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Old 04-28-2012
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Psyche Answer these behavioral science questions..!!!!

1)A 24-year-old man is admitted to the inpatient psychiatry unit after his mother observed him standing in place for hours at a time in abnormal postures. During his exam, the patient stands with one arm raised directly above his head and the other straight out in front of him. He is mute, does not appear aware of his surroundings, and actively resists any attempts to change his position. Which of the following best describes the patient’s behavior?


a. Apraxia
b. Dystonia
c. Synesthesia
d. Catatonia
e. Trance state



2)A 36-year-old woman with schizophrenia comes to the emergency room with the chief complaint that “they are trying to kill me.” In the examining room, she is hypervigilant and insists on sitting in the corner with her back to the wall. Suddenly she begins to stare intently into the corner and say, “No, you can’t make me do that!” Which of the following symptoms is this patient most likely experiencing?


a. Concrete thinking
b. Depersonalization
c. Flight of ideas
d. Hallucination
e. Idea of reference


3)A 19-year-old woman presents to the emergency room with the chief complaint of a depressed mood for two weeks. She notes that since her therapist went on vacation she has experienced suicidal ideation, crying spells, and an increased appetite. She states that she has left 40 messages on the therapist’s answering machine telling him that she is going to kill herself and that it would serve him right for leaving her. Physical exam reveals multiple well-healed scars and cigarette burns on the anterior aspect of both forearms. Which of the following diagnoses best fits this patient’s clinical presentation?


a. Dysthymic disorder
b. Bipolar disorder
c. Panic disorder
d. Borderline personality disorder
e. Schizoaffective disorder
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Old 04-28-2012
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a.
d.
d.
...........
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Old 04-28-2012
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all of them are D,
about the first question it's schizophrenia with catatonia so answer D there aswell.
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Quote:
Originally Posted by modesty View Post
all of them are D,
about the first question it's schizophrenia with catatonia so answer D there aswell.
i'll go with u...all D
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1. Catatonia
2. Hallucination
3. Bipolar disorder
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Old 04-28-2012
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Old 04-29-2012
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Default D,D,D...

D is the right option for all of them
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Originally Posted by anomali View Post
D is the right option for all of them
can you please explain why 2 n 3 can't be c
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Originally Posted by Kabutar111 View Post
can you please explain why 2 n 3 can't be c
Ill answer the 2nd one-- Flight of ideas----A form of talking where a person continues to switch from subject to subject while talking, making it difficult for others to follow the train of thought. This can range from incoherent babbling that does not make sense to the listener, to a person that just has mild trouble staying on topic during a conversation. This is most commonly found in Bipolar Disorder, Schizophrenia, and ADHD.

An idea of reference is the belief that something in the environment (commonly the TV or radio) is giving the person special messages meant only for him or her.

Concrete thinking is the inability to form abstract concepts, such as metaphors, and to focus instead on actual things and facts.

Depersonalization is the subjective sensation of the self being disconnected from the world, unreal, or distant.

Last edited by anomali; 04-29-2012 at 07:11 AM.
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Originally Posted by Kabutar111 View Post
can you please explain why 2 n 3 can't be c
And the third one--it cannot be panic disorder since in PD we find series of anxiety attacks characterized by hyprevigilence,rapid heart beat, tremors, dysnea, fear of death and hyperventilation....A person in panic doesn't try to kill self instead they avoid or run away from such experiences...

The lady in the stem has marks of attempted suicides since the therapist went on vacation...changing personality and unstable relationship...all pointing towards borderline personality.
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Originally Posted by anomali View Post
Ill answer the 2nd one-- Flight of ideas----A form of talking where a person continues to switch from subject to subject while talking, making it difficult for others to follow the train of thought. This can range from incoherent babbling that does not make sense to the listener, to a person that just has mild trouble staying on topic during a conversation. This is most commonly found in Bipolar Disorder, Schizophrenia, and ADHD.

An idea of reference is the belief that something in the environment (commonly the TV or radio) is giving the person special messages meant only for him or her.

Concrete thinking is the inability to form abstract concepts, such as metaphors, and to focus instead on actual things and facts.

Depersonalization is the subjective sensation of the self being disconnected from the world, unreal, or distant.
Isn't she jumping from idea to idea ?
One time someone try to kill her but another time someone ask to her to do something ?
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Default Flight of ideas

@ Kabutar111 - Flight of ideas example: medical student considering studying from KLN only, after 5 seconds 'I should have a snack', after another 5 seconds 'I should do some Step 1 questions', after another 5 seconds: 'it's too hard and it's time to hang out with my friends', after another 5 seconds later 'I haven't watched tv for the past few weeks', another 5 seconds: 'gosh, I wonder if there's any world war going on in the world that I don't know about since I sit in my books all the time', and so on... every 5 seconds for hours/days etc.


Since she's talking to someone no one else can see she's clearly hallucinating
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