's Disease.
What is the Wisconsin Card Sorting Test?
This psychotherapy, developed from radical behaviorism by Steve Hayes, emphasizes an agenda of "creative hopelessness" for clients.
What is Acceptance and Commitment Therapy?
A 45 year-old woman is taking phenelzine for depression. She gets a bad cold and takes an over the counter decongestant. Her sinuses clear quickly, but she is subsequently hospitalized due to hypertensive crisis. The product she took very likely contained this compound as its main active ingredient.
What is pseudoephedrine?
Object relations and the relational school of psychoanalysis originated with the work of this British-Austrian psychiatrist.
Who is Melanie Klein?
Opsoclonus-myloclonus ataxia is associated with this cancer in children.
What is neuroblastoma?
This extensive battery of questions designed to evaluate personality and psychopathology has extensive validity scales designed to detect exaggeration and minimization of symptoms but is no longer recommended as a means for detecting malingering.
What is the Minnesota Multiphasic Personality Inventory?
A researcher notices that flashing a light causes one of her test pigeons to peck at an electric keyboard in its cage, producing a musical note. Over many trials, she gradually requires the pigeon to peck multiple keys in a row in order to receive a reward. She then begins to require the pigeon to peck specific keys in order to receive a reward. Eventually, when a light is flashed, the pigeon produces the first theme from Eine Kleine Nachtmusik. The researcher has successfully made use of this principle of learning theory.
What is shaping?
A 53 y/o man with bipolar I disorder and GAD has been treated with daily lorazepam and litihum and has been stable for many years. Due to progressive renal insufficiency he has had to discontinue lithium and his psychiatrist starts him on another mood-stabilizer. Approximately a week after starting it he calls complaining of diaphoresis, severe abdominal pain, and tremor. This is the mood stabilizer he was probably started on.
What is carbamazepine?
This British pediatrician and analyst argued that the chief role of parents is to be "good enough" and provide a safe environment for children to learn they are not omnipotent.
Who is DW Winnicott?
This is the most well-supported and effective treatment for oppositional defiant disorder.
What is parent management training?
This assessment tool is the most reliable way to determine the presence of a DSM personality disorder and is relatively quick to administer.
What is the Millon Multiaxial Clinical Inventory?
The parents of one of your child patients call you three days after your most recent appointment, desperate. They have taken your advice to ignore the behavioral spells and tantrums the child produces when thwarted instead of immediately placating him with candy. "It's not working, he's just getting worse and he's doing it more than ever!" Because you understand this principle of learning theory, you urge them to continue ignoring his behaviors.
What is extinction?