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. .1-1% of gen pop - 20% of obscene speech

2. Fixation - men fixating on sports games
partially remaining at more childish level of development
the typical abuser in sexual abuse
Number of major depressive episodes constitute major depressive disorder
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited

3. Failure to provide adequate food - shelter - supervision - education and/or affection - most common form of child maltreatment
the tx for bipolar disorder
the time frame for brief pyschotic disorder
child neglect
involunatary withholding of an idea or feeling from conscious awareness

4. Antisocial - disregard for others - borderline - unstable - histrionic - excessive emotionality - narcissistic - grandiosity - sense of entiltlement - lacks empathy
intox = restlessness. Withdrawal = irritability - anxiety - craving
Is body weight maintained within nl range in bulimia nervosa
the types of cluster B personality disorder
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week

5. Dec frontal lobe volumes
the tx for GAD
This gross neurological finding is associated with ADHD
the treatments for ADHD
repeated stimulation lead sot increase response

6. PCP
perceptions in the absence of external stimulus
mediator between primal urges and accepted behavior
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of
exaggerated fear of embarrasment in social situations - disorder and tx

7. Genital/anal trauma - STDs and UTIs
visual hallucinations common
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy
pieces of evidence for sexual child abuse
behavior acquired by watching others and assimilating actions into one's own repetoire

8. <1mo - usually stress related
the time frame for schizophreniform disorder
the time frame for brief pyschotic disorder
belief that people are either all good or all bad at different times due to intolerance or ambiguity
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation

9. To make the patient aware of hidden in their unconcious
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
Anxiety
the central goa of freudian psychoanalysis
odd or eccentric; inability to develop meaningful social relationships

10. Poor hygeine - malnutrition - withdrawal - impaired social/emotional development - FTT
the evidence for child neglect
Drugs with what kind of affect can lead to a state of delirium
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability
the treatment for EtOH intox and withdrawal

11. Dissociative identity disorder
the time frame for schizophreniform disorder
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse
appreciating the amusing nature of an anxiety provoking or adverse situation

12. Hallucination
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
perceptions in the absence of external stimulus
Where child neglect is reported
maladaptive pattern leading to clinically significant impairment or distress

13. ADHD
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability
neurologic outcome associated with W- K syndrome
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
Causes of dementia

14. Supression - not thinking about the USMLE until the week of the exam
suboxone and the rational of adding an antagonist
voluntary withholding of an idea or feeling fromk concious awareness
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years
Longitudinal lacerations of the gastroesophogeal junction caused by excessive vomiting

15. Disulfiram and supportive care
the tx for atypical depression
Korsakoff's psychosis
the tx for alcoholism
partially remaining at more childish level of development

16. OCD
the age of onset of ADHD
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions
behavior achieved following reward of closer and closer approximations of desired behavior
voluntary withholding of an idea or feeling fromk concious awareness

17. Maternal blues 50 to 85%
the tx for atypical depression
Causes of dementia
the treatments for ADHD
postpartum depressed affect - tearfullness fatigue - usually resolves within 10 days - disorder + incidence

18. Modeling (social learning)

19. Savant
the tx for BDZ intox - MOA
whenmen vs women present with schizophrenia
the epi of physical child abuse
autism with unusual abilities

20. Atypical depression
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection
Korsakoff's psychosis
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise
gender autism is more common in

21. Delirium
What korsakoff's amnesia can lead to - who do you see it in and it also associated with
visual hallucinations common
tantrums
cyclothymia disorder

22. Transvestism
PANICS
gustatroy hallucinations common
the treatment for EtOH intox and withdrawal
whering clothes of the opposite sex

23. Gamma glutamyltransferase - GGT - AST 2x ALT
the serum markers of alcohol use
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself
intox is marked respiratory depression - intox = delerium - life threatening CV collapse
Huntingtons

24. Occurs while waking up
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment
the typical abuser in sexual abuse
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
When to hypnopompic hallucinations take place

25. Before 7
pieces of evidence for sexual child abuse
the time frame for brief pyschotic disorder
define bipolar disorder and distinguish I from II
the age of onset of ADHD

26. Opiods
false beliefs not shared with other members of culture/subcutlure that are firmly maintained in spite of obvoius proof to the contrary
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
intox = CNS depression - N/V - constipation - pup cxn - seizures withdrawal = sweating - pup diltaed - piloerection - rever - rhinorrhea - N - stomach cramps - diarrhea
doctor projects feelings about formative or other important persons onto patient

27. Transsexualism
doctor projects feelings about formative or other important persons onto patient
desire to live as the opposite sex - through surgery or hormone tx
pieces of evidence for sexual child abuse
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder

28. Periventricular hemorrhage/necrosis of mamillary bodies
neurologic outcome associated with W- K syndrome
the time frame for schizophreniform disorder
SIG E CAPS and the criteria for dx
In ADHD - typical intelligence and school performance

29. Vit B1 - thiamine
gets schizophrenia and the prev
the tx of W- K syndrome
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing
turning back the maturational clock and going back to earlier modes of dealing with the world

30. 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
anxious - fearful
doctor projects feelings about formative or other important persons onto patient
repeated stimulation leads to decrease response
maladaptive pattern of substance use with 3 or more of these 7 criteria

31. Schizophrenia
auditory hallucinations common
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited
anxious - fearful
involunatary withholding of an idea or feeling from conscious awareness

32. BDZ
whenhypnagogic hallucinations take place
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving
intox = ataxia - minor respiratory depression
the tx for OCD

33. CPS
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
Where child neglect is reported
Depression
visual hallucinations common

34. 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
maladaptive pattern leading to clinically significant impairment or distress
intox is marked respiratory depression - intox = delerium - life threatening CV collapse
appreciating the amusing nature of an anxiety provoking or adverse situation

35. Extinction
the epi of physical child abuse
the age of onset of ADHD
voluntary withholding of an idea or feeling fromk concious awareness
discontinuation of reinforcement eliminates behavior

36. Operant conditioning
learning in which a particular ation is elicited because it produces a reward
the tx of W- K syndrome
SAD PERSONS
misinterpretations of actual external stimulus

37. Cluster C personality disorder
dramatic - emotional or erratic
anxious - fearful
tactile hallucinations common
Anxiety

38. Countertransference
repeated stimulation leads to decrease response
doctor projects feelings about formative or other important persons onto patient
a hypomanic episode
PANICS

39. Supprt then antidepressants + psychotherapy then all those + antipsychotics and possible inpatient hospitalization
the treatment for maternal blues - depression - psychosis
avoidance of awareness of a some painful reality
the stages of change in overcoming substance addiction
learning in which a particular ation is elicited because it produces a reward

40. Patch - gum - losenge - buproprion - varenicline
potential tx for nicotine withdrawal
the treatments for ADHD
Moral values - conscience can lead to self blame and attacks of ego
preoccupation with a fear of having a serious illness despite medical evaluation and assurance

41. 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
delerium tremens symptoms
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving
Stanford - binet
SIG E CAPS and the criteria for dx

42. Factitious disorder
whenmen vs women present with schizophrenia
strong persistant cross gender identification
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain
How long does the disturbance last in PTSD

43. Inc mania - high suicide risk
this drug is a risk factor for schizophrenia in teens
the concern with use of antidepressants in pts with bipoloar disorder
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode
SIG E CAPS and the criteria for dx

44. Behavior inconsistent with ones own beliefs and attitudes - as opposed to OC personality disorder
What ego dystonic means in relation to OCD
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
Huntingtons
Long acting oral opiate for heroine detox or long term maintenance

45. Gender identity disorder
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics
application of aversive stimulus extinguishes unwanted behavior
strong persistant cross gender identification
the triad of Wernicke's encephalopathy

46. Adjustment disorder
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months
learning in which a natural response is elicited by a conditioned - or learned stimulus that previously was presented in conjuction with an unconditioned stimulus
inability to remember things that occurred before CNS insult
Drugs with what kind of affect can lead to a state of delirium

47. 2 or more within a symptom free interval of 2 months
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence
Number of major depressive episodes constitute major depressive disorder
100 - 15
avoidance of awareness of a some painful reality

48. Anticholinergic
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder
psychiatric disorder associated with tourrettes - and the treatment
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
Drugs with what kind of affect can lead to a state of delirium

49. Shared delusional disorder
misinterpretations of actual external stimulus
behavior achieved following reward of closer and closer approximations of desired behavior
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
development of delusions in a person in a close relationship with delusional disorder

50. Somatization disorders
both illness and motivation are subconcious - sx not intentionally produced or feigned
desired reward produces action - mouse presses button for food
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection
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