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Psychiatry

Instructions:

Answer 50 questions in 15 minutes.
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Match each statement with the correct term.
Don't refresh. All questions and answers are randomly picked and ordered every time you load a test.

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. Isolation of affect - describing murder in graphic detail with no emotional response
inbability to recall important personal information - usually subsequent to severe trauma or stress
the order of loss of orientation
Separation of feelings from ideas and events
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability

2. 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
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months
repeated stimulation leads to decrease response
intox = restlessness - increase diureis - muscle twitching

3. Precontemplation - contemplation - preparation - action - maintenance - relapse
the treatment for EtOH intox and withdrawal
behavior acquired by watching others and assimilating actions into one's own repetoire
the stages of change in overcoming substance addiction
How long does the disturbance last in PTSD

4. Substance dependence - tolerance - withdrawal - substance taken in larger amounts over longer time than desired - persistant desire or unsuccesful attempts to cut down - lots of energy spet obtaining - using or recovering from substance - important s
maladaptive pattern of substance use with 3 or more of these 7 criteria
the various types of cluster A personality disorder
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week

5. Oppositional defiant disorder
dramatic - emotional or erratic
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
discontinuation of reinforcement eliminates behavior
the epi of sexual abuse

6. Reaction formation - a patient with libidinous thoughts enters a monastery
In ADHD - typical intelligence and school performance
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
the complications of alcoholism
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence

7. Anorexia nervosa
potential tx for nicotine withdrawal
inability to remember things that occurred before CNS insult
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise

8. Variable ratio reinforcement schedule
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week
persistent re - experiencing of a previous traumatic event
mediator between primal urges and accepted behavior
reward received after random number of responses - slowly extinguished - slot machine

9. Alcoholic cirrhosis - hepatitis - pancreatitis - peripheral neuropathy - testicular atrophy
gender autism is more common in
the complications of alcoholism
preoccupation with a fear of having a serious illness despite medical evaluation and assurance
the EEG findings in dementia

10. Schizophrenia
the age of onset of ADHD
intense fear and discomfort peaking in 10 minutes
define bipolar disorder and distinguish I from II
auditory hallucinations common

11. 6 months
This gross neurological finding is associated with ADHD
primal urges - freud
How long infant deprivation can last before it leads to irreversible changes
the epi of physical child abuse

12. Denial - can occur in new AIDS or cancer diagnosis
Huntingtons
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame
gustatroy hallucinations common
avoidance of awareness of a some painful reality

13. CBT - SSRI - TCI - BDZ
psychiatric disorder associated with tourrettes - and the treatment
<40 and <20
the tx for panic disorder
Where child neglect is reported

14. Caffeine
pieces of evidence of physical child abuse
persistant feelings of detachment or estrangement from one's own body - a social situation - or the environment
an unacceptable internal impulse is attributed to an external source
intox = restlessness - increase diureis - muscle twitching

15. Munchausen's syndrome by proxy
desire to live as the opposite sex - through surgery or hormone tx
Longitudinal lacerations of the gastroesophogeal junction caused by excessive vomiting
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy
the typical abuser in physical child abuse

16. Marijuana
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia
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 BDZ intox - MOA
How long does the disturbance last in PTSD

17. Flashbacks - nightmares - intense fear - helplessness - or horror - avoidance of stimuli associated with trauma and persistent arousal
the tx for BDZ intox - MOA
less than what percentage of ideal body weight is common in anorexia nervosa
the common sx of PTSD
Separation of feelings from ideas and events

18. Periventricular hemorrhage/necrosis of mamillary bodies
neurologic outcome associated with W- K syndrome
discontinuation of reinforcement eliminates behavior
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures
How long episodes of major depressive episode usually last

19. MAOi - SSRIs
psychiatric disorder associated with tourrettes - and the treatment
behavior acquired by watching others and assimilating actions into one's own repetoire
postpartum depressed affect - tearfullness fatigue - usually resolves within 10 days - disorder + incidence
the tx for atypical depression

20. ADHD
How long marijuana is detectable in the urine after last use
the tx for OCD
the tx for BDZ intox - MOA
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability

21. Displacement - mom places blame on kid because she's mad at husband
learning in which a particular ation is elicited because it produces a reward
the central goa of freudian psychoanalysis
process whereby avoided ideas and feelings are transferred to some neutral person or object
both illness and motivation are subconcious - sx not intentionally produced or feigned

22. Manic episdoe
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week
the definition of alcoholism
reward received after random number of responses - slowly extinguished - slot machine
the types of cluster B personality disorder

23. Opiods
less than what percentage of ideal body weight is common in anorexia nervosa
When to hypnopompic hallucinations take place
intox = CNS depression - N/V - constipation - pup cxn - seizures withdrawal = sweating - pup diltaed - piloerection - rever - rhinorrhea - N - stomach cramps - diarrhea
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks

24. Amphetamines
the tx for panic disorder
the 4 W's of deprived babies?
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence
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

25. 1 month
How long marijuana is detectable in the urine after last use
psychiatric disorder associated with tourrettes - and the treatment
primal urges - freud
reward received after every response - rapidly extinguished - vending machine

26. In what disease is ACH decrease?
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise
Alzheimers
the epi of physical child abuse
inability to remember things that occurred before CNS insult

27. Dipoloar or depressive
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame
the two types of schizoaffective disorder
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing
the various types of cluster A personality disorder

28. Punishment
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder
application of aversive stimulus extinguishes unwanted behavior
the treatments for ADHD

29. Disulfiram and supportive care
the tx for alcoholism
delerium tremens symptoms
the serum markers of alcohol use
the age of onset of ADHD

30. Mood stabilizers - Li - valproic acid - carbamazepine - atypical antipsychotics
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
preoccupation with a fear of having a serious illness despite medical evaluation and assurance
the two types of schizoaffective disorder
the tx for bipolar disorder

31. OCD - haloperidol
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
the serum markers of alcohol use
psychiatric disorder associated with tourrettes - and the treatment
SAD PERSONS

32. Munchausen's syndrome
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures
What korsakoff's amnesia can lead to - who do you see it in and it also associated with
Causes of dementia
SIG E CAPS and the criteria for dx

33. Paranoid - pervasive distrust - schizoid - voluntary social withdrawal - schitzotypal - eccentric appearance and magical thinking - interpersonal awkwardness
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability
the various types of cluster A personality disorder
avoidance of awareness of a some painful reality
gustatroy hallucinations common

34. PTSD
Drugs with what kind of affect can lead to a state of delirium
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia
persistent re - experiencing of a previous traumatic event
psychiatric disorder associated with tourrettes - and the treatment

35. Naloxone + buprenorphine - naloxone not active when taken orally only when injected - withdrawal sx only occur if injected cuts down abuse
suboxone and the rational of adding an antagonist
the two types of schizoaffective disorder
Separation of feelings from ideas and events
process whereby avoided ideas and feelings are transferred to some neutral person or object

36. Habituation - simple learning
repeated stimulation leads to decrease response
What korsakoff's amnesia can lead to - who do you see it in and it also associated with
intox is marked respiratory depression - intox = delerium - life threatening CV collapse
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite

37. Seasonal affective disorder
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
misinterpretations of actual external stimulus
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
associated with winter season - improves in response to full spectrum light exposure

38. Dissociative amnesia
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics
the triad of Wernicke's encephalopathy
gets schizophrenia and the prev
inbability to recall important personal information - usually subsequent to severe trauma or stress

39. The mean IQ and SD?
100 - 15
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence
less than what percentage of ideal body weight is common in anorexia nervosa
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy

40. Malingering
Moral values - conscience can lead to self blame and attacks of ego
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
the various types of cluster A personality disorder
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

41. Depression
in elderly patients who present with dementia - the concern
primal urges - freud
the time frame for schizophreniform disorder
depressant intoxication - nonspecific

42. Thiamine deficiency
less than what percentage of ideal body weight is common in anorexia nervosa
SIG E CAPS and the criteria for dx
causes wernicke - korsakoff syndrome
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress

43. Autonomic system hyperactivity - psychotic symptoms - confusion
delerium tremens symptoms
the 5 types of schizophrenia
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited
Under these conditions do children regress to younger patterns of behavior

44. Mood elevation - decrease anxiety - sedation - behavior disinhibition - respiratory depression
depressant intoxication - nonspecific
desired reward produces action - mouse presses button for food
When separation anxiety disorder usually presents
the central goa of freudian psychoanalysis

45. Male - known to the victim
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of
the typical abuser in sexual abuse
patient projects feelings about formative or other important persons onto physician
inability to remember things that occurred before CNS insult

46. Postpartum depression - 10 to 15%
the two types of schizoaffective disorder
false beliefs not shared with other members of culture/subcutlure that are firmly maintained in spite of obvoius proof to the contrary
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence
application of aversive stimulus extinguishes unwanted behavior

47. Inc incidence with age - then alzheimers - vasc thrombosis - hemorrhage - HIV - pick's disease - CJD
Causes of dementia
the types of cluster B personality disorder
the age of onset of ADHD
lifetime prevalance of tourrette's in the gen pop - and the chance of coprolalia

48. Nl
anxious - fearful
the EEG findings in dementia
SAD PERSONS
Moral values - conscience can lead to self blame and attacks of ego

49. Autism
define bipolar disorder and distinguish I from II
autism with unusual abilities
the evidence for child neglect
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence

50. Like manic but without marked impairement in fxning - no pyschotic features
associated with winter season - improves in response to full spectrum light exposure
a hypomanic episode
Drugs with what kind of affect can lead to a state of delirium
dramatic - emotional or erratic