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. Behavior inconsistent with ones own beliefs and attitudes - as opposed to OC personality disorder
What ego dystonic means in relation to OCD
How long infant deprivation can last before it leads to irreversible changes
When separation anxiety disorder usually presents
olfactory hallucinations common

2. Vit B1 - thiamine
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
the tx of W- K syndrome
the typical abuser in sexual abuse
whering clothes of the opposite sex

3. Hypochondriasis
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise
anterograde amnesia caused by thiamine deficiency
guilty feelings alleviated by unsolicitied generosity towards others
preoccupation with a fear of having a serious illness despite medical evaluation and assurance

4. 7 to 9
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis
define bipolar disorder and distinguish I from II
When separation anxiety disorder usually presents
How long infant deprivation can last before it leads to irreversible changes

5. Intox = mood elevation - psychomotor agitation - insomnia - cardiac arrhythmias - tachycardia - anxiety. Withdrawal = post use crash - depression - weight gain - lethargy - HA
preoccupation with a fear of having a serious illness despite medical evaluation and assurance
reward received after every response - rapidly extinguished - vending machine
the non specific signs of stimulant intox and withdrawal
behavior acquired by watching others and assimilating actions into one's own repetoire

6. Occurs while waking up
the associations/complications of bulimia nervosa
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
This gross neurological finding is associated with ADHD
When to hypnopompic hallucinations take place

7. Blacks=whites - males = females - 1.5% lifetime prev
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of
gets schizophrenia and the prev
exaggerated fear of embarrasment in social situations - disorder and tx
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation

8. Social phobias - tx SSRIs
anterograde amnesia caused by thiamine deficiency
the time frame for schizophreniform disorder
Diagnosis requres 2 of 5 of which sx
exaggerated fear of embarrasment in social situations - disorder and tx

9. 85 percent
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
less than what percentage of ideal body weight is common in anorexia nervosa
voluntary withholding of an idea or feeling fromk concious awareness
appreciating the amusing nature of an anxiety provoking or adverse situation

10. Physiologic tolerance and dependence with symptoms of withdrawal when intake is interrupted
the definition of alcoholism
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame

11. Flashbacks - nightmares - intense fear - helplessness - or horror - avoidance of stimuli associated with trauma and persistent arousal
inability to remember things that occurred after CNS insult
factors are most important in the etiology of schizophrenia
involunatary withholding of an idea or feeling from conscious awareness
the common sx of PTSD

12. Variable ratio reinforcement schedule
abrupt change in geographic location with inability to recall past - confusion about personal identity - or assumption of a new identity - associated with traumatic circumstances
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
DIG FAST
reward received after random number of responses - slowly extinguished - slot machine

13. Schizophrenia
auditory hallucinations common
whenhypnagogic hallucinations take place
the complications/associations of anorexia nervosa
Alzheimers

14. Schizoaffective disorder
the complications of alcoholism
When separation anxiety disorder usually presents
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode
strong persistant cross gender identification

15. Marijuana
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia
persistant feelings of detachment or estrangement from one's own body - a social situation - or the environment
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
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence

16. Autonomic system hyperactivity - psychotic symptoms - confusion
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics
the serum markers of alcohol use
delerium tremens symptoms
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent

17. Displacement - mom places blame on kid because she's mad at husband
process whereby avoided ideas and feelings are transferred to some neutral person or object
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder
dramatic - emotional or erratic

18. Before 7
the goal of the ego defenses
autism with unusual abilities
the age of onset of ADHD
maladaptive pattern of substance use with 3 or more of these 7 criteria

19. Operant conditioning
psychiatric disorder associated with tourrettes - and the treatment
Huntingtons
learning in which a particular ation is elicited because it produces a reward
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms

20. Dissociation - can lead to multiple personality disorder
the tx for alcoholism
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress
reward received after random number of responses - slowly extinguished - slot machine
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence

21. Paranoid - pervasive distrust - schizoid - voluntary social withdrawal - schitzotypal - eccentric appearance and magical thinking - interpersonal awkwardness
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent
Drugs with what kind of affect can lead to a state of delirium
the tx of W- K syndrome
the various types of cluster A personality disorder

22. 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
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability
perceptions in the absence of external stimulus
gender autism is more common in

23. Flumazenil - competitive GABA antagonist
neurologic outcome associated with W- K syndrome
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress
guilty feelings alleviated by unsolicitied generosity towards others
the tx for BDZ intox - MOA

24. Aura of psychomotor epilepsy and in brain tumors
preoccupation with a fear of having a serious illness despite medical evaluation and assurance
olfactory hallucinations common
the treatments for ADHD
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions

25. Schizophrenia
suboxone and the rational of adding an antagonist
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months
persistent re - experiencing of a previous traumatic event

26. Ego - take it and you will get in trouble
Is body weight maintained within nl range in bulimia nervosa
mediator between primal urges and accepted behavior
whering clothes of the opposite sex
When separation anxiety disorder usually presents

27. Alcoholic cirrhosis - hepatitis - pancreatitis - peripheral neuropathy - testicular atrophy
the complications of alcoholism
in elderly patients who present with dementia - the concern
the tx for bipolar disorder
psychiatric disorder associated with tourrettes - and the treatment

28. Postpartum psyschosis - .1 to .2%
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
misinterpretations of actual external stimulus
PANICS
pieces of evidence for sexual child abuse

29. Tourrette's
the triad of Wernicke's encephalopathy
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr
Korsakoff's psychosis
behavior achieved following reward of closer and closer approximations of desired behavior

30. Postpartum depression - 10 to 15%
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise
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
behavior acquired by watching others and assimilating actions into one's own repetoire

31. Boys
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
modeling behavior after another person is more powerful - though not necessarily admired
whenmen vs women present with schizophrenia
gender autism is more common in

32. Anorexia nervosa
the treatment for EtOH intox and withdrawal
perceptions in the absence of external stimulus
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise
strong persistant cross gender identification

33. <1mo - usually stress related
the evidence for child neglect
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
the time frame for brief pyschotic disorder
What korsakoff's amnesia can lead to - who do you see it in and it also associated with

34. Genes > environment
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment
factors are most important in the etiology of schizophrenia
Huntingtons
this drug is a risk factor for schizophrenia in teens

35. In what disease does NE decrease - 5HT decrease and DA decrease?
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain
Depression
the goal of the ego defenses
the concern with use of antidepressants in pts with bipoloar disorder

36. Patch - gum - losenge - buproprion - varenicline
the tx for panic disorder
pieces of evidence of physical child abuse
modeling behavior after another person is more powerful - though not necessarily admired
potential tx for nicotine withdrawal

37. Distractability - irresponsibility - grandiosity - flight of ideas - increase in Activity/Agitation - decrease need for sleep - talkativeness or pressured speech (at least 3)
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months
DIG FAST
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing
intox = restlessness. Withdrawal = irritability - anxiety - craving

38. Isolation of affect - describing murder in graphic detail with no emotional response
avoidance of awareness of a some painful reality
Separation of feelings from ideas and events
tactile hallucinations common
psychiatric disorder associated with tourrettes - and the treatment

39. Methylphenidate - amphetamines - atomoxetine
maladaptive pattern of substance use with 3 or more of these 7 criteria
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 treatments for ADHD
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr

40. Like manic but without marked impairement in fxning - no pyschotic features
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months
perceptions in the absence of external stimulus
DIG FAST
a hypomanic episode

41. OCD
pieces of evidence of physical child abuse
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited
potential tx for nicotine withdrawal
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions

42. Positive reinforcement
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing
the common causes of lack or orientation
How long marijuana is detectable in the urine after last use
desired reward produces action - mouse presses button for food

43. Maternal blues 50 to 85%
anxious - fearful
DIG FAST
the triad of Wernicke's encephalopathy
postpartum depressed affect - tearfullness fatigue - usually resolves within 10 days - disorder + incidence

44. Loose associations
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures
disorders in the form of through - the way ideas are tied together
DIG FAST
guilty feelings alleviated by unsolicitied generosity towards others

45. Punishment
pieces of evidence of physical child abuse
application of aversive stimulus extinguishes unwanted behavior
the complications/associations of anorexia nervosa
gets schizophrenia and the prev

46. In what disease is DA increase?
lifetime prevalance of tourrette's in the gen pop - and the chance of coprolalia
How long marijuana is detectable in the urine after last use
Schizophrenia
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

47. Malingering
intox = restlessness. Withdrawal = irritability - anxiety - craving
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 EEG findings in dementia
Alzheimers

48. Aspergers
voluntary withholding of an idea or feeling fromk concious awareness
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment
the central goa of freudian psychoanalysis
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years

49. Unconcious mental processes to resolve conflict and prevent feelings of anxiety and depression
the order of loss of orientation
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability
inability to remember things that occurred after CNS insult
the goal of the ego defenses

50. Supprt then antidepressants + psychotherapy then all those + antipsychotics and possible inpatient hospitalization
the goal of the ego defenses
this drug is a risk factor for schizophrenia in teens
primal urges - freud
the treatment for maternal blues - depression - psychosis