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Test your basic knowledge |
Psychiatry
Start Test
Study First
Subject
:
health-sciences
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. Reaction formation - a patient with libidinous thoughts enters a monastery
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
overwhelming fear of separation from home or loss of attachment figure that can lead to factitious physical complaints to avoid going to school
pieces of evidence of physical child abuse
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain
2. Flumazenil - competitive GABA antagonist
the tx for BDZ intox - MOA
intox is marked respiratory depression - intox = delerium - life threatening CV collapse
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week
3. Inc mania - high suicide risk
the concern with use of antidepressants in pts with bipoloar disorder
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder
heroin users at increased risk of...
the tx of W- K syndrome
4. .1-1% of gen pop - 20% of obscene speech
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5. Substance withdrawal - signs are often opposite of intoxication
Drugs with what kind of affect can lead to a state of delirium
the common sx of PTSD
associated with winter season - improves in response to full spectrum light exposure
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs
6. Hallucination
causes wernicke - korsakoff syndrome
SAD PERSONS
the tx for BDZ intox - MOA
perceptions in the absence of external stimulus
7. Fixation - men fixating on sports games
dramatic - emotional or erratic
depressant intoxication - nonspecific
Long acting oral opiate for heroine detox or long term maintenance
partially remaining at more childish level of development
8. In what disease is ACH decrease?
strong persistant cross gender identification
the age of onset of ADHD
the tx of W- K syndrome
Alzheimers
9. Seasonal affective disorder
associated with winter season - improves in response to full spectrum light exposure
How long marijuana is detectable in the urine after last use
the concern with use of antidepressants in pts with bipoloar disorder
What korsakoff's amnesia can lead to - who do you see it in and it also associated with
10. Weak - wordless - wanting - and wary - decrease muscle tone - poor language skills - poor socialization skills - lack of basic trust - anaclitic depression - weight loss - physical illness
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11. 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
Parkinsons
preoccupation with a fear of having a serious illness despite medical evaluation and assurance
SIG E CAPS and the criteria for dx
Huntingtons
12. Oppositional defiant disorder
inbability to recall important personal information - usually subsequent to severe trauma or stress
<40 and <20
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
false beliefs not shared with other members of culture/subcutlure that are firmly maintained in spite of obvoius proof to the contrary
13. Occurs while waking up
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode
neurologic outcome associated with W- K syndrome
an unacceptable internal impulse is attributed to an external source
When to hypnopompic hallucinations take place
14. EtOH withdrawal - cocaine abusers
Number of major depressive episodes constitute major depressive disorder
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia
tactile hallucinations common
15. Savant
autism with unusual abilities
Korsakoff's psychosis
doctor projects feelings about formative or other important persons onto patient
Causes of dementia
16. 1 month
How long episodes of major depressive episode usually last
the age of onset of ADHD
the tx for alcoholism
How long marijuana is detectable in the urine after last use
17. Caffeine
discontinuation of reinforcement eliminates behavior
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame
the 5 types of schizophrenia
intox = restlessness - increase diureis - muscle twitching
18. Behavior inconsistent with ones own beliefs and attitudes - as opposed to OC personality disorder
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder
100 - 15
intox = restlessness - increase diureis - muscle twitching
What ego dystonic means in relation to OCD
19. In what disease does NE increase - GABA decrease - and 5HT decrease?
the common sx of PTSD
application of aversive stimulus extinguishes unwanted behavior
the treatment for EtOH intox and withdrawal
Anxiety
20. Specific phobia
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
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating
visual hallucinations common
primal urges - freud
21. Pain disorder
prolonged pain with no physical findings - psychosocial factors play an important role in severity exacerbation or maintenance
the order of loss of orientation
potential tx for nicotine withdrawal
behavior achieved following reward of closer and closer approximations of desired behavior
22. Barbituates
guilty feelings alleviated by unsolicitied generosity towards others
intox = CNS depression - N/V - constipation - pup cxn - seizures withdrawal = sweating - pup diltaed - piloerection - rever - rhinorrhea - N - stomach cramps - diarrhea
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions
intox is marked respiratory depression - intox = delerium - life threatening CV collapse
23. Flashbacks - nightmares - intense fear - helplessness - or horror - avoidance of stimuli associated with trauma and persistent arousal
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 common sx of PTSD
define bipolar disorder and distinguish I from II
exaggerated fear of embarrasment in social situations - disorder and tx
24. Irreversible memory loss - confabulation - personality change
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25. Retrograde amnesia
inability to remember things that occurred before CNS insult
repetitive and pervasive behavior violating social norms - disorder - and name change after 18
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing
lifetime prevalance of tourrette's in the gen pop - and the chance of coprolalia
26. The mean IQ and SD?
inability to remember things that occurred before CNS insult
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress
100 - 15
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs
27. Anorexia nervosa
neurologic outcome associated with W- K syndrome
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise
the treatment for EtOH intox and withdrawal
heroin users at increased risk of...
28. OCD
intox = ataxia - minor respiratory depression
causes wernicke - korsakoff syndrome
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions
29. Cocaine
pieces of evidence for sexual child abuse
the age of onset of ADHD
Korsakoff's psychosis
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving
30. Disulfiram and supportive care
the associations/complications of bulimia nervosa
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation
Is body weight maintained within nl range in bulimia nervosa
the tx for alcoholism
31. Habituation - simple learning
repeated stimulation leads to decrease response
maladaptive pattern leading to clinically significant impairment or distress
the various types of cluster A personality disorder
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months
32. Parotitis - enamel erosion - lytes disturbances - alkalosis - dorsal hand calluses from inducing vomit
the associations/complications of bulimia nervosa
Moral values - conscience can lead to self blame and attacks of ego
the tx of W- K syndrome
This gross neurological finding is associated with ADHD
33. Hepatitis - abscesses - OD - hemorrhoids - AIDS - right sided endocarditits
desired reward produces action - mouse presses button for food
heroin users at increased risk of...
gets schizophrenia and the prev
<40 and <20
34. Thiamine deficiency
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving
the various types of cluster A personality disorder
causes wernicke - korsakoff 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
35. Substance abuse
maladaptive pattern leading to clinically significant impairment or distress
the triad of Wernicke's encephalopathy
modeling behavior after another person is more powerful - though not necessarily admired
intox = restlessness - increase diureis - muscle twitching
36. Rett's disorder
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing
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
the central goa of freudian psychoanalysis
37. Repression - not remebering a conflictual or traumatic experience
involunatary withholding of an idea or feeling from conscious awareness
depressant intoxication - nonspecific
process whereby avoided ideas and feelings are transferred to some neutral person or object
psychiatric disorder associated with tourrettes - and the treatment
38. CBT - SSRI - TCI - BDZ
the tx for panic disorder
maladaptive pattern of substance use with 3 or more of these 7 criteria
Under these conditions do children regress to younger patterns of behavior
Separation of feelings from ideas and events
39. Dec bone density - severe weight loss - metatarsal stress fractures - amenorrhea - anemia - lytes disturbances - depression
the complications/associations of anorexia nervosa
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr
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
belief that people are either all good or all bad at different times due to intolerance or ambiguity
40. Presence of at least one manic (I) or hypomanic (II) episode - depressive sx occur eventually
define bipolar disorder and distinguish I from II
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
How long marijuana is detectable in the urine after last use
visual hallucinations common
41. LSD
the complications of alcoholism
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy
the time frame for schizophreniform disorder
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation
42. 6-12 months
100 - 15
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame
the serum markers of alcohol use
How long episodes of major depressive episode usually last
43. Punishment
partially remaining at more childish level of development
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection
application of aversive stimulus extinguishes unwanted behavior
the goal of the ego defenses
44. Shaping (social learning)
behavior achieved following reward of closer and closer approximations of desired behavior
child neglect
Moral values - conscience can lead to self blame and attacks of ego
the tx for alcoholism
45. Atypical depression
inability to remember things that occurred after CNS insult
Long acting oral opiate for heroine detox or long term maintenance
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection
partially remaining at more childish level of development
46. Amphetamines
whenhypnagogic hallucinations take place
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
the time frame for schizophreniform disorder
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence
47. Aura of psychomotor epilepsy and in brain tumors
suboxone and the rational of adding an antagonist
olfactory hallucinations common
pieces of evidence of physical child abuse
Is body weight maintained within nl range in bulimia nervosa
48. Delirium
appreciating the amusing nature of an anxiety provoking or adverse situation
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
the 3 types of cluster C personality disorder
a hypomanic episode
49. Modeling (social learning)
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50. The criteria for mental retardation?
100 - 15
reward received after every response - rapidly extinguished - vending machine
the typical abuser in sexual abuse
IQ<70