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Psychiatry

Instructions:

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. EtOH withdrawal - cocaine abusers
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing
prolonged pain with no physical findings - psychosocial factors play an important role in severity exacerbation or maintenance
tactile hallucinations common
associated with winter season - improves in response to full spectrum light exposure

2. In what disease does NE decrease - 5HT decrease and DA decrease?
define bipolar disorder and distinguish I from II
Depression
the treatment for maternal blues - depression - psychosis
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability

3. 1-6 months
causes wernicke - korsakoff syndrome
Schizophrenia
in elderly patients who present with dementia - the concern
the time frame for schizophreniform disorder

4. Irreversible memory loss - confabulation - personality change

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5. Anorexia nervosa
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise
desired reward produces action - mouse presses button for food
the definition of alcoholism
whenmen vs women present with schizophrenia

6. 6 months
How long infant deprivation can last before it leads to irreversible changes
avoidance of awareness of a some painful reality
heroin users at increased risk of...
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment

7. 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
application of aversive stimulus extinguishes unwanted behavior
heroin users at increased risk of...
repeated stimulation leads to decrease response

8. Dec bone density - severe weight loss - metatarsal stress fractures - amenorrhea - anemia - lytes disturbances - depression
the complications/associations of anorexia nervosa
the complications of alcoholism
the 3 types of cluster C personality disorder
preoccupation with a fear of having a serious illness despite medical evaluation and assurance

9. Substance abuse
maladaptive pattern leading to clinically significant impairment or distress
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
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of

10. Boys
gender autism is more common in
IQ<70
the stages of change in overcoming substance addiction
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months

11. Atypical depression
the treatment for EtOH intox and withdrawal
potential tx for nicotine withdrawal
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection
prolonged pain with no physical findings - psychosocial factors play an important role in severity exacerbation or maintenance

12. Naloxone + buprenorphine - naloxone not active when taken orally only when injected - withdrawal sx only occur if injected cuts down abuse
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence
suboxone and the rational of adding an antagonist
Separation of feelings from ideas and events
cyclothymia disorder

13. Male - known to the victim
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months
both illness and motivation are subconcious - sx not intentionally produced or feigned
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy
the typical abuser in sexual abuse

14. Childhood disintegrative disorder
define bipolar disorder and distinguish I from II
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
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
SIG E CAPS and the criteria for dx

15. CBT - SSRI - TCI - BDZ
the tx for panic disorder
anxious - fearful
SIG E CAPS and the criteria for dx
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years

16. Loose associations
disorders in the form of through - the way ideas are tied together
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of
partially remaining at more childish level of development
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

17. Distractability - irresponsibility - grandiosity - flight of ideas - increase in Activity/Agitation - decrease need for sleep - talkativeness or pressured speech (at least 3)
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing
DIG FAST
Is body weight maintained within nl range in bulimia nervosa
visual hallucinations common

18. Risk factors for suicide complettion - sex (male) - age (teen/elderly) - depression - previous attempt - ethanol/drug use - loss of rational thinking - sickness (medical illness 3 or more prescription medications) - orgnized plan - no spouse - social
doctor projects feelings about formative or other important persons onto patient
inability to remember things that occurred after CNS insult
potential tx for nicotine withdrawal
SAD PERSONS

19. Behavior inconsistent with ones own beliefs and attitudes - as opposed to OC personality disorder
the time frame for schizophreniform disorder
What ego dystonic means in relation to OCD
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
voluntary withholding of an idea or feeling fromk concious awareness

20. Ego - take it and you will get in trouble
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing
mediator between primal urges and accepted behavior
tantrums
maladaptive pattern of substance use with 3 or more of these 7 criteria

21. Naloxone - naltrexone - and symptomatic for withdrawal sx
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis
visual hallucinations common
the tx for opiod intox and withdrawal
misinterpretations of actual external stimulus

22. Gender identity disorder
the stages of change in overcoming substance addiction
strong persistant cross gender identification
Long acting oral opiate for heroine detox or long term maintenance
gender autism is more common in

23. Female primary caregiver
When separation anxiety disorder usually presents
intox = ataxia - minor respiratory depression
the typical abuser in physical child abuse
psychiatric disorder associated with tourrettes - and the treatment

24. Generalized anxiety disorder
in elderly patients who present with dementia - the concern
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
pieces of evidence for sexual child abuse

25. Depersonalization disorder

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26. Operant conditioning
learning in which a particular ation is elicited because it produces a reward
the triad of Wernicke's encephalopathy
in elderly patients who present with dementia - the concern
the order of loss of orientation

27. Methadone
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia
heroin users at increased risk of...
Long acting oral opiate for heroine detox or long term maintenance
How long marijuana is detectable in the urine after last use

28. Panic disorder
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures
intense fear and discomfort peaking in 10 minutes
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
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain

29. Splitting - a pt that says all nurses are nice and all doctors are bad
the two types of schizoaffective disorder
whenmen vs women present with schizophrenia
belief that people are either all good or all bad at different times due to intolerance or ambiguity
depressant withdrawal - nonspecific

30. The criteria for mental retardation?
IQ<70
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence
whenhypnagogic hallucinations take place
cyclothymia disorder

31. In what disease is DA increase?
Schizophrenia
neurologic outcome associated with W- K syndrome
the epi of physical child abuse
the age of onset of ADHD

32. LSD
reward received after every response - rapidly extinguished - vending machine
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation
the time frame for schizophreniform disorder
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks

33. EtOH - drugs - fluid/lytes imbalance - head trauma - hypoglycemia - nutritional def
the common causes of lack or orientation
a hypomanic episode
appreciating the amusing nature of an anxiety provoking or adverse situation
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...

34. SSRIs - clomipramine
Parkinsons
the tx for OCD
disorders in the form of through - the way ideas are tied together
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy

35. Avoidant - hypersensitive to rejection - timid - obsessive/compulsive - preoccupation with order - ego syntonic - dependent - submissive and clinging
associated with winter season - improves in response to full spectrum light exposure
the 3 types of cluster C personality disorder
neurologic outcome associated with W- K syndrome
Korsakoff's psychosis

36. Genital/anal trauma - STDs and UTIs
pieces of evidence for sexual child abuse
whering clothes of the opposite sex
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing
Causes of dementia

37. Schizoaffective disorder
associated with winter season - improves in response to full spectrum light exposure
heroin users at increased risk of...
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode
postpartum depressed affect - tearfullness fatigue - usually resolves within 10 days - disorder + incidence

38. Seasonal affective disorder
prolonged pain with no physical findings - psychosocial factors play an important role in severity exacerbation or maintenance
associated with winter season - improves in response to full spectrum light exposure
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...
the treatment for EtOH intox and withdrawal

39. Munchausen's syndrome
Number of major depressive episodes constitute major depressive disorder
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures
application of aversive stimulus extinguishes unwanted behavior
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise

40. While going to sleep
the time frame for schizophreniform disorder
behavior achieved following reward of closer and closer approximations of desired behavior
How long episodes of major depressive episode usually last
whenhypnagogic hallucinations take place

41. Alcoholic cirrhosis - hepatitis - pancreatitis - peripheral neuropathy - testicular atrophy
inability to remember things that occurred before CNS insult
persistant feelings of detachment or estrangement from one's own body - a social situation - or the environment
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
the complications of alcoholism

42. Alcohol
modeling behavior after another person is more powerful - though not necessarily admired
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens
100 - 15
learning in which a particular ation is elicited because it produces a reward

43. Hepatitis - abscesses - OD - hemorrhoids - AIDS - right sided endocarditits
exaggerated fear of embarrasment in social situations - disorder and tx
heroin users at increased risk of...
lifetime prevalance of tourrette's in the gen pop - and the chance of coprolalia
pieces of evidence for sexual child abuse

44. Aura of psychomotor epilepsy and in brain tumors
desired reward produces action - mouse presses button for food
the definition of alcoholism
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
olfactory hallucinations common

45. Severe and profound MR?
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months
<40 and <20
the tx for opiod intox and withdrawal
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures

46. Unconcious mental processes to resolve conflict and prevent feelings of anxiety and depression
persistant feelings of detachment or estrangement from one's own body - a social situation - or the environment
repeated stimulation leads to decrease response
the goal of the ego defenses
How long marijuana is detectable in the urine after last use

47. Patch - gum - losenge - buproprion - varenicline
Under these conditions do children regress to younger patterns of behavior
potential tx for nicotine withdrawal
doctor projects feelings about formative or other important persons onto patient
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse

48. Transvestism
inability to remember things that occurred before CNS insult
whering clothes of the opposite sex
the treatments for ADHD
persistant feelings of detachment or estrangement from one's own body - a social situation - or the environment

49. Paranoid - pervasive distrust - schizoid - voluntary social withdrawal - schitzotypal - eccentric appearance and magical thinking - interpersonal awkwardness
the common sx of PTSD
the common causes of lack or orientation
the tx for BDZ intox - MOA
the various types of cluster A personality disorder

50. Autism
reward received after random number of responses - slowly extinguished - slot machine
mediator between primal urges and accepted behavior
both illness and motivation are subconcious - sx not intentionally produced or feigned
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence