Psychiatry

Question 1

What is countertransference?

Answer 1

Doctor projects feelings about formative or other important persons onto patient

Question 2

What is the difference between displacement and projection?

Answer 2

Displacement is the feelings transferred to a neutral person or object, while projection is when an unacceptable internal impulse is attributed to an external source

Question 3

What is the difference between fixation and regression?

Answer 3

Fixation is temporary; regression is turning back the block

Question 4

What is the difference between reaction formation and sublimation?

Answer 4

Reaction formation is when a warded-off feeling is replaced by its opposite, while sublimation is when it is replaced with something that does not conflict with one’s value system

Question 5

What are the mature defenses?

Answer 5

sublimation, altruism, humor, suppression

Question 6

Deprivation for ___ months can lead to irreversible changes in an infant

Answer 6

6

Question 7

T/F ADHD is associated with decreased frontal lobe volume

Answer 7

TRUE

Question 8

In order to classify for Tourette’s, it has to persist for how long?

Answer 8

> 1 year

Question 9

Tourette’s is associated with which other disorder?

Answer 9

OCD

Question 10

What is the treatment for separation anxiety disorder?

Answer 10

SSRIs

Question 11

What is Rett’s disorder?

Answer 11

X-linked disorder exclusively in girls around 1-4

Question 12

What are the neurotransmitter changes associated with anxiety, depression, Alzheimer’s, Huntington’s, schizophrenia, and Parkinson’s?

Answer 12

anxiety - high NE, low GABA, low serotonin
depression - low NE, dopamine, serotonin
Alzheimer’s - low ACh
Huntington’s - low GABA, ACh, high dopamine
Schizophrenia - high dopamine
Parkinson’s - low dopamine, high serotonin, high ACh

Question 13

Where would one see tactile hallucinations?

Answer 13

In cocaine abuse or alcohol withdrawal

Question 14

How long does schizophrenia need to last to classify it?

Answer 14

> 6 months

Question 15

How long does a delusional disorder need to last to classify?

Answer 15

> 1 month

Question 16

How many qualifiers does a manic episode need?

Answer 16

3 things out of list

Question 17

How many qualifiers does a depressive episode need?

Answer 17

5 out of a list (SIGECAPS)

Question 18

What medication does atypical depression respond to?

Answer 18

MAOIs, SSRIs

Question 19

How many qualifiers does a panic disorder need?

Answer 19

4 out of a list

Question 20

Is OCD ego syntonic or dystonic?

Answer 20

Ego dystonic

Question 21

What is the difference in acute stress disorder and PTSD?

Answer 21

Time; PTSD is greater than 1 month

Question 22

What are the three types of personality disorders?

Answer 22

Clusters A, B and C; weird, wild and worried

Question 23

How many qualifiers does one need for substance dependence?

Answer 23

3 out of a list

Question 24

What medication would be used with opioid overdose?

Answer 24

naltrexone, naloxone

Question 25

With opioid overdose, would you expect to see dilated or constricted pupils?

Answer 25

Constricted

Question 26

With amphetamine overdose, would you expect to see dilated or constricted pupils?

Answer 26

Dilated

Question 27

Overdose of what would cause nystagmus?

Answer 27

PCP

Question 28

When do symptoms of marijuana withdrawal manifest?

Answer 28

They peak in 48 hours and last 5-7 days; detectable in urine for 4-10 days

Question 29

What is Wernicke-Korsakoff syndrome?

Answer 29

Triad of confusion, ataxia, ocular motor problems; irreversible memory loss