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Test your basic knowledge |
Psychiatry
Start Test
Study First
Subject
:
health-sciences
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. Somatization disorder
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years
odd or eccentric; inability to develop meaningful social relationships
modeling behavior after another person is more powerful - though not necessarily admired
avoidance of awareness of a some painful reality
2. Methylphenidate - amphetamines - atomoxetine
the treatments for ADHD
Long acting oral opiate for heroine detox or long term maintenance
potential tx for nicotine withdrawal
What korsakoff's amnesia can lead to - who do you see it in and it also associated with
3. Naloxone - naltrexone - and symptomatic for withdrawal sx
associated with winter season - improves in response to full spectrum light exposure
the epi of physical child abuse
the triad of Wernicke's encephalopathy
the tx for opiod intox and withdrawal
4. Naloxone + buprenorphine - naloxone not active when taken orally only when injected - withdrawal sx only occur if injected cuts down abuse
prolonged pain with no physical findings - psychosocial factors play an important role in severity exacerbation or maintenance
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics
autism with unusual abilities
suboxone and the rational of adding an antagonist
5. Loose associations
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures
primal urges - freud
intox = restlessness. Withdrawal = irritability - anxiety - craving
disorders in the form of through - the way ideas are tied together
6. Peak incidence 9-12 years of age
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
both illness and motivation are subconcious - sx not intentionally produced or feigned
the epi of sexual abuse
Moral values - conscience can lead to self blame and attacks of ego
7. In what disease does NE decrease - 5HT decrease and DA decrease?
the non specific signs of stimulant intox and withdrawal
Depression
suboxone and the rational of adding an antagonist
the two types of schizoaffective disorder
8. Alcoholic cirrhosis - hepatitis - pancreatitis - peripheral neuropathy - testicular atrophy
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress
the definition of alcoholism
the complications of alcoholism
100 - 15
9. Hepatitis - abscesses - OD - hemorrhoids - AIDS - right sided endocarditits
the epi of sexual abuse
heroin users at increased risk of...
the 4 W's of deprived babies?
prolonged pain with no physical findings - psychosocial factors play an important role in severity exacerbation or maintenance
10. Inc incidence with age - then alzheimers - vasc thrombosis - hemorrhage - HIV - pick's disease - CJD
the various types of cluster A personality disorder
Causes of dementia
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
whenhypnagogic hallucinations take place
11. Transsexualism
Long acting oral opiate for heroine detox or long term maintenance
the time frame for brief pyschotic disorder
perceptions in the absence of external stimulus
desire to live as the opposite sex - through surgery or hormone tx
12. Dissociative amnesia
the age of onset of ADHD
inbability to recall important personal information - usually subsequent to severe trauma or stress
the common sx of PTSD
maladaptive pattern of substance use with 3 or more of these 7 criteria
13. Male - known to the victim
PANICS
the typical abuser in sexual abuse
When separation anxiety disorder usually presents
the tx for GAD
14. Dementia
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
lifetime prevalance of tourrette's in the gen pop - and the chance of coprolalia
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought
the tx for BDZ intox - MOA
15. Classical conditioning - pavlov's dogs
learning in which a natural response is elicited by a conditioned - or learned stimulus that previously was presented in conjuction with an unconditioned stimulus
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis
Stanford - binet
a hypomanic episode
16. Conversion disorder
gets schizophrenia and the prev
overwhelming fear of separation from home or loss of attachment figure that can lead to factitious physical complaints to avoid going to school
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent
17. Delusions - hallucinations - disorganizaed speech - disorganized or catatonic behavior and negative sx
Diagnosis requres 2 of 5 of which sx
the tx for BDZ intox - MOA
belief that people are either all good or all bad at different times due to intolerance or ambiguity
delerium tremens symptoms
18. Orientation
a hypomanic episode
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...
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
19. Paranoid - pervasive distrust - schizoid - voluntary social withdrawal - schitzotypal - eccentric appearance and magical thinking - interpersonal awkwardness
the various types of cluster A personality disorder
learning in which a particular ation is elicited because it produces a reward
the common sx of PTSD
the two types of schizoaffective disorder
20. SSRIs - clomipramine
Drugs with what kind of affect can lead to a state of delirium
visual hallucinations common
intox = restlessness. Withdrawal = irritability - anxiety - craving
the tx for OCD
21. CPS
development of delusions in a person in a close relationship with delusional disorder
Where child neglect is reported
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
exaggerated fear of embarrasment in social situations - disorder and tx
22. Autism
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence
modeling behavior after another person is more powerful - though not necessarily admired
the common sx of PTSD
100 - 15
23. Boys
gender autism is more common in
persistent re - experiencing of a previous traumatic event
the order of loss of orientation
the tx for atypical depression
24. BDZ
intox = ataxia - minor respiratory depression
olfactory hallucinations common
process whereby avoided ideas and feelings are transferred to some neutral person or object
In ADHD - typical intelligence and school performance
25. Depersonalization disorder
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26. Tourrette's
anxious - fearful
modeling behavior after another person is more powerful - though not necessarily admired
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr
Parkinsons
27. 6 months
How long infant deprivation can last before it leads to irreversible changes
abrupt change in geographic location with inability to recall past - confusion about personal identity - or assumption of a new identity - associated with traumatic circumstances
factors are most important in the etiology of schizophrenia
the tx for bipolar disorder
28. Schizoaffective disorder
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode
the complications of alcoholism
the EEG findings in dementia
PANICS
29. Unconcious mental processes to resolve conflict and prevent feelings of anxiety and depression
intox = CNS depression - N/V - constipation - pup cxn - seizures withdrawal = sweating - pup diltaed - piloerection - rever - rhinorrhea - N - stomach cramps - diarrhea
odd or eccentric; inability to develop meaningful social relationships
application of aversive stimulus extinguishes unwanted behavior
the goal of the ego defenses
30. Parotitis - enamel erosion - lytes disturbances - alkalosis - dorsal hand calluses from inducing vomit
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 associations/complications of bulimia nervosa
intox = CNS depression - N/V - constipation - pup cxn - seizures withdrawal = sweating - pup diltaed - piloerection - rever - rhinorrhea - N - stomach cramps - diarrhea
neurologic outcome associated with W- K syndrome
31. Supression - not thinking about the USMLE until the week of the exam
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating
discontinuation of reinforcement eliminates behavior
What ego dystonic means in relation to OCD
voluntary withholding of an idea or feeling fromk concious awareness
32. Inc mania - high suicide risk
What ego dystonic means in relation to OCD
persistant feelings of detachment or estrangement from one's own body - a social situation - or the environment
the concern with use of antidepressants in pts with bipoloar disorder
the various types of cluster A personality disorder
33. Displacement - mom places blame on kid because she's mad at husband
intox = ataxia - minor respiratory depression
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder
intense fear and discomfort peaking in 10 minutes
process whereby avoided ideas and feelings are transferred to some neutral person or object
34. Identification - abused models abuser
the tx for BDZ intox - MOA
DIG FAST
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy
modeling behavior after another person is more powerful - though not necessarily admired
35. Aspergers
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment
repeated stimulation leads to decrease response
the serum markers of alcohol use
the complications of alcoholism
36. Female primary caregiver
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week
the typical abuser in physical child abuse
Depression
desire to live as the opposite sex - through surgery or hormone tx
37. 85 percent
less than what percentage of ideal body weight is common in anorexia nervosa
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
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain
the epi of sexual abuse
38. Splitting - a pt that says all nurses are nice and all doctors are bad
belief that people are either all good or all bad at different times due to intolerance or ambiguity
the epi of sexual abuse
causes wernicke - korsakoff syndrome
partially remaining at more childish level of development
39. Dec frontal lobe volumes
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode
This gross neurological finding is associated with ADHD
Where child neglect is reported
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr
40. Anterograde amnesia
the central goa of freudian psychoanalysis
postpartum depressed affect - tearfullness fatigue - usually resolves within 10 days - disorder + incidence
inability to remember things that occurred after CNS insult
the evidence for child neglect
41. Aura of psychomotor epilepsy and in brain tumors
appreciating the amusing nature of an anxiety provoking or adverse situation
desire to live as the opposite sex - through surgery or hormone tx
olfactory hallucinations common
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
42. Personality trait
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder
overwhelming fear of separation from home or loss of attachment figure that can lead to factitious physical complaints to avoid going to school
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself
whenhypnagogic hallucinations take place
43. Irreversible memory loss - confabulation - personality change
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44. Physiologic tolerance and dependence with symptoms of withdrawal when intake is interrupted
the definition of alcoholism
inability to remember things that occurred after CNS insult
the tx for bipolar disorder
process whereby avoided ideas and feelings are transferred to some neutral person or object
45. Barbituates
DIG FAST
intox is marked respiratory depression - intox = delerium - life threatening CV collapse
This gross neurological finding is associated with ADHD
Under these conditions do children regress to younger patterns of behavior
46. Personality disorder
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder
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
the typical abuser in sexual abuse
How long infant deprivation can last before it leads to irreversible changes
47. In what disease is DA increase?
gustatroy hallucinations common
the time frame for brief pyschotic disorder
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr
Schizophrenia
48. <1mo - usually stress related
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs
the triad of Wernicke's encephalopathy
whering clothes of the opposite sex
the time frame for brief pyschotic disorder
49. Extinction
the typical abuser in physical child abuse
inability to remember things that occurred before CNS insult
the central goa of freudian psychoanalysis
discontinuation of reinforcement eliminates behavior
50. Seasonal affective disorder
partially remaining at more childish level of development
application of aversive stimulus extinguishes unwanted behavior
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months
associated with winter season - improves in response to full spectrum light exposure