High Yield Warm-up Questions: Behavioral Medicine, Part C GENERAL PRINCIPLES SET 12: BEHAVIORAL MEDICINE, PART C A 54-year-old female comes to the physician’s office to be evaluated for breast cancer When the physician enters the room, she hands him numerous Internet articles about breast cancer and how mammograms cannot detect it until later stages of the disease She indicates that she has had mammograms in the past and all have not ‘shown anything’ but she knows she has breast cancer due to occasional pain in her left breast She is requesting another mammogram Based on this information, the patient should be evaluated for what disorder? A 21-year-old female comes to the physician’s office because of pain in her face She indicates that after her third ‘nose job’ she has been experiencing pain below her eyes She asks the physician to not look directly at her during the evaluation because she ‘knows that her nose is grossly deformed’ The physician tells the patient that she has a perfectly formed nose The patient replies ‘I know you are lying because you have to be nice to your patients but thank you for being kind’ The patient most likely has what disorder? A 44-year-old male comes to the physician’s office three weeks after falling off a ladder at work A review of his medical records shows that the patient sprained his left arm; however, the patient now has his arm in a sling and is walking with a cane The patient also purchased a neck collar device because a few days after the injury, the patient began to experience ‘extreme, unbearable’ pain in his neck When the physician asked the patient why he was walking with a cane, the patient replied that he also hurt his leg on the fall and the pain began shortly after initially leaving the hospital so he feels that there was nerve damage The physician evaluates the patient and cannot find any medical explanation for the patient’s neck or leg pain When the physician explains this to the patient he becomes angry and asks if the physician works for ‘his company’s workmen’s compensation office,’ as he believes he is trying to prevent him from filing a claim This patient is exhibiting traits of what non-medical condition? A 35-year-old female comes to the physician’s office for a yearly evaluation When the physician enters the examination room, the patient indicates that she must make the visit brief because she needs to be back at work for an important meeting and the company would fall apart if she was not there since she is ‘the most valued asset of the company’ Before the physician can begin the evaluation, the patient tells the physician that she was just promoted to executive secretary to the assistant vice president and knows that she will be running the company someday because everyone including her boss is ‘a moron and they all know it.’ She then asks the physician if he likes her hair because she has ‘the prettiest hair and face out of anyone at the company In fact, I know they are considering me to be the new face of the company.’ She also indicates that she plans on asking the company presidents son out to dinner because she knows that dating him will help her ‘rise to the top that much faster’ This patient is exhibiting traits of what psychiatric disorder? 1 High Yield Warm-up Questions: Behavioral Medicine, Part C A 38-year-old male is diagnosed with a cluster A personality disorder that is characterized by eccentric behavior This patient was most likely diagnosed with what disorder? A 41-year-old stockroom worker comes to the physician at the request of his girlfriend that he met using an online dating service He indicates that he is an ‘incredibly shy and conservative person’ He states that his girlfriend asked him to see a physician because every time they go out to dinner he feels uncomfortable and knows that people are judging him on the way he looks and how he eats.’ He tells the physician that this is his first girlfriend and has never asked anyone out in person because he was afraid of rejection He also states that he chose to work in a stockroom because he does not like interacting with people This patient most likely has what psychiatric disorder? A 16-year-old female is brought to the pediatrician because her mother found her in the bathroom vomiting after a meal She indicates that her daughter was ‘sticking her finger down her throat’ after dinner the other night Does the patient have anorexia nervosa or bulimia nervosa? A patient diagnosed with anorexia nervosa is most likely to be treated with a medication that targets the action of what neurotransmitter? A 26-year-old female comes to the physician because she is requesting that her birth control pills be refilled The physician notices that the patient has poor dentition and scarring on the dorsum of both hands This patient should be evaluated for what condition? 10 A 26-year-old male is arrested by the police after he was found sitting in a restaurant wearing only an overcoat The patrons and restaurant staff indicated that he would occasionally open the overcoat and ‘expose his genitals to everyone in sight.’ This person has what sexual disorder? High Yield Warm-up Questions: Behavioral Medicine, Part C 11 A 38-year-old male comes to the physician’s office for a yearly evaluation He is wearing a short skirt, stockings and makeup In an effort to make the patient comfortable, the physician indicates the she likes his skirt He replies ‘thank you very much, my wife gets angry when I dress like this and go out in public’ He indicates that he loves wife very much and could never imagine himself being with another woman Would this patient be classified as a transvestite or transsexual? 12 A 47-year-old male was arrested while sitting at a children’s park Parents called the police after they witnessed him taking pictures of various children After an investigation, it was determined that he was previously arrested for trying to purchase provocative pictures of young males over the Internet This person has what sexual disorder? 13 A 46-year-old male was recently released from his fourth alcohol rehabilitation center The patient indicates that he has a strong desire to remain sober and never drink alcohol again The physician prescribes a drug that acts by inhibiting alcohol dehydrogenase What drug did the physician prescribe? 14 A 22-year-old male is brought to the emergency department after experiencing a seizure A blood test showed the presence of both cocaine and amphetamines What is the difference between the mechanism of action for cocaine and amphetamines? 15 A 35-year-old male is arrested for public drunkenness and taken to the emergency department for evaluation When the police initially gave him a breathalyzer it showed that his estimated blood alcohol level was 0.0% Based on this information, what class of drugs did the patient likely ingest? These question sets are intended to be completed before viewing the High Yield course lectures Video explanations can be found on the Warm-up Questions page within the online High Yield course For further review of the topics covered in this set, refer to the following lectures: Behavioral Medicine and Ethics: • Somatic Symptom and Related Disorders • Personality Disorders • Feeding and Eating Disorders • Paraphilias and Paraphilic Disorders • Substance-Related and Addictive Disorders 3 ...High Yield Warm-up Questions: Behavioral Medicine, Part C A 38-year-old male is diagnosed with a cluster A personality disorder that is characterized by eccentric behavior This patient was most... medication that targets the action of what neurotransmitter? A 26-year-old female comes to the physician because she is requesting that her birth control pills be refilled The physician notices... Questions: Behavioral Medicine, Part C 11 A 38-year-old male comes to the physician’s office for a yearly evaluation He is wearing a short skirt, stockings and makeup In an effort to make the patient comfortable,