Test your basic knowledge |

Psychiatry

Instructions:

Answer 50 questions in 15 minutes.
If you are not ready to take this test, you can study here.
Match each statement with the correct term.
Don't refresh. All questions and answers are randomly picked and ordered every time you load a test.

This is a study tool. The 3 wrong answers for each question are randomly chosen from answers to other questions. So, you might find at times the answers obvious, but you will see it re-enforces your understanding as you take the test each time.

1. Schizoaffective disorder
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode
anterograde amnesia caused by thiamine deficiency
fear that is excessive or unreasonable and interferes with with nl fxn - cued by presence or antiicipation of a specific object or situatio - person recognizes fear is excessive
Diagnosis requres 2 of 5 of which sx

2. Postpartum psyschosis - .1 to .2%
avoidance of awareness of a some painful reality
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
the typical abuser in physical child abuse
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months

3. Calculates IQ as mental age/chronological age x 100
tantrums
the associations/complications of bulimia nervosa
Stanford - binet
avoidance of awareness of a some painful reality

4. BDZ
Stanford - binet
tactile hallucinations common
learning in which a natural response is elicited by a conditioned - or learned stimulus that previously was presented in conjuction with an unconditioned stimulus
intox = ataxia - minor respiratory depression

5. Atypical depression
the treatments for ADHD
the treatment for EtOH intox and withdrawal
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection
Causes of dementia

6. The criteria for mental retardation?
repeated stimulation leads to decrease response
dramatic - emotional or erratic
IQ<70
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing

7. Dec frontal lobe volumes
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months
This gross neurological finding is associated with ADHD
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame
the associations/complications of bulimia nervosa

8. Dec bone density - severe weight loss - metatarsal stress fractures - amenorrhea - anemia - lytes disturbances - depression
belief that people are either all good or all bad at different times due to intolerance or ambiguity
exaggerated fear of embarrasment in social situations - disorder and tx
waxing and waning level of conciousness with acute onset leading to rapid decrease in attention span/level of arousal - acute changes in mental status - disorganized thinking - hallucinations etc
the complications/associations of anorexia nervosa

9. EtOH - drugs - fluid/lytes imbalance - head trauma - hypoglycemia - nutritional def
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis
the common causes of lack or orientation
intox = restlessness. Withdrawal = irritability - anxiety - craving
Longitudinal lacerations of the gastroesophogeal junction caused by excessive vomiting

10. Paranoid - disorganized - catatonic - undifferentiated - residual
milder form of depression lasting at least 2 years
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of
the 5 types of schizophrenia
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection

11. Barbituates
exaggerated fear of embarrasment in social situations - disorder and tx
the common causes of lack or orientation
intox is marked respiratory depression - intox = delerium - life threatening CV collapse
the central goa of freudian psychoanalysis

12. Dysthymia
the treatments for ADHD
milder form of depression lasting at least 2 years
whenmen vs women present with schizophrenia
the time frame for schizophreniform disorder

13. Continuous reinforcement schedule
reward received after every response - rapidly extinguished - vending machine
the time frame for schizophreniform disorder
the treatment for EtOH intox and withdrawal
intox = restlessness - increase diureis - muscle twitching

14. ADHD
the 5 types of schizophrenia
an unacceptable internal impulse is attributed to an external source
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of

15. Occurs while waking up
perceptions in the absence of external stimulus
the tx for BDZ intox - MOA
auditory hallucinations common
When to hypnopompic hallucinations take place

16. Stress of physical illness - punishment - birth of a new sibling - fatigue (bedwetting in a previously toilet trained child when hospitalized
belief that people are either all good or all bad at different times due to intolerance or ambiguity
Under these conditions do children regress to younger patterns of behavior
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought

17. In what disease is DA increase?
psychiatric disorder associated with tourrettes - and the treatment
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years
the complications/associations of anorexia nervosa
Schizophrenia

18. Physiologic tolerance and dependence with symptoms of withdrawal when intake is interrupted
the definition of alcoholism
odd or eccentric; inability to develop meaningful social relationships
doctor projects feelings about formative or other important persons onto patient
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia

19. PCP
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of
Is body weight maintained within nl range in bulimia nervosa
potential tx for nicotine withdrawal
Alzheimers

20. Id - subconcious - I want it
the 4 W's of deprived babies?
primal urges - freud
gustatroy hallucinations common
intox = CNS depression - N/V - constipation - pup cxn - seizures withdrawal = sweating - pup diltaed - piloerection - rever - rhinorrhea - N - stomach cramps - diarrhea

21. Dipoloar or depressive
the tx for bipolar disorder
Huntingtons
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
the two types of schizoaffective disorder

22. Disulfiram and supportive care
an unacceptable internal impulse is attributed to an external source
intox = restlessness. Withdrawal = irritability - anxiety - craving
the order of loss of orientation
the tx for alcoholism

23. Operant conditioning
learning in which a particular ation is elicited because it produces a reward
What korsakoff's amnesia can lead to - who do you see it in and it also associated with
the epi of physical child abuse
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress

24. Separation anxiety disorder
overwhelming fear of separation from home or loss of attachment figure that can lead to factitious physical complaints to avoid going to school
pieces of evidence for sexual child abuse
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain

25. Splitting - a pt that says all nurses are nice and all doctors are bad
Korsakoff's psychosis
belief that people are either all good or all bad at different times due to intolerance or ambiguity
modeling behavior after another person is more powerful - though not necessarily admired
application of aversive stimulus extinguishes unwanted behavior

26. Retrograde amnesia
inability to remember things that occurred before CNS insult
Number of major depressive episodes constitute major depressive disorder
the epi of sexual abuse
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment

27. Specific phobia
Anxiety
factors are most important in the etiology of schizophrenia
fear that is excessive or unreasonable and interferes with with nl fxn - cued by presence or antiicipation of a specific object or situatio - person recognizes fear is excessive
the epi of sexual abuse

28. Before 7
the two types of schizoaffective disorder
the age of onset of ADHD
milder form of depression lasting at least 2 years
anterograde amnesia caused by thiamine deficiency

29. Delirium/secondary to other illness
learning in which a particular ation is elicited because it produces a reward
maladaptive pattern leading to clinically significant impairment or distress
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder
causes wernicke - korsakoff syndrome

30. In what disease does NE decrease - 5HT decrease and DA decrease?
the tx for panic disorder
Depression
the non specific signs of stimulant intox and withdrawal
the central goa of freudian psychoanalysis

31. CBT - SSRI - TCI - BDZ
SAD PERSONS
the tx for panic disorder
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain
SIG E CAPS and the criteria for dx

32. Presence of at least one manic (I) or hypomanic (II) episode - depressive sx occur eventually
pieces of evidence of physical child abuse
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens
define bipolar disorder and distinguish I from II
the treatments for ADHD

33. Methadone
strong persistant cross gender identification
the tx for bipolar disorder
Long acting oral opiate for heroine detox or long term maintenance
intox = restlessness. Withdrawal = irritability - anxiety - craving

34. Bulimia nervosa
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment
less than what percentage of ideal body weight is common in anorexia nervosa

35. Projection - a man who wants another women thinks his wife is cheating on him
suboxone and the rational of adding an antagonist
intox = restlessness - increase diureis - muscle twitching
involunatary withholding of an idea or feeling from conscious awareness
an unacceptable internal impulse is attributed to an external source

36. MAOi - SSRIs
Anxiety
the complications/associations of anorexia nervosa
intox = restlessness - increase diureis - muscle twitching
the tx for atypical depression

37. Factitious disorder
in elderly patients who present with dementia - the concern
maladaptive pattern leading to clinically significant impairment or distress
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain
What korsakoff's amnesia can lead to - who do you see it in and it also associated with

38. Delusional disorder
repeated stimulation leads to decrease response
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited
in elderly patients who present with dementia - the concern
the tx for BDZ intox - MOA

39. Sensitization
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis
repeated stimulation lead sot increase response
intox is marked respiratory depression - intox = delerium - life threatening CV collapse
overwhelming fear of separation from home or loss of attachment figure that can lead to factitious physical complaints to avoid going to school

40. Korsakoff's amnesia
causes wernicke - korsakoff syndrome
the central goa of freudian psychoanalysis
DIG FAST
anterograde amnesia caused by thiamine deficiency

41. Patch - gum - losenge - buproprion - varenicline
inability to remember things that occurred before CNS insult
autism with unusual abilities
potential tx for nicotine withdrawal
Where child neglect is reported

42. Amphetamines
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent
the typical abuser in sexual abuse
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence
mediator between primal urges and accepted behavior

43. Cluster A personality disorder
Is body weight maintained within nl range in bulimia nervosa
odd or eccentric; inability to develop meaningful social relationships
What ego dystonic means in relation to OCD
Anxiety

44. Palp - parasthesias - abdominal distress - nausea - intense fear of dying or losing control - lIght headedness - chest pain - chills - choking - disConnectedness - sweating - shaking - SOB
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
turning back the maturational clock and going back to earlier modes of dealing with the world
PANICS
repetitive and pervasive behavior violating social norms - disorder - and name change after 18

45. The mean IQ and SD?
Under these conditions do children regress to younger patterns of behavior
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing
100 - 15
the tx for panic disorder

46. Loose associations
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse
disorders in the form of through - the way ideas are tied together
Korsakoff's psychosis
milder form of depression lasting at least 2 years

47. Altruism - mafia boss makes a large donation to charity
learning in which a natural response is elicited by a conditioned - or learned stimulus that previously was presented in conjuction with an unconditioned stimulus
overwhelming fear of separation from home or loss of attachment figure that can lead to factitious physical complaints to avoid going to school
the concern with use of antidepressants in pts with bipoloar disorder
guilty feelings alleviated by unsolicitied generosity towards others

48. Mood stabilizers - Li - valproic acid - carbamazepine - atypical antipsychotics
discontinuation of reinforcement eliminates behavior
the order of loss of orientation
anxious - fearful
the tx for bipolar disorder

49. 2 or more within a symptom free interval of 2 months
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself
<40 and <20
Number of major depressive episodes constitute major depressive disorder
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence

50. Paranoid - pervasive distrust - schizoid - voluntary social withdrawal - schitzotypal - eccentric appearance and magical thinking - interpersonal awkwardness
the 4 W's of deprived babies?
maladaptive pattern of substance use with 3 or more of these 7 criteria
the various types of cluster A personality disorder
How long marijuana is detectable in the urine after last use