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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. Personality trait
IQ<70
How long marijuana is detectable in the urine after last use
define bipolar disorder and distinguish I from II
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself
2. 6-12 months
potential tx for nicotine withdrawal
the 5 types of schizophrenia
How long episodes of major depressive episode usually last
depressant intoxication - nonspecific
3. Presence of at least one manic (I) or hypomanic (II) episode - depressive sx occur eventually
100 - 15
persistant feelings of detachment or estrangement from one's own body - a social situation - or the environment
define bipolar disorder and distinguish I from II
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. Delusions
avoidance of awareness of a some painful reality
gustatroy hallucinations common
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years
false beliefs not shared with other members of culture/subcutlure that are firmly maintained in spite of obvoius proof to the contrary
5. Tourrette's
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr
When to hypnopompic hallucinations take place
milder form of depression lasting at least 2 years
Diagnosis requres 2 of 5 of which sx
6. Anxiety - tremor - seizures - insomnia
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
depressant withdrawal - nonspecific
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode
100 - 15
7. Altruism - mafia boss makes a large donation to charity
heroin users at increased risk of...
removal of aversive stimulus elicits behavior - mouse presses button to avoid shock
gender autism is more common in
guilty feelings alleviated by unsolicitied generosity towards others
8. Somatization disorders
pieces of evidence of physical child abuse
both illness and motivation are subconcious - sx not intentionally produced or feigned
reward received after random number of responses - slowly extinguished - slot machine
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence
9. 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
doctor projects feelings about formative or other important persons onto patient
suboxone and the rational of adding an antagonist
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
SAD PERSONS
10. CBT - SSRI - TCI - BDZ
neurologic outcome associated with W- K syndrome
whenmen vs women present with schizophrenia
the tx for panic disorder
repetitive and pervasive behavior violating social norms - disorder - and name change after 18
11. Yes
lifetime prevalance of tourrette's in the gen pop - and the chance of coprolalia
avoidance of awareness of a some painful reality
strong persistant cross gender identification
Is body weight maintained within nl range in bulimia nervosa
12. Distractability - irresponsibility - grandiosity - flight of ideas - increase in Activity/Agitation - decrease need for sleep - talkativeness or pressured speech (at least 3)
DIG FAST
the tx for panic disorder
the tx of W- K syndrome
overwhelming fear of separation from home or loss of attachment figure that can lead to factitious physical complaints to avoid going to school
13. LSD
patient projects feelings about formative or other important persons onto physician
maladaptive pattern leading to clinically significant impairment or distress
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation
What ego dystonic means in relation to OCD
14. Men early 20s - women late 20s early 30s
whenmen vs women present with schizophrenia
the time frame for schizophreniform disorder
This gross neurological finding is associated with ADHD
Is body weight maintained within nl range in bulimia nervosa
15. Operant conditioning
learning in which a particular ation is elicited because it produces a reward
maladaptive pattern leading to clinically significant impairment or distress
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics
Schizophrenia
16. Hepatitis - abscesses - OD - hemorrhoids - AIDS - right sided endocarditits
heroin users at increased risk of...
auditory hallucinations common
causes wernicke - korsakoff syndrome
the tx for BDZ intox - MOA
17. Retrograde amnesia
repetitive and pervasive behavior violating social norms - disorder - and name change after 18
inability to remember things that occurred before CNS insult
the associations/complications of bulimia nervosa
neurologic outcome associated with W- K syndrome
18. 1 month
causes wernicke - korsakoff syndrome
How long marijuana is detectable in the urine after last use
learning in which a natural response is elicited by a conditioned - or learned stimulus that previously was presented in conjuction with an unconditioned stimulus
How long episodes of major depressive episode usually last
19. Countertransference
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...
doctor projects feelings about formative or other important persons onto patient
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited
20. Schizoaffective disorder
SAD PERSONS
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode
the tx for panic disorder
intox = restlessness - increase diureis - muscle twitching
21. Supression - not thinking about the USMLE until the week of the exam
voluntary withholding of an idea or feeling fromk concious awareness
exaggerated fear of embarrasment in social situations - disorder and tx
PANICS
the tx for alcoholism
22. Schizophrenia
the tx for alcoholism
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months
23. Continuous reinforcement schedule
reward received after every response - rapidly extinguished - vending machine
misinterpretations of actual external stimulus
How long episodes of major depressive episode usually last
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...
24. Regression - seen in children under stress and in patients on dialysis (crying)
whering clothes of the opposite sex
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse
turning back the maturational clock and going back to earlier modes of dealing with the world
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects
25. Cluster A personality disorder
odd or eccentric; inability to develop meaningful social relationships
Stanford - binet
the age of onset of ADHD
potential tx for nicotine withdrawal
26. Naloxone - naltrexone - and symptomatic for withdrawal sx
factors are most important in the etiology of schizophrenia
the tx for opiod intox and withdrawal
avoidance of awareness of a some painful reality
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain
27. Splitting - a pt that says all nurses are nice and all doctors are bad
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
abrupt change in geographic location with inability to recall past - confusion about personal identity - or assumption of a new identity - associated with traumatic circumstances
belief that people are either all good or all bad at different times due to intolerance or ambiguity
the tx for OCD
28. Methadone
maladaptive pattern of substance use with 3 or more of these 7 criteria
Is body weight maintained within nl range in bulimia nervosa
learning in which a particular ation is elicited because it produces a reward
Long acting oral opiate for heroine detox or long term maintenance
29. ADHD
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability
application of aversive stimulus extinguishes unwanted behavior
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection
mediator between primal urges and accepted behavior
30. Mallory weiss syndrome
Moral values - conscience can lead to self blame and attacks of ego
Long acting oral opiate for heroine detox or long term maintenance
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs
Longitudinal lacerations of the gastroesophogeal junction caused by excessive vomiting
31. EtOH withdrawal - cocaine abusers
Schizophrenia
odd or eccentric; inability to develop meaningful social relationships
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects
tactile hallucinations common
32. Superego - you know you can't have it - taking it is wrong
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder
Long acting oral opiate for heroine detox or long term maintenance
intox = restlessness. Withdrawal = irritability - anxiety - craving
Moral values - conscience can lead to self blame and attacks of ego
33. In what disease does NE decrease - 5HT decrease and DA decrease?
Depression
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
the typical abuser in sexual abuse
psychiatric disorder associated with tourrettes - and the treatment
34. In what disease is GABA decrease and ACH decrease?
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months
Huntingtons
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
intox = ataxia - minor respiratory depression
35. Delusions - hallucinations - disorganizaed speech - disorganized or catatonic behavior and negative sx
Where child neglect is reported
mediator between primal urges and accepted behavior
the tx of W- K syndrome
Diagnosis requres 2 of 5 of which sx
36. Delusional disorder
less than what percentage of ideal body weight is common in anorexia nervosa
PANICS
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited
the epi of physical child abuse
37. Peak incidence 9-12 years of age
the common sx of PTSD
repetitive and pervasive behavior violating social norms - disorder - and name change after 18
the epi of sexual abuse
prolonged pain with no physical findings - psychosocial factors play an important role in severity exacerbation or maintenance
38. Amphetamines
lifetime prevalance of tourrette's in the gen pop - and the chance of coprolalia
the age of onset of ADHD
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence
gets schizophrenia and the prev
39. Stress of physical illness - punishment - birth of a new sibling - fatigue (bedwetting in a previously toilet trained child when hospitalized
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability
Under these conditions do children regress to younger patterns of behavior
the goal of the ego defenses
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs
40. Body dysmorphic disorder
suboxone and the rational of adding an antagonist
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning
development of delusions in a person in a close relationship with delusional disorder
Number of major depressive episodes constitute major depressive disorder
41. Substance withdrawal - signs are often opposite of intoxication
delerium tremens symptoms
Depression
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
42. Failure to provide adequate food - shelter - supervision - education and/or affection - most common form of child maltreatment
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months
child neglect
inbability to recall important personal information - usually subsequent to severe trauma or stress
43. Irreversible memory loss - confabulation - personality change
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44. Unconcious mental processes to resolve conflict and prevent feelings of anxiety and depression
depressant intoxication - nonspecific
the definition of alcoholism
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse
the goal of the ego defenses
45. Aura of psychomotor epilepsy and in brain tumors
olfactory hallucinations common
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics
perceptions in the absence of external stimulus
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of
46. Like manic but without marked impairement in fxning - no pyschotic features
Drugs with what kind of affect can lead to a state of delirium
<40 and <20
a hypomanic episode
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects
47. EtOH - drugs - fluid/lytes imbalance - head trauma - hypoglycemia - nutritional def
inbability to recall important personal information - usually subsequent to severe trauma or stress
the 5 types of schizophrenia
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens
the common causes of lack or orientation
48. The mean IQ and SD?
tantrums
100 - 15
an unacceptable internal impulse is attributed to an external source
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects
49. Caffeine
heroin users at increased risk of...
the tx of W- K syndrome
intox = restlessness - increase diureis - muscle twitching
the treatments for ADHD
50. Before 7
DIG FAST
gender autism is more common in
the age of onset of ADHD
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures