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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. Personality disorder
the goal of the ego defenses
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months
the associations/complications of bulimia nervosa
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

2. In what disease does NE increase - GABA decrease - and 5HT decrease?
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis
Anxiety
Huntingtons
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months

3. Illusion
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment
the tx for panic disorder
misinterpretations of actual external stimulus
anterograde amnesia caused by thiamine deficiency

4. Somatization disorder
the treatments for ADHD
an unacceptable internal impulse is attributed to an external source
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years
patient projects feelings about formative or other important persons onto physician

5. Disulfiram and supportive care
whenhypnagogic hallucinations take place
desired reward produces action - mouse presses button for food
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse
the tx for alcoholism

6. Avoidant - hypersensitive to rejection - timid - obsessive/compulsive - preoccupation with order - ego syntonic - dependent - submissive and clinging
autism with unusual abilities
removal of aversive stimulus elicits behavior - mouse presses button to avoid shock
the 3 types of cluster C personality disorder
the time frame for schizophreniform disorder

7. Behavior inconsistent with ones own beliefs and attitudes - as opposed to OC personality disorder
depressant withdrawal - nonspecific
discontinuation of reinforcement eliminates behavior
What ego dystonic means in relation to OCD
odd or eccentric; inability to develop meaningful social relationships

8. Punishment
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought
application of aversive stimulus extinguishes unwanted behavior
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months

9. OCD - haloperidol
psychiatric disorder associated with tourrettes - and the treatment
100 - 15
preoccupation with a fear of having a serious illness despite medical evaluation and assurance
reward received after every response - rapidly extinguished - vending machine

10. Ego - take it and you will get in trouble
the central goa of freudian psychoanalysis
mediator between primal urges and accepted behavior
desire to live as the opposite sex - through surgery or hormone tx
delerium tremens symptoms

11. Like manic but without marked impairement in fxning - no pyschotic features
intox = restlessness. Withdrawal = irritability - anxiety - craving
the age of onset of ADHD
a hypomanic episode
the definition of alcoholism

12. Alcohol
cyclothymia disorder
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens
the evidence for child neglect

13. Adjustment disorder
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months
the time frame for schizophreniform disorder
the typical abuser in sexual abuse
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr

14. Presence of at least one manic (I) or hypomanic (II) episode - depressive sx occur eventually
define bipolar disorder and distinguish I from II
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis
intox = restlessness - increase diureis - muscle twitching
the serum markers of alcohol use

15. Calculates IQ as mental age/chronological age x 100
intox = restlessness. Withdrawal = irritability - anxiety - craving
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent
Stanford - binet
this drug is a risk factor for schizophrenia in teens

16. Panic disorder
disorders in the form of through - the way ideas are tied together
100 - 15
Stanford - binet
intense fear and discomfort peaking in 10 minutes

17. Nicotine
intox = restlessness. Withdrawal = irritability - anxiety - craving
appreciating the amusing nature of an anxiety provoking or adverse situation
auditory hallucinations common
SAD PERSONS

18. Schizophrenia
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months
intox = ataxia - minor respiratory depression
SAD PERSONS
the tx for opiod intox and withdrawal

19. Seasonal affective disorder
associated with winter season - improves in response to full spectrum light exposure
This gross neurological finding is associated with ADHD
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months

20. Modeling (social learning)

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21. Delirium
intox is marked respiratory depression - intox = delerium - life threatening CV collapse
visual hallucinations common
the tx of W- K syndrome
When to hypnopompic hallucinations take place

22. Female primary caregiver
a hypomanic episode
autism with unusual abilities
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
the typical abuser in physical child abuse

23. Classical conditioning - pavlov's dogs
the typical abuser in sexual abuse
the tx for OCD
delerium tremens symptoms
learning in which a natural response is elicited by a conditioned - or learned stimulus that previously was presented in conjuction with an unconditioned stimulus

24. Separation anxiety disorder
100 - 15
overwhelming fear of separation from home or loss of attachment figure that can lead to factitious physical complaints to avoid going to school
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy
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. Methadone
gender autism is more common in
an unacceptable internal impulse is attributed to an external source
Long acting oral opiate for heroine detox or long term maintenance
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse

26. Anaclitic depression - can be reversible or lead to FTT - or developmental disturbances
this drug is a risk factor for schizophrenia in teens
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis
Depression

27. Munchausen's syndrome
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability
When to hypnopompic hallucinations take place
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures
Longitudinal lacerations of the gastroesophogeal junction caused by excessive vomiting

28. Inc mania - high suicide risk
strong persistant cross gender identification
100 - 15
the concern with use of antidepressants in pts with bipoloar disorder
intox is marked respiratory depression - intox = delerium - life threatening CV collapse

29. Physiologic tolerance and dependence with symptoms of withdrawal when intake is interrupted
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens
the definition of alcoholism
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent

30. Palp - parasthesias - abdominal distress - nausea - intense fear of dying or losing control - lIght headedness - chest pain - chills - choking - disConnectedness - sweating - shaking - SOB
the concern with use of antidepressants in pts with bipoloar disorder
PANICS
application of aversive stimulus extinguishes unwanted behavior
overwhelming fear of separation from home or loss of attachment figure that can lead to factitious physical complaints to avoid going to school

31. Isolation of affect - describing murder in graphic detail with no emotional response
Separation of feelings from ideas and events
repetitive and pervasive behavior violating social norms - disorder - and name change after 18
whenmen vs women present with schizophrenia
inability to remember things that occurred after CNS insult

32. Hallucination
What korsakoff's amnesia can lead to - who do you see it in and it also associated with
auditory hallucinations common
perceptions in the absence of external stimulus
pieces of evidence for sexual child abuse

33. 1 month
How long marijuana is detectable in the urine after last use
Parkinsons
voluntary withholding of an idea or feeling fromk concious awareness
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy

34. Methylphenidate - amphetamines - atomoxetine
the treatments for ADHD
discontinuation of reinforcement eliminates behavior
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions
Alzheimers

35. Savant
dramatic - emotional or erratic
the tx for alcoholism
autism with unusual abilities
application of aversive stimulus extinguishes unwanted behavior

36. 2 or more within a symptom free interval of 2 months
whering clothes of the opposite sex
the tx for bipolar disorder
Number of major depressive episodes constitute major depressive disorder
desired reward produces action - mouse presses button for food

37. Gamma glutamyltransferase - GGT - AST 2x ALT
the treatment for EtOH intox and withdrawal
the serum markers of alcohol use
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
define bipolar disorder and distinguish I from II

38. Body dysmorphic disorder
discontinuation of reinforcement eliminates behavior
the treatments for ADHD
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning
strong persistant cross gender identification

39. Factitious disorder
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain
Separation of feelings from ideas and events
desired reward produces action - mouse presses button for food
the evidence for child neglect

40. SSRIs - clomipramine
maladaptive pattern of substance use with 3 or more of these 7 criteria
autism with unusual abilities
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment
the tx for OCD

41. Men early 20s - women late 20s early 30s
persistent re - experiencing of a previous traumatic event
whenmen vs women present with schizophrenia
desired reward produces action - mouse presses button for food
neurologic outcome associated with W- K syndrome

42. MAOi - SSRIs
the typical abuser in physical child abuse
the tx for atypical depression
the tx for panic disorder
whering clothes of the opposite sex

43. Amphetamines
the 4 W's of deprived babies?
inbability to recall important personal information - usually subsequent to severe trauma or stress
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence
Huntingtons

44. Rationalization - after getting fired saying the job wasn't that important anyway
the serum markers of alcohol use
inability to remember things that occurred after CNS insult
depressant intoxication - nonspecific
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame

45. Nl
the tx for opiod intox and withdrawal
Separation of feelings from ideas and events
misinterpretations of actual external stimulus
the EEG findings in dementia

46. Korsakoff's amnesia
Korsakoff's psychosis
anterograde amnesia caused by thiamine deficiency
repeated stimulation lead sot increase response
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought

47. Paranoid - pervasive distrust - schizoid - voluntary social withdrawal - schitzotypal - eccentric appearance and magical thinking - interpersonal awkwardness
the various types of cluster A personality disorder
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr
patient projects feelings about formative or other important persons onto physician
persistant feelings of detachment or estrangement from one's own body - a social situation - or the environment

48. EtOH withdrawal - cocaine abusers
the associations/complications of bulimia nervosa
tactile hallucinations common
factors are most important in the etiology of schizophrenia
removal of aversive stimulus elicits behavior - mouse presses button to avoid shock

49. In what disease is DA increase?
Schizophrenia
delerium tremens symptoms
the tx for alcoholism
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent

50. Countertransference
doctor projects feelings about formative or other important persons onto patient
How long does the disturbance last in PTSD
suboxone and the rational of adding an antagonist
persistent re - experiencing of a previous traumatic event