USMLE Psych

Question 1

Discontinue reinforcement leading to behaviour elimination

Answer 1

Extinction

Question 2

Do something to stop unpleasant stimulus

Answer 2

Negative reinforcement

Question 3

Transferring avoided ideas and feelings to a neutral person

Answer 3

Displacement

Question 4

Temporary, drastic change in personality, memory, consciousness, motor behaviour to avoid emotional stress

Answer 4

Dissociation

Question 5

Modeling behaviour after another person who is more powerful

Answer 5

Identification

Question 6

Separating feelings from ideas and events

Answer 6

Isolation of affect

Question 7

Attributing an unacceptable internal impulse to an external source

Answer 7

Projection

Question 8

Replacing a warded-off idea or feeling by an unconscious emphasis on the opposite

Answer 8

Reaction formation

Question 9

Believing that people are either all good or all bad at different times due to intolerance of ambiguity.

Answer 9

Splitting

Question 10

Order of loss of orientation?

Answer 10

Time, place, person

Question 11

Hallucinations upon falling asleep

Answer 11

Hypnagogic

Question 12

Hallucinations upon waking up

Answer 12

Hypnapompic

Question 13

Tactile hallucinations are seen in what condition?

Answer 13

Alcohol withdrawal (sensation of bugs crawling under the skin)

Question 14

What is dysthymia?

Answer 14

Mild depression lasting more than two years

Question 15

What is cyclothymic disorder?

Answer 15

Mild depression with hypomania for at least two years

Question 16

How long does a delusion have to last for it to be a delusional disorder?

Answer 16

1 month

Question 17

How long before you can dx schizophrenia?

Answer 17

6 months

Question 18

How long before you can diagnose mania?

Answer 18

1 week

Question 19

How long before you can dx MDD?

Answer 19

2 weeks

Question 20

What are the features of pathologic grief?

Answer 20

> 6 months, fulfills MDD criteria, +/- psychosis

Question 21

When is ECT used?

Answer 21

Refractory depression, depression with psychosis, acutely suicidal patients

Question 22

Generalized anxiety disorder vs adjustment disorder?

Answer 22

Adjustment disorder 6 months, no ID’ed stressor

Question 23

How long before you can dx PTSD?

Answer 23

1 month

Question 24

What is schizoaffective disorder and how long til you can dx?

Answer 24

Two weeks, psychosis with superimposed depression or mania.

Question 25

Euphoria, grandiosity, pupillary dilation, prolonged wakefulness and attention. Intoxication with?

Answer 25

Amphetamines

Question 26

Belligerence, impulsivity, tachycardia, homicidality, psychosis, delirium, seizures. Intoxication with?

Answer 26

PCP

Question 27

Perceptual distortions, depersonalization, anxiety, paranoia, psychosis. Intoxication with?

Answer 27

LSD

Question 28

How long to dx PTSD?

Answer 28

> 1 month

Question 29

How long to dx generalized anxiety disorder?

Answer 29

6 months