What is a special diagnostic requirement for Antisocial PD?

The individual must be atleast 18 years old

What fact is not true in schizoaffective disorder?

Substance abuse is one of the most common risk factors

What is the definition of Schizoaffective Disorder?

Has feature of schizophrenia & mood disorders

ED: Pt with rambling speech, tachycardia, nervousness, insomnia. Dx: Anxiety. What other DDXs?

All are options that need to be considered.

Which one does not correlate?

Stage 3: Light sleep, HR slows, Temp drops

As a provider, what should you do when someone is in the pre contemplation stage?

Educate on risks versus benefits and positive outcomes

What fact is not true of Dependent PD?

Little decisions are easy to make, but life decisions aren't

Pt presents to ED with S/S pointing towards Alcohol WD. What do you do on admission?

Give Magnesium, Folic Acid, Thiamine

What is not true about Narcissistic PD?

These people have an above average self-esteem

Which patient is best described as Histrionic PD?

Female, vain comes in to ED for STD check, flirts with Dr

Who determines competence & capacity?

Competence = Judge & Capacity = Medical Professionals

The Schizophrenia Diagnosis is based entirely on what two things?

Psych History & Mental Status Exam

How is Avoidant PD & Schizoid PD different?

Schizoids want to be alone, Avoidants desire intimacy

Why do we give Ativan during Acute Psychosis?

Reduces amount of antipsychotic needed for control

What are the two types of Anorexia Nervosa?

Binge-eating / Purging & Restricting

What fact is not true?

Onset of schizophrenia is after 30, its called late onset

Which one doesn't belong?

Paranoid = Cluster A & Borderline = Cluster A

What fact is not true about Paranoid Personality Disorder?

Treatment of choice is Mood Stabilizers

What statement is NOT true?

LSD is not real well absorbed orally

What statement best describes Obsessive-Compulsive Personality Disorder?

Oldest child, male, perfectionist

Which of these facts are not true?

Positive Hoover's Sign is diagnostic for Conversion DO

What is the order of The Stages of Change?

Precontemplation-Contemplation-Preparation-Action-Maintenace

What is the definition of substance abuse?

Use of any drug that deviates from approved practices

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Psych - Exam #2

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#PASchool Psych Exam

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Questions 69

Answers

1
What marks the beginning of Schizophrenia?
Start of anti-psychotics
1st relapse on anti-psychotics
1st hospitalization
Start of negative symptoms
2
What is the difference between Schizophrenia & Schizophreniform?
Number of symptoms involved
Number of relapses
One has an "F" in the name
Length of time symptoms last
3
What is a special diagnostic requirement for Antisocial PD?
Occurence in 1st degree relatives of male is 5x greater risk
Seem normal and charming but they are manipulative
Depression & Alcohol dependence are common
The individual must be atleast 18 years old
4
What is a side effect for Selective GABA Receptor Modulators (Ambien)?
Muscle atrophy
Hallucinations
All are side effects
Dependence
5
What fact is not true in schizoaffective disorder?
Lithium may be considered as a treatment
Increased affective symptoms = better prognosis
Substance abuse is one of the most common risk factors
Increased psychotic symptoms = worse prognosis
6
What is the definition of Schizoaffective Disorder?
Has features of schizophrenia but uncontrollable on meds
Has features of schizophrenia but only acutely
Has feature of schizophrenia & mood disorders
Has features of schizophrenia but not enough to diagnose
7
T or F: Inhalant Intoxication has the potential for death on the 1st use.
TRUE
FALSE
8
What is the most serious symptom with a stimulant WD (crash)?
Anxiety
Muscle cramping
Night terrors
Depression
9
ED: Pt presents with WORST flu ever - Muscle aches, fever. Flu test comes back negative. DDX?
Stimulant WD
Opiate WD
Nicotine WD
Alcohol WD
10
Understanding of lang. is intact but ability to speak is impaired & words may be mispronounced
Wernicke's Aphasia
Frederick's Aphasia
Global Aphasia
Broca's Aphasia
11
ED: Pt with rambling speech, tachycardia, nervousness, insomnia. Dx: Anxiety. What other DDXs?
Caffeine Intoxication
Toxicity from Amphetamines
All are options that need to be considered.
DKA
12
Cannabis intoxication may cause what psych changes?
Anxiety
Social Withdrawal
All of the above
Impaired judgement
13
Which one does not correlate?
REM: Vitals are all high, dreams happen
Stage 1: Eyes are closed, easily awakened
Stage 2: Light sleep, HR slows, Temp drops
Stage 3: Light sleep, HR slows, Temp drops
14
What drug is not defined as a hallucinogen?
Peyote
PCP
GHB
LSD
15
As a provider, what should you do when someone is in the pre contemplation stage?
Provide encouragement and support
Develop realistic goals and a timeline
Educate on risks versus benefits and positive outcomes
Identify barriers and misconceptions
16
What fact is not true of Dependent PD?
There is a high risk of MDD
Females > Males
Little decisions are easy to make, but life decisions aren't
May tolerate abuse from spouse
17
Pt presents to ED with S/S pointing towards Alcohol WD. What do you do on admission?
Give Ativan & Call Family
Give Magnesium, Folic Acid, Thiamine
Urine Analysis before any drugs
Give Benzos & Glucose
18
Which one does not belong?
Bulimia Nervosa : Puking
Skypomania: Adrenalin
Kleptomania : Stealing
Pyromania : Fire
19
What is not true about Narcissistic PD?
These people have an above average self-esteem
Chronic & Difficult to treat
These people require excessive admiration
All of these statements are true
20
Most common symptom in Narcolepsy
Cataplexy
Hallucinations
Sleep Paralysis
Sleep Attacks
21
Which patient is best described as Histrionic PD?
Female, vain comes in to ED for STD check, flirts with Dr
Female, dementia, comes into ED for UTI from nursing home
Female, mother, depressed comes to PCP for SSRI
Male, bodybuilder, comes to PCP for hormone replacement
22
What does Lorazepam, Oxazepam, Temazepam have in common?
All are renally metabolized only
All are Benzos.
All can be used in liver failure patients
All of the above true
23
Who determines competence & capacity?
Both are made by Judge
Competence = Judge & Capacity = Medical Professionals
Competence = Medical Professionals & Capacity = Judge
Both are made by medical professionals
24
The Schizophrenia Diagnosis is based entirely on what two things?
Medical History & Mental Status Exam
Psych History & Drug History
Psych History & Mental Status Exam
Medical History & Psych History
25
What is the most common sleep complaint?
Parasomnias
Insomnia
Hypersomnolence
Narcolepsy
26
Which of these is not a recurrent compensatory behavior in Bulimia?
Diuretics
Vomiting
Exercise
Misuse of laxatives
27
What is the difference between a good death and a bad death?
Expected
Suffering
Family's acceptance
Quick
28
What is not a DSM5 Sx for Caffeine Withdrawal?
Difficulty concentrating
Tachycardia
Flu-like symptoms
Headache
29
How is Avoidant PD & Schizoid PD different?
Schizoids want to be alone, Avoidants desire intimacy
APD patients have no friends & Schizoids have acquaintances
Psychotherapy is the treatment of choice in APD & not in SPD
Social Phobia is common in Avoidant PD and not in Schizoid
30
What fact is NOT true regarding dependence?
Physical dependence is an altered physiologic state
Psychological dependence is a craving for a substance
Dependence is the repeated use of a substance
All are true.
31
Why do we give Ativan during Acute Psychosis?
Only FDA approved drug for Acute Psychosis
No side effects
Cheapest drug we have
Reduces amount of antipsychotic needed for control
32
Preventive Services include:
Immunizations
All are included
Counseling
Risk assessment
33
What is not a risk factor for cannabis intoxication?
Adolescent aggression
Hx of early smoking & drinking
Hx of Child Sexual Abuse
Family History
34
What is true about Borderline PD?
Uses frantic efforts to avoid real or imagined abandonment
Recurrent suicidal behavior
All of the above
They have an unstable self image
35
What is not one of the BIG three symptoms of Schizophrenia?
Hallucinations
Disorganized thinking / speech
Delusions
Catatonic Behavior
36
What are the two types of Anorexia Nervosa?
Binge-eating / Purging & Restricting
Obsessive-Compulsive & Anxiety-Provoking
Anxiety-Provoking & Depressed
Binge-eating & Purging
37
What is the most serious side effect of Alcohol WD?
Seizures
Delirium Tremens
Psychosis
Migraines
38
What fact is not true?
Equally prevalent in Men & Women
FH of schizophrenia is a great risk factor
Substance abuse is common in schizophrenia
Onset of schizophrenia is after 30, its called late onset
39
What symptom makes Benzo WD life threatening?
Coryza
Auditory Hallucinations
Grand Mal Seizures
High BP
40
Which one doesn't belong?
Schizoid = Cluster A & Paranoid = Cluster A
Dependent = Cluster C & Schizoid = Cluster A
Paranoid = Cluster A & Borderline = Cluster A
Narcissist = Cluster B & Antisocial = Cluster B
41
Which is of these is not a PE finding in Bulimia Nervosa?
Jones's tongue
Loss of dental enamel
Broken blood vessels in the face
Russel's sign
42
What is the leading cause of death in older people?
Suicide
CHF
Cancer
Stroke
43
What fact is not true about Paranoid Personality Disorder?
Treatment of choice is Mood Stabilizers
They have a persuasive distrust and suspiciousness of others
Males > Females
Persistently bear grudges
44
What statement is NOT true?
PCP can be found in a powder, paste or liquid
LSD is not real well absorbed orally
PCP is most commonly used with cannabis
LSD tolerance develops rapidly
45
T or F: Malingering is a DSM5 diagnosis.
FALSE
TRUE
46
What statement best describes Obsessive-Compulsive Personality Disorder?
Oldest child, male, perfectionist
Middle child, male, depressed
Oldest child, female, college drop out
Youngest child, female, model wanna-be
47
What is the treatment of choice for insomnia?
Ambien
Lunesta
Benzos
CBT
48
Which is not a stage of Kugler-Ross's Death & Dying?
Denial
Bartering
All are stages of Death & Dying
Acceptance
49
Which of these facts are not true?
In conversion DO, females are at greater risk than men
Consider hospital admission in conversion DO
In conversion DO, the pt is not faking the symptoms
Positive Hoover's Sign is diagnostic for Conversion DO
50
What is the order of The Stages of Change?
Precontemplation-Contemplation-Preparation-Action-Review
Precontemplation-Prep-Contemplation-Action-Maintenance
Precontemplation-Contemplation-Preparation-Action-Maintenace
Contemplation-Action-Preparation-Maintenance
51
What is the definition of substance abuse?
Stopping use results in withdrawal symptoms
Use of any drug that deviates from approved practices
Use of any drug that deviates from medical direction
Repeated use of a substance
52
What drug helps treat Alcohol Use Disorder?
Acamprosate Calcium
Disulfiram
Oral & Injectable Naltrexone
All are indicated for the treatment
53
What is the difference between codependence and an enabler?
Codependence = Abuser & Enabler = Drug itself
There is no difference.
Codependence = Bystander & Enabler = Facilitator
Codependence = Facilitator & Enabler = Bystander
54
What is not true about Schizoid PD?
These people have a difficulty with intimacy
Most people have solitary jobs
The usual onset of this PD is young adulthood
Treatment of choice is Psychotherapy
55
Which one is not a part of the 4 Ds that we screen for when talking about NCB?
Dependence
Debt
Denial
Depression
56
What fact is not true about Schizotypal PD?
This DO is different from Schizophrenia due to no psychosis
Treatment of choice is Psychotherapy
These people may claim to have special powers.
Dizygotic twins have a higher chance to have this disorder
57
What is the main goal in Palliative Care?
Experimental program for depression
Diagnosing an incurable disease
Counseling the family about death
Improving quality of life
58
What is not a Personality Disorder in the DSM5?
Antisocial Personality Disorder
Obsessive Compulsive Disorder
Histrionic Personality Disorder
Paranoid Personality Disorder
59
Which is not a cardinal symptom for Obstructive Sleep Apnea?
Snoring
Daytime sleepiness
Headaches
All day dry mouth
60
Which fact is not true of Delusional Disorder?
Diagnosis is made when non bizarre delusions for >1 month
No insight into their condition
Outward behavior is markedly bizarre
Criterion A for schizophrenia has never been met
61
What is the FDA approved Rx to treat Binge Eating Disorder?
Zoloft
Vyvanse
Lyrica
Prozac
62
DSM 5 criteria for Intermittent Explosive Disorder is:
3 behavioral outbursts involving physical injury within a yr
All of the above
The recurrent aggressive outburst are not premeditated
The magnitude of aggressiveness is grossly out of proportion
63
What age group has the biggest 12 month prevalence of Alcohol Use Disorder?
35-45 years old
65 & older
18-29 years old
12-17 years old
64
Which is not DSM5 criteria for Somatic Symptom Disorder?
Has to have a comorbidity medical condition
Typically present for >6 months with one or more symptoms
One or more somatic Sx that are distressing or disrupt life
Persistent thoughts about the seriousness of symptoms
65
What is the only medication approved by the FDA for Bulimia Nervosa?
Paxil
Celexa
Prozac
Zoloft
66
What is the difference between Somatic Symptom Disorder & Illness Anxiety Disorder?
SSD has to be going on for 6 months & IAD only 3 months
SSD has symptoms & IAD does not
SSD is more likely in Men & IAD is more likely in women
SSD's Tx is Rx & IAD 's Tx is Psychotherapy
67
Which is not a normal stressor in the geriatric population?
Child moving in with them
Complications of drug interactions
Loss of social status
Loss of financial resources
68
What is the difference between Factitious Disorder & Malingering?
FD the patient is faking the sx. Malingering sx are real
There are no differences
FD wants medical attention. Malingering wants secondary gain
FD's Tx is Rx. Malingering is Psychotherapy.
69
An example of an environmental risk factor towards alcohol use disorder?
Father is an alcoholic
Parents provided alcohol
Mother is an alcoholic
All are examples.

Psych - Exam #2 Flashcards | StudBud