Dsm

Front 1

What % of MR cases are caused prenatally (0-8wks)?
1. 5%
2. 10%
3. 50%
4. 75%

Back 1

4. 75% (5% genetic, 10% perinatally - one pound in utero to one month after birth, 10% post-natally)

Front 2

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

Back 2

3. 3-4x

Front 3

The male to female ration for MR is:
1. 1 to 1
2. 1:2
3. 1.5:1
4. 2:1

Back 3

3. 1.5:1 male to female

Front 4

What % of MR persons are mildly MR (70-55)?
1. 25%
2. 50%
3. 75%
4. 85%

Back 4

4. 85%

Front 5

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

Back 5

1. there must be a sign discrepancy b/w IQ and academic achievement

Front 6

Approx how many children will outgrow an expressive language d/o?
1. 10%
2. 25%
3. 50%
4. 75%

Back 6

3. 50%

Front 7

Onset of Autistic D/o must be:
1. before 1
2. before 3
3. before 5
4. can be dx at any age

Back 7

2. before 3

Front 8

About 75% of all children wtih Autistic D/O are also dx with:
1. MR
2. reading d/o
3. dyslexia
4. savant abilities

Back 8

1. MR

Front 9

Male to female ratio for Autistic d/o is:
1. 4:1
2. 3:2
3. 4:2
4. 5:2

Back 9

1. 4:1 or 5:1 male to female ratio

Front 10

Rett's disorder is:
1. only found in males
2. only found in females
3. found in both males and females

Back 10

3. only found in females

Front 11

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

Back 11

2. rett's d/o (only found in females)

Front 12

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

Back 12

3. childhood disintegrative disorder (more common wtih boys)

Front 13

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

Back 13

1. language dev and cogn dev are intact/normal (no issues in adaptive beh)

Front 14

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

Back 14

4. 6 or more

Front 15

male to female ratio for ADHD is:
1. 4:1x
2. 6:5x
3. 6-9:1x
4. 9:1x

Back 15

3. 6-9 times more common in males than females

Front 16

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

Back 16

3. must meet 3 criteria w/in last year and 1 criterion in past six months

Front 17

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

Back 17

3. 6 months

Front 18

by what age does ODD typically become present?
1. 6
2. 8
3. 10
4. 13

Back 18

2. 8 years

Front 19

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

Back 19

2. rumination d/o

Front 20

In order to be dx with encopresis, the child must have reached what age?
1. 2
2. 3
3. 4
4. 5

Back 20

3. 4 years

Front 21

To receive the dx of enuresis, a child must be at least what age?
1. 3
2. 4
3. 5
4. 6

Back 21

3. 5 years

Front 22

Selective Mutism is freq tx with:
1. antidepressants
2. SSRI's
3. antianxiety meds
4. antipsychotics

Back 22

2. SSRI's or other antidepressants

Front 23

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

Back 23

4. 12 mo

Front 24

Conger's tension reduction hypothesis relates to what:
1. stress relieve
2. catharsis
3. alcohol use
4. need for "play time"

Back 24

3. alcohol use (drink because they feel unpleasan tensions and through drinking they are able to avoid or reduce unpleasent stress)

Front 25

Con ger's Tension Reduction Hypothesis works on which principle?
1. positive reinforment
2. negative reinforcement
3. positive punishment
4. negative punishment

Back 25

2. negative reinforcement

Front 26

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

Back 26

1. dysphoria, fatigue, unpleasant dreams, increased appetite, psychomotor agitation or retardation

Front 27

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

Back 27

2. autonomic hyperactivity, insomnia, nausea, vomiting, hallucinations, seizures

Front 28

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

Back 28

3. flu-like sx, muscle aches, diarrhea, fever, insomnia, pupillary dilation, dysphoric mood

Front 29

Amphetamine Intoxication Delirium can result in:
1. tactile hallucinations
2. visual hallucinations
3. olfactory hallucinations
4. 1 and 3

Back 29

4. 1 and 3

Front 30

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

Back 30

3. hallciogen persisting perception d/o

Front 31

What level of success is deemed adequate for quiting smoking programs?
1. 15-20%
2. 25-30%
3. 35-40%
4. 50-55%

Back 31

1. 15-20%

Front 32

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

Back 32

4. catatonic, disorganized, paranoid, undifferentiated, residual

Front 33

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

Back 33

3. schiz show smaller thalamus, rather than larger

Front 34

male to female ratio for schizophrenia is:
1. 1:2
2. 2:1
3. equal
4. 1.5:1

Back 34

3. equal

Front 35

Which of the schizophrenia subsets has the best prognosis?
1. catatonic
2. disorganized
3. paranoid
4. undifferentiated
5. residual

Back 35

3. paranoid

Front 36

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

Back 36

1. female

Front 37

What is the prevalence rate for schizophrenia in the general population?
1. 1%
2. 3%
3. 7%
4. 10%

Back 37

1. 1%

Front 38

A sibling of someone with schizophrenia has what degree of risk for developing the d/o?
1. 1%
2. 5%
3. 10%
4. 50%

Back 38

3. 10% or ten times more likely than the general pop (which has a 1% prevalence rate)

Front 39

identical twins have what concordance rate regarding schizophrenia?
1. 10%
2. 20%
3. 50%
4. 75%

Back 39

3. 50%

Front 40

If both parents are schizophrenic, what is the risk of dev the d/o?
1. 10%
2. 35%
3. 45%
4. 50%

Back 40

3. 45%

(1% in general pop, 10% b/w sib, 50% with twins)

Front 41

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

Back 41

2. schizophreniform d/o (identical to schizo, but less than six months)

Front 42

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

Back 42

3. brief psychotic d/o

schizophreniform is at least one month to 6 mo, schizophrenia is more than 6 mo

Front 43

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?

Back 43

True

Front 44

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

Back 44

2. is incorrect. The rate of prevalence is equal in prepubertal children

Front 45

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%

Back 45

2. 20%

Front 46

men complete suicide how much more often than women?
1. 1.5x
2. 2x
3. 3x
4. 4x

Back 46

4. 4x

Front 47

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

Back 47

2. twice as likely

Front 48

Which group has the highest rates of suicide
1. teenagers
2. 20-30
3. 30-45
4. over 65

Back 48

4. over 65

Front 49

What is the prevalence rate for females to males for dysthymia?
1. 1:1
2. 2:1
3. 3:1
4. 4:1

Back 49

3. 3:1 female to male ratio; in children it is 1:1 for boys and girls

Front 50

What is the prevalence rate for females to males for Bipolar I?
1. 1:1
2. 2:1
3. 3:1
4. 4:1

Back 50

1. 1:1 (although bipolar II a little more common in women)

Front 51

What % of people who have a manic episode go on to have another?
1. 40%
2. 60%
3. 75%
4. 90%

Back 51

90%

Front 52

Concordance rates among identical twins for Bipolar I disorder are:
1. 50%
2. 60%
3. 75%
4. 80%

Back 52

4. 80% (20-25% for fraternal twins)

Front 53

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

Back 53

1. bipolar I (could have or could not have a major dep episode, but must have a manic episode)

Front 54

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

Back 54

1. must have at least one major depressive episode and one hypomanic episode

Front 55

Panic attacks, which are not codeable themselves, are often treated with:
1. antianxiety meds
2. antidepressants
3. antipsychotics
4. sedatives

Back 55

2. antidepressants (such as Tofranil/imipramine or SSRIS)

Front 56

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

Back 56

1. twice as likely

Front 57

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

Back 57

2. three times as likely

Front 58

OCD is often treated with:
1. Anafranil
2. Clomipramine
3. Prozac
4. all of the above

Back 58

All of the above (Anafranil is Clomipramine)

Front 59

an overactive caudate nucleus is associated with:
1. OCD
2. jacob Creutzfeld Disease
3. Schizophrenia
4. Huntington's Disease

Back 59

1. ocd (atrophy of the caudate nucleus is associated with huntington's disease)

Front 60

Hypochondriasis shows what gender prevalence (male:female):
1. equal
2. 1:2
3. 2:1
4. 1:3

Back 60

1. equal

Front 61

Body dysmorphic disorder shows what gender prevalence (male:female):
1. equal
2. 1:2
3. 2:1
4. 1:3

Back 61

1. equal

Front 62

Gender identity disorder shows what gender prevalence for adults (male:female):
1. equal
2. 5:1
3. 2-3:1
4. 1:3

Back 62

3. 2-3:1 in adults, 5:1 in children

Front 63

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

Back 63

1. neuroleptic-induced parkinsonism

Front 64

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

Back 64

2. neuroleptic-induced malignant syndrome

Front 65

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

Back 65

3. neuroleptic-induced actue dystonia

Front 66

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

Back 66

4. neuroleptic-induced akathisia

Front 67

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

Back 67

5. neuroleptic-induced tardive dyskinesia

Front 68

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

Back 68

6. medication-induced postural tremor