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. Autism
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis
anterograde amnesia caused by thiamine deficiency
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence

2. 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
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
mediator between primal urges and accepted behavior

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
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
Moral values - conscience can lead to self blame and attacks of ego
maladaptive pattern of substance use with 3 or more of these 7 criteria
the stages of change in overcoming substance addiction

4. Orientation
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
How long infant deprivation can last before it leads to irreversible changes
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...
overwhelming fear of separation from home or loss of attachment figure that can lead to factitious physical complaints to avoid going to school

5. In what disease is GABA decrease and ACH decrease?
Huntingtons
Separation of feelings from ideas and events
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse
the tx of W- K syndrome

6. Retrograde amnesia
inability to remember things that occurred before CNS insult
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy
Depression
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection

7. Superego - you know you can't have it - taking it is wrong
lifetime prevalance of tourrette's in the gen pop - and the chance of coprolalia
intox = restlessness. Withdrawal = irritability - anxiety - craving
Moral values - conscience can lead to self blame and attacks of ego
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

8. Delusions
intox = ataxia - minor respiratory depression
false beliefs not shared with other members of culture/subcutlure that are firmly maintained in spite of obvoius proof to the contrary
in elderly patients who present with dementia - the concern
the complications/associations of anorexia nervosa

9. The mean IQ and SD?
Depression
100 - 15
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of

10. Gender identity disorder
strong persistant cross gender identification
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence
gets schizophrenia and the prev
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode

11. Dissociative identity disorder
the typical abuser in physical child abuse
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
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse

12. Habituation - simple learning
repeated stimulation leads to decrease response
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing
the time frame for brief pyschotic disorder
Anxiety

13. Intox = mood elevation - psychomotor agitation - insomnia - cardiac arrhythmias - tachycardia - anxiety. Withdrawal = post use crash - depression - weight gain - lethargy - HA
the non specific signs of stimulant intox and withdrawal
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder
the concern with use of antidepressants in pts with bipoloar disorder
the complications/associations of anorexia nervosa

14. CBT - SSRI - TCI - BDZ
the tx for panic disorder
the EEG findings in dementia
potential tx for nicotine withdrawal
the tx for OCD

15. Blacks=whites - males = females - 1.5% lifetime prev
involunatary withholding of an idea or feeling from conscious awareness
Separation of feelings from ideas and events
Alzheimers
gets schizophrenia and the prev

16. Id - subconcious - I want it
When to hypnopompic hallucinations take place
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
the complications of alcoholism
primal urges - freud

17. Presence of at least one manic (I) or hypomanic (II) episode - depressive sx occur eventually
whering clothes of the opposite sex
associated with winter season - improves in response to full spectrum light exposure
define bipolar disorder and distinguish I from II
tactile hallucinations common

18. Atypical depression
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection
Schizophrenia
delerium tremens symptoms
associated with winter season - improves in response to full spectrum light exposure

19. .1-1% of gen pop - 20% of obscene speech

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

20. Seasonal affective disorder
When to hypnopompic hallucinations take place
associated with winter season - improves in response to full spectrum light exposure
whenmen vs women present with schizophrenia
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment

21. Naloxone - naltrexone - and symptomatic for withdrawal sx
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself
repeated stimulation leads to decrease response
the tx for opiod intox and withdrawal
How long does the disturbance last in PTSD

22. Extinction
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse
the various types of cluster A personality disorder
discontinuation of reinforcement eliminates behavior
Number of major depressive episodes constitute major depressive disorder

23. Conversion disorder
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis
Causes of dementia
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent
Alzheimers

24. Fixation - men fixating on sports games
the tx for opiod intox and withdrawal
inability to remember things that occurred before CNS insult
strong persistant cross gender identification
partially remaining at more childish level of development

25. Reaction formation - a patient with libidinous thoughts enters a monastery
Stanford - binet
repeated stimulation lead sot increase response
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
When to hypnopompic hallucinations take place

26. Avoidant - hypersensitive to rejection - timid - obsessive/compulsive - preoccupation with order - ego syntonic - dependent - submissive and clinging
perceptions in the absence of external stimulus
the 3 types of cluster C personality disorder
PANICS
100 - 15

27. Sublimation - actress using an experience of abuse to enhance her acting
odd or eccentric; inability to develop meaningful social relationships
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
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating
the non specific signs of stimulant intox and withdrawal

28. While going to sleep
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability
the various types of cluster A personality disorder
whenhypnagogic hallucinations take place
IQ<70

29. Delusions - hallucinations - disorganizaed speech - disorganized or catatonic behavior and negative sx
Diagnosis requres 2 of 5 of which sx
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
When to hypnopompic hallucinations take place

30. Substance withdrawal - signs are often opposite of intoxication
prolonged pain with no physical findings - psychosocial factors play an important role in severity exacerbation or maintenance
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week
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

31. Dysthymia
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating
milder form of depression lasting at least 2 years
How long does the disturbance last in PTSD

32. Delirium
Number of major depressive episodes constitute major depressive disorder
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
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning

33. Parotitis - enamel erosion - lytes disturbances - alkalosis - dorsal hand calluses from inducing vomit
IQ<70
pieces of evidence of physical child abuse
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics
the associations/complications of bulimia nervosa

34. Cluster A personality disorder
Moral values - conscience can lead to self blame and attacks of ego
the evidence for child neglect
odd or eccentric; inability to develop meaningful social relationships
the central goa of freudian psychoanalysis

35. Time then place then person
the order of loss of orientation
gender autism is more common in
the stages of change in overcoming substance addiction
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse

36. Flashbacks - nightmares - intense fear - helplessness - or horror - avoidance of stimuli associated with trauma and persistent arousal
depressant withdrawal - nonspecific
intox = ataxia - minor respiratory depression
anterograde amnesia caused by thiamine deficiency
the common sx of PTSD

37. MAOi - SSRIs
the tx for atypical depression
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame
the common sx of PTSD
intox is marked respiratory depression - intox = delerium - life threatening CV collapse

38. Genes > environment
pieces of evidence of physical child abuse
dramatic - emotional or erratic
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself
factors are most important in the etiology of schizophrenia

39. Postpartum depression - 10 to 15%
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence
the tx for BDZ intox - MOA
Longitudinal lacerations of the gastroesophogeal junction caused by excessive vomiting

40. PTSD
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects
persistent re - experiencing of a previous traumatic event
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr
Stanford - binet

41. 2 or more within a symptom free interval of 2 months
Number of major depressive episodes constitute major depressive disorder
learning in which a particular ation is elicited because it produces a reward
avoidance of awareness of a some painful reality
reward received after every response - rapidly extinguished - vending machine

42. Somatization disorders
the stages of change in overcoming substance addiction
maladaptive pattern leading to clinically significant impairment or distress
both illness and motivation are subconcious - sx not intentionally produced or feigned
repeated stimulation leads to decrease response

43. Dementia
whering clothes of the opposite sex
autism with unusual abilities
factors are most important in the etiology of schizophrenia
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought

44. Delirium
disorders in the form of through - the way ideas are tied together
the common causes of lack or orientation
desired reward produces action - mouse presses button for food
visual hallucinations common

45. Schizophrenia
Stanford - binet
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months
disorders in the form of through - the way ideas are tied together
the 5 types of schizophrenia

46. Munchausen's syndrome by proxy
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability
whering clothes of the opposite sex
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy
Diagnosis requres 2 of 5 of which sx

47. Delusional disorder
primal urges - freud
visual hallucinations common
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited
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

48. Isolation of affect - describing murder in graphic detail with no emotional response
Separation of feelings from ideas and events
the non specific signs of stimulant intox and withdrawal
PANICS
intox is marked respiratory depression - intox = delerium - life threatening CV collapse

49. In what disease is ACH decrease?
discontinuation of reinforcement eliminates behavior
auditory hallucinations common
gets schizophrenia and the prev
Alzheimers

50. <1mo - usually stress related
How long infant deprivation can last before it leads to irreversible changes
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving
the evidence for child neglect
the time frame for brief pyschotic disorder