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68 Cards in this Set

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What % of MR cases are caused prenatally (0-8wks)?
1. 5%
2. 10%
3. 50%
4. 75%
4. 75% (5% genetic, 10% perinatally - one pound in utero to one month after birth, 10% post-natally)
People with MR are how many times more likely to have a comorbid mental disorder than the general pop?
1. 1-2 x
2. 2-3x
3. 3-4x
4. 4-5x
3. 3-4x
The male to female ration for MR is:
1. 1 to 1
2. 1:2
3. 1.5:1
4. 2:1
3. 1.5:1 male to female
What % of MR persons are mildly MR (70-55)?
1. 25%
2. 50%
3. 75%
4. 85%
4. 85%
In order to be dx with a learning d/o, what must be present?
1. a sign descrepancy b/w IQ and academic achievement (1 to 2 SD)
2. dyslexia
3. IQ issues
4. low self esteem
1. there must be a sign discrepancy b/w IQ and academic achievement
Approx how many children will outgrow an expressive language d/o?
1. 10%
2. 25%
3. 50%
4. 75%
3. 50%
Onset of Autistic D/o must be:
1. before 1
2. before 3
3. before 5
4. can be dx at any age
2. before 3
About 75% of all children wtih Autistic D/O are also dx with:
1. MR
2. reading d/o
3. dyslexia
4. savant abilities
1. MR
Male to female ratio for Autistic d/o is:
1. 4:1
2. 3:2
3. 4:2
4. 5:2
1. 4:1 or 5:1 male to female ratio
Rett's disorder is:
1. only found in males
2. only found in females
3. found in both males and females
3. only found in females
What d/o shows a sudden deceleartion head growth, acquisition of sterotyped hand movements, loss of social engagement and the appearance of poorly coordinated movements, with severely impaired language dev, psychomotor retardation and occurs b/w the ages of 5 mo and 48 mo?
1. Autistic D/O
2. Rett's D/o
3. chidlhood disinegrative d/o
4. aspergers
2. rett's d/o (only found in females)
Which d/o invovles normal dev for 2 years, followed by a clinically sign loss of prev acquired skills before age 10 in at least 2 areas (language, social skills, play, motor, bowel/bladder)?
1. Autistic
2. Rett's
3. childhood disintegrative d/o
4. asperger's
3. childhood disintegrative disorder (more common wtih boys)
What two areas are not impaired in asperger's?
1. langauge, cogn/dev
2. adaptive beh and repeative movement
3. flexibility, communication
4. social skills, language
1. language dev and cogn dev are intact/normal (no issues in adaptive beh)
How many of the criteria is needed to dx ADHD?
1. 3 or more
2. 4 or more
3. 5 or more
4. 6 or more
4. 6 or more
male to female ratio for ADHD is:
1. 4:1x
2. 6:5x
3. 6-9:1x
4. 9:1x
3. 6-9 times more common in males than females
to obtain a dx of conduct d/o, the person:
1. must meet three criterion
2. must meet 3 criteria within last year
3. must meet 3 criteria w/in last year and 1 criterion in past six months
4. must meet 3 critria within last six months
3. must meet 3 criteria w/in last year and 1 criterion in past six months
to receive ODD, a person must have at least 4 of the criteria for a minimum of what amount of time?
1. 1 month
2. 4 months
3. 6 months
4. 1 year
3. 6 months
by what age does ODD typically become present?
1. 6
2. 8
3. 10
4. 13
2. 8 years
The repeated regurgitation and rechewing of food for a min of 1 month, following a period of normal functioning is called:
1. Pica
2. rumination disorder
3. eating d/o nos
4. feeding d/o of infancy or early childhood
2. rumination d/o
In order to be dx with encopresis, the child must have reached what age?
1. 2
2. 3
3. 4
4. 5
3. 4 years
To receive the dx of enuresis, a child must be at least what age?
1. 3
2. 4
3. 5
4. 6
3. 5 years
Selective Mutism is freq tx with:
1. antidepressants
2. SSRI's
3. antianxiety meds
4. antipsychotics
2. SSRI's or other antidepressants
Substance dependence requires at least three out of seven sx over a timeframe of:
1. 3 mo
2. 6 mo
3. 9 mo
4. 12 mo
4. 12 mo
Conger's tension reduction hypothesis relates to what:
1. stress relieve
2. catharsis
3. alcohol use
4. need for "play time"
3. alcohol use (drink because they feel unpleasan tensions and through drinking they are able to avoid or reduce unpleasent stress)
Con ger's Tension Reduction Hypothesis works on which principle?
1. positive reinforment
2. negative reinforcement
3. positive punishment
4. negative punishment
2. negative reinforcement
Amphetamine withdrawal is characterized by:
1. dysphoria, fatigue, unpleasant dreams, increased appetite, psychomotor agitation or retardation
2. autonomic hyperactivity, insomnia, nausea, vomiting, hallucinations, seizures
3. flu-like sx, muscle aches, diarrhea, fever, insomnia, pupillary dilation, dysphoric mood
1. dysphoria, fatigue, unpleasant dreams, increased appetite, psychomotor agitation or retardation
Alcohol withdrawal is characterized by:
1. dysphoria, fatigue, unpleasant dreams, increased appetite, psychomotor agitation or retardation
2. autonomic hyperactivity, insomnia, nausea, vomiting, hallucinations, seizures
3. flu-like sx, muscle aches, diarrhea, fever, insomnia, pupillary dilation, dysphoric mood
2. autonomic hyperactivity, insomnia, nausea, vomiting, hallucinations, seizures
Opiod withdrawal is characterized by:
1. dysphoria, fatigue, unpleasant dreams, increased appetite, psychomotor agitation or retardation
2. autonomic hyperactivity, insomnia, nausea, vomiting, hallucinations, seizures
3. flu-like sx, muscle aches, diarrhea, fever, insomnia, pupillary dilation, dysphoric mood
3. flu-like sx, muscle aches, diarrhea, fever, insomnia, pupillary dilation, dysphoric mood
Amphetamine Intoxication Delirium can result in:
1. tactile hallucinations
2. visual hallucinations
3. olfactory hallucinations
4. 1 and 3
4. 1 and 3
Reexperiencing perceptula symptoms including geometric hallucinations, false percpetions of movement, flashes of color, halos around objects, or trails of images of moving objects are associated with:
1. schizophrenia
2. psychotic d/o NOS
3. hallucinogen persisting perception d/o
4. schizoid personality d/o
3. hallciogen persisting perception d/o
What level of success is deemed adequate for quiting smoking programs?
1. 15-20%
2. 25-30%
3. 35-40%
4. 50-55%
1. 15-20%
Put the following schiz subset considerations in order:
1. residual, undifferentiated, catatonic, paranoid, disorganized
2. paranoid, catatonic, disorganized, undifferentiated, residual
3. paranoid, disorganized, catatonic, undifferentiated, residual
4. catatonic, disorganized, paranoid, undifferentiated, residual
4. catatonic, disorganized, paranoid, undifferentiated, residual
Which of the following is not associated with schizophrenia:
1. enlarged lateral and third ventricles
2. smaller cerebral cortex
3. larger thalamus
4. decreased frontal lobe activity
3. schiz show smaller thalamus, rather than larger
male to female ratio for schizophrenia is:
1. 1:2
2. 2:1
3. equal
4. 1.5:1
3. equal
Which of the schizophrenia subsets has the best prognosis?
1. catatonic
2. disorganized
3. paranoid
4. undifferentiated
5. residual
3. paranoid
Although prevalence is equal for males and females in regards to schizophrenia, which gender has a better prognosis?
1. female
2. male
3. it is equal
1. female
What is the prevalence rate for schizophrenia in the general population?
1. 1%
2. 3%
3. 7%
4. 10%
1. 1%
A sibling of someone with schizophrenia has what degree of risk for developing the d/o?
1. 1%
2. 5%
3. 10%
4. 50%
3. 10% or ten times more likely than the general pop (which has a 1% prevalence rate)
identical twins have what concordance rate regarding schizophrenia?
1. 10%
2. 20%
3. 50%
4. 75%
3. 50%
If both parents are schizophrenic, what is the risk of dev the d/o?
1. 10%
2. 35%
3. 45%
4. 50%
3. 45%

(1% in general pop, 10% b/w sib, 50% with twins)
When a psychotic episode lats at least a month, but less than six, what is the dx?
1. schizophrenia
2. schizopreniform d/o
3. schizoaffective
4. brief psychotic d/o
2. schizophreniform d/o (identical to schizo, but less than six months)
A person presents wtih one or more of the following: delusions, hallucinaions, disorganized speech, or grossly disorganzed or catatonic beh from one day to one month. What is the dx?
1. schizophrenia
2. schizophreniform
3. brief psychotic d/o
4. delusional d/o
3. brief psychotic d/o

schizophreniform is at least one month to 6 mo, schizophrenia is more than 6 mo
True or false: studies show that stressors may play a more sign role in the dev of the first and second episodes than subsequent ones?
True
which of the following is not accurate about major depressive disorder?
1. twice as common in adolescent and adult females as males
2. prepubertal boys have a higher incidence than prepubertal girls
3. 1.5-3 times more common among first degree relatives
4. most prevalent in 25-44 yr old range
2. is incorrect. The rate of prevalence is equal in prepubertal children
For major depressive d/o, the concordance rate is 55-60% for identical twins. What is it for fraternal twins?
1. 10%
2. 20%
3. 30%
4. 40%
2. 20%
men complete suicide how much more often than women?
1. 1.5x
2. 2x
3. 3x
4. 4x
4. 4x
Suicide rates are highest among native amer and losest with asian and hisp americans. How much more likely are whites to commit suicide than African Americans?
1. 1x
2. 2x
3. 3x
4. 4x
2. twice as likely
Which group has the highest rates of suicide
1. teenagers
2. 20-30
3. 30-45
4. over 65
4. over 65
What is the prevalence rate for females to males for dysthymia?
1. 1:1
2. 2:1
3. 3:1
4. 4:1
3. 3:1 female to male ratio; in children it is 1:1 for boys and girls
What is the prevalence rate for females to males for Bipolar I?
1. 1:1
2. 2:1
3. 3:1
4. 4:1
1. 1:1 (although bipolar II a little more common in women)
What % of people who have a manic episode go on to have another?
1. 40%
2. 60%
3. 75%
4. 90%
90%
Concordance rates among identical twins for Bipolar I disorder are:
1. 50%
2. 60%
3. 75%
4. 80%
4. 80% (20-25% for fraternal twins)
What is the dx when there has been a manic episode without a major depressive episode?
1. bipolar I
2. bipolar II
3. Bipolar NOS
1. bipolar I (could have or could not have a major dep episode, but must have a manic episode)
What is needed to dx bipolar II?
1. the presence of a major depressive episode and the presence of a hypomanic episode
2. the presence of a major depressive episode and the presence of a manic episode
3. the presence of a manic episode
4. the presence of a hypomanic episode
1. must have at least one major depressive episode and one hypomanic episode
Panic attacks, which are not codeable themselves, are often treated with:
1. antianxiety meds
2. antidepressants
3. antipsychotics
4. sedatives
2. antidepressants (such as Tofranil/imipramine or SSRIS)
Panic Disorder w/out agoraphobia is more common in females at what level?
1. twice as likely
2. three times as likely
3. four times as likely
4. five times as likely
1. twice as likely
Panic Disorder w/ agoraphobia is more common in females at what level?
1. twice as likely
2. three times as likely
3. four times as likely
4. five times as likely
2. three times as likely
OCD is often treated with:
1. Anafranil
2. Clomipramine
3. Prozac
4. all of the above
All of the above (Anafranil is Clomipramine)
an overactive caudate nucleus is associated with:
1. OCD
2. jacob Creutzfeld Disease
3. Schizophrenia
4. Huntington's Disease
1. ocd (atrophy of the caudate nucleus is associated with huntington's disease)
Hypochondriasis shows what gender prevalence (male:female):
1. equal
2. 1:2
3. 2:1
4. 1:3
1. equal
Body dysmorphic disorder shows what gender prevalence (male:female):
1. equal
2. 1:2
3. 2:1
4. 1:3
1. equal
Gender identity disorder shows what gender prevalence for adults (male:female):
1. equal
2. 5:1
3. 2-3:1
4. 1:3
3. 2-3:1 in adults, 5:1 in children
This is characterized by tremor, muscular rigidity or akinesia:
1. neuroleptic-induced parkinsonism
2. neuroleptic-induced malignant syndrome
3. neuroletpic-induced actue dystonia
4. neuroleptic-induced acute akathisia
5. neuroleptic-induced tardive dyskinesia
6. medication-induced postural tremor
1. neuroleptic-induced parkinsonism
This is characterized by severe muscle rigidity, elevated temperature, and other sx such as labile blood pressure, changes in consciousness, etc.
1. neuroleptic-induced parkinsonism
2. neuroleptic-induced malignant syndrome
3. neuroletpic-induced actue dystonia
4. neuroleptic-induced acute akathisia
5. neuroleptic-induced tardive dyskinesia
6. medication-induced postural tremor
2. neuroleptic-induced malignant syndrome
This is characterized by muscle spasms:
1. neuroleptic-induced parkinsonism
2. neuroleptic-induced malignant syndrome
3. neuroletpic-induced actue dystonia
4. neuroleptic-induced acute akathisia
5. neuroleptic-induced tardive dyskinesia
6. medication-induced postural tremor
3. neuroleptic-induced actue dystonia
This is characterized by restlessness, rocking and pacing:
1. neuroleptic-induced parkinsonism
2. neuroleptic-induced malignant syndrome
3. neuroletpic-induced actue dystonia
4. neuroleptic-induced acute akathisia
5. neuroleptic-induced tardive dyskinesia
6. medication-induced postural tremor
4. neuroleptic-induced akathisia
This is characterized bymovements of the tongue, jaw or extremities:
1. neuroleptic-induced parkinsonism
2. neuroleptic-induced malignant syndrome
3. neuroletpic-induced actue dystonia
4. neuroleptic-induced acute akathisia
5. neuroleptic-induced tardive dyskinesia
6. medication-induced postural tremor
5. neuroleptic-induced tardive dyskinesia
This is characterized by a fine tremor durign attempts to maintain posture:
1. neuroleptic-induced parkinsonism
2. neuroleptic-induced malignant syndrome
3. neuroletpic-induced actue dystonia
4. neuroleptic-induced acute akathisia
5. neuroleptic-induced tardive dyskinesia
6. medication-induced postural tremor
6. medication-induced postural tremor