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. Physiologic tolerance and dependence with symptoms of withdrawal when intake is interrupted
the tx for GAD
the definition of alcoholism
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
neurologic outcome associated with W- K syndrome

2. Pain disorder
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects
prolonged pain with no physical findings - psychosocial factors play an important role in severity exacerbation or maintenance
patient projects feelings about formative or other important persons onto physician
DIG FAST

3. Avoidant - hypersensitive to rejection - timid - obsessive/compulsive - preoccupation with order - ego syntonic - dependent - submissive and clinging
the typical abuser in physical child abuse
the 3 types of cluster C personality disorder
gustatroy hallucinations common
the tx for OCD

4. Severe and profound MR?
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of
Diagnosis requres 2 of 5 of which sx
the common causes of lack or orientation
<40 and <20

5. Postpartum depression - 10 to 15%
in elderly patients who present with dementia - the concern
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
pieces of evidence of physical child abuse
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence

6. In what disease does NE increase - GABA decrease - and 5HT decrease?
auditory hallucinations common
How long episodes of major depressive episode usually last
Anxiety
causes wernicke - korsakoff syndrome

7. Social phobias - tx SSRIs
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself
the treatment for EtOH intox and withdrawal
the tx for panic disorder
exaggerated fear of embarrasment in social situations - disorder and tx

8. Tourrette's
This gross neurological finding is associated with ADHD
the tx for bipolar disorder
intox = ataxia - minor respiratory depression
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr

9. Alcohol
odd or eccentric; inability to develop meaningful social relationships
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week
<40 and <20
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens

10. Delusions
<40 and <20
the tx of W- K syndrome
false beliefs not shared with other members of culture/subcutlure that are firmly maintained in spite of obvoius proof to the contrary
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment

11. Normal intel - trouble in school
the time frame for brief pyschotic disorder
In ADHD - typical intelligence and school performance
the tx of W- K syndrome
removal of aversive stimulus elicits behavior - mouse presses button to avoid shock

12. EtOH withdrawal - cocaine abusers
anterograde amnesia caused by thiamine deficiency
tactile hallucinations common
the two types of schizoaffective disorder
SAD PERSONS

13. Fixation - men fixating on sports games
intense fear and discomfort peaking in 10 minutes
partially remaining at more childish level of development
guilty feelings alleviated by unsolicitied generosity towards others
visual hallucinations common

14. Caffeine
learning in which a particular ation is elicited because it produces a reward
the complications of alcoholism
repeated stimulation lead sot increase response
intox = restlessness - increase diureis - muscle twitching

15. Cluster A personality disorder
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week
<40 and <20
the epi of physical child abuse
odd or eccentric; inability to develop meaningful social relationships

16. 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
strong persistant cross gender identification
SIG E CAPS and the criteria for dx
the tx for opiod intox and withdrawal
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating

17. Mallory weiss syndrome
removal of aversive stimulus elicits behavior - mouse presses button to avoid shock
Longitudinal lacerations of the gastroesophogeal junction caused by excessive vomiting
the associations/complications of bulimia nervosa
What korsakoff's amnesia can lead to - who do you see it in and it also associated with

18. Malingering
SAD PERSONS
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
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating

19. Peak incidence 9-12 years of age
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection
Diagnosis requres 2 of 5 of which sx
the epi of sexual abuse
tactile hallucinations common

20. Before 7
the age of onset of ADHD
the complications/associations of anorexia nervosa
Separation of feelings from ideas and events
visual hallucinations common

21. Aspergers
the tx for BDZ intox - MOA
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment
the tx for OCD
whenmen vs women present with schizophrenia

22. Cluster B personality disorder
the common causes of lack or orientation
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
dramatic - emotional or erratic
DIG FAST

23. Specific phobia
neurologic outcome associated with W- K syndrome
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
whenhypnagogic hallucinations take place
visual hallucinations common

24. Bilateral destruction of mammilary bodies - some retrograde amnesia - alcholics - and assoc with confabulations

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

25. Rett's disorder
How long marijuana is detectable in the urine after last use
How long infant deprivation can last before it leads to irreversible changes
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing
guilty feelings alleviated by unsolicitied generosity towards others

26. Depression
DIG FAST
development of delusions in a person in a close relationship with delusional disorder
in elderly patients who present with dementia - the concern
the concern with use of antidepressants in pts with bipoloar disorder

27. ADHD
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
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability
patient projects feelings about formative or other important persons onto physician
learning in which a natural response is elicited by a conditioned - or learned stimulus that previously was presented in conjuction with an unconditioned stimulus

28. Calculates IQ as mental age/chronological age x 100
Stanford - binet
the tx of W- K syndrome
DIG FAST
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics

29. CPS
voluntary withholding of an idea or feeling fromk concious awareness
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning
Where child neglect is reported
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited

30. Supression - not thinking about the USMLE until the week of the exam
DIG FAST
voluntary withholding of an idea or feeling fromk concious awareness
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
<40 and <20

31. Orientation
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months
the order of loss of orientation
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...
exaggerated fear of embarrasment in social situations - disorder and tx

32. Schizophrenia
intox = ataxia - minor respiratory depression
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
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame

33. Factitious disorder
the two types of schizoaffective disorder
repetitive and pervasive behavior violating social norms - disorder - and name change after 18
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection

34. Delirium
psychiatric disorder associated with tourrettes - and the treatment
Parkinsons
child neglect
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

35. 3000 deaths/yr in the US
a hypomanic episode
SIG E CAPS and the criteria for dx
an unacceptable internal impulse is attributed to an external source
the epi of physical child abuse

36. Extinction
the complications of alcoholism
the epi of physical child abuse
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of
discontinuation of reinforcement eliminates behavior

37. Countertransference
When to hypnopompic hallucinations take place
repeated stimulation leads to decrease response
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself
doctor projects feelings about formative or other important persons onto patient

38. Cocaine
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving
discontinuation of reinforcement eliminates behavior
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
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability

39. Yes
both illness and motivation are subconcious - sx not intentionally produced or feigned
tactile hallucinations common
How long infant deprivation can last before it leads to irreversible changes
Is body weight maintained within nl range in bulimia nervosa

40. CBT - SSRI - TCI - BDZ
the tx for panic disorder
child neglect
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
Separation of feelings from ideas and events

41. Altruism - mafia boss makes a large donation to charity
the common sx of PTSD
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought
guilty feelings alleviated by unsolicitied generosity towards others
intense fear and discomfort peaking in 10 minutes

42. Naloxone + buprenorphine - naloxone not active when taken orally only when injected - withdrawal sx only occur if injected cuts down abuse
suboxone and the rational of adding an antagonist
whenhypnagogic hallucinations take place
involunatary withholding of an idea or feeling from conscious awareness
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of

43. In what disease is ACH decrease?
Alzheimers
strong persistant cross gender identification
inability to remember things that occurred after CNS insult
the 5 types of schizophrenia

44. Substance withdrawal - signs are often opposite of intoxication
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence
the common causes of lack or orientation
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs
the treatment for EtOH intox and withdrawal

45. Autism
persistent re - experiencing of a previous traumatic event
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years
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
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence

46. Classical conditioning - pavlov's dogs
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs
learning in which a natural response is elicited by a conditioned - or learned stimulus that previously was presented in conjuction with an unconditioned stimulus
intox = ataxia - minor respiratory depression
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame

47. Nl
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects
the EEG findings in dementia
gustatroy hallucinations common
prolonged pain with no physical findings - psychosocial factors play an important role in severity exacerbation or maintenance

48. BDZ - busiprone - SSRIs
the types of cluster B personality disorder
the tx for GAD
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment
persistant feelings of detachment or estrangement from one's own body - a social situation - or the environment

49. Anticholinergic
reward received after random number of responses - slowly extinguished - slot machine
How long marijuana is detectable in the urine after last use
the triad of Wernicke's encephalopathy
Drugs with what kind of affect can lead to a state of delirium

50. In what disease is GABA decrease and ACH decrease?
gustatroy hallucinations common
Stanford - binet
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months
Huntingtons