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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. Before 7
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
the non specific signs of stimulant intox and withdrawal
the age of onset of ADHD
repeated stimulation leads to decrease response

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

3. Delirium
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
the time frame for schizophreniform disorder
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
intox is marked respiratory depression - intox = delerium - life threatening CV collapse

4. Sleep disturbances - loss of interest - guilt or feelings of worthlessness - loss of Energy - loss of Concentration - Appetite/weight changes - psychomotor retardation or agitation - suicidal ideations - depressed mood - 5 of 9 with anhedonia/depress
SIG E CAPS and the criteria for dx
the tx for GAD
repetitive and pervasive behavior violating social norms - disorder - and name change after 18
behavior acquired by watching others and assimilating actions into one's own repetoire

5. Supression - not thinking about the USMLE until the week of the exam
How long episodes of major depressive episode usually last
voluntary withholding of an idea or feeling fromk concious awareness
the tx for OCD
Depression

6. Normal intel - trouble in school
repeated stimulation leads to decrease response
In ADHD - typical intelligence and school performance
the non specific signs of stimulant intox and withdrawal
disorders in the form of through - the way ideas are tied together

7. Yes
pieces of evidence of physical child abuse
avoidance of awareness of a some painful reality
desire to live as the opposite sex - through surgery or hormone tx
Is body weight maintained within nl range in bulimia nervosa

8. Pain disorder
intox = restlessness. Withdrawal = irritability - anxiety - craving
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame
prolonged pain with no physical findings - psychosocial factors play an important role in severity exacerbation or maintenance
the stages of change in overcoming substance addiction

9. Peak incidence 9-12 years of age
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
the epi of sexual abuse
both illness and motivation are subconcious - sx not intentionally produced or feigned
the tx for alcoholism

10. Alcoholic cirrhosis - hepatitis - pancreatitis - peripheral neuropathy - testicular atrophy
Anxiety
the complications of alcoholism
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
suboxone and the rational of adding an antagonist

11. Korsakoff's amnesia
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
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
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability
anterograde amnesia caused by thiamine deficiency

12. Paranoid - pervasive distrust - schizoid - voluntary social withdrawal - schitzotypal - eccentric appearance and magical thinking - interpersonal awkwardness
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
When separation anxiety disorder usually presents
the 4 W's of deprived babies?
the various types of cluster A personality disorder

13. Munchausen's syndrome
modeling behavior after another person is more powerful - though not necessarily admired
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures
intox is marked respiratory depression - intox = delerium - life threatening CV collapse
tactile hallucinations common

14. Autonomic system hyperactivity - psychotic symptoms - confusion
modeling behavior after another person is more powerful - though not necessarily admired
delerium tremens symptoms
persistant feelings of detachment or estrangement from one's own body - a social situation - or the environment
Depression

15. Anorexia nervosa
Alzheimers
the complications of alcoholism
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise
IQ<70

16. Splitting - a pt that says all nurses are nice and all doctors are bad
intox = ataxia - minor respiratory depression
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning
belief that people are either all good or all bad at different times due to intolerance or ambiguity
Diagnosis requres 2 of 5 of which sx

17. Altruism - mafia boss makes a large donation to charity
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
gustatroy hallucinations common
guilty feelings alleviated by unsolicitied generosity towards others
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite

18. Projection - a man who wants another women thinks his wife is cheating on him
the epi of physical child abuse
autism with unusual abilities
an unacceptable internal impulse is attributed to an external source
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself

19. Extinction
the evidence for child neglect
perceptions in the absence of external stimulus
SAD PERSONS
discontinuation of reinforcement eliminates behavior

20. Social phobias - tx SSRIs
whering clothes of the opposite sex
exaggerated fear of embarrasment in social situations - disorder and tx
learning in which a natural response is elicited by a conditioned - or learned stimulus that previously was presented in conjuction with an unconditioned stimulus
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment

21. Supprt then antidepressants + psychotherapy then all those + antipsychotics and possible inpatient hospitalization
the EEG findings in dementia
modeling behavior after another person is more powerful - though not necessarily admired
the treatment for maternal blues - depression - psychosis
This gross neurological finding is associated with ADHD

22. Behavior inconsistent with ones own beliefs and attitudes - as opposed to OC personality disorder
dramatic - emotional or erratic
intense fear and discomfort peaking in 10 minutes
appreciating the amusing nature of an anxiety provoking or adverse situation
What ego dystonic means in relation to OCD

23. Autism
the complications/associations of anorexia nervosa
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence
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

24. Manic episdoe
<40 and <20
intox = restlessness - increase diureis - muscle twitching
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week
How long episodes of major depressive episode usually last

25. Retrograde amnesia
repeated stimulation leads to decrease response
psychiatric disorder associated with tourrettes - and the treatment
How long infant deprivation can last before it leads to irreversible changes
inability to remember things that occurred before CNS insult

26. PTSD
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
persistent re - experiencing of a previous traumatic event
intox = restlessness. Withdrawal = irritability - anxiety - craving
the tx for bipolar disorder

27. Avoidant - hypersensitive to rejection - timid - obsessive/compulsive - preoccupation with order - ego syntonic - dependent - submissive and clinging
Drugs with what kind of affect can lead to a state of delirium
a hypomanic episode
preoccupation with a fear of having a serious illness despite medical evaluation and assurance
the 3 types of cluster C personality disorder

28. Panic disorder
intense fear and discomfort peaking in 10 minutes
behavior acquired by watching others and assimilating actions into one's own repetoire
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens

29. EtOH - drugs - fluid/lytes imbalance - head trauma - hypoglycemia - nutritional def
When separation anxiety disorder usually presents
a hypomanic episode
the common causes of lack or orientation
desired reward produces action - mouse presses button for food

30. BDZ - busiprone - SSRIs
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
Under these conditions do children regress to younger patterns of behavior
the tx for alcoholism
the tx for GAD

31. Methadone
Anxiety
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence
Long acting oral opiate for heroine detox or long term maintenance
potential tx for nicotine withdrawal

32. Countertransference
lifetime prevalance of tourrette's in the gen pop - and the chance of coprolalia
the age of onset of ADHD
doctor projects feelings about formative or other important persons onto patient
This gross neurological finding is associated with ADHD

33. Amphetamines
lifetime prevalance of tourrette's in the gen pop - and the chance of coprolalia
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence
patient projects feelings about formative or other important persons onto physician
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving

34. Transference
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia
patient projects feelings about formative or other important persons onto physician
the goal of the ego defenses
maladaptive pattern leading to clinically significant impairment or distress

35. Displacement - mom places blame on kid because she's mad at husband
strong persistant cross gender identification
tactile hallucinations common
the central goa of freudian psychoanalysis
process whereby avoided ideas and feelings are transferred to some neutral person or object

36. Male - known to the victim
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent
delerium tremens symptoms
the typical abuser in sexual abuse
dramatic - emotional or erratic

37. Depersonalization disorder

38. Anxiety - tremor - seizures - insomnia
the tx for GAD
intox = restlessness. Withdrawal = irritability - anxiety - craving
depressant withdrawal - nonspecific
the time frame for brief pyschotic disorder

39. Blacks=whites - males = females - 1.5% lifetime prev
IQ<70
gets schizophrenia and the prev
preoccupation with a fear of having a serious illness despite medical evaluation and assurance
odd or eccentric; inability to develop meaningful social relationships

40. Weed
olfactory hallucinations common
the common sx of PTSD
anterograde amnesia caused by thiamine deficiency
this drug is a risk factor for schizophrenia in teens

41. Anticholinergic
<40 and <20
Drugs with what kind of affect can lead to a state of delirium
depressant withdrawal - nonspecific
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures

42. Humor - nervous med student jokes about boards
appreciating the amusing nature of an anxiety provoking or adverse situation
Moral values - conscience can lead to self blame and attacks of ego
the types of cluster B personality disorder
the tx for GAD

43. Mood elevation - decrease anxiety - sedation - behavior disinhibition - respiratory depression
the tx for alcoholism
voluntary withholding of an idea or feeling fromk concious awareness
depressant intoxication - nonspecific
maladaptive pattern of substance use with 3 or more of these 7 criteria

44. Delusions - hallucinations - disorganizaed speech - disorganized or catatonic behavior and negative sx
patient projects feelings about formative or other important persons onto physician
Diagnosis requres 2 of 5 of which sx
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects
delerium tremens symptoms

45. Delusional disorder
the definition of alcoholism
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited
patient conciously fakes or claims to have a disorder in order to gain a specific secondary gain and avoids medical treatmen - complaints cease after gain
whenhypnagogic hallucinations take place

46. Dec frontal lobe volumes
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought
inbability to recall important personal information - usually subsequent to severe trauma or stress
This gross neurological finding is associated with ADHD
doctor projects feelings about formative or other important persons onto patient

47. Adjustment disorder
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months
pieces of evidence for sexual child abuse
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning
the 5 types of schizophrenia

48. Confusion - opthalmoplegia - and ataxia

49. Dysthymia
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving
milder form of depression lasting at least 2 years
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
DIG FAST

50. In what disease does NE decrease - 5HT decrease and DA decrease?
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis
What ego dystonic means in relation to OCD
Depression
modeling behavior after another person is more powerful - though not necessarily admired