Step 1 First Aid: Psychiatry

Front 1

IQ test for kids
it's for kids age ___ to ___
mean is ___
SD is ___

Back 1

wechsler intelligence scale for children
6
16
100
15

Front 2

mental retardation is IQ < ___
severe mental retardation is IQ < ___
profound retardation is IQ < ___

Back 2

70
40
20

Front 3

eriksonian crisis during 1st year: ___ vs. ___

Back 3

trust
mistrust

Front 4

eriksonian crisis during 2nd/3rd years: ___ vs. ___/___

Back 4

autonomy
shame
doubt

Front 5

eriksonian crisis during 4th-6th years: ___ vs. ___

Back 5

initiative
guilt

Front 6

eriksonian crisis during 7th-12th years: ___ vs. ___

Back 6

industry
inferiority

Front 7

eriksonian crisis during 13th-19th years: ___ vs. ___

Back 7

identity
role confusion

Front 8

eriksonian crisis during 20-34th years: ___ vs. ___

Back 8

intimacy
isolation

Front 9

eriksonian crisis during 35th-65th years: ___ vs. ___

Back 9

generativity
stagnation

Front 10

eriksonian crisis after 65th year: ___ vs. ___

Back 10

ego integrity
despair

Front 11

2 modes of social learning

Back 11

shaping (imposed from outside)
modelling (motivated from inside)

Front 12

4 mature ego defenses

Back 12

sublimation
altruism
suppression
humor

Front 13

extended separation from caregiver causes ___

Back 13

anaclitic depression

Front 14

most common form of child maltreatment

Back 14

neglect

Front 15

T/F: ADHD kids have poor impulse control

Back 15

true

Front 16

ADHD begins before age ___

Back 16

7

Front 17

T/F: motor function is normal in ADHD

Back 17

false

Front 18

anatomical abnormality associated with ADHD

Back 18

low frontal lobe volume

Front 19

3 ADHD drugs

Back 19

methylphenidate
amphetamine
atomoxetine

Front 20

atomoxetine is a nonstimulant ___

Back 20

SNRI

Front 21

bad behavior before age 18 which doesn't violate rights of others is dxed ___
bad behavior before age 18 which does is dxed ___
after age 18 it's ___

Back 21

oppositional defiant disorder
conduct disorder
antisocial personality disorder

Front 22

to dx tourette's syndrome, sx must be present for ___
it's associated with ___
onset is before age ___

Back 22

1 yr
OCD
18

Front 23

tourette's drug tx ___ e.g. ___

Back 23

antipsychotics
haloperidol

Front 24

separation anxiety disorder presents at age ___

Back 24

7--9

Front 25

coprolalia is present in ___% of tourette's patients

Back 25

20

Front 26

kids with autism normally have ___ intelligence
kids with asperger's have ___ intelligence

Back 26

low
normal

Front 27

autism is more common in ___ (M/F)
rett's disorder is more common in ___ (M/F)

Back 27

M
F

Front 28

rett's disorder is linked to chromosome ___

Back 28

X

Front 29

males carriers of Rett's trait don't get the disease because ___

Back 29

they die in utero

Front 30

girls with Rett's are normal up to age ___,
after which they regress

Back 30

4

Front 31

3 sx of rett's disorder

Back 31

mental retardation
ataxia
hand wringing

Front 32

non-Rett's cause of regression after age 2
it is more common in M/F

Back 32

childhood disintegrative disorder
M

Front 33

in anxiety, NE is ___, GABA is ___, serotonin is ___

Back 33

high
low
low

Front 34

in depression, NE is ___, serotonin is ___, DA is ___

Back 34

low
low
low

Front 35

HD patients have ___ GABA and ___ ACh

Back 35

low
low

Front 36

disoriented people lose orientation to ___ first, then ___, then ___

Back 36

time
place
person

Front 37

korsakoff amnesia is primarily ___grade

Back 37

antero

Front 38

dissociative amnesia is loss of ___ information

Back 38

personal (one's own)

Front 39

most common psychiatric disease on medical or surgical floors

Back 39

delirium

Front 40

EEG in delirium is ___

Back 40

abnormal

Front 41

___ drugs are associated with delirium

Back 41

anticholinergic

Front 42

in elderly patients, ___ must be excluded before dxing dementia

Back 42

pseudodementia

Front 43

visual hallucinations occur in ___

Back 43

delirium

Front 44

auditory hallucinations occur in ___

Back 44

schizophrenia

Front 45

olfactory hallucinations occur in ___

Back 45

temporal lobe (psychomotor) epilepsy

Front 46

tactile hallucinations occur in ___ (2)

Back 46

alcohol withdrawal
cocaine abuse

Front 47

hypnagogic hallucinations occur while ___ing

Back 47

going to sleep

Front 48

neuronal change associated with schizophrenia

Back 48

decreased dendritic branching

Front 49

duration required to dx delusional disorder

Back 49

>1 month

Front 50

duration required to dx brief psychotic disorder

Back 50

<1 month

Front 51

duration required to dx schizophreniform disorder

Back 51

1--6 months

Front 52

duration required to dx schizoaffective disorder

Back 52

>2 weeks

Front 53

multiple personality disorder is now known as ___
it is more common in M/F
it is associated with ___

Back 53

dissociative personality disorder
F
sexual abuse

Front 54

depersonalization disorder has detachment from ___ or ___

Back 54

oneself
environment

Front 55

depressed patients have ___ slow wave sleep and ___ REM sleep

Back 55

less
more

Front 56

depressed patients have ___ REM latency and ___ REM early in sleep

Back 56

lower
more

Front 57

adverse effects of ECT

Back 57

disorientation
amnesia (retro + anterograde)

Front 58

amnesia from ECT can be minimized by ___ing

Back 58

performing it unilaterally

Front 59

tx for panic disorder (4)

Back 59

cognitive behavioral tx
SSRI
TCA
benzo

Front 60

T/F: in specific phobia patient recognizes that fear is excessive

Back 60

true

Front 61

TCA used for OCD

Back 61

clomipramine

Front 62

OCD differs from obsessive compulsive personality disorder in that
in OCD ___

Back 62

compulsion is ego-dystonic

Front 63

disturbance in PTSD starts ___ after trauma and lasts ___

Back 63

>1 month
>1 month

Front 64

post-traumatic disturbance ocurring within 1 month is ___

Back 64

acute stress disorder

Front 65

3 kinds of faked illness

Back 65

malingering
munchausen syndrome
munchausen syndrome by proxy

Front 66

in malingering, patient is motivated by ___
in munchausen, patient is motivated by ___

Back 66

secondary gain
desire for medical attention (per se)

Front 67

T/F: malingerers want treatment for simulated ailment

Back 67

false

Front 68

5 kinds of somatoform disorder

Back 68

somatization
conversion
hypochondriasis
body dysmorphic disorder
pain disorder

Front 69

T/F: somatoform symptoms are consciously faked

Back 69

false

Front 70

somatization disorder has single/multiple complaint(s) from single/multiple organ system(s)

Back 70

multiple
multiple

Front 71

complaints required for somatization dx

Back 71

1 pain
2 GI
1 sexual
1 pseudoneurologic

Front 72

conversion disorder has ___ complaints in response to ___

Back 72

neurologic (sensory or motor)
acute stressor

Front 73

T/F: conversion patients are indifferent to their condition

Back 73

true

Front 74

schizo___ personality disorder includes the symptoms of schizo___
personality disorder

Back 74

typal
id

Front 75

schizoid PD is characterized by ___

Back 75

social withdrawal

Front 76

schizotypal PD is characterized by ___ (2)

Back 76

odd beliefs
odd appearance

Front 77

schizophrenia differs from schizotypal PD in ___

Back 77

severity of odd beliefs

Front 78

4 cluster B personality disorders

Back 78

antisocial
borderline
histrionic
narcissitic

Front 79

3 cluster C PDs

Back 79

avoidant
OCPD
dependent

Front 80

bone fracture associated with anorexia

Back 80

metatarsal

Front 81

anorexics have weight <___% of ideal

Back 81

85

Front 82

inflammation associated with bulimia

Back 82

parotitis

Front 83

dental finding associated with buliumia

Back 83

enamel erosion

Front 84

dermatologic finding associated with bulimia

Back 84

dorsal hand calluses

Front 85

T/F: anorexia does not have purging
T/F: bulimia always has purging

Back 85

false
false

Front 86

endocrine finding associated with anorexia

Back 86

amenorrhea

Front 87

hematologic finding associated wtih anorexia

Back 87

anemia

Front 88

T/F: substance dependence is more severe than substance abuset

Back 88

true

Front 89

indicator for alcohol abuse

Back 89

serum GGT

Front 90

2 tx for alcohol dependence

Back 90

naltrexone
disulfiram

Front 91

tx for delirium tremens

Back 91

benzo

Front 92

disulfiram induces an immediate ___ after EtOH ingestion
it does this by increasing ___ levels by ___ing

Back 92

hangover
acetaldehyde
inhibiting acetaldehyde dehydrogenase

Front 93

first step in EtOH metabolism is conversion to ___ by ___
second step is conversion to ___ by ___

Back 93

acetaldehyde
alcohol dehydrogenase
acetic acid
acetaldehyde dehydrogenase

Front 94

barbiturate intoxication causes ___ depression

Back 94

respiratory

Front 95

cocaine intoxication tx

Back 95

BDZ

Front 96

cardiac problem associated with all stimulants

Back 96

arrhythmia

Front 97

2 tx for nicotine withdrawal

Back 97

buproprion
varenicline

Front 98

varenicline mechanism

Back 98

nicotinic R partial agonist

Front 99

ocular finding in PCP intoxication

Back 99

vertical + horizontal nystagmus

Front 100

ocular finding in opioid intoxication

Back 100

miosis

Front 101

ocular finding in amphetamine intoxication

Back 101

mydriasis

Front 102

ocular finding in cocaine intoxication

Back 102

mydriasis

Front 103

ocular finding in LSD intoxication

Back 103

mydriasis

Front 104

3 mood stabilizers for bipolar

Back 104

Li
valproic acid
carbamazepine

Front 105

brain pathologies in Wernicke-Korsakoff

Back 105

mamillary body degeneration
periventricular hemorrhage

Front 106

3 signs of Wernicke encephalopathy

Back 106

confusion
ataxia
ophthalmoplegia

Front 107

delirium tremens peaks ___ (time) after last drink

Back 107

2--5 days

Front 108

methylphenidate neuronal effect

Back 108

increased NE release

Front 109

typical antipsychotics block ___R
they are called ___ or end in ___

Back 109

D2
haloperidol
azine

Front 110

3 high potency typical antipsychotics

Back 110

haloperidol
trifluoperazine
fluphenazine

Front 111

2 low potency typical antipsychotics

Back 111

thioridazine
chlorpromazine

Front 112

high potency typical antipsychotics are associated with ___ side effects

Back 112

EPS

Front 113

low potency typical antipsychotics are associated with ___ (4) side effects

Back 113

antimuscarinic
antihistamine
anti-alpha1
ocular

Front 114

ocular side effect from chlorpromazine

Back 114

corneal deposits

Front 115

ocular side effect from thioridazine

Back 115

retinal deposits

Front 116

akinesia develops before/after akathisia

Back 116

before

Front 117

akinesia happens at ___ (time)
akathisa happens at ___ (time)

Back 117

4 days
4 weeks

Front 118

atipycal antipsychotics end in ___ or ___ or are called ___

Back 118

apine
idone
aripiprazole

Front 119

4 receptors blocked by atypical antipsychotics

Back 119

DA
5-HT2
H1
alpha1

Front 120

2 atypicals associated with weight gain

Back 120

olanzapine
clozapine