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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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1. In what diseaese is DA decrease - 5HT increase - and increase ACH?
the goal of the ego defenses
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis
factors are most important in the etiology of schizophrenia
Parkinsons

2. Stress of physical illness - punishment - birth of a new sibling - fatigue (bedwetting in a previously toilet trained child when hospitalized
the concern with use of antidepressants in pts with bipoloar disorder
learning in which a particular ation is elicited because it produces a reward
the central goa of freudian psychoanalysis
Under these conditions do children regress to younger patterns of behavior

3. Bilateral destruction of mammilary bodies - some retrograde amnesia - alcholics - and assoc with confabulations

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4. Dissociative fatigue
voluntary withholding of an idea or feeling fromk concious awareness
abrupt change in geographic location with inability to recall past - confusion about personal identity - or assumption of a new identity - associated with traumatic circumstances
the common sx of PTSD
Diagnosis requres 2 of 5 of which sx

5. Hepatitis - abscesses - OD - hemorrhoids - AIDS - right sided endocarditits
the common sx of PTSD
heroin users at increased risk of...
avoidance of awareness of a some painful reality
less than what percentage of ideal body weight is common in anorexia nervosa

6. Delirium/secondary to other illness
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects
in elderly patients who present with dementia - the concern
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder
potential tx for nicotine withdrawal

7. There are rare
associated with winter season - improves in response to full spectrum light exposure
tantrums
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
gustatroy hallucinations common

8. >1month
depressant intoxication - nonspecific
How long does the disturbance last in PTSD
the associations/complications of bulimia nervosa
the definition of alcoholism

9. Seasonal affective disorder
the treatment for EtOH intox and withdrawal
intox = restlessness - increase diureis - muscle twitching
associated with winter season - improves in response to full spectrum light exposure
the complications/associations of anorexia nervosa

10. Genes > environment
the tx for bipolar disorder
factors are most important in the etiology of schizophrenia
the tx for OCD
Where child neglect is reported

11. Dec frontal lobe volumes
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
reward received after random number of responses - slowly extinguished - slot machine
This gross neurological finding is associated with ADHD

12. ADHD
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months
perceptions in the absence of external stimulus
This gross neurological finding is associated with ADHD

13. Bulimia nervosa
an unacceptable internal impulse is attributed to an external source
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics
heroin users at increased risk of...
false beliefs not shared with other members of culture/subcutlure that are firmly maintained in spite of obvoius proof to the contrary

14. Conversion disorder
appreciating the amusing nature of an anxiety provoking or adverse situation
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent
olfactory hallucinations common
the 3 types of cluster C personality disorder

15. Rett's disorder
IQ<70
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing
the types of cluster B personality disorder
primal urges - freud

16. Tourrette's
behavior acquired by watching others and assimilating actions into one's own repetoire
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
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr
Huntingtons

17. Classical conditioning - pavlov's dogs
the tx for bipolar disorder
prolonged pain with no physical findings - psychosocial factors play an important role in severity exacerbation or maintenance
the tx of W- K syndrome
learning in which a natural response is elicited by a conditioned - or learned stimulus that previously was presented in conjuction with an unconditioned stimulus

18. Transference
patient projects feelings about formative or other important persons onto physician
persistent re - experiencing of a previous traumatic event
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent
discontinuation of reinforcement eliminates behavior

19. Severe and profound MR?
the serum markers of alcohol use
<40 and <20
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode
Longitudinal lacerations of the gastroesophogeal junction caused by excessive vomiting

20. Childhood disintegrative disorder
heroin users at increased risk of...
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
the tx for OCD
reward received after every response - rapidly extinguished - vending machine

21. Cluster C personality disorder
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
anxious - fearful
What ego dystonic means in relation to OCD
pieces of evidence of physical child abuse

22. Humor - nervous med student jokes about boards
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving
Where child neglect is reported
appreciating the amusing nature of an anxiety provoking or adverse situation
tactile hallucinations common

23. Korsakoff's amnesia
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
anterograde amnesia caused by thiamine deficiency
the common sx of PTSD
Long acting oral opiate for heroine detox or long term maintenance

24. Social phobias - tx SSRIs
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months
the 4 W's of deprived babies?
exaggerated fear of embarrasment in social situations - disorder and tx

25. Habituation - simple learning
intox = restlessness - increase diureis - muscle twitching
repeated stimulation leads to decrease response
intox = CNS depression - N/V - constipation - pup cxn - seizures withdrawal = sweating - pup diltaed - piloerection - rever - rhinorrhea - N - stomach cramps - diarrhea
the non specific signs of stimulant intox and withdrawal

26. Retrograde amnesia
inability to remember things that occurred before CNS insult
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise

27. Manic episdoe
auditory hallucinations common
100 - 15
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week
Where child neglect is reported

28. Delusional disorder
Alzheimers
desire to live as the opposite sex - through surgery or hormone tx
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited

29. Gamma glutamyltransferase - GGT - AST 2x ALT
visual hallucinations common
causes wernicke - korsakoff syndrome
psychiatric disorder associated with tourrettes - and the treatment
the serum markers of alcohol use

30. Paranoid - pervasive distrust - schizoid - voluntary social withdrawal - schitzotypal - eccentric appearance and magical thinking - interpersonal awkwardness
the various types of cluster A personality disorder
Number of major depressive episodes constitute major depressive disorder
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
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics

31. Oppositional defiant disorder
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain
involunatary withholding of an idea or feeling from conscious awareness
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms

32. Genital/anal trauma - STDs and UTIs
pieces of evidence for sexual child abuse
the complications/associations of anorexia nervosa
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself
the order of loss of orientation

33. Delusions - hallucinations - disorganizaed speech - disorganized or catatonic behavior and negative sx
the tx of W- K syndrome
child neglect
the complications/associations of anorexia nervosa
Diagnosis requres 2 of 5 of which sx

34. Variable ratio reinforcement schedule
reward received after every response - rapidly extinguished - vending machine
reward received after random number of responses - slowly extinguished - slot machine
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress

35. 6-12 months
How long episodes of major depressive episode usually last
the treatment for EtOH intox and withdrawal
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning
learning in which a natural response is elicited by a conditioned - or learned stimulus that previously was presented in conjuction with an unconditioned stimulus

36. BDZ - busiprone - SSRIs
the tx for opiod intox and withdrawal
100 - 15
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
the tx for GAD

37. Anticholinergic
application of aversive stimulus extinguishes unwanted behavior
gustatroy hallucinations common
Drugs with what kind of affect can lead to a state of delirium
mediator between primal urges and accepted behavior

38. Amphetamines
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence
the associations/complications of bulimia nervosa
repetitive and pervasive behavior violating social norms - disorder - and name change after 18
an unacceptable internal impulse is attributed to an external source

39. Opiods
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
behavior acquired by watching others and assimilating actions into one's own repetoire
intox = CNS depression - N/V - constipation - pup cxn - seizures withdrawal = sweating - pup diltaed - piloerection - rever - rhinorrhea - N - stomach cramps - diarrhea
repetitive and pervasive behavior violating social norms - disorder - and name change after 18

40. In what disease does NE increase - GABA decrease - and 5HT decrease?
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability
perceptions in the absence of external stimulus
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
Anxiety

41. Blacks=whites - males = females - 1.5% lifetime prev
pieces of evidence of physical child abuse
the goal of the ego defenses
tantrums
gets schizophrenia and the prev

42. Superego - you know you can't have it - taking it is wrong
This gross neurological finding is associated with ADHD
gustatroy hallucinations common
Moral values - conscience can lead to self blame and attacks of ego
voluntary withholding of an idea or feeling fromk concious awareness

43. Extinction
behavior acquired by watching others and assimilating actions into one's own repetoire
discontinuation of reinforcement eliminates behavior
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
the typical abuser in physical child abuse

44. 3000 deaths/yr in the US
intox = CNS depression - N/V - constipation - pup cxn - seizures withdrawal = sweating - pup diltaed - piloerection - rever - rhinorrhea - N - stomach cramps - diarrhea
the epi of physical child abuse
overwhelming fear of separation from home or loss of attachment figure that can lead to factitious physical complaints to avoid going to school
this drug is a risk factor for schizophrenia in teens

45. Delusions
false beliefs not shared with other members of culture/subcutlure that are firmly maintained in spite of obvoius proof to the contrary
DIG FAST
misinterpretations of actual external stimulus
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence

46. Before 7
child neglect
DIG FAST
the age of onset of ADHD
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis

47. Schizoaffective disorder
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
abrupt change in geographic location with inability to recall past - confusion about personal identity - or assumption of a new identity - associated with traumatic circumstances
the definition of alcoholism

48. SSRIs - clomipramine
behavior acquired by watching others and assimilating actions into one's own repetoire
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years
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
the tx for OCD

49. Nl
gustatroy hallucinations common
desire to live as the opposite sex - through surgery or hormone tx
the EEG findings in dementia
the tx for alcoholism

50. Depression
In ADHD - typical intelligence and school performance
What ego dystonic means in relation to OCD
in elderly patients who present with dementia - the concern
the various types of cluster A personality disorder