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psychiatry

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
what is the no methylphenidate tx for adhd   atomoxetine (SNRI) amphetamines ( dexedrine )  
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what is conduct disorder   antisocial behavior in children less than 18  
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oppositional defiant disorder   anti authority children but not anti social  
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tourette syndrome diagnosis criteria is ?   sudden motor or verbal tics > 1 yr < 18 yrs old  
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tourette treatment is what ???   haloperidol  
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Separation anxiety disorder common at what age ?   7-9  
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hallmark of autism is what ?   poor language social  
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is intelligence normal ???   often below normal  
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treatment of autisms   social and language  
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a child with normal intelligence and language but poor social relations is what ?   aspergers  
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after 4 yrs old girls with poor language aggresion ataxia mental retardation and stero typed hand writing   this is an x linked disease affecting girls as boys mostly die , Called Rett's dis  
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loss of language motor bowel bladder social adaptive Skills 2 yrs of normal devel is what   childhood disintegrative disorder  
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stanford binet is ???   mental age / chrono age  
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an intelligence test is used to quantify intelligence decline in adults , what is this ?   WAIS Wechsler Adult intelligence scales 3 , 14 subsets 7 verbal and 7 performance  
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what intelligence is scale is used for children between ages of 6-16 ?   WISC  
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Operant conditioning is about what ?   encouraging a behaviour , reducing a behavior or eliminating, + and - re inforcement, punishment and extinction  
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what is the main premise of freudian psychi analyisis ?   make him her aware of sub concious  
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shaping is a of social learning but what does this mean   ???  
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how many stages and names of development ?   oral sensory stages and adolescence are examples , 8 erikson  
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some one is having a tantrum, what is defense ?   acting out, where they are acting out unacceptable thought and feeling's  
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A man's memory has dramatically been lost he also has change in conciousness and motor functions temporarily , what is this   defense mechanism is dissociation  
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blaming a child when angry at husband   displacement  
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a man who wants another woman thinks his wife is cheating on him   projection  
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patient with libidinous thoughts enters a monastery   this is reaction formation  
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involuntary holding of idea or feeling from consciousness   repression  
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all nurses are cold and docs are great   splitting  
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concious with holding of thoughts   suppression  
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if you are unable to recall stuff post stress this is ???   dissociative amnesia  
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Alcoholic is ataxic and has ophthalmoplegia and confused , this is?   wernicke'  
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an alcoholic is unable to recall recent or past memories has personality changes   korsakoff  
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adhd commences before what age ?   7  
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is intelligence normal in adhd ?   yes  
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what % into adulthood for adhd   50 %  
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lifetime prevalence of tourettes is   0.1 to 1 %  
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what other disease is touretted associated with   ocd  
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what are the neuro transmitter changes in huntingto's   low ach low gaba  
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what are the neuro transmitter changes in alzheimer's   low ach  
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what are the neuro transmitter changes in depression   low serotonin low ne low DOPAMINE  
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what are the neuro transmitter changes in schizo phrenia   raised DOPAMINE  
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what are the neuro transmitter changes in parkinson   low dopamine and raised ach  
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what are the neuro transmitter changes in anxiety   raised ne low gaba low serotonin  
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define delirium   waxing waning consciousness acute onset  
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what drug commonly causes   anti chonergics  
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delirium can involve what features clinically   psychosis disorganized thought and decline cognition  
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is eeg normal in delirium ???   no it is abnormal  
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dementia definition is ???   gradual deterioration of cognition memory loss of abstract thougt , personality judgement aphasia apraxia  
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is eeg normal in dementias   yes  
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loss of associations refer to what ?   the way ideas are connected together  
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hypnogogc is ???   when go to sleep hallucinations  
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hypnapompic is when   hallucinating coming out of sleep  
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Schizophrenia is ? what are the types ?   2 or more of delusions psychosis disoredered thought disordered behavior of neg sxs , types are CURD P paranpid catatonic , undifferentiated , residual , disoredered ,  
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negativ sxs are   socially withdran , low affect and speech and behavior  
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psychosis less than a 1 / 12   brief psychotic disorder  
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psychosis 1 six month is   schizophreniform  
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at leas 2 weeks of normal affect and the psychosis and major depression or mania is   schizo affective  
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a fixed and false belief > a month is   fixed delusional disorder  
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fixed delusional diorder if another person bleieves then does not once sep is   foli a deux  
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prescence of one or more personalities is associated with what , occurs in waht sex ? is called ???   sexual abuse . women . dissociative identity disorder  
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a patient feels detached or depersonalised from oneself ???   depersonalization disorder  
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man turns up in a mall confused no memory of self assumes identity   this is dissociative fuge  
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what causes dissociative fugeue   trauma and stress often like major disasterss  
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how long should a manic episode be   a week at least  
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what is mania   irritable elevated expansive mood at least a wk  
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what does the diagnostic criteria require at least   3 or more of DIG FAST distractibility , Irresponsibility , Grandiosity flight of idea active psycho motor agitation sleep need talkativeness  
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hypo mania is   no psychosis or social dysfunctional  
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bipolar is   at leas on either mania type 1 or hypo mania type 2 and depressive sxs  
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a bipolar disorder that lasts for at least 2 years is   cyclothymic  
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tx bipolar with   lithium , sodium valprioate , carbamazepine and atypical anti psychotics  
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dysthymia is   mild depressiv sxs for at least 2 yrs  
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depressed people sleep patterns   rem reduced interval . rem increase duration . less slow wave sleep  
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over eating , over sleeping is associated with what tyoe of depression   atypical  
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in atypical depression what is the mood like   reactive as in if circumstances improve this improves also weight gain and rejection sensitivity is another  
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major se of ect   amnesia  
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what are the risk factors for suicide completion   SAD PERSONS sex male age young or old depression previous attempt ethanol or Drug rational thinking loss sickness medical 3 or more px meds organised plans no spouse social supports lacks  
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panic disorder is   > 4 of PANICS and recurrent intense fear peaks in 10 mins up  
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ocd is   recurrent THOUGHT SENSATION FEELING and relieved via behavior  
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ocd tx   ssri and clomipramins  
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ptsd   recurrent sxs experienced > 1/12 duration and onset > 1 / 12 after onset of event  
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GAD   anxiety ? six months ,  
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tx GAD   buspirone benzos ssri  
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adjustment disorder   specific sit causing anxiety normally <6 months or if chronic > six months  
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malingering is   secondary gain like money consious  
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factitious   primary gain psychological  
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somatoform disorders are concious or unconcious ?   unconcious  
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somatisation is what ???   multiple sxs over years  
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conversion is ???   acute sxs like blinded but indifferent  
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hypo chondriasis   fear of disease in absence  
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painn disorder   pain in absence  
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body dysmorphic   specific physical  
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inflexible maladaptive personality unaware of this causing dysfunctionality is   personality disorder  
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personality disorder cluster a is associated with what geneticaly   is associated with Schizophrenia  
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describe personality disorder A   Weird odd  
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type of personality A   since ass with schizo 1. paranoid 2. schizoiD Distant 3. Schitotypal odd belief magical Thinking  
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Cluster B disorder is   Wild or dramatic and emotional  
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tyoes of cluster b   genetically linked to mood and substance ab 1. anti social Socio paths 2. borederline slef mutilation unstable moods 3. histrionic , attention seeking sexually provocative overly concerned with appearance 4. Narcissistic  
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describe feature of narcissistic   grandiose lacks empathy sense of entitlement lacks empathy requires excessive admiration demands best andreacts to criticism badly  
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describe featuures of histrionic PD   attention seeking emotional sexually provocative overly concerned with appearance  
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features of borderline   unstabl mood self mutilation  
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major defense mechanism of borderline is   Splitting  
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major def mech of paranoid is   Projection  
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what are personality type C disorders associated with genetics   anxiety  
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type c personality are   1. avoidant 2. OCD 3. Dependant  
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describe dependant personality disorder   clingy and low self esteem  
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describe avoidant personality disorder   avoids socially over sensitive to rejection although wants relations  
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describe the ocd personality   perfectionist behaviors consistent with beliefs vs OCD , control freaks and ego syntonic  
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a persona who is distant   schizoiD  
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a person who is schizoid and is also odd thinking is   schizo typal  
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a person who is schophrenic is   more add thinkin and behavior than schizotypal  
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a person who is schizoaffectiv is   schizophrenia and bipolar or mood disorders  
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ptient diets execrcise and purg to weight below 85 % ideal weights this ???   anorexia nervosa  
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what clinical probs   amenorrhoea anamia and of course osteo porrhosis  
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patients with calluses on back hands normal weight abnormal UE major enamel and binging and purging takes laxatives and diuretics   Bulimia nervosa this also has alkalosis and parotitis  
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persistent discomfort with ones sex `   Gender id disorder  
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dx for substance dep   3 or more of 1-7 for a year  
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what are the 1-7 criteria of dx for subs abuse   tolerance, withdrawal , larger amounts over longer times , unable to cut down may try , resource in getting , reduced social occupational or recreational time continuing use despite the knowledge  
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dx of subs abuse   NEVER met criteria for dep recurrent failur of fulfillmet of work social ans home pbligations recurrent use in hazardous situ recurrent legal probs continued use  
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does bp go up or down in alcohol withdrawal ?   up  
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Intoxication tx of alcohol   disulfuram nis antabuse altrexone is anti opiod receptor accomprosate reduces relaps  
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intoxication tx of opiods   naloxon naltrexone  
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rhinorrhoea diarrhoea yawning dialted pupils and sewating are signs of withdrawal from ...   opiods  
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what is the tx choice for OD alcohol withdrawals   benzo  
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what is the tx for opiods withdrawal   naloxone + buorenorphine ( Suboxone ) or methadone  
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od of barbiturates   low threshold safety resp cvs dep  
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tx of barbs od   supportive  
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withdrawal from barbs risks   cardio collaps  
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benzo od tx   flumazenil GABA antagonists  
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impaired judgement agitation halluciantes pupil dilated prololnged wakefulness euphoria   amphetamines  
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amphetamines withdrawal   crash depress  
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impaired judg pupils dilated euphoria agitated tachy angin sudden cardia death   cocain  
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cocain withdrawal   crash depress SUICIDAL hyper somnolence  
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what drug causes restlessness insomnia muscle twitching and cardic arrythmias ans diuresis   caffein  
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restless insomnia headaches arrythmias form what drug   nicotin  
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nicotine withdrawal   weight gain irritable restlessness  
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Beligerenc and nystagmus vertically and horizontally hallucinates homicidal psychosis   PCP  
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flash backs pupillary dialtion visual hallucinations   lsd  
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what are the eyes doing in pcp od   nystaAGMUS VERTICAL HOR  
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WHAT ARE THE EYES DOING IN LSD OD   Dilated  
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hallucinations dry mouth social withdrwal euphoria and anxiety   maijuana  
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se of marijuana withdrawal   irritable depressed insomia symtoms peak in 248 hrs  
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how long can marijuana be detected in urine for up to   1 / 12  
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how long can withdrawal sxs last   5-7 days  
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heroin addiction tx   methadon and Sub oxone  
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at what stage get DT's   after 2-5 Days  
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