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Test your basic knowledge |
Psychiatry
Start Test
Study First
Subject
:
health-sciences
Instructions:
Answer 50 questions in 15 minutes.
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study here
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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. Presence of at least one manic (I) or hypomanic (II) episode - depressive sx occur eventually
patient conciously fakes or claims to have a disorder in order to gain a specific secondary gain and avoids medical treatmen - complaints cease after gain
define bipolar disorder and distinguish I from II
marked regression in multiple areas of fxn after at least 2 years of nl development - loss of expressive or receptive language skills - social - adaptive behavior - bowel or bladder control - more common in boys
How long infant deprivation can last before it leads to irreversible changes
2. Countertransference
doctor projects feelings about formative or other important persons onto patient
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent
inbability to recall important personal information - usually subsequent to severe trauma or stress
autism with unusual abilities
3. Nl
the EEG findings in dementia
the central goa of freudian psychoanalysis
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of
intox = restlessness. Withdrawal = irritability - anxiety - craving
4. Autism
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence
intense fear and discomfort peaking in 10 minutes
Alzheimers
guilty feelings alleviated by unsolicitied generosity towards others
5. Denial - can occur in new AIDS or cancer diagnosis
anterograde amnesia caused by thiamine deficiency
avoidance of awareness of a some painful reality
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain
intense fear and discomfort peaking in 10 minutes
6. Female primary caregiver
the typical abuser in physical child abuse
gender autism is more common in
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
the 5 types of schizophrenia
7. Methadone
intox = CNS depression - N/V - constipation - pup cxn - seizures withdrawal = sweating - pup diltaed - piloerection - rever - rhinorrhea - N - stomach cramps - diarrhea
Long acting oral opiate for heroine detox or long term maintenance
SAD PERSONS
postpartum depressed affect - tearfullness fatigue - usually resolves within 10 days - disorder + incidence
8. Antisocial - disregard for others - borderline - unstable - histrionic - excessive emotionality - narcissistic - grandiosity - sense of entiltlement - lacks empathy
pieces of evidence for sexual child abuse
the 4 W's of deprived babies?
the types of cluster B personality disorder
Depression
9. Transsexualism
the evidence for child neglect
desire to live as the opposite sex - through surgery or hormone tx
Under these conditions do children regress to younger patterns of behavior
milder form of depression lasting at least 2 years
10. 6 months
pieces of evidence of physical child abuse
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing
How long infant deprivation can last before it leads to irreversible changes
learning in which a particular ation is elicited because it produces a reward
11. Anterograde amnesia
inability to remember things that occurred after CNS insult
milder form of depression lasting at least 2 years
the stages of change in overcoming substance addiction
behavior achieved following reward of closer and closer approximations of desired behavior
12. Hallucination
perceptions in the absence of external stimulus
the epi of sexual abuse
the two types of schizoaffective disorder
When separation anxiety disorder usually presents
13. Alcohol
autism with unusual abilities
the serum markers of alcohol use
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens
Number of major depressive episodes constitute major depressive disorder
14. Modeling (social learning)
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15. Vit B1 - thiamine
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise
the tx of W- K syndrome
the central goa of freudian psychoanalysis
16. Oppositional defiant disorder
How long marijuana is detectable in the urine after last use
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
When to hypnopompic hallucinations take place
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought
17. Aura of psychomotor epilepsy and in brain tumors
olfactory hallucinations common
DIG FAST
less than what percentage of ideal body weight is common in anorexia nervosa
intox is marked respiratory depression - intox = delerium - life threatening CV collapse
18. Patch - gum - losenge - buproprion - varenicline
potential tx for nicotine withdrawal
This gross neurological finding is associated with ADHD
Diagnosis requres 2 of 5 of which sx
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
19. CBT - SSRI - TCI - BDZ
the tx for panic disorder
behavior achieved following reward of closer and closer approximations of desired behavior
reward received after every response - rapidly extinguished - vending machine
anterograde amnesia caused by thiamine deficiency
20. Intox = mood elevation - psychomotor agitation - insomnia - cardiac arrhythmias - tachycardia - anxiety. Withdrawal = post use crash - depression - weight gain - lethargy - HA
the 4 W's of deprived babies?
reward received after every response - rapidly extinguished - vending machine
the tx for panic disorder
the non specific signs of stimulant intox and withdrawal
21. Negative reinforcement
persistant feelings of detachment or estrangement from one's own body - a social situation - or the environment
removal of aversive stimulus elicits behavior - mouse presses button to avoid shock
repetitive and pervasive behavior violating social norms - disorder - and name change after 18
visual hallucinations common
22. Blacks=whites - males = females - 1.5% lifetime prev
in elderly patients who present with dementia - the concern
Alzheimers
the tx for bipolar disorder
gets schizophrenia and the prev
23. Bilateral destruction of mammilary bodies - some retrograde amnesia - alcholics - and assoc with confabulations
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24. Schizophrenia
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months
whenhypnagogic hallucinations take place
learning in which a natural response is elicited by a conditioned - or learned stimulus that previously was presented in conjuction with an unconditioned stimulus
Longitudinal lacerations of the gastroesophogeal junction caused by excessive vomiting
25. Regression - seen in children under stress and in patients on dialysis (crying)
turning back the maturational clock and going back to earlier modes of dealing with the world
define bipolar disorder and distinguish I from II
inbability to recall important personal information - usually subsequent to severe trauma or stress
Alzheimers
26. Confusion - opthalmoplegia - and ataxia
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27. Humor - nervous med student jokes about boards
IQ<70
an unacceptable internal impulse is attributed to an external source
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder
appreciating the amusing nature of an anxiety provoking or adverse situation
28. Genital/anal trauma - STDs and UTIs
voluntary withholding of an idea or feeling fromk concious awareness
pieces of evidence for sexual child abuse
Number of major depressive episodes constitute major depressive disorder
the associations/complications of bulimia nervosa
29. To make the patient aware of hidden in their unconcious
the central goa of freudian psychoanalysis
Separation of feelings from ideas and events
the EEG findings in dementia
autism with unusual abilities
30. PTSD
persistent re - experiencing of a previous traumatic event
reward received after random number of responses - slowly extinguished - slot machine
psychiatric disorder associated with tourrettes - and the treatment
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures
31. Distractability - irresponsibility - grandiosity - flight of ideas - increase in Activity/Agitation - decrease need for sleep - talkativeness or pressured speech (at least 3)
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent
the goal of the ego defenses
DIG FAST
anterograde amnesia caused by thiamine deficiency
32. Sleep disturbances - loss of interest - guilt or feelings of worthlessness - loss of Energy - loss of Concentration - Appetite/weight changes - psychomotor retardation or agitation - suicidal ideations - depressed mood - 5 of 9 with anhedonia/depress
the central goa of freudian psychoanalysis
the tx for alcoholism
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
SIG E CAPS and the criteria for dx
33. Projection - a man who wants another women thinks his wife is cheating on him
persistant feelings of detachment or estrangement from one's own body - a social situation - or the environment
the tx for GAD
Anxiety
an unacceptable internal impulse is attributed to an external source
34. Poor hygeine - malnutrition - withdrawal - impaired social/emotional development - FTT
the central goa of freudian psychoanalysis
patient conciously fakes or claims to have a disorder in order to gain a specific secondary gain and avoids medical treatmen - complaints cease after gain
the evidence for child neglect
process whereby avoided ideas and feelings are transferred to some neutral person or object
35. MAOi - SSRIs
Alzheimers
the tx for atypical depression
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent
In ADHD - typical intelligence and school performance
36. Yes
the 4 W's of deprived babies?
pieces of evidence for sexual child abuse
child neglect
Is body weight maintained within nl range in bulimia nervosa
37. Isolation of affect - describing murder in graphic detail with no emotional response
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress
Separation of feelings from ideas and events
behavior acquired by watching others and assimilating actions into one's own repetoire
DIG FAST
38. Orientation
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...
primal urges - freud
persistent re - experiencing of a previous traumatic event
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr
39. Social phobias - tx SSRIs
modeling behavior after another person is more powerful - though not necessarily admired
mediator between primal urges and accepted behavior
exaggerated fear of embarrasment in social situations - disorder and tx
Alzheimers
40. Alcoholic cirrhosis - hepatitis - pancreatitis - peripheral neuropathy - testicular atrophy
the complications of alcoholism
IQ<70
abrupt change in geographic location with inability to recall past - confusion about personal identity - or assumption of a new identity - associated with traumatic circumstances
partially remaining at more childish level of development
41. Healed fractures on xray - cigarrette burns - sudbural hematomasm multiples bruises - retinal hemorrhage or detachment
dramatic - emotional or erratic
the 5 types of schizophrenia
pieces of evidence of physical child abuse
voluntary withholding of an idea or feeling fromk concious awareness
42. Classical conditioning - pavlov's dogs
the typical abuser in sexual abuse
learning in which a particular ation is elicited because it produces a reward
learning in which a natural response is elicited by a conditioned - or learned stimulus that previously was presented in conjuction with an unconditioned stimulus
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects
43. Genes > environment
intox = restlessness. Withdrawal = irritability - anxiety - craving
exaggerated fear of embarrasment in social situations - disorder and tx
reward received after random number of responses - slowly extinguished - slot machine
factors are most important in the etiology of schizophrenia
44. Barbituates
dramatic - emotional or erratic
whenhypnagogic hallucinations take place
the age of onset of ADHD
intox is marked respiratory depression - intox = delerium - life threatening CV collapse
45. Physiologic tolerance and dependence with symptoms of withdrawal when intake is interrupted
inability to remember things that occurred after CNS insult
Diagnosis requres 2 of 5 of which sx
behavior achieved following reward of closer and closer approximations of desired behavior
the definition of alcoholism
46. Postpartum depression - 10 to 15%
Number of major depressive episodes constitute major depressive disorder
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning
whering clothes of the opposite sex
47. Retrograde amnesia
odd or eccentric; inability to develop meaningful social relationships
gustatroy hallucinations common
voluntary withholding of an idea or feeling fromk concious awareness
inability to remember things that occurred before CNS insult
48. Shared delusional disorder
development of delusions in a person in a close relationship with delusional disorder
Huntingtons
PANICS
gets schizophrenia and the prev
49. Autonomic system hyperactivity - psychotic symptoms - confusion
delerium tremens symptoms
child neglect
In ADHD - typical intelligence and school performance
Anxiety
50. Displacement - mom places blame on kid because she's mad at husband
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...
potential tx for nicotine withdrawal
the 4 W's of deprived babies?
process whereby avoided ideas and feelings are transferred to some neutral person or object