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Psychiatry

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Answer 50 questions in 15 minutes.
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1. Munchausen's syndrome
the common sx of PTSD
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself
depressant withdrawal - nonspecific
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures

2. Caffeine
abrupt change in geographic location with inability to recall past - confusion about personal identity - or assumption of a new identity - associated with traumatic circumstances
olfactory hallucinations common
intox = restlessness - increase diureis - muscle twitching
the various types of cluster A personality disorder

3. Loose associations
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 time frame for brief pyschotic disorder
persistant feelings of detachment or estrangement from one's own body - a social situation - or the environment
disorders in the form of through - the way ideas are tied together

4. Repression - not remebering a conflictual or traumatic experience
factors are most important in the etiology of schizophrenia
involunatary withholding of an idea or feeling from conscious awareness
anterograde amnesia caused by thiamine deficiency
tantrums

5. Time then place then person
the order of loss of orientation
intox is marked respiratory depression - intox = delerium - life threatening CV collapse
Depression
gustatroy hallucinations common

6. Mood elevation - decrease anxiety - sedation - behavior disinhibition - respiratory depression
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...
maladaptive pattern of substance use with 3 or more of these 7 criteria
depressant intoxication - nonspecific
overwhelming fear of separation from home or loss of attachment figure that can lead to factitious physical complaints to avoid going to school

7. Specific phobia
Diagnosis requres 2 of 5 of which sx
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 delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
repeated stimulation lead sot increase response

8. Healed fractures on xray - cigarrette burns - sudbural hematomasm multiples bruises - retinal hemorrhage or detachment
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame
pieces of evidence of physical child abuse
IQ<70
dramatic - emotional or erratic

9. Hallucination
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning
auditory hallucinations common
perceptions in the absence of external stimulus
both illness and motivation are subconcious - sx not intentionally produced or feigned

10. Irreversible memory loss - confabulation - personality change

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11. Dysthymia followed by hypomania
pieces of evidence for sexual child abuse
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent
cyclothymia disorder

12. Boys
persistent re - experiencing of a previous traumatic event
gender autism is more common in
DIG FAST
SAD PERSONS

13. 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
the goal of the ego defenses
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months
repeated stimulation lead sot increase response

14. Projection - a man who wants another women thinks his wife is cheating on him
100 - 15
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of
an unacceptable internal impulse is attributed to an external source
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy

15. Pain disorder
strong persistant cross gender identification
persistent re - experiencing of a previous traumatic event
prolonged pain with no physical findings - psychosocial factors play an important role in severity exacerbation or maintenance
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent

16. Rett's disorder
How long does the disturbance last in PTSD
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited
postpartum depressed affect - tearfullness fatigue - usually resolves within 10 days - disorder + incidence

17. Humor - nervous med student jokes about boards
appreciating the amusing nature of an anxiety provoking or adverse situation
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
repetitive and pervasive behavior violating social norms - disorder - and name change after 18

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

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19. Genital/anal trauma - STDs and UTIs
inability to remember things that occurred before CNS insult
turning back the maturational clock and going back to earlier modes of dealing with the world
both illness and motivation are subconcious - sx not intentionally produced or feigned
pieces of evidence for sexual child abuse

20. Acting out
whering clothes of the opposite sex
the order of loss of orientation
tantrums
reward received after random number of responses - slowly extinguished - slot machine

21. 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
Long acting oral opiate for heroine detox or long term maintenance
100 - 15
anxious - fearful

22. 85 percent
less than what percentage of ideal body weight is common in anorexia nervosa
persistant feelings of detachment or estrangement from one's own body - a social situation - or the environment
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing
doctor projects feelings about formative or other important persons onto patient

23. Modeling (social learning)

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24. Continuous reinforcement schedule
postpartum depressed affect - tearfullness fatigue - usually resolves within 10 days - disorder + incidence
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
inbability to recall important personal information - usually subsequent to severe trauma or stress
reward received after every response - rapidly extinguished - vending machine

25. Illusion
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment
Alzheimers
misinterpretations of actual external stimulus
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months

26. Supression - not thinking about the USMLE until the week of the exam
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...
Diagnosis requres 2 of 5 of which sx
reward received after every response - rapidly extinguished - vending machine
voluntary withholding of an idea or feeling fromk concious awareness

27. Alcohol
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought
What korsakoff's amnesia can lead to - who do you see it in and it also associated with
the tx for atypical depression
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens

28. Dissociative fatigue
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence
abrupt change in geographic location with inability to recall past - confusion about personal identity - or assumption of a new identity - associated with traumatic circumstances
behavior acquired by watching others and assimilating actions into one's own repetoire
neurologic outcome associated with W- K syndrome

29. Naltrexone and BDZ
the treatments for ADHD
the treatment for EtOH intox and withdrawal
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of
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

30. Reaction formation - a patient with libidinous thoughts enters a monastery
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
repeated stimulation leads to decrease response
dramatic - emotional or erratic

31. Like manic but without marked impairement in fxning - no pyschotic features
How long infant deprivation can last before it leads to irreversible changes
a hypomanic episode
Moral values - conscience can lead to self blame and attacks of ego
turning back the maturational clock and going back to earlier modes of dealing with the world

32. In what disease is GABA decrease and ACH decrease?
Huntingtons
abrupt change in geographic location with inability to recall past - confusion about personal identity - or assumption of a new identity - associated with traumatic circumstances
disorders in the form of through - the way ideas are tied together
application of aversive stimulus extinguishes unwanted behavior

33. Maternal blues 50 to 85%
postpartum depressed affect - tearfullness fatigue - usually resolves within 10 days - disorder + incidence
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week
cyclothymia disorder
misinterpretations of actual external stimulus

34. Parotitis - enamel erosion - lytes disturbances - alkalosis - dorsal hand calluses from inducing vomit
odd or eccentric; inability to develop meaningful social relationships
intense fear and discomfort peaking in 10 minutes
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence
the associations/complications of bulimia nervosa

35. The mean IQ and SD?
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning
define bipolar disorder and distinguish I from II
tactile hallucinations common
100 - 15

36. The criteria for mental retardation?
the serum markers of alcohol use
pieces of evidence for sexual child abuse
IQ<70
Schizophrenia

37. Orientation
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving
the two types of schizoaffective disorder
What ego dystonic means in relation to OCD
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...

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. Stress of physical illness - punishment - birth of a new sibling - fatigue (bedwetting in a previously toilet trained child when hospitalized
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
How long marijuana is detectable in the urine after last use
Under these conditions do children regress to younger patterns of behavior
the treatments for ADHD

40. Seasonal affective disorder
associated with winter season - improves in response to full spectrum light exposure
discontinuation of reinforcement eliminates behavior
intox = restlessness. Withdrawal = irritability - anxiety - craving
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr

41. Cluster A personality disorder
inability to remember things that occurred after CNS insult
pieces of evidence of physical child abuse
odd or eccentric; inability to develop meaningful social relationships
the central goa of freudian psychoanalysis

42. Punishment
delerium tremens symptoms
application of aversive stimulus extinguishes unwanted behavior
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week
an unacceptable internal impulse is attributed to an external source

43. Transference
dramatic - emotional or erratic
patient projects feelings about formative or other important persons onto physician
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 epi of physical child abuse

44. Intox = mood elevation - psychomotor agitation - insomnia - cardiac arrhythmias - tachycardia - anxiety. Withdrawal = post use crash - depression - weight gain - lethargy - HA
the two types of schizoaffective disorder
the non specific signs of stimulant intox and withdrawal
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures
<40 and <20

45. Factitious disorder
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures
autism with unusual abilities
intox = restlessness. Withdrawal = irritability - anxiety - craving
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain

46. Calculates IQ as mental age/chronological age x 100
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months
cyclothymia disorder
Stanford - binet
intense fear and discomfort peaking in 10 minutes

47. ECT - disorientation amnesia - usually resolves in 6 months
the epi of sexual abuse
application of aversive stimulus extinguishes unwanted behavior
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects

48. Depression
in elderly patients who present with dementia - the concern
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent
avoidance of awareness of a some painful reality
involunatary withholding of an idea or feeling from conscious awareness

49. Patch - gum - losenge - buproprion - varenicline
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving
the tx for OCD
Causes of dementia
potential tx for nicotine withdrawal

50. Failure to provide adequate food - shelter - supervision - education and/or affection - most common form of child maltreatment
child neglect
repeated stimulation lead sot increase response
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing

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Psychiatry

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