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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. Id - subconcious - I want it
cyclothymia disorder
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode
primal urges - freud
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years
2. Unconcious mental processes to resolve conflict and prevent feelings of anxiety and depression
the 3 types of cluster C personality disorder
the goal of the ego defenses
the central goa of freudian psychoanalysis
Causes of dementia
3. 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
Separation of feelings from ideas and events
maladaptive pattern of substance use with 3 or more of these 7 criteria
<40 and <20
the serum markers of alcohol use
4. .1-1% of gen pop - 20% of obscene speech
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5. Transvestism
whering clothes of the opposite sex
SIG E CAPS and the criteria for dx
IQ<70
Alzheimers
6. 6 months
potential tx for nicotine withdrawal
How long infant deprivation can last before it leads to irreversible changes
perceptions in the absence of external stimulus
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics
7. Gamma glutamyltransferase - GGT - AST 2x ALT
This gross neurological finding is associated with ADHD
the serum markers of alcohol use
inbability to recall important personal information - usually subsequent to severe trauma or stress
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent
8. Pain disorder
heroin users at increased risk of...
prolonged pain with no physical findings - psychosocial factors play an important role in severity exacerbation or maintenance
the time frame for schizophreniform disorder
the tx for GAD
9. Korsakoff's amnesia
anterograde amnesia caused by thiamine deficiency
removal of aversive stimulus elicits behavior - mouse presses button to avoid shock
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence
This gross neurological finding is associated with ADHD
10. Risk factors for suicide complettion - sex (male) - age (teen/elderly) - depression - previous attempt - ethanol/drug use - loss of rational thinking - sickness (medical illness 3 or more prescription medications) - orgnized plan - no spouse - social
SAD PERSONS
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning
IQ<70
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...
11. Body dysmorphic disorder
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning
gets schizophrenia and the prev
persistant feelings of detachment or estrangement from one's own body - a social situation - or the environment
the definition of alcoholism
12. Adjustment disorder
the two types of schizoaffective disorder
Alzheimers
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
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months
13. Altruism - mafia boss makes a large donation to charity
development of delusions in a person in a close relationship with delusional disorder
desire to live as the opposite sex - through surgery or hormone tx
guilty feelings alleviated by unsolicitied generosity towards others
the various types of cluster A personality disorder
14. Denial - can occur in new AIDS or cancer diagnosis
persistant feelings of detachment or estrangement from one's own body - a social situation - or the environment
avoidance of awareness of a some painful reality
patient projects feelings about formative or other important persons onto physician
overwhelming fear of separation from home or loss of attachment figure that can lead to factitious physical complaints to avoid going to school
15. Personality trait
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects
Moral values - conscience can lead to self blame and attacks of ego
16. Behavior inconsistent with ones own beliefs and attitudes - as opposed to OC personality disorder
What ego dystonic means in relation to OCD
the triad of Wernicke's encephalopathy
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse
dramatic - emotional or erratic
17. There are rare
the complications/associations of anorexia nervosa
Where child neglect is reported
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode
gustatroy hallucinations common
18. Humor - nervous med student jokes about boards
a hypomanic episode
anterograde amnesia caused by thiamine deficiency
intox is marked respiratory depression - intox = delerium - life threatening CV collapse
appreciating the amusing nature of an anxiety provoking or adverse situation
19. Dissociative amnesia
How long infant deprivation can last before it leads to irreversible changes
Where child neglect is reported
inbability to recall important personal information - usually subsequent to severe trauma or stress
perceptions in the absence of external stimulus
20. Intox = mood elevation - psychomotor agitation - insomnia - cardiac arrhythmias - tachycardia - anxiety. Withdrawal = post use crash - depression - weight gain - lethargy - HA
Drugs with what kind of affect can lead to a state of delirium
tantrums
the non specific signs of stimulant intox and withdrawal
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself
21. Antisocial - disregard for others - borderline - unstable - histrionic - excessive emotionality - narcissistic - grandiosity - sense of entiltlement - lacks empathy
the epi of sexual abuse
gustatroy hallucinations common
the types of cluster B personality disorder
SIG E CAPS and the criteria for dx
22. Malingering
depressant intoxication - nonspecific
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
reward received after every response - rapidly extinguished - vending machine
causes wernicke - korsakoff syndrome
23. SSRIs - clomipramine
the tx for OCD
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation
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
24. LSD
associated with winter season - improves in response to full spectrum light exposure
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation
learning in which a natural response is elicited by a conditioned - or learned stimulus that previously was presented in conjuction with an unconditioned stimulus
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
25. Methadone
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating
Long acting oral opiate for heroine detox or long term maintenance
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence
the complications/associations of anorexia nervosa
26. 7 to 9
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating
postpartum depressed affect - tearfullness fatigue - usually resolves within 10 days - disorder + incidence
When separation anxiety disorder usually presents
SAD PERSONS
27. Postpartum psyschosis - .1 to .2%
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent
28. Calculates IQ as mental age/chronological age x 100
persistent re - experiencing of a previous traumatic event
Huntingtons
intox = restlessness. Withdrawal = irritability - anxiety - craving
Stanford - binet
29. Periventricular hemorrhage/necrosis of mamillary bodies
the tx for opiod intox and withdrawal
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week
neurologic outcome associated with W- K syndrome
pieces of evidence of physical child abuse
30. Severe and profound MR?
behavior acquired by watching others and assimilating actions into one's own repetoire
<40 and <20
the tx for BDZ intox - MOA
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment
31. ADHD
suboxone and the rational of adding an antagonist
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability
delerium tremens symptoms
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens
32. Male - known to the victim
disorders in the form of through - the way ideas are tied together
intox = restlessness - increase diureis - muscle twitching
the typical abuser in sexual abuse
Longitudinal lacerations of the gastroesophogeal junction caused by excessive vomiting
33. Aura of psychomotor epilepsy and in brain tumors
olfactory hallucinations common
the 5 types of schizophrenia
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment
the tx for bipolar disorder
34. PCP
cyclothymia disorder
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of
turning back the maturational clock and going back to earlier modes of dealing with the world
gets schizophrenia and the prev
35. Projection - a man who wants another women thinks his wife is cheating on him
an unacceptable internal impulse is attributed to an external source
a hypomanic episode
the EEG findings in dementia
inbability to recall important personal information - usually subsequent to severe trauma or stress
36. Marijuana
overwhelming fear of separation from home or loss of attachment figure that can lead to factitious physical complaints to avoid going to school
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning
dramatic - emotional or erratic
37. Anticholinergic
repeated stimulation leads to decrease response
Drugs with what kind of affect can lead to a state of delirium
associated with winter season - improves in response to full spectrum light exposure
in elderly patients who present with dementia - the concern
38. Dementia
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy
intense fear and discomfort peaking in 10 minutes
SAD PERSONS
39. Displacement - mom places blame on kid because she's mad at husband
the time frame for schizophreniform disorder
process whereby avoided ideas and feelings are transferred to some neutral person or object
tactile hallucinations common
the various types of cluster A personality disorder
40. Patch - gum - losenge - buproprion - varenicline
potential tx for nicotine withdrawal
the treatment for maternal blues - depression - psychosis
anterograde amnesia caused by thiamine deficiency
pieces of evidence of physical child abuse
41. Cluster C personality disorder
anxious - fearful
the non specific signs of stimulant intox and withdrawal
tantrums
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia
42. Savant
the common sx of PTSD
turning back the maturational clock and going back to earlier modes of dealing with the world
delerium tremens symptoms
autism with unusual abilities
43. Ego - take it and you will get in trouble
strong persistant cross gender identification
preoccupation with a fear of having a serious illness despite medical evaluation and assurance
mediator between primal urges and accepted behavior
the age of onset of ADHD
44. Cocaine
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving
process whereby avoided ideas and feelings are transferred to some neutral person or object
the time frame for brief pyschotic disorder
the age of onset of ADHD
45. Personality disorder
auditory hallucinations common
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics
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
46. Identification - abused models abuser
learning in which a natural response is elicited by a conditioned - or learned stimulus that previously was presented in conjuction with an unconditioned stimulus
olfactory hallucinations common
modeling behavior after another person is more powerful - though not necessarily admired
Korsakoff's psychosis
47. Weed
lifetime prevalance of tourrette's in the gen pop - and the chance of coprolalia
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse
this drug is a risk factor for schizophrenia in teens
belief that people are either all good or all bad at different times due to intolerance or ambiguity
48. Delusions - hallucinations - disorganizaed speech - disorganized or catatonic behavior and negative sx
mediator between primal urges and accepted behavior
Diagnosis requres 2 of 5 of which sx
100 - 15
desired reward produces action - mouse presses button for food
49. Naloxone + buprenorphine - naloxone not active when taken orally only when injected - withdrawal sx only occur if injected cuts down abuse
SIG E CAPS and the criteria for dx
causes wernicke - korsakoff syndrome
the tx for alcoholism
suboxone and the rational of adding an antagonist
50. The mean IQ and SD?
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment
100 - 15
Longitudinal lacerations of the gastroesophogeal junction caused by excessive vomiting
strong persistant cross gender identification