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. Substance dependence - tolerance - withdrawal - substance taken in larger amounts over longer time than desired - persistant desire or unsuccesful attempts to cut down - lots of energy spet obtaining - using or recovering from substance - important s
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics
maladaptive pattern of substance use with 3 or more of these 7 criteria
modeling behavior after another person is more powerful - though not necessarily admired
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment

2. Naloxone - naltrexone - and symptomatic for withdrawal sx
repeated stimulation lead sot increase response
the tx for opiod intox and withdrawal
the epi of physical child abuse
persistant feelings of detachment or estrangement from one's own body - a social situation - or the environment

3. Modeling (social learning)

Warning: Invalid argument supplied for foreach() in /var/www/html/basicversity.com/show_quiz.php on line 183

4. Atypical depression
Number of major depressive episodes constitute major depressive disorder
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection
pieces of evidence for sexual child abuse

5. OCD - haloperidol
psychiatric disorder associated with tourrettes - and the treatment
gustatroy hallucinations common
whering clothes of the opposite sex
IQ<70

6. Mood elevation - decrease anxiety - sedation - behavior disinhibition - respiratory depression
autism with unusual abilities
the concern with use of antidepressants in pts with bipoloar disorder
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence
depressant intoxication - nonspecific

7. Continuous reinforcement schedule
reward received after every response - rapidly extinguished - vending machine
What ego dystonic means in relation to OCD
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame

8. Transference
the EEG findings in dementia
the concern with use of antidepressants in pts with bipoloar disorder
patient projects feelings about formative or other important persons onto physician
the goal of the ego defenses

9. OCD
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs
the tx for BDZ intox - MOA
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress

10. Antisocial - disregard for others - borderline - unstable - histrionic - excessive emotionality - narcissistic - grandiosity - sense of entiltlement - lacks empathy
this drug is a risk factor for schizophrenia in teens
whenhypnagogic hallucinations take place
the types of cluster B personality disorder
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain

11. Schizoaffective disorder
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia
the order of loss of orientation
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment

12. Peak incidence 9-12 years of age
the epi of sexual abuse
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse
the age of onset of ADHD
suboxone and the rational of adding an antagonist

13. Reaction formation - a patient with libidinous thoughts enters a monastery
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
the tx for OCD
neurologic outcome associated with W- K syndrome
define bipolar disorder and distinguish I from II

14. Sublimation - actress using an experience of abuse to enhance her acting
process whereby one replaces an unacceptable wish with a course of action that is similar to the wish but does not conflict with ones value system
heroin users at increased risk of...
gustatroy hallucinations common
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse

15. Malingering
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
cyclothymia disorder
depressant intoxication - nonspecific
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months

16. Orientation
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...
desired reward produces action - mouse presses button for food
the common sx of PTSD
whenmen vs women present with schizophrenia

17. Paranoid - disorganized - catatonic - undifferentiated - residual
100 - 15
the 5 types of schizophrenia
belief that people are either all good or all bad at different times due to intolerance or ambiguity
What ego dystonic means in relation to OCD

18. Shared delusional disorder
exaggerated fear of embarrasment in social situations - disorder and tx
development of delusions in a person in a close relationship with delusional disorder
When to hypnopompic hallucinations take place
false beliefs not shared with other members of culture/subcutlure that are firmly maintained in spite of obvoius proof to the contrary

19. Body dysmorphic disorder
When to hypnopompic hallucinations take place
in elderly patients who present with dementia - the concern
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode

20. Specific phobia
the stages of change in overcoming substance addiction
reward received after every response - rapidly extinguished - vending machine
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
neurologic outcome associated with W- K syndrome

21. Occurs while waking up
both illness and motivation are subconcious - sx not intentionally produced or feigned
Anxiety
the typical abuser in physical child abuse
When to hypnopompic hallucinations take place

22. CPS
guilty feelings alleviated by unsolicitied generosity towards others
anterograde amnesia caused by thiamine deficiency
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent
Where child neglect is reported

23. Sensitization
repeated stimulation lead sot increase response
doctor projects feelings about formative or other important persons onto patient
the time frame for brief pyschotic disorder
the epi of physical child abuse

24. 1 month
the typical abuser in physical child abuse
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving
the tx for GAD
How long marijuana is detectable in the urine after last use

25. Flashbacks - nightmares - intense fear - helplessness - or horror - avoidance of stimuli associated with trauma and persistent arousal
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame
the common sx of PTSD
Number of major depressive episodes constitute major depressive disorder
appreciating the amusing nature of an anxiety provoking or adverse situation

26. Somatization disorders
both illness and motivation are subconcious - sx not intentionally produced or feigned
persistent re - experiencing of a previous traumatic event
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection

27. Naloxone + buprenorphine - naloxone not active when taken orally only when injected - withdrawal sx only occur if injected cuts down abuse
exaggerated fear of embarrasment in social situations - disorder and tx
What korsakoff's amnesia can lead to - who do you see it in and it also associated with
Alzheimers
suboxone and the rational of adding an antagonist

28. Stress of physical illness - punishment - birth of a new sibling - fatigue (bedwetting in a previously toilet trained child when hospitalized
Depression
partially remaining at more childish level of development
Under these conditions do children regress to younger patterns of behavior
the complications/associations of anorexia nervosa

29. Somatization disorder
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years
SIG E CAPS and the criteria for dx
intox = ataxia - minor respiratory depression
define bipolar disorder and distinguish I from II

30. Separation anxiety disorder
repetitive and pervasive behavior violating social norms - disorder - and name change after 18
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning
overwhelming fear of separation from home or loss of attachment figure that can lead to factitious physical complaints to avoid going to school
primal urges - freud

31. Genes > environment
guilty feelings alleviated by unsolicitied generosity towards others
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode
factors are most important in the etiology of schizophrenia
application of aversive stimulus extinguishes unwanted behavior

32. Transvestism
the associations/complications of bulimia nervosa
persistant feelings of detachment or estrangement from one's own body - a social situation - or the environment
whering clothes of the opposite sex
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence

33. Depersonalization disorder

Warning: Invalid argument supplied for foreach() in /var/www/html/basicversity.com/show_quiz.php on line 183

34. Precontemplation - contemplation - preparation - action - maintenance - relapse
the order of loss of orientation
the treatment for maternal blues - depression - psychosis
the stages of change in overcoming substance addiction
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite

35. 3000 deaths/yr in the US
Longitudinal lacerations of the gastroesophogeal junction caused by excessive vomiting
the epi of physical child abuse
postpartum depressed affect - tearfullness fatigue - usually resolves within 10 days - disorder + incidence
the time frame for brief pyschotic disorder

36. Dysthymia followed by hypomania
cyclothymia disorder
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection
desire to live as the opposite sex - through surgery or hormone tx
inflexible - maladaptive - and rigidly pervasive pattern of behavior causing subjective distress and/or impaired functioning - persons usually not aware of problem - presents early in adulthood

37. CBT - SSRI - TCI - BDZ
How long marijuana is detectable in the urine after last use
the tx for panic disorder
appreciating the amusing nature of an anxiety provoking or adverse situation
Separation of feelings from ideas and events

38. Hallucination
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs
perceptions in the absence of external stimulus
repeated stimulation lead sot increase response
When separation anxiety disorder usually presents

39. Anticholinergic
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent
factors are most important in the etiology of schizophrenia
behavior acquired by watching others and assimilating actions into one's own repetoire
Drugs with what kind of affect can lead to a state of delirium

40. Supression - not thinking about the USMLE until the week of the exam
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects
partially remaining at more childish level of development
turning back the maturational clock and going back to earlier modes of dealing with the world
voluntary withholding of an idea or feeling fromk concious awareness

41. Hypochondriasis
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress
the tx for panic disorder
whenmen vs women present with schizophrenia
preoccupation with a fear of having a serious illness despite medical evaluation and assurance

42. Variable ratio reinforcement schedule
How long marijuana is detectable in the urine after last use
reward received after random number of responses - slowly extinguished - slot machine
Korsakoff's psychosis
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months

43. Positive reinforcement
desired reward produces action - mouse presses button for food
the complications/associations of anorexia nervosa
the EEG findings in dementia
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures

44. Classical conditioning - pavlov's dogs
development of delusions in a person in a close relationship with delusional disorder
learning in which a natural response is elicited by a conditioned - or learned stimulus that previously was presented in conjuction with an unconditioned stimulus
the tx for panic disorder
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise

45. Hepatitis - abscesses - OD - hemorrhoids - AIDS - right sided endocarditits
both illness and motivation are subconcious - sx not intentionally produced or feigned
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited
heroin users at increased risk of...

46. In what disease does NE increase - GABA decrease - and 5HT decrease?
What ego dystonic means in relation to OCD
100 - 15
Anxiety
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy

47. Yes
Depression
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
Is body weight maintained within nl range in bulimia nervosa
delerium tremens symptoms

48. Schizophrenia
auditory hallucinations common
the tx for bipolar disorder
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics
the triad of Wernicke's encephalopathy

49. 6-12 months
Moral values - conscience can lead to self blame and attacks of ego
How long episodes of major depressive episode usually last
the common sx of PTSD
reward received after every response - rapidly extinguished - vending machine

50. Punishment
the EEG findings in dementia
the non specific signs of stimulant intox and withdrawal
application of aversive stimulus extinguishes unwanted behavior
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation