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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. Maternal blues 50 to 85%
postpartum depressed affect - tearfullness fatigue - usually resolves within 10 days - disorder + incidence
tantrums
learning in which a particular ation is elicited because it produces a reward
the treatment for maternal blues - depression - psychosis
2. Adjustment disorder
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr
learning in which a particular ation is elicited because it produces a reward
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months
3. Humor - nervous med student jokes about boards
auditory hallucinations common
What korsakoff's amnesia can lead to - who do you see it in and it also associated with
appreciating the amusing nature of an anxiety provoking or adverse situation
psychiatric disorder associated with tourrettes - and the treatment
4. Opiods
desired reward produces action - mouse presses button for food
the common sx of PTSD
the epi of sexual abuse
intox = CNS depression - N/V - constipation - pup cxn - seizures withdrawal = sweating - pup diltaed - piloerection - rever - rhinorrhea - N - stomach cramps - diarrhea
5. LSD
lifetime prevalance of tourrette's in the gen pop - and the chance of coprolalia
SAD PERSONS
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation
6. Loose associations
anterograde amnesia caused by thiamine deficiency
disorders in the form of through - the way ideas are tied together
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation
7. Sensitization
repeated stimulation lead sot increase response
the typical abuser in physical child abuse
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics
<40 and <20
8. Anterograde amnesia
the tx for OCD
Separation of feelings from ideas and events
inability to remember things that occurred after CNS insult
false beliefs not shared with other members of culture/subcutlure that are firmly maintained in spite of obvoius proof to the contrary
9. Childhood disintegrative disorder
reward received after every response - rapidly extinguished - vending machine
Parkinsons
the concern with use of antidepressants in pts with bipoloar disorder
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
10. Anorexia nervosa
suboxone and the rational of adding an antagonist
modeling behavior after another person is more powerful - though not necessarily admired
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr
11. Modeling (social learning)
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12. Mood stabilizers - Li - valproic acid - carbamazepine - atypical antipsychotics
the common causes of lack or orientation
the tx for bipolar disorder
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse
the complications/associations of anorexia nervosa
13. Savant
autism with unusual abilities
the tx for bipolar disorder
neurologic outcome associated with W- K syndrome
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing
14. Mood elevation - decrease anxiety - sedation - behavior disinhibition - respiratory depression
the epi of sexual abuse
preoccupation with a fear of having a serious illness despite medical evaluation and assurance
depressant intoxication - nonspecific
How long does the disturbance last in PTSD
15. Methylphenidate - amphetamines - atomoxetine
the treatments for ADHD
Parkinsons
the complications/associations of anorexia nervosa
inbability to recall important personal information - usually subsequent to severe trauma or stress
16. PTSD
persistent re - experiencing of a previous traumatic event
overwhelming fear of separation from home or loss of attachment figure that can lead to factitious physical complaints to avoid going to school
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...
the associations/complications of bulimia nervosa
17. Generalized anxiety disorder
anxious - fearful
gets schizophrenia and the prev
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating
Stanford - binet
18. In what disease does NE increase - GABA decrease - and 5HT decrease?
the goal of the ego defenses
learning in which a natural response is elicited by a conditioned - or learned stimulus that previously was presented in conjuction with an unconditioned stimulus
Where child neglect is reported
Anxiety
19. EtOH withdrawal - cocaine abusers
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia
the EEG findings in dementia
tactile hallucinations common
cyclothymia disorder
20. Somatization disorder
the typical abuser in sexual abuse
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics
the age of onset of ADHD
21. Patch - gum - losenge - buproprion - varenicline
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode
the tx for panic disorder
the tx for BDZ intox - MOA
potential tx for nicotine withdrawal
22. Parotitis - enamel erosion - lytes disturbances - alkalosis - dorsal hand calluses from inducing vomit
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection
How long episodes of major depressive episode usually last
the associations/complications of bulimia nervosa
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...
23. Pain disorder
the complications/associations of anorexia nervosa
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
prolonged pain with no physical findings - psychosocial factors play an important role in severity exacerbation or maintenance
24. Separation anxiety disorder
gustatroy hallucinations common
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence
overwhelming fear of separation from home or loss of attachment figure that can lead to factitious physical complaints to avoid going to school
25. Avoidant - hypersensitive to rejection - timid - obsessive/compulsive - preoccupation with order - ego syntonic - dependent - submissive and clinging
SIG E CAPS and the criteria for dx
removal of aversive stimulus elicits behavior - mouse presses button to avoid shock
the 3 types of cluster C personality disorder
an unacceptable internal impulse is attributed to an external source
26. <1mo - usually stress related
the 3 types of cluster C personality disorder
the time frame for brief pyschotic disorder
delerium tremens symptoms
Parkinsons
27. Blacks=whites - males = females - 1.5% lifetime prev
gets schizophrenia and the prev
an unacceptable internal impulse is attributed to an external source
persistant feelings of detachment or estrangement from one's own body - a social situation - or the environment
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
28. Delusions
in elderly patients who present with dementia - the concern
gender autism is more common in
the age of onset of ADHD
false beliefs not shared with other members of culture/subcutlure that are firmly maintained in spite of obvoius proof to the contrary
29. Shared delusional disorder
an unacceptable internal impulse is attributed to an external source
development of delusions in a person in a close relationship with delusional disorder
SAD PERSONS
the two types of schizoaffective disorder
30. 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
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
Depression
the age of onset of ADHD
31. Caffeine
reward received after every response - rapidly extinguished - vending machine
turning back the maturational clock and going back to earlier modes of dealing with the world
What korsakoff's amnesia can lead to - who do you see it in and it also associated with
intox = restlessness - increase diureis - muscle twitching
32. In what disease does NE decrease - 5HT decrease and DA decrease?
the 4 W's of deprived babies?
What korsakoff's amnesia can lead to - who do you see it in and it also associated with
in elderly patients who present with dementia - the concern
Depression
33. Paranoid - pervasive distrust - schizoid - voluntary social withdrawal - schitzotypal - eccentric appearance and magical thinking - interpersonal awkwardness
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain
exaggerated fear of embarrasment in social situations - disorder and tx
doctor projects feelings about formative or other important persons onto patient
the various types of cluster A personality disorder
34. Amphetamines
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence
35. There are rare
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence
the triad of Wernicke's encephalopathy
anterograde amnesia caused by thiamine deficiency
gustatroy hallucinations common
36. Substance withdrawal - signs are often opposite of intoxication
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence
Drugs with what kind of affect can lead to a state of delirium
overwhelming fear of separation from home or loss of attachment figure that can lead to factitious physical complaints to avoid going to school
37. Cluster C personality disorder
Moral values - conscience can lead to self blame and attacks of ego
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months
anxious - fearful
38. Ego - take it and you will get in trouble
intox = restlessness. Withdrawal = irritability - anxiety - craving
mediator between primal urges and accepted behavior
development of delusions in a person in a close relationship with delusional disorder
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia
39. Alcohol
whering clothes of the opposite sex
100 - 15
potential tx for nicotine withdrawal
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens
40. Korsakoff's amnesia
anterograde amnesia caused by thiamine deficiency
inability to remember things that occurred after CNS insult
neurologic outcome associated with W- K syndrome
inability to remember things that occurred before CNS insult
41. The mean IQ and SD?
100 - 15
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects
the various types of cluster A personality disorder
42. Poor hygeine - malnutrition - withdrawal - impaired social/emotional development - FTT
disorders in the form of through - the way ideas are tied together
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited
dramatic - emotional or erratic
the evidence for child neglect
43. Illusion
heroin users at increased risk of...
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence
neurologic outcome associated with W- K syndrome
misinterpretations of actual external stimulus
44. 3000 deaths/yr in the US
the epi of physical child abuse
<40 and <20
the treatment for EtOH intox and withdrawal
cyclothymia disorder
45. BDZ - busiprone - SSRIs
Causes of dementia
the serum markers of alcohol use
When separation anxiety disorder usually presents
the tx for GAD
46. Isolation of affect - describing murder in graphic detail with no emotional response
the tx for BDZ intox - MOA
Separation of feelings from ideas and events
behavior acquired by watching others and assimilating actions into one's own repetoire
preoccupation with a fear of having a serious illness despite medical evaluation and assurance
47. Supression - not thinking about the USMLE until the week of the exam
the age of onset of ADHD
voluntary withholding of an idea or feeling fromk concious awareness
neurologic outcome associated with W- K syndrome
psychiatric disorder associated with tourrettes - and the treatment
48. PCP
How long episodes of major depressive episode usually last
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of
abrupt change in geographic location with inability to recall past - confusion about personal identity - or assumption of a new identity - associated with traumatic circumstances
Separation of feelings from ideas and events
49. Weed
this drug is a risk factor for schizophrenia in teens
removal of aversive stimulus elicits behavior - mouse presses button to avoid shock
Korsakoff's psychosis
factors are most important in the etiology of schizophrenia
50. Barbituates
the age of onset of ADHD
guilty feelings alleviated by unsolicitied generosity towards others
100 - 15
intox is marked respiratory depression - intox = delerium - life threatening CV collapse