SpecDis psych quizzies

True or false: Acting out of a child in a household with marital conflict is a pathological behavior.

False

True or false: Every person who experiences a severe trauma will develop a psychological disorder.

False

What is an important contributor to psychopathology?

Genetic background, environmental stressors, thought types and perceptions (all of the above)

What is the term that refers to a person's ability to recognize whether they are well or unwell?

Insight

Which of the following are risk factors for a child developing a psychological disorder?

Harsh parenting, low SES, marital conflict, parental history

What is the most common type of psychotherapy used today?

Cognitive Behavioral

True or false: Psychological disorders usually have one recognizable cause.

False

Which of the following types of learning works well for treating anxiety disorders?

Classical conditioning

Which behavior characterizes anorexia nervosa restricting type?

Consuming food very low in calories

What is the most common eating disorder?

Binge eating disorder

Vomiting and laxative abuse are part of which eating disorders?

Bulemia nervosa and anorexia nervosa binging/purging type

Which eating disorder is characterized by a lack of control over eating but having a normal weight?

Bulimia nervosa

What is a symptom of mania?

Flight of ideas

What is the first line treatment for Major Depressive Disorder?

SSRIs

True or false: Major depressive disorder is more common in adult males vs. females.

False

Match the SIGECAPS acronym letter with the correct corresponding depressive symptom.

S- sleep changes, I- lack of interest, G- feelings of guilt, E- loss of energy, C- poor concentration, A- changes in appetite, P- psychomotor changes, S- suicidal ideation

Which class of medications is contraindicated in a patient with Bipolar Disorder?

SSRIs

True or false: A patient must have at least one episode of mania that has lasted at least 1 week to be diagnosed with bipolar disorder.

True

What is one lab that you may want to order in someone with unexplained depressive symptoms?

TSH

At what point does Major Depressive Disorder become Dysthymia?

2 years

Which parasomnias are considered mixtures of both sleep/wake states?

Sleepwalking disorder, Sleep terror disorder

Which phase of sleep is associated with dreaming?

REM

Which sleep disorder makes a person at risk for harming themselves and possibly others and is associated with future neurologic disorders?

REM sleep behavior disorder

Which types of neurons are lost in narcolepsy?

Orexin producing

What is the preferred first line treatment for insomnia disorder?

Cognitive behavior therapy for insomnia (CBT-I)

True or False: Sleep terror disorder is characterized by the patient having memory of the event.

False

True or false: The non-REM phase of sleep is the deepest and most restorative.

True

How long does one need to have problems sleeping before it is characterized as insomnia disorder?

3 months

What is the term for withdrawal symptoms in the absence of a drug?

Physical dependence

Which substance can cause a lethal form of withdrawal?

Benzodiazepines

Which symptom can occur during benzodiazepine intoxication?

Muscle relaxation

What is the leading cause of accidental death in the US?

Opioid overdose

Ingestion of which substances can precipitate serotonin syndrome?

MDMA

True or false: Methamphetamines cause the highest levels of neurotransmitter release in the brain.

True

True or false: Opiates and opioids cause hypertension.

False - hypotension

True or false: Cocaine intoxication can lead to placental abruption, aortic dissection, and/or myocardial infarction.

True

What is the first line treatment for Generalized Anxiety Disorder?

SSRI

True or false: The first line treatment for panic disorder is CBT.

True

What is an intrusive symptom in PTSD?

Flashbacks

Which disorder is characterized by "la belle indifference"?

Conversion disorder

Which disorder is a type of Obsessive-Compulsive related disorder?

Trichotillomania

Which disorder is characterized by having obvious external rewards?

Malingering

What is among the most common psychiatric disorders?

Specific phobia

True or false: Fear of contamination is a common obsession in patients with OCD.

True

Which disorder is suspected in a child who worries about school performance, stability of their parents' marriage, and how their peers perceive them?

Generalized anxiety disorder

Which symptom of depression in the pediatric population is not often seen in adults?

Irritability

Which medication is first line in children and adolescents with major depressive disorder?

Fluoxetine

Which diagnostic test is indicated first if the neuro exam in a child with intellectual disability shows a focal deficit?

Brain MRI

True or false: Adolescents with gender dysphoria always wish to proceed with surgical alteration of genitalia.

FALSE

What is the most common presentation of ADHD?

Combined Inattentive/Hyperactive

Which disorder is characterized by argumentative but not aggressive behavior in children/adolescents?

Oppositional defiant disorder

What is an early sign of autism spectrum disorder?

Delay in language development

True or false: Personality disorders are easily treated with antipsychotic medication.

FALSE

Which personality disorder is characterized by inflexibility and a rigid strive for perfection to the point that it interferes with interpersonal functioning and task completion?

Obsessive-compulsive

Which personality disorder is characterized by a disregard for and violation of the rights of others along with a lack of remorse?

Antisocial

Which personality disorder is characterized by over emotionality and attention seeking behavior along with being overly trusting?

Histrionic

Which personality disorder is characterized by an intense distrust of others and assuming they are malicious?

Paranoid

True or false: Patients should be mechanically restrained before chemically restrained.

FALSE

What is considered a psych emergency?

Risk of self harm, Risk of harm to others, Inability to care for oneself (all of the above)

True or false: If a patient in the ED who was just chemically restrained no longer presents as an imminent danger to themselves or others but they do still have psychotic symptoms, they can be released and treated on an outpatient basis.

FALSE

True or false: Protecting a potential victim takes precedence over maintaining patient confidentiality.

True

True or false: The right to refuse medication can be overridden in emergencies when a patient is acutely dangerous.

True

True or false: An agitated patient who is giving the nurses a hard time may become violent.

True

Which circumstances would allow for breaking patient confidentiality and fall under mandatory reporting?

Child abuse, Elder abuse, Cases of impaired healthcare providers

True or false: Patient fantasies are reportable to the authorities even if there is no intent behind them.

FALSE

Which psychotic disorder has a duration of 1-6 months?

Schizophreniform disorder

What are the correct feelings of detachment in depersonalization vs. derealization?

To oneself; to the environment

Dissociative identity disorder requires how many distinct personality states?

2

What is a negative symptom of schizophrenia?

Avolition

What term describes a patient who is having fixed false beliefs even if there is evidence against those beliefs?

They are having delusions

True or false: Important personal information that is lost during dissociative amnesia can never be recovered.

FALSE

What is a positive symptom of schizophrenia?

Hallucinations

True or false: Schizoaffective disorder requires at least a 4 week period with only psychotic symptoms and no mood symptoms.

FALSE