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Test your basic knowledge |
Psychiatry
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Subject
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health-sciences
Instructions:
Answer 50 questions in 15 minutes.
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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. Presence of at least one manic (I) or hypomanic (II) episode - depressive sx occur eventually
inability to remember things that occurred before CNS insult
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation
define bipolar disorder and distinguish I from II
This gross neurological finding is associated with ADHD
2. Delirium/secondary to other illness
Anxiety
the serum markers of alcohol use
the tx for alcoholism
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder
3. 6-12 months
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited
How long episodes of major depressive episode usually last
Parkinsons
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
4. 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
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
How long does the disturbance last in PTSD
an unacceptable internal impulse is attributed to an external source
SAD PERSONS
5. SSRIs - clomipramine
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought
the tx for OCD
gustatroy hallucinations common
strong persistant cross gender identification
6. Stress of physical illness - punishment - birth of a new sibling - fatigue (bedwetting in a previously toilet trained child when hospitalized
Under these conditions do children regress to younger patterns of behavior
an unacceptable internal impulse is attributed to an external source
heroin users at increased risk of...
neurologic outcome associated with W- K syndrome
7. Pain disorder
prolonged pain with no physical findings - psychosocial factors play an important role in severity exacerbation or maintenance
100 - 15
child neglect
the associations/complications of bulimia nervosa
8. 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
the tx for panic disorder
When to hypnopompic hallucinations take place
maladaptive pattern of substance use with 3 or more of these 7 criteria
avoidance of awareness of a some painful reality
9. In what disease is DA increase?
intox = restlessness. Withdrawal = irritability - anxiety - craving
the triad of Wernicke's encephalopathy
Schizophrenia
auditory hallucinations common
10. Postpartum depression - 10 to 15%
psychiatric disorder associated with tourrettes - and the treatment
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence
the tx for bipolar disorder
reward received after every response - rapidly extinguished - vending machine
11. Transsexualism
the associations/complications of bulimia nervosa
desire to live as the opposite sex - through surgery or hormone tx
Separation of feelings from ideas and events
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence
12. Behavior inconsistent with ones own beliefs and attitudes - as opposed to OC personality disorder
Under these conditions do children regress to younger patterns of behavior
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy
anxious - fearful
What ego dystonic means in relation to OCD
13. Somatization disorder
overwhelming fear of separation from home or loss of attachment figure that can lead to factitious physical complaints to avoid going to school
Alzheimers
tantrums
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years
14. Shaping (social learning)
the common sx of PTSD
behavior achieved following reward of closer and closer approximations of desired behavior
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation
turning back the maturational clock and going back to earlier modes of dealing with the world
15. LSD
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation
Longitudinal lacerations of the gastroesophogeal junction caused by excessive vomiting
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection
16. Orientation
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...
the types of cluster B personality disorder
delerium tremens symptoms
the typical abuser in physical child abuse
17. EtOH - drugs - fluid/lytes imbalance - head trauma - hypoglycemia - nutritional def
autism with unusual abilities
the complications of alcoholism
the common causes of lack or orientation
Number of major depressive episodes constitute major depressive disorder
18. Gamma glutamyltransferase - GGT - AST 2x ALT
an unacceptable internal impulse is attributed to an external source
anterograde amnesia caused by thiamine deficiency
lifetime prevalance of tourrette's in the gen pop - and the chance of coprolalia
the serum markers of alcohol use
19. Schizophrenia
this drug is a risk factor for schizophrenia in teens
auditory hallucinations common
in elderly patients who present with dementia - the concern
the time frame for schizophreniform disorder
20. Rett's disorder
the 3 types of cluster C personality disorder
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing
Huntingtons
Anxiety
21. In what disease is ACH decrease?
Alzheimers
IQ<70
avoidance of awareness of a some painful reality
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens
22. Childhood disintegrative disorder
Schizophrenia
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence
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
avoidance of awareness of a some painful reality
23. Altruism - mafia boss makes a large donation to charity
<40 and <20
mediator between primal urges and accepted behavior
How long infant deprivation can last before it leads to irreversible changes
guilty feelings alleviated by unsolicitied generosity towards others
24. Male - known to the victim
gets schizophrenia and the prev
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain
the typical abuser in sexual abuse
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions
25. Anxiety - tremor - seizures - insomnia
depressant withdrawal - nonspecific
desire to live as the opposite sex - through surgery or hormone tx
the tx for OCD
the tx for GAD
26. Delusions - hallucinations - disorganizaed speech - disorganized or catatonic behavior and negative sx
the tx for opiod intox and withdrawal
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects
Diagnosis requres 2 of 5 of which sx
the evidence for child neglect
27. Hepatitis - abscesses - OD - hemorrhoids - AIDS - right sided endocarditits
whenmen vs women present with schizophrenia
heroin users at increased risk of...
the tx for atypical depression
the tx of W- K syndrome
28. Classical conditioning - pavlov's dogs
false beliefs not shared with other members of culture/subcutlure that are firmly maintained in spite of obvoius proof to the contrary
misinterpretations of actual external stimulus
learning in which a natural response is elicited by a conditioned - or learned stimulus that previously was presented in conjuction with an unconditioned stimulus
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought
29. Schizoaffective disorder
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating
What korsakoff's amnesia can lead to - who do you see it in and it also associated with
voluntary withholding of an idea or feeling fromk concious awareness
30. Genital/anal trauma - STDs and UTIs
pieces of evidence for sexual child abuse
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence
tactile hallucinations common
31. ECT - disorientation amnesia - usually resolves in 6 months
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing
Drugs with what kind of affect can lead to a state of delirium
the concern with use of antidepressants in pts with bipoloar disorder
32. Aspergers
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment
persistent re - experiencing of a previous traumatic event
learning in which a particular ation is elicited because it produces a reward
an unacceptable internal impulse is attributed to an external source
33. Patch - gum - losenge - buproprion - varenicline
the tx for bipolar disorder
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures
potential tx for nicotine withdrawal
repeated stimulation lead sot increase response
34. Continuous reinforcement schedule
the tx for BDZ intox - MOA
reward received after every response - rapidly extinguished - vending machine
this drug is a risk factor for schizophrenia in teens
delerium tremens symptoms
35. Body dysmorphic disorder
the 5 types of schizophrenia
the epi of sexual abuse
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning
What korsakoff's amnesia can lead to - who do you see it in and it also associated with
36. 7 to 9
behavior achieved following reward of closer and closer approximations of desired 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
When separation anxiety disorder usually presents
PANICS
37. Superego - you know you can't have it - taking it is wrong
Moral values - conscience can lead to self blame and attacks of ego
voluntary withholding of an idea or feeling fromk concious awareness
cyclothymia disorder
How long does the disturbance last in PTSD
38. Dipoloar or depressive
a hypomanic episode
the two types of schizoaffective disorder
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
delerium tremens symptoms
39. Identification - abused models abuser
Anxiety
modeling behavior after another person is more powerful - though not necessarily admired
Is body weight maintained within nl range in bulimia nervosa
odd or eccentric; inability to develop meaningful social relationships
40. Like manic but without marked impairement in fxning - no pyschotic features
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection
a hypomanic episode
perceptions in the absence of external stimulus
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
41. Loose associations
disorders in the form of through - the way ideas are tied together
behavior acquired by watching others and assimilating actions into one's own repetoire
behavior achieved following reward of closer and closer approximations of desired behavior
the goal of the ego defenses
42. Unconcious mental processes to resolve conflict and prevent feelings of anxiety and depression
Moral values - conscience can lead to self blame and attacks of ego
maladaptive pattern leading to clinically significant impairment or distress
learning in which a particular ation is elicited because it produces a reward
the goal of the ego defenses
43. Bilateral destruction of mammilary bodies - some retrograde amnesia - alcholics - and assoc with confabulations
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44. 2 or more within a symptom free interval of 2 months
the age of onset of ADHD
a hypomanic episode
Number of major depressive episodes constitute major depressive disorder
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months
45. 85 percent
less than what percentage of ideal body weight is common in anorexia nervosa
What korsakoff's amnesia can lead to - who do you see it in and it also associated with
the time frame for schizophreniform disorder
the tx for OCD
46. Time then place then person
<40 and <20
auditory hallucinations common
delerium tremens symptoms
the order of loss of orientation
47. Negative reinforcement
the tx for atypical depression
removal of aversive stimulus elicits behavior - mouse presses button to avoid shock
milder form of depression lasting at least 2 years
How long marijuana is detectable in the urine after last use
48. Poor hygeine - malnutrition - withdrawal - impaired social/emotional development - FTT
the central goa of freudian psychoanalysis
intox = restlessness. Withdrawal = irritability - anxiety - craving
the evidence for child neglect
the tx of W- K syndrome
49. Boys
100 - 15
maladaptive pattern of substance use with 3 or more of these 7 criteria
gender autism is more common in
repeated stimulation lead sot increase response
50. Habituation - simple learning
visual hallucinations common
repeated stimulation leads to decrease response
whenhypnagogic hallucinations take place
behavior achieved following reward of closer and closer approximations of desired behavior
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