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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. Hallucination
perceptions in the absence of external stimulus
When to hypnopompic hallucinations take place
neurologic outcome associated with W- K syndrome
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of

2. Male - known to the victim
the typical abuser in sexual abuse
SAD PERSONS
Under these conditions do children regress to younger patterns of behavior
IQ<70

3. Displacement - mom places blame on kid because she's mad at husband
fear that is excessive or unreasonable and interferes with with nl fxn - cued by presence or antiicipation of a specific object or situatio - person recognizes fear is excessive
SIG E CAPS and the criteria for dx
process whereby avoided ideas and feelings are transferred to some neutral person or object
the epi of physical child abuse

4. Confusion - opthalmoplegia - and ataxia

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5. Periventricular hemorrhage/necrosis of mamillary bodies
PANICS
both illness and motivation are subconcious - sx not intentionally produced or feigned
neurologic outcome associated with W- K syndrome
Depression

6. In what disease is ACH decrease?
PANICS
Alzheimers
postpartum depressed affect - tearfullness fatigue - usually resolves within 10 days - disorder + incidence
the 4 W's of deprived babies?

7. Physiologic tolerance and dependence with symptoms of withdrawal when intake is interrupted
mediator between primal urges and accepted behavior
the definition of alcoholism
Huntingtons
DIG FAST

8. OCD
the tx for alcoholism
the age of onset of ADHD
turning back the maturational clock and going back to earlier modes of dealing with the world
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions

9. Presence of at least one manic (I) or hypomanic (II) episode - depressive sx occur eventually
define bipolar disorder and distinguish I from II
involunatary withholding of an idea or feeling from conscious awareness
This gross neurological finding is associated with ADHD
inability to remember things that occurred after CNS insult

10. Loose associations
child neglect
Separation of feelings from ideas and events
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions
disorders in the form of through - the way ideas are tied together

11. Body dysmorphic disorder
the time frame for brief pyschotic disorder
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning
dramatic - emotional or erratic
visual hallucinations common

12. Naloxone + buprenorphine - naloxone not active when taken orally only when injected - withdrawal sx only occur if injected cuts down abuse
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
heroin users at increased risk of...
This gross neurological finding is associated with ADHD
suboxone and the rational of adding an antagonist

13. .1-1% of gen pop - 20% of obscene speech

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14. Extinction
intox = restlessness - increase diureis - muscle twitching
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise
discontinuation of reinforcement eliminates behavior

15. Depression
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress
desire to live as the opposite sex - through surgery or hormone tx
in elderly patients who present with dementia - the concern
this drug is a risk factor for schizophrenia in teens

16. LSD
Drugs with what kind of affect can lead to a state of delirium
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs
the complications of alcoholism

17. Aura of psychomotor epilepsy and in brain tumors
maladaptive pattern leading to clinically significant impairment or distress
olfactory hallucinations common
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation
persistent re - experiencing of a previous traumatic event

18. Paranoid - pervasive distrust - schizoid - voluntary social withdrawal - schitzotypal - eccentric appearance and magical thinking - interpersonal awkwardness
the various types of cluster A personality disorder
the age of onset of ADHD
cyclothymia disorder
What korsakoff's amnesia can lead to - who do you see it in and it also associated with

19. Substance withdrawal - signs are often opposite of intoxication
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse
Separation of feelings from ideas and events
partially remaining at more childish level of development
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs

20. Retrograde amnesia
suboxone and the rational of adding an antagonist
inability to remember things that occurred before CNS insult
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects
the tx for BDZ intox - MOA

21. Cluster A personality disorder
misinterpretations of actual external stimulus
patient projects feelings about formative or other important persons onto physician
odd or eccentric; inability to develop meaningful social relationships
lifetime prevalance of tourrette's in the gen pop - and the chance of coprolalia

22. Habituation - simple learning
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week
repeated stimulation leads to decrease response
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
child neglect

23. Variable ratio reinforcement schedule
the definition of alcoholism
reward received after random number of responses - slowly extinguished - slot machine
the central goa of freudian psychoanalysis
turning back the maturational clock and going back to earlier modes of dealing with the world

24. Naloxone - naltrexone - and symptomatic for withdrawal sx
the tx for opiod intox and withdrawal
exaggerated fear of embarrasment in social situations - disorder and tx
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
desire to live as the opposite sex - through surgery or hormone tx

25. Delirium
persistant feelings of detachment or estrangement from one's own body - a social situation - or the environment
visual hallucinations common
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
guilty feelings alleviated by unsolicitied generosity towards others

26. Repression - not remebering a conflictual or traumatic experience
repetitive and pervasive behavior violating social norms - disorder - and name change after 18
involunatary withholding of an idea or feeling from conscious awareness
maladaptive pattern leading to clinically significant impairment or distress
the evidence for child neglect

27. Shaping (social learning)
behavior achieved following reward of closer and closer approximations of desired behavior
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures
belief that people are either all good or all bad at different times due to intolerance or ambiguity
learning in which a natural response is elicited by a conditioned - or learned stimulus that previously was presented in conjuction with an unconditioned stimulus

28. Cluster B personality disorder
Alzheimers
exaggerated fear of embarrasment in social situations - disorder and tx
dramatic - emotional or erratic
maladaptive pattern of substance use with 3 or more of these 7 criteria

29. Genital/anal trauma - STDs and UTIs
reward received after random number of responses - slowly extinguished - slot machine
pieces of evidence for sexual child abuse
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating
psychiatric disorder associated with tourrettes - and the treatment

30. Calculates IQ as mental age/chronological age x 100
the tx for OCD
Stanford - binet
maladaptive pattern of substance use with 3 or more of these 7 criteria
neurologic outcome associated with W- K syndrome

31. Denial - can occur in new AIDS or cancer diagnosis
Korsakoff's psychosis
depressant withdrawal - nonspecific
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving
avoidance of awareness of a some painful reality

32. The mean IQ and SD?
the tx for opiod intox and withdrawal
the tx for GAD
repeated stimulation leads to decrease response
100 - 15

33. Personality disorder
inflexible - maladaptive - and rigidly pervasive pattern of behavior causing subjective distress and/or impaired functioning - persons usually not aware of problem - presents early in adulthood
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning
the order of loss of orientation
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens

34. Dysthymia
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation
the tx for alcoholism
desired reward produces action - mouse presses button for food
milder form of depression lasting at least 2 years

35. Men early 20s - women late 20s early 30s
Drugs with what kind of affect can lead to a state of delirium
whenmen vs women present with schizophrenia
inbability to recall important personal information - usually subsequent to severe trauma or stress
the two types of schizoaffective disorder

36. 3000 deaths/yr in the US
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months
the epi of physical child abuse
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse

37. Munchausen's syndrome
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures
causes wernicke - korsakoff syndrome
the evidence for child neglect
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability

38. Factitious disorder
repeated stimulation lead sot increase response
Diagnosis requres 2 of 5 of which sx
the 4 W's of deprived babies?
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain

39. Boys
the stages of change in overcoming substance addiction
gender autism is more common in
discontinuation of reinforcement eliminates behavior
gustatroy hallucinations common

40. Methylphenidate - amphetamines - atomoxetine
depressant withdrawal - nonspecific
the epi of sexual abuse
avoidance of awareness of a some painful reality
the treatments for ADHD

41. Genes > environment
Where child neglect is reported
factors are most important in the etiology of schizophrenia
the 3 types of cluster C personality disorder
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite

42. Bulimia nervosa
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics
patient projects feelings about formative or other important persons onto physician
Korsakoff's psychosis
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week

43. Modeling (social learning)

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44. Regression - seen in children under stress and in patients on dialysis (crying)
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week
the tx for bipolar disorder
turning back the maturational clock and going back to earlier modes of dealing with the world
How long infant deprivation can last before it leads to irreversible changes

45. Severe and profound MR?
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise
the complications of alcoholism
<40 and <20
waxing and waning level of conciousness with acute onset leading to rapid decrease in attention span/level of arousal - acute changes in mental status - disorganized thinking - hallucinations etc

46. Anterograde amnesia
inability to remember things that occurred after CNS insult
the tx for GAD
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited
the treatment for maternal blues - depression - psychosis

47. Anxiety - tremor - seizures - insomnia
the stages of change in overcoming substance addiction
in elderly patients who present with dementia - the concern
abrupt change in geographic location with inability to recall past - confusion about personal identity - or assumption of a new identity - associated with traumatic circumstances
depressant withdrawal - nonspecific

48. Parotitis - enamel erosion - lytes disturbances - alkalosis - dorsal hand calluses from inducing vomit
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
the age of onset of ADHD
the associations/complications of bulimia nervosa
In ADHD - typical intelligence and school performance

49. Punishment
strong persistant cross gender identification
Where child neglect is reported
application of aversive stimulus extinguishes unwanted behavior
Depression

50. Classical conditioning - pavlov's dogs
the types of cluster B personality disorder
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode
learning in which a natural response is elicited by a conditioned - or learned stimulus that previously was presented in conjuction with an unconditioned stimulus
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia