Psychiatry

Question 1

Cluster A personality disorders (Weird)

Answer 1

PPD, schizoid, schizotypal

Question 2

What differentiates PPD from paranoid schizophrenia?

Answer 2

They do not have any fixed delusions. They are not frankly psychotic, though they may have transient psychosis under stressful situations.

Question 2

Axis I

Answer 2

Clinical diagnoses – mental illnesses including substance-abuse and developmental disorders.

Question 3

Axis II

Answer 3

Personality disorders and developmental/retardation disorders

Question 4

Axis III

Answer 4

Describes physical disorders or general medical conditions

Question 5

Axis IV

Answer 5

Describes the severity of psychosocial factors, including environmental problems.

Question 6

Axis V

Answer 6

The GAF or global assessment of functioning.

Question 7

GAF

Answer 7

Hospitalized patient

Question 8

Borderline IQ

Answer 8

70 to 79

Question 9

TAT

Answer 9

Thematic apperception test. Tested individual create stories based on pictures of people in various situations. Evaluation of motives behind behaviors.

Question 10

Rorschach test

Answer 10

Inkblots to identify thought disorders and defense mechanisms.

Question 11

Weschler adult intelligence scale (WAIS)

Answer 11

Adult assessment of overall intellectual functioning. Consist of verbal and visual spatial components.

Question 12

Stanford Binet test

Answer 12

Assesses intellectual ability of patients aged 2 to 18

Question 13

Tarasoff rule

Answer 13

The obligation of the doctor to notify any potential victims and proper authorities of a patient’s intent to harm.

Question 14

Patient is talking in accelerated form and is uninterruptible

Answer 14

Pressured speech

Question 15

Automatisms

Answer 15

Involuntary movements in an altered state of consciousness us. Can be either purposeful or disorganized.

Question 16

Mood versus affect

Answer 16

Mood is what the patient says it is. Affect is what you observe.

Question 17

Loose associations

Answer 17

No logical connection from one thought to another.

Question 18

Flight of ideas

Answer 18

Thoughts change abruptly from one idea to another usually with rapid/pressured speech.

Question 19

Neologism

Answer 19

Made up words

Question 20

Word salad

Answer 20

Incoherent collection of words

Question 21

Clang associations

Answer 21

Word connections that are due to phonetics rather than actual meaning. An example “my car is red. I’ve been in bed. It hurts my head.”

Question 22

Thought blocking

Answer 22

Abrupt cessation of communication before an idea is finished.

Question 23

Tangentiality

Answer 23

Never reaching the point of the conversation due to a lack of goal directed associations between ideas. Response is usually in the ballpark.

Question 24

Circumstantiality

Answer 24

Reach the point, but with over inclusion of trivial or irrelevant details.

Question 25

Delusions

Answer 25

Fixed false believes that are not shared by a person's culture and cannot be changed by reason. Can be either bizarre or non-bizarre

Question 26

Repetitive intrusive thoughts

Answer 26

Obsessions

Question 27

Repetitive behaviors usually driven by obsessive thoughts

Answer 27

Compulsions

Question 28

Delusions of reference

Answer 28

The belief that some event is uniquely related to the patient.

Question 29

Believe that a TV show character is sending the patient messages via they're acting in dialogue.

Answer 29

Delusions of reference

Question 30

Belief that one's thoughts can be heard or seen by others

Answer 30

Thought broadcasting

Question 31

Somatic delusions

Answer 31

False beliefs concerning body image – I cannot swallow

Question 32

Sensory perception in absence of an actual stimulation.

Answer 32

Hallucination

Question 33

In accurate perception of an existing stimulus.

Answer 33

Illusion

Question 34

Auditory hallucinations are associated with…

Answer 34

Schizophrenia

Question 35

Visual hallucinations are associated with…

Answer 35

Alcoholic hallucinosis, other chemical causes.

Question 36

The most important predictor of future violence.

Answer 36

History of violence

Question 37

Minnesota multiphasic personality inventory (MMPI – 2)

Answer 37

Personality test for different pathologies and behavioral patterns.

Question 38

Olfactory hallucinations are usually…

Answer 38

An aura associated with epilepsy

Question 39

Tactile hallucinations are seen with...

Answer 39

Drug abuse and alcohol withdrawal.

Question 40

Respond better to current antipsychotic medications.

Answer 40

Positive symptoms

Question 41

When typical and atypical antipsychotics fail to resolve symptoms.

Answer 41

Clozapine (clozaril)

Question 42

Three phases of schizophrenia

Answer 42

Prodromal, psychotic, residual

Question 43

Prodromal schizophrenia may appear…

Answer 43

Schizotypal with social withdrawal and irritability.

Question 44

Positive symptoms of schizophrenia occur during this phase.

Answer 44

Psychotic phase

Question 45

Residual phase of schizophrenia

Answer 45

Between psychotic phases of schizophrenia, marked by negative symptoms.

Question 46

Anhedonia

Answer 46

Without pleasure

Question 47

Alogia

Answer 47

Poverty of speech

Question 48

Symptoms of schizophrenia

Answer 48

Positive, negative, and cognitive

Question 49

Cognitive symptoms of schizophrenia

Answer 49

Impaired attention, executive function, and working memory

Question 50

Subtypes of schizophrenia

Answer 50

Paranoid, disorganized, catatonic, undifferentiated, or residual

Question 51

Schizophrenia with only minimal evidence of positive symptoms

Answer 51

Residual type

Question 52

Schizophrenia with motor problems. Echolalia or echopraxia

Answer 52

Catatonic type (Very rare). Copy speech and copy movement.

Question 53

Poor functioning schizophrenia early-onset. With disorganized speech, disorganized behavior and flat or an appropriate affect.

Answer 53

Disorganized schizophrenia

Question 54

Higher functioning schizophrenia that occurs at an older age. Preoccupation with one or more delusions or frequent auditory hallucinations.

Answer 54

Paranoid type

Question 55

Psychotics symptoms for less than one month

Answer 55

Brief psychotic disorder

Question 56

Schizophrenia from 1 to 6 months.

Answer 56

Schizophreniform disorder

Question 57

The idea that mentally ill people eventually make their way down to the lower tiers of society and populate the lower socioeconomic status.

Answer 57

Downward drift hypothesis

Question 58

Akathisia

Answer 58

Unpleasant subject of sense of restlessness, inability to sit still

Question 59

Lifetime prevalence of schizophrenia

Answer 59

1%

Question 60

Head CT of a schizophrenic patient shows…

Answer 60

Enlargement of the ventricles and diffuse cortical atrophy

Question 61

Predisposition to paranoid psychosis.

Answer 61

Deafness

Question 62

Dopamine antagonists. Mostly D2

Answer 62

First generation antipsychotics: chlorpromazine Thioridazine trifluoperazine haloperidol

Question 63

Common side effects of first-generation antipsychotics

Answer 63

Extraparametal symptoms, neuroleptic malignant syndrome, and Tardiva dyskinesia

Question 64

Involuntary learned responses.

Answer 64

Classical conditioning

Question 65

Voluntary response is associated with positive reinforcement, negative reinforcement, punishment, and extinction.

Answer 65

Operant conditioning

Question 66

When patient project feelings about formative or other important persons onto a physician.

Answer 66

Transference

Question 67

A physician reciprocating the patients feelings of formative or important person.

Answer 67

Countertransference

Question 68

Unconscious mental processes used to resolve conflict and prevent undesirable feelings.

Answer 68

Ego defenses

Question 69

Expressing an acceptable feelings and thoughts through actions such as tantrums.

Answer 69

Acting out

Question 70

Intoxication with visual hallucination and aggression.

Answer 70

PCP or phencyclidine

Question 71

Intoxication with CNS depression constipation and pinpoint pupils

Answer 71

Heroin or other opioids

Question 72

Intoxication with formication

Answer 72

Cocaine