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Psychiatry

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Answer 50 questions in 15 minutes.
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1. Dec frontal lobe volumes
This gross neurological finding is associated with ADHD
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics
the goal of the ego defenses
neurologic outcome associated with W- K syndrome

2. Palp - parasthesias - abdominal distress - nausea - intense fear of dying or losing control - lIght headedness - chest pain - chills - choking - disConnectedness - sweating - shaking - SOB
depressant intoxication - nonspecific
intox is marked respiratory depression - intox = delerium - life threatening CV collapse
preoccupation with a fear of having a serious illness despite medical evaluation and assurance
PANICS

3. Intox = mood elevation - psychomotor agitation - insomnia - cardiac arrhythmias - tachycardia - anxiety. Withdrawal = post use crash - depression - weight gain - lethargy - HA
the treatments for ADHD
the non specific signs of stimulant intox and withdrawal
the concern with use of antidepressants in pts with bipoloar disorder
intox = restlessness. Withdrawal = irritability - anxiety - craving

4. Caffeine
a hypomanic episode
prolonged pain with no physical findings - psychosocial factors play an important role in severity exacerbation or maintenance
desired reward produces action - mouse presses button for food
intox = restlessness - increase diureis - muscle twitching

5. In what disease does NE decrease - 5HT decrease and DA decrease?
pieces of evidence for sexual child abuse
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability
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
Depression

6. Cocaine
the complications/associations of anorexia nervosa
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame
auditory hallucinations common

7. Barbituates
intox = restlessness - increase diureis - muscle twitching
intox is marked respiratory depression - intox = delerium - life threatening CV collapse
Causes of dementia
the two types of schizoaffective disorder

8. Delusions
What ego dystonic means in relation to OCD
false beliefs not shared with other members of culture/subcutlure that are firmly maintained in spite of obvoius proof to the contrary
maladaptive pattern leading to clinically significant impairment or distress
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability

9. Distractability - irresponsibility - grandiosity - flight of ideas - increase in Activity/Agitation - decrease need for sleep - talkativeness or pressured speech (at least 3)
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning
misinterpretations of actual external stimulus
both illness and motivation are subconcious - sx not intentionally produced or feigned
DIG FAST

10. While going to sleep
whenhypnagogic hallucinations take place
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
mediator between primal urges and accepted behavior
olfactory hallucinations common

11. Repression - not remebering a conflictual or traumatic experience
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability
involunatary withholding of an idea or feeling from conscious awareness
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise

12. Manic episdoe
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week
Long acting oral opiate for heroine detox or long term maintenance
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving
In ADHD - typical intelligence and school performance

13. Projection - a man who wants another women thinks his wife is cheating on him
tantrums
an unacceptable internal impulse is attributed to an external source
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
the non specific signs of stimulant intox and withdrawal

14. Depression
in elderly patients who present with dementia - the concern
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence
the EEG findings in dementia
Is body weight maintained within nl range in bulimia nervosa

15. Postpartum depression - 10 to 15%
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
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence
repetitive and pervasive behavior violating social norms - disorder - and name change after 18
avoidance of awareness of a some painful reality

16. Somatization disorder
psychiatric disorder associated with tourrettes - and the treatment
behavior achieved following reward of closer and closer approximations of desired behavior
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of

17. Cluster C personality disorder
100 - 15
anxious - fearful
Where child neglect is reported
psychiatric disorder associated with tourrettes - and the treatment

18. Thiamine deficiency
the associations/complications of bulimia nervosa
causes wernicke - korsakoff syndrome
the typical abuser in sexual abuse
turning back the maturational clock and going back to earlier modes of dealing with the world

19. Schizophrenia
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months
IQ<70
the triad of Wernicke's encephalopathy
reward received after every response - rapidly extinguished - vending machine

20. Female primary caregiver
define bipolar disorder and distinguish I from II
the typical abuser in physical child abuse
potential tx for nicotine withdrawal
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks

21. Anxiety - tremor - seizures - insomnia
DIG FAST
whenhypnagogic hallucinations take place
Long acting oral opiate for heroine detox or long term maintenance
depressant withdrawal - nonspecific

22. Conduct disorder <18 - antisocial personality disorder > 18
repetitive and pervasive behavior violating social norms - disorder - and name change after 18
This gross neurological finding is associated with ADHD
How long episodes of major depressive episode usually last
maladaptive pattern leading to clinically significant impairment or distress

23. EtOH - drugs - fluid/lytes imbalance - head trauma - hypoglycemia - nutritional def
suboxone and the rational of adding an antagonist
the common causes of lack or orientation
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects
behavior achieved following reward of closer and closer approximations of desired behavior

24. Dissociative fatigue
abrupt change in geographic location with inability to recall past - confusion about personal identity - or assumption of a new identity - associated with traumatic circumstances
How long infant deprivation can last before it leads to irreversible changes
belief that people are either all good or all bad at different times due to intolerance or ambiguity
This gross neurological finding is associated with ADHD

25. Illusion
the stages of change in overcoming substance addiction
behavior acquired by watching others and assimilating actions into one's own repetoire
the order of loss of orientation
misinterpretations of actual external stimulus

26. 85 percent
appreciating the amusing nature of an anxiety provoking or adverse situation
less than what percentage of ideal body weight is common in anorexia nervosa
the central goa of freudian psychoanalysis
intox = restlessness - increase diureis - muscle twitching

27. Alcoholic cirrhosis - hepatitis - pancreatitis - peripheral neuropathy - testicular atrophy
repeated stimulation lead sot increase response
Stanford - binet
the complications of alcoholism
gustatroy hallucinations common

28. ECT - disorientation amnesia - usually resolves in 6 months
odd or eccentric; inability to develop meaningful social relationships
behavior achieved following reward of closer and closer approximations of desired behavior
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects
100 - 15

29. Like manic but without marked impairement in fxning - no pyschotic features
visual hallucinations common
a hypomanic episode
heroin users at increased risk of...
Diagnosis requres 2 of 5 of which sx

30. Parotitis - enamel erosion - lytes disturbances - alkalosis - dorsal hand calluses from inducing vomit
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself
the associations/complications of bulimia nervosa
reward received after every response - rapidly extinguished - vending machine
the 3 types of cluster C personality disorder

31. Confusion - opthalmoplegia - and ataxia

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32. Paranoid - pervasive distrust - schizoid - voluntary social withdrawal - schitzotypal - eccentric appearance and magical thinking - interpersonal awkwardness
the various types of cluster A personality disorder
the central goa of freudian psychoanalysis
disorders in the form of through - the way ideas are tied together
Korsakoff's psychosis

33. Savant
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics
autism with unusual abilities
SIG E CAPS and the criteria for dx
inability to remember things that occurred after CNS insult

34. Inc incidence with age - then alzheimers - vasc thrombosis - hemorrhage - HIV - pick's disease - CJD
persistent re - experiencing of a previous traumatic event
How long episodes of major depressive episode usually last
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating
Causes of dementia

35. 7 to 9
When separation anxiety disorder usually presents
the time frame for schizophreniform disorder
involunatary withholding of an idea or feeling from conscious awareness
the triad of Wernicke's encephalopathy

36. 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
whenmen vs women present with schizophrenia
associated with winter season - improves in response to full spectrum light exposure
the epi of physical child abuse

37. ADHD
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability
Is body weight maintained within nl range in bulimia nervosa
abrupt change in geographic location with inability to recall past - confusion about personal identity - or assumption of a new identity - associated with traumatic circumstances

38. Weak - wordless - wanting - and wary - decrease muscle tone - poor language skills - poor socialization skills - lack of basic trust - anaclitic depression - weight loss - physical illness

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39. Munchausen's syndrome
desire to live as the opposite sex - through surgery or hormone tx
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures
What ego dystonic means in relation to OCD
the tx for opiod intox and withdrawal

40. Marijuana
desired reward produces action - mouse presses button for food
inability to remember things that occurred after CNS insult
When to hypnopompic hallucinations take place
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia

41. Rett's disorder
Alzheimers
the EEG findings in dementia
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy

42. Splitting - a pt that says all nurses are nice and all doctors are bad
belief that people are either all good or all bad at different times due to intolerance or ambiguity
Parkinsons
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating
postpartum depressed affect - tearfullness fatigue - usually resolves within 10 days - disorder + incidence

43. Men early 20s - women late 20s early 30s
100 - 15
How long infant deprivation can last before it leads to irreversible changes
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse
whenmen vs women present with schizophrenia

44. Physiologic tolerance and dependence with symptoms of withdrawal when intake is interrupted
repetitive and pervasive behavior violating social norms - disorder - and name change after 18
the definition of alcoholism
associated with winter season - improves in response to full spectrum light exposure
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating

45. SSRIs - clomipramine
repetitive and pervasive behavior violating social norms - disorder - and name change after 18
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...
learning in which a particular ation is elicited because it produces a reward
the tx for OCD

46. Continuous reinforcement schedule
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
reward received after every response - rapidly extinguished - vending machine
false beliefs not shared with other members of culture/subcutlure that are firmly maintained in spite of obvoius proof to the contrary
intox is marked respiratory depression - intox = delerium - life threatening CV collapse

47. Naloxone - naltrexone - and symptomatic for withdrawal sx
behavior acquired by watching others and assimilating actions into one's own repetoire
the goal of the ego defenses
Where child neglect is reported
the tx for opiod intox and withdrawal

48. Flumazenil - competitive GABA antagonist
Separation of feelings from ideas and events
the tx for BDZ intox - MOA
In ADHD - typical intelligence and school performance
inability to remember things that occurred before CNS insult

49. In what disease does NE increase - GABA decrease - and 5HT decrease?
SIG E CAPS and the criteria for dx
Anxiety
the common sx of PTSD
delerium tremens symptoms

50. In what diseaese is DA decrease - 5HT increase - and increase ACH?
belief that people are either all good or all bad at different times due to intolerance or ambiguity
the central goa of freudian psychoanalysis
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame
Parkinsons

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Psychiatry

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