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Psychiatry

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Answer 50 questions in 15 minutes.
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Match each statement with the correct term.
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This is a study tool. The 3 wrong answers for each question are randomly chosen from answers to other questions. So, you might find at times the answers obvious, but you will see it re-enforces your understanding as you take the test each time.

1. The criteria for mental retardation?
pieces of evidence for sexual child abuse
behavior achieved following reward of closer and closer approximations of desired behavior
heroin users at increased risk of...
IQ<70

2. Anorexia nervosa
inability to remember things that occurred before CNS insult
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months
in elderly patients who present with dementia - the concern
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise

3. Superego - you know you can't have it - taking it is wrong
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection
Moral values - conscience can lead to self blame and attacks of ego
Under these conditions do children regress to younger patterns of behavior

4. Punishment
application of aversive stimulus extinguishes unwanted behavior
repeated stimulation lead sot increase response
Number of major depressive episodes constitute major depressive disorder
Moral values - conscience can lead to self blame and attacks of ego

5. Hallucination
perceptions in the absence of external stimulus
reward received after random number of responses - slowly extinguished - slot machine
development of delusions in a person in a close relationship with delusional disorder
disorders in the form of through - the way ideas are tied together

6. Flashbacks - nightmares - intense fear - helplessness - or horror - avoidance of stimuli associated with trauma and persistent arousal
the common sx of PTSD
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of

7. Hypochondriasis
associated with winter season - improves in response to full spectrum light exposure
preoccupation with a fear of having a serious illness despite medical evaluation and assurance
the tx for OCD
Alzheimers

8. 6-12 months
neurologic outcome associated with W- K syndrome
How long episodes of major depressive episode usually last
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia
pieces of evidence of physical child abuse

9. Countertransference
the treatment for EtOH intox and withdrawal
doctor projects feelings about formative or other important persons onto patient
intox = CNS depression - N/V - constipation - pup cxn - seizures withdrawal = sweating - pup diltaed - piloerection - rever - rhinorrhea - N - stomach cramps - diarrhea
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions

10. Somatization disorder
less than what percentage of ideal body weight is common in anorexia nervosa
the definition of alcoholism
disorders in the form of through - the way ideas are tied together
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years

11. Supression - not thinking about the USMLE until the week of the exam
application of aversive stimulus extinguishes unwanted behavior
the evidence for child neglect
voluntary withholding of an idea or feeling fromk concious awareness
reward received after every response - rapidly extinguished - vending machine

12. Healed fractures on xray - cigarrette burns - sudbural hematomasm multiples bruises - retinal hemorrhage or detachment
gender autism is more common in
the goal of the ego defenses
the treatments for ADHD
pieces of evidence of physical child abuse

13. Ego - take it and you will get in trouble
auditory hallucinations common
mediator between primal urges and accepted behavior
disorders in the form of through - the way ideas are tied together
anterograde amnesia caused by thiamine deficiency

14. Schizophrenia
the order of loss of orientation
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months
discontinuation of reinforcement eliminates behavior
the two types of schizoaffective disorder

15. Postpartum depression - 10 to 15%
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr
How long marijuana is detectable in the urine after last use

16. Dissociative amnesia
inbability to recall important personal information - usually subsequent to severe trauma or stress
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating
How long episodes of major depressive episode usually last
process whereby one replaces an unacceptable wish with a course of action that is similar to the wish but does not conflict with ones value system

17. Isolation of affect - describing murder in graphic detail with no emotional response
Causes of dementia
Separation of feelings from ideas and events
false beliefs not shared with other members of culture/subcutlure that are firmly maintained in spite of obvoius proof to the contrary
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment

18. Identification - abused models abuser
Alzheimers
modeling behavior after another person is more powerful - though not necessarily admired
potential tx for nicotine withdrawal
anterograde amnesia caused by thiamine deficiency

19. Mood elevation - decrease anxiety - sedation - behavior disinhibition - respiratory depression
auditory hallucinations common
milder form of depression lasting at least 2 years
dramatic - emotional or erratic
depressant intoxication - nonspecific

20. Paranoid - pervasive distrust - schizoid - voluntary social withdrawal - schitzotypal - eccentric appearance and magical thinking - interpersonal awkwardness
application of aversive stimulus extinguishes unwanted behavior
the various types of cluster A personality disorder
process whereby avoided ideas and feelings are transferred to some neutral person or object
the time frame for brief pyschotic disorder

21. Savant
the tx for alcoholism
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating
100 - 15
autism with unusual abilities

22. Mood stabilizers - Li - valproic acid - carbamazepine - atypical antipsychotics
strong persistant cross gender identification
the stages of change in overcoming substance addiction
associated with winter season - improves in response to full spectrum light exposure
the tx for bipolar disorder

23. Disulfiram and supportive care
define bipolar disorder and distinguish I from II
the treatment for EtOH intox and withdrawal
the tx for GAD
the tx for alcoholism

24. Separation anxiety disorder
overwhelming fear of separation from home or loss of attachment figure that can lead to factitious physical complaints to avoid going to school
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment
whering clothes of the opposite sex
Diagnosis requres 2 of 5 of which sx

25. Tourrette's
the common causes of lack or orientation
involunatary withholding of an idea or feeling from conscious awareness
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr
100 - 15

26. Projection - a man who wants another women thinks his wife is cheating on him
postpartum depressed affect - tearfullness fatigue - usually resolves within 10 days - disorder + incidence
the epi of sexual abuse
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects
an unacceptable internal impulse is attributed to an external source

27. Autonomic system hyperactivity - psychotic symptoms - confusion
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week
delerium tremens symptoms
marked regression in multiple areas of fxn after at least 2 years of nl development - loss of expressive or receptive language skills - social - adaptive behavior - bowel or bladder control - more common in boys
suboxone and the rational of adding an antagonist

28. Flumazenil - competitive GABA antagonist
the tx for BDZ intox - MOA
the order of loss of orientation
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs
the tx for opiod intox and withdrawal

29. Anxiety - tremor - seizures - insomnia
gender autism is more common in
the evidence for child neglect
development of delusions in a person in a close relationship with delusional disorder
depressant withdrawal - nonspecific

30. Oppositional defiant disorder
PANICS
tantrums
Drugs with what kind of affect can lead to a state of delirium
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms

31. Aspergers
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy
Where child neglect is reported
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment

32. OCD
Where child neglect is reported
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions
process whereby one replaces an unacceptable wish with a course of action that is similar to the wish but does not conflict with ones value system

33. MAOi - SSRIs
Longitudinal lacerations of the gastroesophogeal junction caused by excessive vomiting
DIG FAST
the tx for atypical depression
repeated stimulation lead sot increase response

34. <1mo - usually stress related
the time frame for brief pyschotic disorder
inbability to recall important personal information - usually subsequent to severe trauma or stress
the treatment for maternal blues - depression - psychosis
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years

35. Regression - seen in children under stress and in patients on dialysis (crying)
auditory hallucinations common
How long does the disturbance last in PTSD
associated with winter season - improves in response to full spectrum light exposure
turning back the maturational clock and going back to earlier modes of dealing with the world

36. .1-1% of gen pop - 20% of obscene speech

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37. Retrograde amnesia
belief that people are either all good or all bad at different times due to intolerance or ambiguity
the 4 W's of deprived babies?
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months
inability to remember things that occurred before CNS insult

38. Antisocial - disregard for others - borderline - unstable - histrionic - excessive emotionality - narcissistic - grandiosity - sense of entiltlement - lacks empathy
patient projects feelings about formative or other important persons onto physician
the tx for GAD
the types of cluster B personality disorder
define bipolar disorder and distinguish I from II

39. In what disease is ACH decrease?
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week
turning back the maturational clock and going back to earlier modes of dealing with the world
Alzheimers
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating

40. Conduct disorder <18 - antisocial personality disorder > 18
100 - 15
psychiatric disorder associated with tourrettes - and the treatment
repetitive and pervasive behavior violating social norms - disorder - and name change after 18
Anxiety

41. Classical conditioning - pavlov's dogs
doctor projects feelings about formative or other important persons onto patient
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving
the two types of schizoaffective disorder
learning in which a natural response is elicited by a conditioned - or learned stimulus that previously was presented in conjuction with an unconditioned stimulus

42. Delirium/secondary to other illness
Alzheimers
the time frame for brief pyschotic disorder
modeling behavior after another person is more powerful - though not necessarily admired
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder

43. Operant conditioning
the typical abuser in sexual abuse
the stages of change in overcoming substance addiction
learning in which a particular ation is elicited because it produces a reward
How long episodes of major depressive episode usually last

44. Paranoid - disorganized - catatonic - undifferentiated - residual
the 5 types of schizophrenia
the tx for panic disorder
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week
repetitive and pervasive behavior violating social norms - disorder - and name change after 18

45. Presence of at least one manic (I) or hypomanic (II) episode - depressive sx occur eventually
DIG FAST
the evidence for child neglect
mediator between primal urges and accepted behavior
define bipolar disorder and distinguish I from II

46. Risk factors for suicide complettion - sex (male) - age (teen/elderly) - depression - previous attempt - ethanol/drug use - loss of rational thinking - sickness (medical illness 3 or more prescription medications) - orgnized plan - no spouse - social
the age of onset of ADHD
factors are most important in the etiology of schizophrenia
SAD PERSONS
the tx for OCD

47. Alcoholic cirrhosis - hepatitis - pancreatitis - peripheral neuropathy - testicular atrophy
avoidance of awareness of a some painful reality
the complications of alcoholism
persistent re - experiencing of a previous traumatic event
prolonged pain with no physical findings - psychosocial factors play an important role in severity exacerbation or maintenance

48. Social phobias - tx SSRIs
primal urges - freud
the associations/complications of bulimia nervosa
heroin users at increased risk of...
exaggerated fear of embarrasment in social situations - disorder and tx

49. Orientation
the complications of alcoholism
In ADHD - typical intelligence and school performance
depressant intoxication - nonspecific
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...

50. Sensitization
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning
repeated stimulation lead sot increase response
IQ<70

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Psychiatry

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